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Pharmacy Practice

Omar T Dawood, Mohamed A Hassali, Fahad Saleem
OBJECTIVE: The objective of this study is to explore the pattern and practice of medicine use among the general public; and to explore the key factors influencing medicine use among medicine users. METHODS: A qualitative approach using focus group discussions was conducted to get in-depth information about medicines use pattern and practice from the general public. Adult people who reported using medicines at the time of study or in the previous month were approached...
April 2016: Pharmacy Practice
Beata Bajorek, Kate S Lemay, Parker Magin, Christopher Roberts, Ines Krass, Carol L Armour
BACKGROUND: Suboptimal utilisation of pharmacotherapy, non-adherence to prescribed treatment, and a lack of monitoring all contribute to poor blood (BP) pressure control in patients with hypertension. OBJECTIVE: The objective of this study was to evaluate the implementation of a pharmacist-led hypertension management service in terms of processes, outcomes, and methodological challenges. METHOD: A prospective, controlled study was undertaken within the Australian primary care setting...
April 2016: Pharmacy Practice
Sally-Anne Knowles, Sara S Mcmillan, Amanda J Wheeler
BACKGROUND: Clozapine is an antipsychotic medication used in treatment resistant schizophrenia. However, clozapine is associated with a significant adverse effect profile and extensive monitoring is required to optimise consumer safety. Traditionally, clozapine can only be prescribed by a psychiatrist and dispensed at a hospital or hospital affiliated pharmacy in Australia. These restrictions could result in significant treatment burden for consumers taking clozapine. OBJECTIVE: To identify (1) the different models of supply that exist for people living in the community taking clozapine in Australia and compare to those in New Zealand and the United Kingdom, and (2) explore how these supply models may impact on consumer burden from the perspective of professionals involved in the supply of clozapine...
April 2016: Pharmacy Practice
Yishen Wang, Shamsher Singh, Beata Bajorek
BACKGROUND: The safety of pharmacotherapy in atrial fibrillation (AF) is compounded by a trilogy of risks old age, high-risk medications (e.g., antithrombotics, antiarrhythmics), polypharmacy due to multiple patient comorbidities. However, to date, scarce study has investigated the use of polypharmacy (including potentially inappropriate medication (PIM)) in AF patients, and how this may contribute to their overall risk of medication misadventure. OBJECTIVES: To review the extent of polypharmacy and PIM use in older patients (65 years or older) with AF...
April 2016: Pharmacy Practice
Brett Macfarlane, Jenny Bergin, Gregory M Peterson
BACKGROUND: The incidence of serotonin syndrome is increasing due to the widening use of serotonergic drugs. Identification of serotonin syndrome is challenging as the manifestations are diverse. Misdiagnosis can lead to delay in care and inappropriate treatment. OBJECTIVES: The objectives of this study were to determine if staff of community pharmacies in Australia could identify the symptoms of serotonin syndrome in simulated patients and recommend an appropriate course of action...
April 2016: Pharmacy Practice
Tora Hammar, Anna-Lena Nilsson, Bo Hovstadius
BACKGROUND: Information in society and in health care is currently undergoing a transition from paper to digital formats, and the main source of information will probably be electronic in the future. OBJECTIVE: To explore patients' use and perceptions of the patient information leaflet included in the medication package, and their attitude towards a transition to an electronic version. METHODS: The data was collected during October to November 2014 among individuals in South-Eastern Sweden, using a questionnaire (n=406, response rate 78%) and interviews (n=15)...
April 2016: Pharmacy Practice
Huan-Keat Chan, Mohamed A Hassali, Ching-Jou Lim, Fahad Saleem, Norazila A Ghani
BACKGROUND: Inadequacies of drug labeling have been frequently reported among Malaysian healthcare institutes, in which the Hospital Information System (HIS) is used. OBJECTIVE: To identify potential areas to improve the existing labels used for pediatric liquid medications. METHODS: This study was qualitative in nature, whereby focus group discussions (FGDs), face-to-face interviews (FTFIs), and onsite observation were used for data collection...
April 2016: Pharmacy Practice
Seth E Wolpin, Juliet K Nguyen, Jason J Parks, Annie Y Lam, Donald E Morisky, Lara Fernando, Adeline Chu, Donna L Berry
BACKGROUND: Pictographs (or pictograms) have been widely utilized to convey medication related messages and to address nonadherence among patients with low health literacy. Yet, patients do not always interpret the intended messages on commonly used pictographs correctly and there are questions how they may be delivered on mobile devices. OBJECTIVE: Our objectives are to refine a set of pictographs to use as medication reminders and to establish preliminary steps for delivery via smart phones...
April 2016: Pharmacy Practice
Paulo M Corrêa, Joice Zuckermann, Gustavo B Fischer, Mauro S Castro
BACKGROUND: Cyclosporine and tacrolimus are limited by a narrow therapeutic window. Maintaining immunosuppressive drugs at desired levels may be difficult. Pharmaceutical care emerges as a philosophy of practice that enhances medication use and leads to a better control of serum concentration. OBJECTIVE: This study aims to evaluate the impact of pharmaceutical care in the maintaining of proper serum levels of immunosuppressive medications in patients who have undergone allo-HSCT...
April 2016: Pharmacy Practice
Maram G Katoue, Dalal Al-Taweel
BACKGROUND: Pharmacists can provide beneficial pharmaceutical care services to patients receiving Parenteral Nutrition (PN) therapy by working within Nutrition Support Teams (NSTs). OBJECTIVE: This study was designed to explore pharmacists' role in PN therapy in hospitals of Kuwait, sources of PN-related information, opinions on NSTs, perceptions about the barriers to pharmaceutical care implementation and views on how to enhance their practices. METHODS: Data were collected via face-to-face semi-structured interviews with the senior Total Parenteral Nutrition (TPN) pharmacists at all the hospitals which provide TPN preparation services (six governmental hospitals and one private hospital) in Kuwait...
April 2016: Pharmacy Practice
Hani Abdelaziz, Sandra Richardson, Kim Walsh, Jessica Nodzon, Barbara Schwartz
BACKGROUND: In most health care facilities, problems related to delays in STAT medication order processing time are of common concern. OBJECTIVE: The purpose of this study was to evaluate processing time for STAT orders at Kimball Medical Center. METHODS: All STAT orders were reviewed to determine processing time; order processing time was also stratified by physician order entry (physician entered (PE) orders vs. non-physician entered (NPE) orders)...
April 2016: Pharmacy Practice
Albina Fejza, Zeqir Kryeziu, Kushtrim Kadrija, Malbora Musa
OBJECTIVE: The main objective of this study was to assess the knowledge and attitude among Pharmacy students of the University of Prishtina in regards to the antibiotics. METHODS: 144 pharmacy students at the University of Prishtina were recruited in this study to complete a self-administered questionnaire. The total number of questions in this questionnaire was eight (8), covering two (2) major themes: self-report of the current and past antibiotic use and behavior; and anticipated prescription behavior of antibiotics upon graduation...
January 2016: Pharmacy Practice
Iman A Basheti, Salim A Hamadi, Helen K Reddel
OBJECTIVES: To explore whether an association exists between health care professionals' (HCPs) asthma knowledge and inhaler technique demonstration skills. METHODS: HCPs' asthma knowledge and inhaler technique demonstration skills were assessed at baseline at an inter-professional educational workshop focusing on asthma medication use. Asthma knowledge was assessed via a published questionnaire. Correct inhaler technique for the three inhalers, the Accuhaler, Turbuhaler and pressurized Metered Dose Inhaler (pMDI) was assessed using published checklists...
January 2016: Pharmacy Practice
Katherine A Liu, Natalie A Dipietro Mager
The importance of considering the differences between the male and female sex in clinical decision-making is crucial. However, it has been acknowledged in recent decades that clinical trials have not always adequately enrolled women or analyzed sex-specific differences in the data. As these deficiencies have hindered the progress of understanding women's response to medications, agencies in the United States have worked towards the inclusion of women in clinical trials and appropriate analysis of sex-specific data from clinical trials...
January 2016: Pharmacy Practice
Dana J McDougall, James D Hoehns, Tara T Feller, Savana J Kriener, Matthew J Witry
BACKGROUND: It has been estimated that 10,000 patient injuries occur in the US annually due to confusion involving drug names. An unexplored source of patient misunderstandings may be medication salt forms. OBJECTIVE: The objective of this study was to assess patient knowledge and comprehension regarding the salt forms of medications as a potential source of medication errors. METHODS: A 12 item questionnaire which assessed patient knowledge of medication names on prescription labels was administered to a convenience sample of patients presenting to a family practice clinic...
January 2016: Pharmacy Practice
Joy Wahawisan, Miguel Salazar, Robin Walters, Fadi M Alkhateeb, Omar Attarabeen
OBJECTIVE: To evaluate the reliability of a peer evaluation instrument in a longitudinal team-based learning setting. METHODS: Student pharmacists were instructed to evaluate the contributions of their peers. Evaluations were analyzed for the variance of the scores by identifying low, medium, and high scores. Agreement between performance ratings within each group of students was assessed via intra-class correlation coefficient (ICC). RESULTS: We found little variation in the standard deviation (SD) based on the score means among the high, medium, and low scores within each group...
January 2016: Pharmacy Practice
Antonio E Mendes, Natália F Lombardi, Vânia S Andrzejevski, Gibran Frandoloso, Cassyano J Correr, Mauricio Carvalho
OBJECTIVE: To measure length of hospital stay (LHS) in patients receiving medication reconciliation. Secondary characteristics included analysis of number of preadmission medications, medications prescribed at admission, number of discrepancies, and pharmacists interventions done and accepted by the attending physician. METHODS: A 6 month, randomized, controlled trial conducted at a public teaching hospital in southern Brazil. Patients admitted to general wards were randomized to receive usual care or medication reconciliation, performed within the first 72 hours of hospital admission...
January 2016: Pharmacy Practice
Alexandra I Czepula, Wallace E Bottacin, Edson Hipólito, Deise R Baptista, Roberto Pontarolo, Cassyano J Correr
BACKGROUND: Learning styles are cognitive, emotional, and physiological traits, as well as indicators of how learners perceive, interact, and respond to their learning environments. According to Honey-Mumford, learning styles are classified as active, reflexive, theoretical, and pragmatic. OBJECTIVE: The purpose of this study was to identify the predominant learning styles among pharmacy students at the Federal University of Paraná, Brazil. METHODS: An observational, cross-sectional, and descriptive study was conducted using the Honey-Alonso Learning Style Questionnaire...
January 2016: Pharmacy Practice
Ana P Nunes, Isabel M Costa, Filipa A Costa
BACKGROUND: Non-steroid anti-inflammatory drugs (NSAIDs) are a widely used therapeutic group in the world, and particularly in the Portuguese population. OBJECTIVE: To compare NSAID's use by prescription and self-medication acquisition and to determine the pattern of indication of NSAIDs, their usage profile and possible implications for patients' safety. METHODS: A cross-sectional design was used where individuals presenting at a community pharmacy requesting NSAIDs during the study period (one month) were invited to answer a face-to-face interview where socio-demographic characteristics, the indication pattern and previous experience of side effects were assessed...
January 2016: Pharmacy Practice
Iman A Basheti, Sami Saqf El Hait, Eyad A Qunaibi, Salah Aburuz, Nailya Bulatova
OBJECTIVE: To explore the effect of patient characteristics and health beliefs on their medication adherence. METHODS: Patients (n=167) with chronic conditions (mean age 58.9; SD=13.54, 53% males) were recruited from March 2009- to March 2010 using a cross sectional study design. Data collected included patients' demographics, medical conditions, medications therapeutic regimen, frequency of physician visits and health beliefs. Patient self-reported adherence to medications was assessed by the researcher using a validated and published scale...
January 2016: Pharmacy Practice
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