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International Journal of Clinical Pharmacy

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https://www.readbyqxmd.com/read/28714040/perspectives-of-pharmacy-staff-on-dispensing-subtherapeutic-doses-of-antibiotics-a-theory-informed-qualitative-study
#1
Mohamed Ezzat Khamis Amin, Amira Amine, Mohammad Shoukry Newegy
Background Injudicious dispensing of antibiotics in subtherapeutic doses is common in many developing countries. In Egypt, as in many developing countries, a few pills of common cold products are offered under the name cold group (CG). A cold group may contain one or more pills of antibiotics. A pharmacy client may obtain subtherapeutic doses of antibiotics upon direct request or as part of a CG. Objective To examine factors associated with the unwarranted dispensing of subtherapeutic doses of antibiotics in community pharmacies as part of a CG or upon direct request from patients among community pharmacy staff...
July 17, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28707020/escp-international-workshop-extended-responsibilities-for-pharmacists-in-the-treatment-of-acute-and-chronic-conditions-15-16-june-2017-leiden-the-netherlands
#2
(no author information available yet)
No abstract text is available yet for this article.
July 13, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28698975/exploring-the-impact-of-feedback-on-prescribing-error-rates-a-pilot-study
#3
Michael Lloyd, Simon David Watmough, Sarah Victoria O'Brien, Kevin Hardy, Niall Furlong
Background Prescribing errors are prevalent in hospital settings with feedback identified as one potential error reduction strategy. Hospital pharmacists work alongside prescribers at ward level and are credible facilitators of prescribing error feedback. A formalised programme of pharmacist-led prescribing error feedback was designed and implemented Objective To determine the impact of the feedback intervention on prescribing error rates. Method Prospective prescribing audits were undertaken at baseline for control (n = 11) and intervention group (n = 10) prescribers...
July 11, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28689305/assessment-of-drug-related-problems-in-pediatric-ward-of-zewditu-memorial-referral-hospital-addis-ababa-ethiopia
#4
Mequanent Kassa Birarra, Tigist Bacha Heye, Workineh Shibeshi
Background Although medications play a vital role in the cure, palliation, and inhibition of disease, they also expose patients to drug-related problems (DRPs). DRPs are common in hospitalized patients. Specifically, pediatrics population are easily affected by DRPs, as dynamic and kinetic behaviors of drugs in this population are usually different than  in adults. Objectives To assess the prevalence of DRPs and associated factors in a pediatric setting in Ethiopia. Setting Pediatric ward of Zewditu Memorial Referral Hospital, Addis Abbeba, Ethiopia...
July 8, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28685179/management-of-common-ailments-requiring-referral-in-the-pharmacy-a-mystery-shopping-intervention-study
#5
Jack Charles Collins, Carl Richard Schneider, Renee Faraj, Frances Wilson, Abilio Cesar de Almeida Neto, Rebekah Jane Moles
Background Pharmacists can play a key role in managing ailments through their primary roles of supplying over-the-counter (non-prescription) medicines and advice-giving. It must be ensured that pharmacy staff practise in an evidence-based, guideline-compliant manner. To achieve this, mystery shopping can be used as an intervention to assess and train pharmacy staff. Objective To determine if repeated student pharmacist mystery shopping with immediate feedback affected the outcome of scenarios requiring referral to a medical practitioner...
July 6, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28660467/influence-of-dexmedetomidine-on-cardiac-complications-in-non-cardiac-surgery-a-meta-analysis-of-randomized-trials
#6
Shuan Jin, Xueyue Zhou
Background The cardiac protection of dexmedetomidine (Dex) in peri-operative period of patients with non-cardiac surgery is still controversial. Aim of the Review We aimed to evaluate the influence of Dex on cardiac complications in peri-operative period of non-cardiac surgery by using a meta-analysis. Methods PubMed, Embase, the Cochrane library and Springer databases were searched for relevant studies. Patients in the eligible studies were divided into Dex group and placebo group. Relative risk (RR) and the 95 % confidence interval (CI) were calculated to evaluate the outcomes including all-cause mortality, myocardial infarction, myocardial ischaemia, hypotension and bradycardia...
June 28, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28653261/future-enhanced-clinical-role-of-pharmacists-in-emergency-departments-in-england-multi-site-observational-evaluation
#7
Elizabeth Hughes, David Terry, Chi Huynh, Konstantinos Petridis, Matthew Aiello, Louis Mazard, Hirminder Ubhi, Alex Terry, Keith Wilson, Anthony Sinclair
Background There are concerns about maintaining appropriate clinical staffing levels in Emergency Departments. Pharmacists may be one possible solution. Objective To determine if Emergency Department attendees could be clinically managed by pharmacists with or without advanced clinical practice training. Setting Prospective 49 site cross-sectional observational study of patients attending Emergency Departments in England. Method Pharmacist data collectors identified patient attendance at their Emergency Department, recorded anonymized details of 400 cases and categorized each into one of four possible options: cases which could be managed by a community pharmacist; could be managed by a hospital pharmacist independent prescriber; could be managed by a hospital pharmacist independent prescriber with additional clinical training; or medical team only (unsuitable for pharmacists to manage)...
June 26, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28653260/contributions-of-community-pharmacists-to-patients-on-antidepressants-a-qualitative-study-among-key-informants
#8
Laurence Guillaumie, Jocelyne Moisan, Jean-Pierre Grégoire, Denis Villeneuve, Clément Beaucage, Lilianne Bordeleau, Sophie Lauzier
Background Patients with an antidepressant drug treatment (ADT) report unmet needs and a significant proportion stop their ADT prematurely. Community pharmacists can play a key role in supporting these patients. Objective To explore the perspectives of various leaders in health care about the current and potential contributions of community pharmacists to patients on ADT. Setting The province of Quebec (Canada). Method We conducted a qualitative descriptive exploratory study using interviews among leaders who were involved in health care services, pharmaceutical services, physician and pharmacist education, as well as patient and healthcare professional associations...
June 26, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28653259/a-medication-assessment-tool-to-evaluate-prescribers-adherence-to-evidence-based-guidelines-in-bipolar-disorder
#9
Dalal M Al-Taweel, Mohammad Alsuwaidan
Background The goal of evidence-based clinical practice has led to an increased interest in the development of tools to measure adherence to national guidelines in different diseases. This aids in detecting and measuring inappropriate prescribing to specific patient groups by using quality standards extracted from evidence-based guidelines, and ultimately provide the basis of consistent standardized prescribing. Objective To design and validate a medication assessment tool to assess prescribers' adherence to international guideline recommendations in the management of bipolar disorder (MATBD)...
June 26, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28643112/a-retrospective-study-of-antibiotic-de-escalation-in-patients-with-ventilator-associated-pneumonia-in-malaysia
#10
Rahela Ambaras Khan, Zoriah Aziz
Background Antibiotic de-escalation is an important strategy to conserve the effectiveness of broad-spectrum antibiotics. However, the outcome of this strategy for the treatment of ventilator-associated pneumonia (VAP) has not been widely studied in developing countries. Objectives To evaluate the outcome on intensive care unit (ICU) mortality, 28 days mortality, and length of ICU stay among VAP patients who receive de-escalation therapy. Setting This study was conducted in an ICU of a Malaysian public hospital...
June 22, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28626851/counselling-pregnant-women-at-the-crossroads-of-europe-and-asia-effect-of-teratology-information-service-in-turkey
#11
Yusuf Cem Kaplan, Barış Karadaş, Gözde Küçüksolak, Bartu Ediz, Ömer Demir, Kaan Sozmen, Hedvig Nordeng
Background Previous studies from western countries demonstrated the effectiveness of Teratology Information Service (TIS) counselling in reducing the teratogenic risk perception of pregnant women. Objective To assess whether TIS counselling would be effective in reducing the teratogenic risk perception of the Turkish pregnant women. Setting A TIS (Terafar) operating in a university hospital in Turkey. Methods A cross-sectional survey study. Pregnant women with non-teratogenic medication exposures were asked to assign scores on visual analogue scales (VAS) in response to the questions aiming to measure their teratogenic risk perception...
June 19, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28626850/prescribing-indicators-in-primary-health-care-in-belo-horizonte-brazil-associated-factors
#12
Marina Guimarães Lima, Kátia Reis Dutra, Ursula Carolina Morais Martins
Background The prescription is one of the factors that influences rational use of medicines. The evaluation of prescribing indicators should contribute to organization of primary health care services. Objective The aim of this study was to evaluate prescribing indicators and associated factors in primary health care in the northeast health district, Belo Horizonte, Brazil. Setting Twenty primary health care units in the Northeast Health District, Belo Horizonte, Brazil. Method The study was cross sectional...
June 19, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28623568/evaluation-of-venous-thromboembolism-prophylaxis-in-a-major-hospital-in-a-developing-country
#13
Lubna Gharaibeh, Hanan Sartawi, Diana Ayyad, Tareq Juma, Kamal Albassoumi, Enas Ismail
Background Venous thromboembolism is the most common preventable cause of hospital death. Despite that, there is still a large gap between what we know about venous thromboembolism prophylaxis and what is happening in current practice. Objective To evaluate VTE prophylaxis in Al-Basheer hospital and assess the extent of agreement of physicians' practice with the guidelines. Setting Al-Basheer governmental hospital in Jordan between January 2016 and June 2016. Method In this cross-sectional observational study, patients were randomly selected from medical and surgical wards...
June 16, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28620842/over-the-counter-medications-containing-diphenhydramine-and-doxylamine-used-by-older-adults-to-improve-sleep-a-letter
#14
LETTER
Bhuvaneshwari Sudershan, Ashwin Kamath
No abstract text is available yet for this article.
June 15, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28616683/general-practitioners-perceptions-of-the-current-status-and-pharmacists-contribution-to-primary-care-in-iceland
#15
Anna Bryndis Blondal, Jon Steinar Jonsson, Sofia Kälvemark Sporrong, Anna Birna Almarsdottir
Background For the past several years pharmacists' responsibilities have expanded globally from traditional tasks of dispensing medications to collaborating with other health care professionals in patient care. Similar developments have not occurred in outpatient settings in Iceland. Objective The aim of this study was to explore Icelandic general practitioners' views on the current status of primary care, their perceptions of pharmacists as a health care profession, and their attitudes towards future GP-pharmacist collaboration in primary care in Iceland...
June 14, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28608330/opioid-analgesic-use-in-australia-and-the-netherlands-a-cross-country-comparison
#16
Francisca N Wagemaakers, Samantha A Hollingworth, Sanne Kreijkamp-Kaspers, Ernest H L Tee, Anne J Leendertse, Mieke L van Driel
Background Increasing use of opioid analgesics (OA) has been reported worldwide. Objective To compare the use of OA in two countries in order to better understand these trends. Setting Outpatient settings in Australia and The Netherlands. Method We analysed publicly available government data on outpatient OA dispensing over 15 years (2000-2014). We compared dispensing trends for specific OA and explored medical (national clinical guidelines), contextual and policy-related factors to explain differences in use between the two countries...
June 12, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28608329/assessment-of-evidence-based-practice-among-hospital-pharmacists-in-saudi-arabia-attitude-awareness-and-practice
#17
Abdulrazaq S Al-Jazairi, Reem Alharbi
Background Many studies have previously looked at the perceptions, attitude, and use of Evidence-based Practice (EBP) among healthcare providers. However, limited data is available on the implementation of EBP among pharmacists in general, and Saudi Arabia in particular. Objective To evaluate the awareness, attitude, and practice of EBP among hospital practicing pharmacists in Saudi Arabia. Setting Secondary and tertiary care hospitals in Saudi Arabia with a bed capacity of ≥200 Methods This is a cross sectional, survey-based study where a validated selfadministrated questionnaire was utilized...
June 12, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28597176/self-management-research-of-asthma-and-good-drug-use-smaragd-study-a-pilot-trial
#18
Esther Kuipers, Michel Wensing, Peter de Smet, Martina Teichert
Background Community pharmacists play an important role in supporting patients for optimal drug use. Objective To assess the effectiveness of monitoring in asthma patients with inhaled corticosteroids (ICS) on disease control. Setting Asthma patients using ICS were invited from two intervention (IG) and two control pharmacies (CG). Method Participating patients completed questionnaires at the study start and at 6-month follow-up, including the Control of Allergic Rhinitis and Asthma Test (CARAT) questionnaire...
June 9, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28597175/distribution-of-cyp2c19-polymorphisms-in-mongolian-and-han-nationals-and-the-choice-of-specific-antiplatelet-drugs
#19
Jing Li, YueXi Wang, HuPing Wang
Background Individualized medication reviews may improve our understanding of the distribution of CYP2C19 polymorphisms in ethnic populations. Objective To evaluate differences in CYP2C19 gene polymorphisms between Mongolian and Han nationals and determine the effect of adjustments of antiplatelet treatments according to the genetic profile in patients undergoing percutaneous coronary intervention (PCI). Setting Prospective, observational, single-center study. Methods 397 patients diagnosed with acute coronary syndrome were enrolled...
June 9, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28597174/unlicensed-and-off-label-use-of-drugs-in-pediatric-surgical-units-at-tertiary-care-hospitals-of-pakistan
#20
Muhammad Aamir, Jamshaid Ali Khan, Faisal Shakeel, Syed Muhammad Asim
Background Unlicensed and off-label prescribing practice is global dilemma around the world. This pioneering study was designed to determine unlicensed and off-label use of drug in surgical wards of tertiary care hospitals of Pakistan. Objective To assess unlicensed and off-label use of drugs in pediatric surgical unit at three tertiary care hospitals in Peshawar, Pakistan. Setting Two government and one private tertiary care hospitals in Pakistan. Method Drug profiles of 895 patients from three different clinical settings were evaluated for unlicensed and off-label use of drugs using Micromedex DRUGDEX...
June 9, 2017: International Journal of Clinical Pharmacy
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