The vision of the MRC-ICU Scoring Tool is data-driven, optimal pharmacotherapeutic care for every critically ill patient.
The mission of the MRC-ICU Scoring Tool is to serve as an electronic medical health record analytics tool that connects patient-level data to individualized pharmacist resource predictions to improve patient outcomes and reduce healthcare costs through optimization of the pharmacist-to-patient ratio.
The MRC-ICU Scoring Tool is a 39-line item tool consisting of medications & devices that quantitatively describes medication regimen complexity by scoring and weighting each individual line item.
An Excel file with the scoring tool is available for free download below:
MRC-ICU PEER-REVIEWED PUBLICATIONS
Al-Mamun MA, Brothers T, Newsome AS. Development of Machine Learning Models to Validate a Medication Regimen Complexity Scoring Tool for Critically Ill Patients. Annals of Pharmacotherapy. September 2020. doi:10.1177/1060028020959042
Sikora Newsome A. Smith SE. Olney WJ†. Jones TW. Multi-center validation of a novel medication regimen complexity scoring tool. Am J Health Syst Pharm. 15 March 2020. 77(6):474-478. Article DOI: https://doi.org/10.1093/ajhp/zxz330.
Sikora Newsome A. Jones TW†. Smith SE. Pharmacists are associated with reduced mortality in critically ill patients: now what? Crit Care Med. 2019 Dec;47(12):e1036.e1037. doi: 10.1097/CCM.0000000000003934.
Sikora Newsome A. Smith SE. Jones TW†. Taylor A†. Van Berkel MA. Rabinovich M. A survey of Critical Care Pharmacists to Patient Ratios and Practice Characteristics in Intensive Care Units. Journal of American College of Clinical Pharmacy. 23 July 2019. 3(1):68-74. Article DOI: https://doi.org/10.1002/jac5.1163.
Sikora Newsome A. Smith SE. Olney WJ†. Jones TW†. Forehand CC. Jun AH. Sellers L. Medication regimen complexity is associated with pharmacist interventions and drug-drug interactions: a use of the novel MRC-ICU scoring tool. Journal of the American College of Clinical Pharmacy. 12 June 2019. 3(1);47-56. Article DOI: https://doi.org/10.1002/jac5.1146.
Jones TW†. Sikora Newsome A. (corresponding author). Smith SE. Forehand CC. Interprofessional Shared Decision Making: Who is at the table? Crit Care Med. 2020 Feb;48(2):e158-e159. Article DOI: 10.1097/CCM.0000000000004029.
Sikora Newsome A, Anderson D, Gwynn M, Waller JE. Characterization of dynamic changes in medication regimen complexity in critically ill patients using the modified MRC-ICU scoring tool. American Journal of Health-System Pharmacy Residents Edition. https://www.ncbi.nlm.nih.gov/pubmed/31586396
Gwynn M, Oates M, Sikora Newsome A. Development of a medication regimen complexity scoring tool (MRC-ICU) for critically ill patients. American Journal of Health-System Pharmacy, Volume 76, Issue Supplement_2, 1 June 2019, Pages S34–S40, https://doi.org/10.1093/ajhp/zxy054.
MRC-ICU SCCM SNAPSHOT PRESENTATIONS
MRC-ICU CORRELATES WITH PHARMACIST INTERVENTIONS
2019 SCCM Annual Congress Presentation
SURVEY OF PHARMACIST TO PATIENT RATIOS
2020 SCCM Annual Congress Presentation
Sikora Newsome A. Rech M; Hammond D; Liang E; Masic D; Vilella A; Smith M; Plewa-Rusiecki A; Heavner MS; Dzierba A; Blackwell S; Flannery A; Shah P; Smith Z; Horng M; Radosevich J; Hassig T; Campbell J; Montero J; PHARM-CRIT Study Investigators. PHARM-CRIT: Medication regimen complexity in the ICU (MRC-ICU) as a predictor of inpatient mortality. (2020, Feb 17). Society of Critical Care Medicine Annual Congress. Orlando, FL. Critical Care Medicine: January 2020 - Volume 48 - Issue 1 - p 437
Jones TW†; Rabinovich M; Van Berkel M; Smith SE; Sikora Newsome A. Association Between Pharmacist-to-Patient Ratio and Perceptions of Unsafe Care. (2020, Feb 17). Society of Critical Care Medicine Annual Congress. Orlando, FL. Critical Care Medicine: January 2020 - Volume 48 - Issue 1 - p 672. doi: 10.1097/01.ccm.0000645476.12234.03
Olney WJ†; Chase A†; Smith SE; Sikora Newsome A. Medication Regimen Complexity Score as an Indicator of Fluid Balance in the Intensive Care Setting. (2020, Feb 17). Society of Critical Care Medicine Annual Congress. Orlando, FL.
Olney WJ; Chase A; Smith SE; Newsome AS. Medication regimen complexity score as an indicator of fluid balance in the intensive care setting. American College of Clinical Pharmacists Annual Meeting. New York, New York. October 29, 2019.
Newsome, Andrea; Smith, Susan; UGA Critical Care Collaborative (UGA C3). Medication regimen complexity predicts pharmacist workload: use of the novel MRC-ICU scoring tool. Critical Care Medicine. Jan 2019, Volume 47 (1). p405.
Smith, Susan; Newsome Andrea; UGA Critical Care Collaborative (UGA C3). External validation of a novel medication regimen complexity score in a medical intensive care unit. Critical Care Medicine. Jan 2019, Volume 47 (1). p434.
Sellers, Lindsey; Jun, Ah Hyun; Forehand, Christy; Smith, Susan; Newsome, Andrea; UGA Critical Care Collaborative (UGA C3). Predictors of pharmacist interventions in critically ill patients. Critical Care Medicine. Jan 2019, Volume 47 (1). p623.
Newsome, Andrea; Oates, Margaret; Gwynn, Morgan; Waller, Jennifer. Development of a medication regimen complexity scoreing tool (MRC-ICU) for critically ill patients. Critical Care Medicine. Jan 2018, Volume 46 (1). p439.
ANDREA SIKORA NEWSOME,
PHARMD, BCPS, BCCCP
Clinical and Administrative Pharmacy, Augusta
Clinical Assistant Professor
THE UNIVERSITY OF GEORGIA COLLEGE OF PHARMACY
Dr. Newsome is the developer of the MRC-ICU Scoring Tool. She is a Clinical Assistant Professor at University of Georgia in Augusta.
SUSAN E. SMITH, PHARMD, BCPS, BCCCP
Clinical and Administrative Pharmacy, Athens
Clinical Assistant Professor
THE UNIVERSITY OF GEORGIA COLLEGE OF PHARMACY
Dr. Smith is a collaborator within the MRC-ICU research collective. She practices as a clinical specialist and researcher in Athens, Georgia.
TIM JONES, PHARMD
PhD Candidate in Clinical and Translational Science
THE UNIVERSITY OF GEORGIA
Tim is currently a PhD candidate and graduate assistant at the University of Georgia In Augusta, GA.
We would like to thank ACCP Foundation’s MeRIT Program for their support of this project.
We would like to thank ACCP CC PRN for their support of this project through the ACCP CC PRN Travel Grant.
MRC-ICU Study Team
Andrea Sikora Newsome, PharmD, BCPS, BCCCP1,2
Susan E. Smith, PharmD, BCPS, BCCCP3
Todd Brothers, PharmD, BCCCP, BCPS4,5
Mohammad A. Al-Mamun, PhD4
Brian Murray, PharmD, BCCCP6
Sandra Rowe, PharmD7
Mitchell S. Buckley, PharmD, FASHP, FCCM, FCCP, BCCCP8
David Murphy, MD, PhD11
John W. Devlin, PharmD, BCCCP, MCCM, FCCP9,10
1University of Georgia College of Pharmacy, Department of Clinical and Administrative Pharmacy, Augusta, GA
2Augusta University Medical Center, Department of Pharmacy, Augusta, GA 3Department of Clinical and Administrative Pharmacy, University of Georgia College of Pharmacy, Athens, GA, United States,
4Department of Pharmacy Practice, University of Rhode Island College of Pharmacy, Kingston, RI
5Roger Williams Medical Center, Department of Pharmacy, 825 Chalkstone Avenue, Providence, RI,
6University of North Carolina Medical Center, Department of Pharmacy, Chapel Hill, NC
7Oregon Health and Science University, Portland, OR
8Banner University Medical Center Phoenix, Phoenix, AZ
9Northeastern University, Boston, MA
10Department of Pharmacy and Division of Pulmonary and Critical Care Medicine, Brigham and Women’s Hospital, Boston, MA
11Emory University in the Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, Atlanta, GA
Would like to thank the following investigators for their contributions to the development and validation of the MRC-ICU:
Morgan Gwynn, PharmD, BCOP, CPP
Margaret Oates Poisson, PharmD, BCPPS
Aaron Chase, PharmD
Daniel Anderson, PharmD
Tiffany Park, PharmD
Emma Jang, PharmD
Christy Cecil Forehand, PharmD, BCPS, BCCCP
Ah Hyun Jun, PharmD, BCCCP
Ellen Huang, PharmD, BCCCP
Megan Rech, PharmD, MS, BCPS, BCCCP