Evidence map›Paper›PMID 38551749›Full record

ArticleInternational journal of clinical pharmacy2024

Critical care pharmacy service provision and workforce in adult extracorporeal membrane oxygenation centres: a multicentre cross-sectional survey.

Christopher Remmington, Lynda Cameron, Fraser Hanks, Ya-Hui Liang, Linda Barrow, Ruth Coxhead, Reena Mehta, Nisha Bhudia, Haifa Lyster, Sarah Cooke and 4 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in International journal of clinical pharmacy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Christopher RemmingtonPharmacy Department, Guy's and St Thomas' NHS Foundation Trust, St Thomas' Hospital, London, UK. christopher.remmington@gstt.nhs.uk.ORCID http://orcid.org/0000-0001-5600-8368
Lynda CameronPharmacy Department, Guy's and St Thomas' NHS Foundation Trust, St Thomas' Hospital, London, UK.
Fraser HanksPharmacy Department, Guy's and St Thomas' NHS Foundation Trust, St Thomas' Hospital, London, UK.
Ya-Hui LiangPharmacy Department, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
Linda BarrowPharmacy Department, Royal Papworth Hospital NHS Foundation Trust, Cambridge, UK.
Ruth CoxheadPharmacy Department, The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle, UK.
Reena MehtaInstitute of Pharmaceutical Science, School of Cancer & Pharmaceutical Sciences, King's College London, London, UK.
Nisha BhudiaPharmacy Department, Royal Brompton and Harefield Hospitals, Part of Guy's and St Thomas, NHS Foundation Trust, London, UK.
Haifa LysterInstitute of Pharmaceutical Science, School of Cancer & Pharmaceutical Sciences, King's College London, London, UK.
Sarah CookePharmacy Department, University Hospitals of Leicester NHS Trust, Leicester, UK.
James GilmartinPharmacy Department, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Phillisa LeePharmacy Department, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Rhona SlossPharmacy Department, Barts Health NHS Trust, London, UK.
Cathrine McKenzieInstitute of Pharmaceutical Science, School of Cancer & Pharmaceutical Sciences, King's College London, London, UK.

Funding

National Institute for Health and Care Research NIHR302687
6 · The paper itself

Abstract

backgroundThere is good evidence describing pharmacy workforce and service provision in general critical care units. However, no data exist from adult extracorporeal membrane oxygenation (ECMO) centres.

aimTo describe workforce characteristics, pharmacy service provision, and pharmaceutical care activities in critical care units (CCUs) providing an adult ECMO service in the United Kingdom (UK) and compare to national staffing standards for CCUs.

methodWe conducted a multicentre, cross-sectional electronic survey inviting one pharmacy professional response per UK ECMO centre. We collated information on workforce, service provision, and pharmaceutical care activities provided by pharmacy teams in adult CCUs with an ECMO service.

resultsThe survey response rate was 90.9%: representatives of 10/11 tertiary hospitals providing ECMO services responded. Median critical care pharmacist to critical care bed was 1:12.1 (IQR: 1:9.4-1:14.9). Most centres (90.0%) did not meet national standards for pharmacy professionals to critical care bed staffing ratios for weekday services. Total critical care beds covered by the critical care pharmacy team varied across the UK: median (IQR) - 45 (37-80) beds. Two centres funded pharmacist time for ECMO activity, and one centre funded a pharmacy technician post. Median peak ECMO activity was 4 ECMO patients in a single day (IQR: 3-5). Most respondents reported reduced pharmacy service at weekends compared to weekday, with limited on-site support.

conclusionMost responding ECMO centres in the UK reported pharmacy staffing ratios below nationally agreed critical care standards. There was high variability in clinical pharmacy services to ECMO patients over 7 days.

Indexed as

Critical CareExtracorporeal Membrane OxygenationPharmacistsPharmacy Service, HospitalAdultCross-Sectional StudiesHumansPharmacy TechniciansSurveys and QuestionnairesUnited KingdomWorkforceClinical pharmacy serviceCritical careECMOExtracorporeal membrane oxygenationPharmacistWorkforce

Identifiers

PMID38551749

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.