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Pharmacy Practice

Fernando Fernandez-Llimos
Beyond the commonly mentioned limitations of the Journal Impact Factor, we discuss the obsolete principle of selecting journals to create a fake-representative sample of 'journals that matter' and the opacity around the calculation and listing of Impact Factors. We use the example of Pharmacy Practice: in 2015 for illustration. We hypothesize that a business-oriented system of measuring the science and quality of scholarly journals may not be the best option to avoid biases and conflicts of interest.
July 2016: Pharmacy Practice
Martin Schulz, Ralf Goebel, Claudia Schumann, Petra Zagermann-Muncke
BACKGROUND: Emergency hormonal contraceptives (EHC) are contraceptives used to prevent unintended pregnancy following unprotected sexual intercourse (USI) or contraceptive failure. The EHCs available without a prescription include medicines containing levonorgestrel (LNG) in more than 80 countries and, recently, based on an EU-switch ellaOne®, which contains ulipristal acetate (UPA). EHCs work by stopping or delaying ovulation. Those containing LNG can be used up to 72 hours after USI or contraceptive failure, while UPA can be used up to 120 hours...
July 2016: Pharmacy Practice
Melissa Deacon-Crouch, Isabelle Skinner, Mo Connelly, Joseph Tucci
BACKGROUND: Poor medication management may contribute to the increased morbidity and mortality of Aboriginal people in Australia. Yet while there is extensive literature about the perceptions of healthcare providers on this issue, there is limited information on the perceptions of Aboriginal people themselves. OBJECTIVES: To investigate the perceptions of a group of Aboriginal people attending a Victorian regional Aboriginal Health Service (AHS) with diagnosed medical conditions requiring medications, of their lifestyle, disease management and medication usage...
July 2016: Pharmacy Practice
Lucas M Casserlie, Natalie A Dipietro Mager
BACKGROUND: Public health priorities can be addressed by pharmacists through channels such as medication therapy management (MTM) to optimize patient and population outcomes. However, no studies have specifically assessed pharmacists' perceptions of addressing public health priorities through MTM. OBJECTIVE: The objective of this study was to assess pharmacists' opinions regarding the feasibility and appropriateness of addressing seven areas of public health priority through MTM services to impact public health in direct patient care settings...
July 2016: Pharmacy Practice
Gabriele Gradl, Eva-Maria Krieg, Martin Schulz
BACKGROUND: Generic substitution can have unintended consequences. In Germany, brand name to generic or generic to generic switching is mainly driven by rebate contracts. Frequent switching may raise concerns about bio- and therapeutic equivalence. Expected patient confusion may result in compromised medication adherence or new onset of other drug-related problems. Since 2008, pharmacists are allowed to deviate from rebate contracts by denying substitution due to pharmaceutical concerns on an individual basis...
July 2016: Pharmacy Practice
Nicholas J Patricia, Edward F Foote
BACKGROUND: Hemodialysis (HD) patients are on multiple medications, see many prescribers and have many hospitalizations which put them at risk for medication record discrepancies and medication related problems (MRP). Being able to effectively identify and reconcile these medication issues is crucial in reducing hospitalizations, morbidities, and mortalities. The care of the hemodialysis patients can be enhanced by incorporating a pharmacist into the interprofessional team. There is little data in the literature on medication record discrepancies and MRP's in dialysis patients...
July 2016: Pharmacy Practice
Vincent Chan, Hung Tran
BACKGROUND: Over-the-counter medicines (OTC) are widely available and can be purchased without a prescription. Their availability means that a customer may choose to purchase them without the involvement of a pharmacy/pharmacist. It is important to understand customer OTC purchasing perceptions and behaviour from a pharmacy to better understand the needs and opportunities in this space. OBJECTIVE: This study aimed to examine customers' key expectations and what they value when purchasing OTC and how the effect of health status/stress and perceived risks/benefits of purchasing OTCs from a pharmacy may influence their OTC shopping behaviour...
July 2016: Pharmacy Practice
Piotr Merks, Damian ŚWieczkowski, Miłosz J Jaguszewski
OBJECTIVE: Patients' opinion about prevalence of pharmaceutical services available in a community pharmacy among patients living in a rural area of the United Kingdom. The secondary objective was to identify appropriate action(s) to enhance patients' awareness of pharmaceutical services in rural areas. METHODS: A self-administered, anonymous questionnaire was distributed to patients visiting a community pharmacy in Eye, Suffolk, United Kingdom between July and August, 2015...
July 2016: Pharmacy Practice
Fadi M Alkhateeb, Omar F Attarabeen, Sarah Alameddine
BACKGROUND: Whether the available Continuing Education (CE) programs meet pharmacists' continuously increasing needs and preferences is open to question. OBJECTIVES: to investigate pharmacists' perceptions and attitudes concerning available CE programs, evaluate the pharmacists' choices with regard to selecting among different CE programs, and investigate the factors that are associated with preference to utilize online CE programs. METHOD: A 17-question survey was developed and mailed to a random sample of 600 Texan pharmacists...
July 2016: Pharmacy Practice
Ibrahim K Rayes, Abduelmula R Abduelkarem
OBJECTIVE: The aim of this study is to explore the perceptions of physicians operating within the boundaries of Dubai on the role of community pharmacists. METHODS: Semi-structured interviews were done with 12 physicians working within the boundaries of Dubai Health Authority. Interviews mainly focused on understanding the perceptions of physicians on the role of community pharmacists in addition to willingness to integrating pharmacists in patient care process...
July 2016: Pharmacy Practice
Tareq L Mukattash, Wail A Hayajneh, Shorok M Ibrahim, Abeer Ayoub, Nehad Ayoub, Anan S Jarab, Maher Khdour, Ammar Almaaytah
OBJECTIVE: The aim of the present study was to evaluate the use of off-label antibiotics in neonatal intensive care units (NICUs) and paediatric wards in Jordan. METHODS: Data of patients admitted to the neonatal intensive care units and paediatric wards in King Abdulla University Hospital were collected over an 8-week survey between May and July 2012. Data collected in this study included patients' age, weight, medical history, diagnosis and the details of antibiotics prescribed to each patient...
July 2016: Pharmacy Practice
Lucas M Okumura, Izelandia Veroneze, Celia I Burgardt, Marta F Fragoso
BACKGROUND: Computerized Provider Order Entry (CPOE) and Clinical Decision Support System (CDSS) help practitioners to choose evidence-based decisions, regarding patients' needs. Despite its use in developed countries, in Brazil, the impact of a CPOE/CDSS to improve cefazolin use in surgical prophylaxis was not assessed yet. OBJECTIVE: We aimed to evaluate the impact of a CDSS to improve the use of prophylactic cefazolin and to assess the cost savings associated to inappropriate prescribing...
July 2016: 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
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