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Journal of the American Pharmacists Association: JAPhA

Clark D Kebodeaux
OBJECTIVE: Nonprescription or over-the-counter (OTC) medications play a crucial role in a patient's ability to make choices to manage his or her own health care. Often these nonprescription choices are unknown to health care practitioners and thus are often not included as part of patients' health records. The exclusion of these therapies can pose risks to patient safety. There is a significant need to address the capture of OTC medication use in both the physician and pharmacy electronic health records (EHRs) and during the practitioner-patient medication history and reconciliation process...
November 14, 2018: Journal of the American Pharmacists Association: JAPhA
Justin Gatwood, Kenneth C Hohmeier, Ian M Brooks
OBJECTIVE: To describe opportunities for pharmacists to use mobile messaging and real-time monitoring to engage with patients taking long-term medications. SUMMARY: The proliferation of mobile phone use across the United States has been met with increased application of these devices by the medical community. However, beyond simple text messages and app-based functions, use of these devices by pharmacies and pharmacists has not been leveraged to improve patient outcomes, such as medication adherence...
November 14, 2018: Journal of the American Pharmacists Association: JAPhA
Lisa M McCarthy, Sonja Li, Olavo Fernandes, Karen Cameron, Philip Lui, Gary Wong, Pauline Pariser, John Farrell, Miles J Luke, Sara J T Guilcher
OBJECTIVES: To describe the Pharmacy Communication Partnership (PROMPT) program's approach to improving medication management for patients during transitions from hospital to the community. SETTING: Two general internal medicine units within a multisite academic hospital in Canada. PRACTICE INNOVATION: Designed by an interprofessional working group, PROMPT uses evidence-informed approaches to facilitate communication between pharmacists in different settings: faxing of the discharge prescription and medical discharge summary to a patient's community pharmacy, followed by a telephone call to the community pharmacist...
November 13, 2018: Journal of the American Pharmacists Association: JAPhA
Leticia R Moczygemba, Shayan Bhathena, Cecily V DiPiro, Rebecca Snead
OBJECTIVES: 1) To identify the number of gaps, type of gaps, and contributing factors to gaps in diabetes care reported by pharmacists in the Diabetes Gaps in Care Portal (Gaps Portal). 2) To understand how pharmacists used the Gaps Portal and the implications for quality diabetes care. DESIGN: The Alliance for Patient Medication Safety developed an online Gaps Portal as a tool for pharmacists to identify and document gaps in care when managing patients with diabetes...
November 13, 2018: Journal of the American Pharmacists Association: JAPhA
Jennifer Cocohoba, Betsy Pohlman, Judie Sang Tran, Heather Kirkham, Cara Joyce, Kara Clark, Marilyn Stebbins
OBJECTIVES: To map the specialty medicine process from prescription writing to the patient obtaining medication, identify perceived barriers to access, and highlight potential opportunities for improved efficiency as understood from the perspective of 3 key stakeholder groups: specialty disease clinicians, staff members, and specialty pharmacists. DESIGN: Qualitative research study using semi-structured individual interviews. SETTING AND PARTICIPANTS: Interviews were conducted at a single large tertiary care center targeting clinicians and staff in the hepatitis C, oncology, cystic fibrosis, multiple sclerosis, and rheumatoid arthritis clinics...
November 8, 2018: Journal of the American Pharmacists Association: JAPhA
Jennifer Panich, Andrea Gooden, F Mazda Shirazi, Daniel C Malone
OBJECTIVES: In 2006, the U.S. Food and Drug Administration (FDA) issued a draft guidance for pharmacies to provide consumer medication information (CMI) to patients receiving prescription medications. The objective of this study was to evaluate CMI leaflets provided by community pharmacies for accuracy and completeness regarding drug-drug interactions (DDIs). METHODS: CMI leaflets were obtained for 3 commonly prescribed medications (azithromycin, ciprofloxacin, and simvastatin) from 14 community pharmacies that are part of 6 chain organizations that operate in southern Arizona...
November 8, 2018: Journal of the American Pharmacists Association: JAPhA
Karen B Farris, Beatriz Manzor Mitrzyk, Peter Batra, Jason Peters, Heidi L Diez, Anne Yoo, Kevin McKay, Kayla Friend, Lorna Danko, Rebecca Waber, Vincent D Marshall, Hae Mi Choe
OBJECTIVES: To develop and pilot test a model that extends pharmacists' direct patient care from the patient-centered medical home (PCMH) to the community pharmacy. SETTING: Two Michigan Medicine PCMH clinics and 2 CVS Pharmacy sites in Ann Arbor, MI. PRACTICE DESCRIPTION: In the PCMH clinics, pharmacists have provided patient care using collaborative practice agreements for diabetes, hypertension, and hyperlipidemia for more than 5 years...
November 8, 2018: Journal of the American Pharmacists Association: JAPhA
Irene Park Ulrich, Savannah Patel, Benjamin Gilmer
OBJECTIVES: To describe the financial implications, efficiency, and patient access to care with the use of a pharmacist-physician covisit model in a primary care practice. SETTING: A rural satellite practice of a large, teaching, multidisciplinary, family medicine organization. PRACTICE DESCRIPTION: Mountain Area Health Education Center (MAHEC) is a large, multisite, family medicine teaching practice. Our site is a rural practice of MAHEC that serves western North Carolina...
November 8, 2018: Journal of the American Pharmacists Association: JAPhA
Jason H Lam, Serinna Singh, Grace M Kuo
OBJECTIVES: To compare the completeness of immunization records for 6 vaccines between a community pharmacy database, a regional immunization information system (IIS), and a health system's electronic health record (EHR). METHODS: In a community pharmacy immunization program, 2 pharmacists and a community pharmacy resident performed a needs assessment for 6 vaccines (tetanus-diphtheria-acellular pertussis vaccine for adults or diphtheria-tetanus-acellular pertussis vaccine for children and adolescents, zoster vaccine live, 13-valent pneumococcal conjugate vaccine, 23-valent pneumococcal polysaccharide vaccine, hepatitis B vaccine series, and human papillomavirus vaccine) for more than 2400 patients from August 2016 to March 2017...
November 5, 2018: Journal of the American Pharmacists Association: JAPhA
Katherine Hadlandsmyth, Brian C Lund, Hilary J Mosher
OBJECTIVES: This study examined the association between initial opioid exposure and subsequent long-term use in 2 national Veterans Administration (VA) cohorts from 2011 and 2016, a period during which opioid prescribing declined. DESIGN: Two methodologies were used to determine the relationship between initial exposure and subsequent long-term use. SETTING AND PARTICIPANTS: Incident opioid users during 2016 were identified using national VA administrative data...
November 5, 2018: Journal of the American Pharmacists Association: JAPhA
Katelyn A Parsons, Anthony E Zimmermann
OBJECTIVES: To describe and evaluate a novel practice setting for a pharmacist within an occupational health clinic. SETTING: Ambulatory care facility. PRACTICE DESCRIPTION: Implementation and evaluation of a new practice site embedding a clinical pharmacist into the workplace to provide ambulatory care services, such as comprehensive medication management, disease state management, and immunizations to a broad diversity of patients. PRACTICE INNOVATION: A clinical pharmacist provides pharmacy services as part of a collaborative occupational health clinic at a large, self-insured company...
November 2, 2018: Journal of the American Pharmacists Association: JAPhA
Danielle M Molnar, Mary E Kremzner
OBJECTIVES: The Division of Drug Information (DDI) within the U.S. Food and Drug Administration's (FDA's) Center for Drug Evaluation and Research receives telephone calls, e-mails, and letters from patients and industry. The consistently high number of contacts about drugs in the fluoroquinolone class indicates an opportunity to increase awareness about the drugs' evolving safety profile. DATA SOURCES: Database used by DDI to summarize inquiries. SUMMARY: Inquiries about fluoroquinolones peaked in 2016 and were highest after FDA Drug Safety Communications that were issued that year...
October 19, 2018: Journal of the American Pharmacists Association: JAPhA
Adam Ward, Jill Hall, Jay Mutch, Lydia Cheung, Matthew Ken Cor, Theresa L Charrois
OBJECTIVES: The primary objective of this study was to identify characteristics of pharmacists that contribute to their success. DESIGN: A working definition of success in pharmacy practice was derived from a scoping literature review and is based on the premise that successful pharmacists practice to full scope within the context of their practice setting. Semistructured individual interviews were conducted with selected pharmacists. Potential candidates were nominated by leading pharmacists in the field with the use of our prespecified definition of success...
October 19, 2018: Journal of the American Pharmacists Association: JAPhA
Stefanie J Logothetis, Matthew E Borrego, Melissa H Roberts, Amy Bachyrycz, Graham S Timmins, Bernadette Jakeman
OBJECTIVE: This study evaluated pharmacists' perceptions of the New Mexico pharmacist-performed tuberculosis skin testing (PPTST) program. METHODS: This cross-sectional study was conducted using a telephone survey. New Mexico pharmacists who completed the tuberculin skin test (TST) training from March 2011 to June 2016 were eligible for inclusion. Data collected included demographics, years since licensure, pharmacy setting and location, reasons for obtaining certification, training time, training quality, self-perceived competency after training, whether the participant was performing TSTs, number of tests performed, time required to administer or interpret the test, and reasons for not testing...
September 28, 2018: Journal of the American Pharmacists Association: JAPhA
Kimberly C McKeirnan, Linda Garrelts MacLean
OBJECTIVES: To determine physician, pharmacist, and patient perceptions of pharmacist-provided treatment services for minor ailments and conditions and to assess the potential for community pharmacists to improve access to care in medically underserved areas. DESIGN: Qualitative and quantitative semi-structured key informant interview. SETTING: Rural eastern Washington State from March to JuneĀ 2016. PARTICIPANTS: Physicians, pharmacists, and pharmacy patients in rural eastern Washington State...
September 25, 2018: Journal of the American Pharmacists Association: JAPhA
Gina M Prescott, Sarah A Dascanio, Rachel Klosko, May Shogan
OBJECTIVES: To develop a community-based educational workshop to improve medication health literacy in refugees. SETTING: Workshops were provided in community locations including a local resettlement agency and English as a Second Language facility. PRACTICE DESCRIPTION: Pharmacy faculty mentored small group student workshop presentations to recently arrived refugees regarding medication health literacy topics. PRACTICE INNOVATION: A program was developed to use translated materials, interpreters, hands-on materials, and evaluations to teach refugees about medication-related issues...
September 25, 2018: Journal of the American Pharmacists Association: JAPhA
Trisha Wells, Stuart Rockafellow, Marcy Holler, Antoinette B Coe, Anne Yoo, Hae Mi Choe, Amy N Thompson
OBJECTIVES: This case study describes the implementation of pharmacist-led quality improvement team huddles in the patient-centered medical home clinic model. The purpose of these huddles is to have an impact on clinic-based quality metrics. SETTING: Pharmacists embedded into primary care clinics at 2 separate health centers, within a large academic medical center, were funded by the clinics to lead their quality improvement (QI) team huddles. PRACTICE DESCRIPTION: Huddle team members vary depending on the practice sites and can include physicians, pharmacists, advanced practice providers, nurses, administrative managers, social workers, and medical assistants...
September 19, 2018: Journal of the American Pharmacists Association: JAPhA
Il Young Max Chong, Meagen M Rosenthal, Kenneth R Manson, Sherilyn K D Houle
OBJECTIVES: Feedback on community pharmacists' practice is limited after graduation and often comes in the form of annual performance evaluations by pharmacy managers based on company-provided templates. The objective of this study was to examine the relevance of these review processes to all aspects of community pharmacy practice. METHODS: Competencies evaluated in performance evaluation templates used by pharmacy organizations were mapped to the General Level Framework (GLF)-a tool developed to assess the competency of general-level pharmacy practitioners-and studied in hospital and community practice settings...
September 17, 2018: Journal of the American Pharmacists Association: JAPhA
Timothy R Hudd, Pirneeka Chugh, Kathy Zaiken
No abstract text is available yet for this article.
September 12, 2018: Journal of the American Pharmacists Association: JAPhA
Rene R Breault, Theresa J Schindel, Jeff G Whissell, Christine A Hughes
No abstract text is available yet for this article.
September 11, 2018: Journal of the American Pharmacists Association: JAPhA
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