The Role of Clinical Pharmacists in the Emergency Department
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Conflict of Interest
The position of the American College of Medical Toxicology (ACMT) is as follows: clinical pharmacists are integral to the care and safety of emergency department (ED) patients. Emergency department pharmacists positively impact time to critical therapies, including antibiotics for sepsis and door-to-balloon time for acute myocardial infarction. Pharmacists optimize pharmacotherapy regimens involving high-risk therapeutic classes, such as thrombolytics. Clinical pharmacists improve patient safety by intercepting prescription errors and recognizing adverse drug events. The potential cost avoidance of reducing errors and meeting standards for reimbursement provides financial justification for dedicated ED clinical pharmacist staffing. We support 24-h staffing of emergency departments with dedicated ED pharmacists.
While individual practices may differ, this is the position of the American College of Medical Toxicology (ACMT) at the time written, after a review of the issue and pertinent literature.
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