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American Journal of Health-system Pharmacy: AJHP

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https://www.readbyqxmd.com/read/30333114/making-the-change-to-area-under-the-curve-based-vancomycin-dosing
#1
Emily L Heil, Kimberly C Claeys, Ryan P Mynatt, Teri L Hopkins, Karrine Brade, Ian Watt, Michael J Rybak, Jason M Pogue
No abstract text is available yet for this article.
October 17, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/30333113/evidence-of-burnout-in-health-system-pharmacists
#2
Mary E Durham, Paul W Bush, Amanda M Ball
PURPOSE: Results of a study to determine levels of and risk factors for professional burnout among health-system pharmacists are reported. METHODS: The Maslach Burnout Inventory Human Services Survey (MBI-HSS) was distributed to a target population of health-system pharmacists to assess study participants for burnout, which is characterized by feelings of emotional exhaustion, depersonalization, and reduced personal accomplishment. Health-system pharmacists were solicited via email through a professional network listserver to complete an anonymous, electronic questionnaire regarding burnout...
October 17, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/30333112/perceived-value-of-leadership-experiences-in-a-postgraduate-year-2-ambulatory-care-pharmacy-residency
#3
Lynsey C Smith, Rachana J Patel, Deanna Kurz, Beverly A Kroner
PURPOSE: Leadership experiences taught within the Kaiser Permanente Colorado (KPCO) postgraduate year 2 (PGY2) ambulatory care pharmacy residency program were evaluated. METHODS: KPCO leadership training incorporated 6 mandatory leadership sessions and offered a 6-week elective rotation. In this qualitative study, an 18-item semistructured interview guide was developed, tested, and administered telephonically to former KPCO PGY2 residents who had been in clinical practice for a minimum of 1 year...
October 17, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/30333111/validity-and-reliability-pilot-study-of-a-tool-for-assessing-ambulatory-care-pharmacist-practice
#4
Kristin D Bradley, Christie Schumacher, Jill S Borchert, Mary Ann Kliethermes, Deborah K Anderson
PURPOSE: The reliability and validity of a survey tool that aims to assess and stratify patient care services provided by ambulatory care pharmacists were evaluated. METHODS: The Tool for Assessing Ambulatory Care Pharmacist Practice (TAAPP) was developed by updating the Pharmaceutical Care Clinical Pharmacist Questionnaire. The TAAPP is organized into 2 sections that include 5 domains derived from the Pharmacists' Patient Care Process (PPCP). The first section of the TAAPP gathers the demographic information of the respondents as well as practice site characteristics...
October 17, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/30327293/ashp-guidelines-on-handling-hazardous-drugs
#5
Luci A Power, Joseph W Coyne
No abstract text is available yet for this article.
October 16, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/30301721/transition-from-treprostinil-to-selexipag-in-patients-with-pulmonary-arterial-hypertension-case-series
#6
Sherif M Fanous, Munir Janmohamed
PURPOSE: Safe transition of patients with pulmonary arterial hypertension (PAH) from parenteral treprostinil to oral selexipag therapy in both inpatient and outpatient settings is described. SUMMARY: There is a paucity of published data on how to safely transition patients to oral therapy in the event of complications and problems during parenteral administration of prostacyclins, which can include bloodstream infections, injection-site pain (with use of subcutaneous treprostinil), infusion pump malfunction, and dosing errors due to incorrect dose preparation...
October 9, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/30301720/implementation-of-a-pharmacogenomics-education-program-for-pharmacists
#7
Christine M Formea, Wayne T Nicholson, Carolyn Rohrer Vitek, Kelly K Wix, Kristen B McCullough, Julie L Cunningham, John D Zeuli, Eric T Matey, Julianna A Merten, Darcy M Richardson, Andrea L Billings, Garrett E Schramm
PURPOSE: The development, implementation, and evaluation of a pharmacogenomics education program for pharmacists in a large, integrated multicampus health system are described. SUMMARY: Pharmacogenomics has been described as tailoring medications to each patient's unique genetic sequence with the goals of minimizing harmful effects and optimizing therapeutic effects. Pharmacists are uniquely trained to lead the implementation of pharmacogenomics in clinical care...
October 9, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/30282665/development-of-an-operational-productivity-tool-within-a-cancer-treatment-center-pharmacy
#8
Thomas S Achey, Allison R Riffle, Robert M Rose, Marc Earl
PURPOSE: The development and implementation of an operational productivity tool in an academic cancer treatment center are described. SUMMARY: Based on the increasing complexity of care delivery within the oncology setting, solutions were explored within Cleveland Clinic pharmacy's productivity model. Data were electronically captured based on orders processed through the outpatient oncology setting, including hazardous and nonhazardous medications. Based on current workflow, inpatient and outpatient orders were reviewed in productivity metrics...
October 3, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/30282664/safety-and-effectiveness-of-albuterol-solutions-with-and-without-benzalkonium-chloride-when-administered-by-continuous-nebulization
#9
Lucas E Orth, Brian J Kelly, Carrie A Lagasse, Shelley W Collins, Matthew F Ryan
PURPOSE: The results of a study to determine if rates of poor response differ in patients receiving continuous nebulized albuterol (CNA) therapy with or without the preservative benzalkonium chloride are presented. METHODS: A retrospective analysis of the records of all patients who received CNA therapy at a large academic medical center from July 2015 to January 2016 was conducted. Data from patient evaluations performed before and after a change to benzalkonium chloride-containing albuterol were collected...
October 3, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/30282663/primary-care-collaborative-practice-in-quality-improvement-description-of-an-interprofessional-curriculum
#10
Lindsey M Hunt, Amber K Fisher, India King, Andrew Wilper, Elena Speroff, William Weppner
PURPOSE: An innovative quality improvement (QI)-focused interprofessional training curriculum for pharmacy residents and other healthcare trainees is described. SUMMARY: Effective interprofessional collaboration and the ability to carry out QI initiatives are important skills for all healthcare trainees to develop when they are in training. To cultivate those skills, in 2011 a Veterans Affairs medical center in Idaho implemented a unique yearlong interprofessional curriculum for healthcare trainees, including postgraduate year 1 (PGY1) and postgraduate year 2 (PGY2) pharmacy residents, physician trainees in internal medicine, nurses, and psychologists...
October 3, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/30279185/development-and-validation-of-an-automated-algorithm-for-identifying-patients-at-high-risk-for-drug-induced-hypoglycemia
#11
Almut G Winterstein, Nakyung Jeon, Ben Staley, Dandan Xu, Carl Henriksen, Gloria Pflugfelder Lipori
PURPOSE: Hypoglycemia is one of the most concerning adverse drug events in hospitalized patients. Using information from institutional electronic health records, we aimed to develop dynamic predictive models to identify patients at high risk for hypoglycemia during antihyperglycemic therapy. METHODS: The study population consisted of 21,840 patients who received antihyperglycemic medication on any of the first 5 hospital days (the "risk model days") at 2 large hospitals...
October 2, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/30257957/hospital-pharmacies-in-northern-california-deal-with-state-s-largest-wildfire
#12
Cheryl A Thompson
No abstract text is available yet for this article.
September 26, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/30232059/workshop-examines-drug-shortage-solutions-during-disasters
#13
Kate Traynor
No abstract text is available yet for this article.
September 19, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/30228166/pharmacy-resident-involvement-in-prior-authorization-drug-request-adjudication
#14
Sara R Britnell, Jamie N Brown, Mohamed G Hashem, Jonathan C Hale, William E Bryan, Julie M Hammond, Rachel B Britt
PURPOSE: Results of a study to determine economic outcomes of pharmacy residents' involvement in prior-authorization drug request (PADR) adjudication within a Veterans Affairs (VA) healthcare system are reported. METHODS: A retrospective review was conducted to identify PADRs adjudicated by pharmacy residents under a preceptor's supervision during the 2015-16 residency year. Only PADRs that were not approved as submitted (i.e., only those requiring formulary intervention) and that met other inclusion criteria were included in the analysis...
September 18, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/30228165/defective-dna-repair-in-hereditary-ovarian-cancers-implications-for-therapy
#15
REVIEW
Brian T Burgess, Jill M Kolesar
PURPOSE: The role of mutated DNA repair pathways in hereditary ovarian cancer (OC) and the clinical basis for the use of poly(ADP-ribose) polymerase (PARP) enzyme inhibitors and an immune checkpoint inhibitor as novel targeted therapies in the treatment of certain OC subtypes are reviewed. SUMMARY: OC is the most lethal of all gynecologic malignancies and encompasses a highly diverse collection of cancers. Hereditary OCs are a unique subtype of OC encompassing up to 24% of all OCs, including cancers driven by germline mutations of the BRCA1 or BRCA2 genes, mutations associated with Fanconi anemia (FA), BRCAness germline mutations, and Lynch syndrome...
September 18, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/30228164/rethinking-gender-the-nonbinary-approach
#16
Megan Bass, Luis J Gonzalez, Leslie Colip, Nathaniel Sharon, Jessica Conklin
No abstract text is available yet for this article.
September 18, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/30201658/use-of-clinical-decision-support-to-identify-i-v-to-oral-conversion-opportunities-and-cost-savings
#17
Kenneth H Carver, L Hayley Burgess, Mandelin Cooper, Ty Elders, Joan Kramer
PURPOSE: The use of a clinical decision support (CDS) tool to determine patients' eligibility for oral medication therapy and the opportunity cost of i.v.-to-oral conversion practices in a large health system was evaluated. METHODS: This multicenter, retrospective, process improvement study comprised CDS data generated by 149 hospitals from May 1 through October 31, 2015. Data related to i.v.-to-oral conversions were identified and compiled for evaluation. For each patient with an opportunity for i...
September 10, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/30131323/transitioning-historically-inpatient-chemotherapy-regimens-for-hematologic-malignancies-to-the-ambulatory-care-setting
#18
Donald C Moore, Justin R Arnall, Dragos C Plesca
No abstract text is available yet for this article.
August 21, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/30104260/validation-of-the-entrustable-professional-activities-for-new-pharmacy-graduates
#19
Stuart T Haines, Amy L Pittenger, Brenda L Gleason, Melissa S Medina, Stephen Neely
PURPOSE: The face validity of the core entrustable professional activities (EPAs) for new pharmacy graduates published by the American Association of Colleges of Pharmacy (AACP) in 2017 was evaluated. METHODS: A 28-item questionnaire was sent to experienced pharmacy practitioners affiliated with 4 schools of pharmacy. In addition to demographic information about education, training, credentials, and practice setting, participants were asked whether each EPA statement was pertinent to pharmacy practice and an expected activity that all pharmacists should be able to perform...
August 13, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/30104259/development-and-economic-evaluation-of-a-pharmacist-provided-chronic-care-management-service-in-an-ambulatory-care-geriatrics-clinic
#20
Danielle R Fixen, Sunny A Linnebur, Bennett L Parnes, Maria V Vejar, Joseph P Vande Griend
PURPOSE: The implementation and delivery of a pharmacist-led chronic care management (CCM) service in a geriatric primary care clinic are described. METHODS: A CCM service was provided March 1 through December 31, 2016, at the University of Colorado Hospital Seniors Clinic ("Seniors Clinic"). The electronic health record (EHR) team for the University of Colorado Health system developed a patient registry through EPIC Healthy Planet (Epic Systems Corp., Verona, WI) to identify patients at the Seniors Clinic eligible for CCM services...
August 13, 2018: American Journal of Health-system Pharmacy: AJHP
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