Considerations for implementation of vancomycin Bayesian software monitoring in a level IV NICU population within a multisite health system.

Purpose: The updated 2020 vancomycin therapeutic drug monitoring guideline advocates for area under the curve (AUC)-based monitoring in neonates, preferably with Bayesian estimation. This article describes the selection, planning, and implementation of vancomycin model-informed precision dosing (MIPD) software with Bayesian estimation in the neonatal intensive care unit (NICU) within an academic health system.

Summary: The selection, planning, and implementation of vancomycin MIPD software was completed in approximately 6 months throughout a health system with multiple NICU sites.

Evaluation of a pharmacist-managed methadone taper*.

Objectives: To evaluate the efficacy of a pharmacist-managed methadone taper as compared to previous prescribing practices.

Design: Retrospective chart review with comparison to historical controls.

Setting: Ninety-six-bed pediatric quaternary care facility with the majority of the patients in a 24-bed ICU.