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PACULit Literature Updates September 2025: Emergency Medicine & Critical Care Use of a drug-related problem oriented medical record in the medication review of critically ill patients Randomized clinical trial Use of a drug-related problem oriented medical record in the medication review of critically ill patients Randomized clinical trial Quiz
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  1. Question 1 of 3
    1. Question

    John is a 62-year-old male admitted to the ICU with acute coronary syndrome and congestive heart failure. His medical history includes hypertension and type 2 diabetes. He is currently on multiple medications including aspirin, lisinopril, metformin, and furosemide. The ICU pharmacist is considering the use of a structured medical record model to optimize medication review and reduce drug-related problems during his stay.

    Based on evidence from the DAM model study, what is the most significant benefit of using a drug-related problem (DRP) oriented medical record in John’s ICU care?

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  2. Question 2 of 3
    2. Question

    Maria, a 70-year-old female with heart failure admitted to the ICU, is on multiple medications including beta-blockers, diuretics, and anticoagulants. The clinical pharmacist is tasked with reviewing her medications to prevent drug-related problems. The ICU currently uses conventional medication review without a structured DRP-oriented documentation system.

    What advantage does incorporating a structured DRP-oriented medical record like DAM provide over conventional pharmacist medication review in the ICU setting?

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  3. Question 3 of 3
    3. Question

    Ahmed is a 58-year-old male admitted to the ICU with sepsis and multiple organ dysfunction. His SOFA score upon admission is high, indicating severe organ failure. The ICU pharmacist is involved in medication review using the DAM medical record model to address drug-related problems and optimize therapy.

    How did the use of the DAM medical record model impact SOFA scores in critically ill patients according to the study, and what does this imply for Ahmed’s care?

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