title: Retrospective evaluation of an inpatient psychiatric pharmacist consultation service.
abstract: OBJECTIVE
  To describe and evaluate clinical outcomes of pharmacist consult service recommendations in an inpatient psychiatric setting.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  Austin, TX, between September 1, 2005, and May 31, 2006.
  
  
  METHODS
  105 patients receiving a pharmacy consult while admitted to the Austin State Hospital.
  
  
  METHODS
  Completion of consultation pursuant to provider referral.
  
  
  METHODS
  Clinical Global Impression (CGI)-Severity (CGI-S) and CGI-Improvement (CGI-I) scores were retrospectively determined by blinded psychiatric pharmacy specialists upon review of physician progress notes.
  
  
  RESULTS
  A total of 105 pharmacy consultations and associated physician progress notes were reviewed. Overall, 73% of the primary consultation recommendations were implemented. The most common reasons for referral to the psychopharmacology service were nonresponse to treatment and aggression. Patients with high implementation of consultation recommendations displayed more favorable endpoint CGI-S scores and displayed a greater CGI-I response rate compared with patients with low implementation of consult recommendations.
  
  
  CONCLUSIONS
  Implementing clinical pharmacists' consult recommendations was associated with significantly greater improvement in overall severity of illness and global improvement. This study supports the positive role that pharmacists have in optimizing patient care and clinical outcomes.
authors: College of Pharmacy, University of Texas at Austin, USA.
authors: Brandon T
authors: BT
authors: Suehs
authors: Lisa M
authors: LM
authors: Mican
authors: Angela H
authors: AH
authors: Campbell
mesh_terms: D000293:Adolescent; D000328:Adult; D003253:Consultants; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000188:drug therapy* / Q000503:physiopathology; D008875:Middle Aged; D005791:Patient Care / Q000379:methods; D010595:Pharmacists / Q000458:organization & administration*; D010607:Pharmacy Service, Hospital / Q000458:organization & administration*; D024382:Professional Role; D011569:Psychiatric Status Rating Scales; D011619:Psychotropic Drugs / Q000627:therapeutic use; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013781:Texas; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D011619:Psychotropic Drugs