• Brandon T Suehs, Lisa M Mican, and Angela H Campbell.
• College of Pharmacy, University of Texas at Austin, USA.
• J Am Pharm Assoc (2003). 2011 Sep 1; 51 (5): 599-604.

ObjectiveTo describe and evaluate clinical outcomes of pharmacist consult service recommendations in an inpatient psychiatric setting.DesignRetrospective study.SettingAustin, TX, between September 1, 2005, and May 31, 2006.Patients105 patients receiving a pharmacy consult while admitted to the Austin State Hospital.InterventionCompletion of consultation pursuant to provider referral.Main Outcome MeasuresClinical 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.ResultsA 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.ConclusionImplementing 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.

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