keyword
https://read.qxmd.com/read/38527733/patient-perceived-understanding-of-home-going-medication-with-transitions-of-care-services-at-a-pediatric-institution
#1
JOURNAL ARTICLE
Karielle Shaffery, Sonya Sebastian, Hannah Thornton, Mahmoud Abdel-Rasoul
BACKGROUND: Transitions of care (TOC) is the coordination and continuity of healthcare as a patient transfers between different settings.1 This can include a wide range of services, such as medication reconciliation, patient counseling, bedside delivery of medications, and others that meet individual patient needs.2 In the pediatric population, patients are at increased risk of potential medication errors and subsequent harm due to reduced patient and/or caregiver health literacy, limited dosage form availability, and errors in medication administration...
March 23, 2024: Journal of the American Pharmacists Association: JAPhA
https://read.qxmd.com/read/38525089/the-role-of-telepharmacy-in-the-delivery-of-clinical-pharmacy-services-following-the-covid-19-pandemic-a-descriptive-report
#2
JOURNAL ARTICLE
Allison Hursman, Chapleur Vang, Taylor Thooft, Kirsten Stone
Background: Telepharmacy, which utilizes telecommunication technology to provide pharmaceutical care remotely, has gained significance in expanding access to pharmacists, particularly in areas with limited health care facility access. The COVID-19 pandemic, with its restrictions on in-person interactions, underscored the importance of telepharmacy in ensuring continuity of care. Objectives: The objective of this study was to determine the impact of telepharmacy on the delivery of clinical pharmacy services before and after the COVID-19 pandemic...
April 2024: Journal of Pharmacy Technology: JPT: Official Publication of the Association of Pharmacy Technicians
https://read.qxmd.com/read/38524835/reducing-discharge-medication-reconciliation-errors-at-a-pediatric-neurology-inpatient-unit
#3
JOURNAL ARTICLE
Sara Adducchio, Ethan D Grant, Laura D Fonseca, Abiodun Omoloja, Gogi Kumar
BACKGROUND AND OBJECTIVES: Medication reconciliation errors are a common problem in health care, particularly during transitions of care. Discharge medication reconciliation (DMR) errors in a pediatric setting can range from 26% to 42.2%. We conducted a quality improvement project to decrease DMR error rate at Dayton Children's Hospital in Dayton, Ohio. METHODS: We conducted 2 interventions, each with 3 Plan-Do-Study-Act cycles from September 2021 through February 2023...
April 2024: Neurology. Clinical Practice
https://read.qxmd.com/read/38520432/emerging-adults-with-type-2-diabetes-understanding-illness-experience-and-transition-to-adult-care
#4
JOURNAL ARTICLE
Emma K Edmondson, Stephanie M Garcia, Emily F Gregory, Mary Ellen Vajravelu, Dava Szalda, Judy A Shea, Senbagam Virudachalam
PURPOSE: Youth-onset type 2 diabetes (T2D) is increasingly common and is often diagnosed shortly before transition from pediatric to adult care. Little is known about the experience of emerging adults (EAs) with T2D and the readiness, barriers, and facilitators to transition. This study sought to describe the illness experience of EAs with T2D and perceptions about transition, and explore themes by "transition readiness," measured by the Transition Readiness Assessment Questionnaire (TRAQ)...
March 21, 2024: Journal of Adolescent Health
https://read.qxmd.com/read/38517005/the-indian-academy-of-pediatrics-and-directorate-general-of-health-services-government-of-india-white-paper-on-transition-of-care-for-youth-with-special-health-care-needs
#5
JOURNAL ARTICLE
Jagdish Chandra, Mamta Manglani, Satinder Aneja, K P Vinayan, Aditi Sinha, Piali Mandal, Devendra Mishra, Rajeev Seth, Upendra Kinjawadekar
Over the years, survival of children with chronic diseases has significantly improved and a large proportion of them now are entering into adult hood. Transition of Care (ToC) of such patients with having childhood onset of chronic diseases to the adult health care system is well organized in developed countries, although it is an emerging concept in India. In situations where the systems for ToC are not in place, such cases are fraught with unsatisfactory health outcomes. With proper ToC in place, these patients are likely to receive uninterrupted care by the adult care physicians and hence reach their full potential...
March 19, 2024: Indian Pediatrics
https://read.qxmd.com/read/38509565/pharmacist-led-medication-reconciliation-service-for-patients-after-discharge-from-tertiary-hospitals-to-primary-care-in-singapore-a-qualitative-study
#6
JOURNAL ARTICLE
Konstadina Griva, Zi Yang Chua, Lester Yousheng Lai, Sandra Jialun Xu, Esther Siew Joo Bek, Eng Sing Lee
BACKGROUND: Medication discrepancies commonly occur when patients are transferred between care settings. Despite the presence of medication reconciliation services (MRS), medication discrepancies are still prevalent, which has clinical costs and implications. This study aimed to explore the perspectives of various stakeholders on how the MRS can be optimized in Singapore. METHODS: This is a descriptive qualitative study. Semi-structured interviews with 30 participants from the National Healthcare Group, including family physicians (N = 10), pharmacists (N = 10), patients recently discharged from restructured hospitals (N = 7) and their caregivers (N = 3) were conducted...
March 20, 2024: BMC Health Services Research
https://read.qxmd.com/read/38506482/communication-of-incidental-imaging-findings-on-inpatient-discharge-summaries-after-implementation-of-electronic-health-record-notification-system
#7
JOURNAL ARTICLE
Govind Mattay, Kushanth Mallikarjun, Paula Grow, Aaron Mintz, Thomas Ciesielski, Anthony Dao, Shivani Mattay, Geoffrey Cislo, Raghav Mattay, Vamsi Narra, Andrew Bierhals
OBJECTIVES: Inadequate follow-up of incidental imaging findings (IIFs) can result in poor patient outcomes, patient dissatisfaction, and provider malpractice. At our institution, radiologists flag IIFs during report dictation to trigger electronic health record (EHR) notifications to providers and patients. Nurse coordinators directly contact patients or their primary care physicians (PCPs) regarding IIFs if follow-up is not completed within the recommended time frame. Despite these interventions, many patients and their PCPs remain unaware of IIFs...
March 18, 2024: Journal of Patient Safety
https://read.qxmd.com/read/38500183/an-assessment-of-adaptation-and-fidelity-in-the-implementation-of-an-audit-and-feedback-based-intervention-to-improve-transition-to-adult-type-1-diabetes-care-in-ontario-canada
#8
JOURNAL ARTICLE
Syed Zain Ahmad, Noah Ivers, Ian Zenlea, Janet A Parsons, Baiju R Shah, Geetha Mukerji, Zubin Punthakee, Rayzel Shulman
BACKGROUND: The fit between an intervention and its local context may affect its implementation and effectiveness. Researchers have stated that both fidelity (the degree to which an intervention is delivered, enacted, and received as intended) and adaptation to the local context are necessary for high-quality implementation. This study describes the implementation of an audit and feedback (AF)-based intervention to improve transition to type 1 diabetes adult care, at five sites, in terms of adaptation and fidelity...
March 18, 2024: Implementation science communications
https://read.qxmd.com/read/38498626/hospitalists-attitudes-and-experiences-with-posthospitalization-care-transitions-for-patients-with-substance-use-disorders-a-cross-sectional-analysis
#9
JOURNAL ARTICLE
Michael A Incze, Sophia Huebler, David Chen, Andrea Stofko, Chaorong Wu, Jacob D Baylis, Chesley Wells, Danielle Babbel
BACKGROUND: Medical hospitalizations are relatively common among individuals who have substance use disorders (SUDs) and represent opportunities for patient engagement and treatment. Posthospitalization transitions of care are an important element of providing full-spectrum inpatient SUD care; however, little is known about clinicians' experiences with postdischarge care transitions. METHODS: We conducted a cross-sectional study surveying hospital-based medical clinicians (ie, "hospitalists") across 2 large health systems in the state of Utah to assess current practices, barriers, facilitators, and perceptions toward posthospitalization care transitions for patients with SUDs...
March 18, 2024: Journal of Addiction Medicine
https://read.qxmd.com/read/38476831/exploring-the-roles-of-nurses-in-medication-reconciliation-for-older-adults-at-hospital-discharge-a-narrative-approach
#10
JOURNAL ARTICLE
Ling-Ling Zhu, Yan-Hong Wang, Mei-Juan Lan, Quan Zhou
Medication reconciliation (MR) is the process of comparing a patient's medication orders to all of the medications that the patient has been taking in order to identify and resolve medication discrepancies. It is an effective means of risk management to avoid medication errors (eg, omissions, duplication, dosage errors, or drug interactions). Some guidelines explicitly state that MR is a pharmacist-led transition of care; however, there is a shortage of qualified pharmacists to meet the increasing clinical needs, and clinical nurses' roles have not been clearly described...
2024: Clinical Interventions in Aging
https://read.qxmd.com/read/38476501/impact-of-pharmacist-supported-transition-of-care-services-in-the-middle-east-and-north-africa-a-systematic-review-and-meta-analysis
#11
REVIEW
Eman N Alhmoud, Safa Farooq Fouad Alrawi, Rasha El-Enany, Mohamed Izham Mohamed Ibrahim, Muhammad Abdul Hadi
BACKGROUND: Transition of care (TOC) is associated with an increased risk of medication-related problems. Despite recent advancements in pharmacy practice and research in the Middle East and North Africa (MENA), the characteristics and impact of regional pharmacy-supported TOC interventions remain unclear.This systematic review and meta-analysis aimed to describe pharmacist-supported TOC interventions in the MENA region and evaluate their effectiveness. METHODS: PubMed, CINAHL, EMBASE, Web of Science, World Health Organization's International Clinical Trials Registry Platform (ICTRP) were searched from their inception to March 9, 2023, for experimental studies published in English, comparing pharmacist-supported TOC interventions with usual care for adults (age ≥18 years) discharged from the hospital...
2024: Journal of Pharmaceutical Policy and Practice
https://read.qxmd.com/read/38457204/the-acceptance-and-use-of-digital-technologies-for-self-reporting-medication-safety-events-after-care-transitions-to-home-in-patients-with-cancer-survey-study
#12
JOURNAL ARTICLE
Yun Jiang, Misun Hwang, Youmin Cho, Christopher R Friese, Sarah T Hawley, Milisa Manojlovich, John C Krauss, Yang Gong
BACKGROUND: Actively engaging patients with cancer and their families in monitoring and reporting medication safety events during care transitions is indispensable for achieving optimal patient safety outcomes. However, existing patient self-reporting systems often cannot address patients' various experiences and concerns regarding medication safety over time. In addition, these systems are usually not designed for patients' just-in-time reporting. There is a significant knowledge gap in understanding the nature, scope, and causes of medication safety events after patients' transition back home because of a lack of patient engagement in self-monitoring and reporting of safety events...
March 8, 2024: Journal of Medical Internet Research
https://read.qxmd.com/read/38451551/description-and-outcomes-of-a-palliative-care-pharmacist-led-transitions-of-care-program
#13
JOURNAL ARTICLE
Connor McCormick, Mamta Bhatnagar, Robert M Arnold, Maria Felton Lowry
Background: Patients with palliative care needs are at high risk of medication errors during transitions of care (TOC). Palliative Care Pharmacist Interventions surrounding Medication Prescribing Across Care Transitions (IMPACT) program was developed to improve the TOC process from hospital to community setting for cancer patients followed by palliative care. We describe (1) the program and (2) pilot study feasibility and effectiveness data. Methods: We recorded pharmacist time, medication errors, drug therapy problems (DTPs), and palliative care provider satisfaction and compared 7- and 30-day readmissions and emergency department (ED) visits between IMPACT and usual care patients...
March 6, 2024: Journal of Palliative Medicine
https://read.qxmd.com/read/38450349/evaluation-of-critical-care-pharmacist-evening-services-at-an-academic-medical-center
#14
JOURNAL ARTICLE
Aaron M Chase, Christy C Forehand, Kelli R Keats, Ashley N Taylor, Timothy W Jones, Andrea Sikora
Purpose: Critical care pharmacists are considered essential members of the healthcare team; however, justification and recruitment of new positions, especially in the evening or weekend shifts, remains a significant challenge. The purpose of this study was to investigate the number of interventions, type of interventions, and associated cost savings with the addition of 1 board certified critical care clinical pharmacist to evening shift. Methods: This was a prospective collection and characterization of 1 evening shift critical care pharmacist's clinical interventions over a 12-week period...
April 2024: Hospital Pharmacy
https://read.qxmd.com/read/38449995/traumatic-self-inflicted-ventricular-laceration-a-case-of-smith-lemli-opitz-syndrome-in-an-adult
#15
Jennifer J Beuschel, Grace I Ng, Joanna C Abaraoha, Robert J Fortuna
Adults with intellectual and developmental disabilities (IDD) are increasingly living into adulthood, highlighting the need for adult clinicians to expand their familiarity with congenital conditions. Smith-Lemli-Opitz syndrome (SLOS) is a rare autosomal recessive inborn error of cholesterol synthesis. SLOS is commonly diagnosed in childhood, but a number of adults with IDD progress into adulthood without a formal diagnosis. We present an 18-year-old male with a history of IDD and altered pain sensation who was hospitalized following a self-inflicted knife injury resulting in a traumatic ventricular septal defect...
February 2024: Curēus
https://read.qxmd.com/read/38440202/assessment-of-patient-satisfaction-with-inpatient-services-provided-at-an-acute-care-facility-a-quality-improvement-project
#16
JOURNAL ARTICLE
Olaniyi Fadeyi, Saviz Saghari, Ali Esmaeili, Anooshiravan Hami
Hospitals across the United States use patient satisfaction surveys to assess the quality of inpatient and outpatient services provided to patients when they interact with the healthcare system. Results from this survey are used as input to identify weaknesses in the system with the intention of providing appropriate intervention. Here, we report the results of the quality improvement project completed in an acute healthcare facility. Patient satisfaction was evaluated based on indices established by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)...
March 2024: Curēus
https://read.qxmd.com/read/38439076/protocol-for-a-parallel-cluster-randomized-trial-of-a-participatory-tailored-approach-to-reduce-overuse-of-antibiotics-at-hospital-discharge-the-road-home-trial
#17
JOURNAL ARTICLE
Julia E Szymczak, Lindsay A Petty, Tejal N Gandhi, Robert A Neetz, Adam Hersh, Angela P Presson, Peter K Lindenauer, Steven J Bernstein, Brandi M Muller, Andrea T White, Jennifer K Horowitz, Scott A Flanders, Justin D Smith, Valerie M Vaughn
BACKGROUND: Antibiotic overuse at hospital discharge is common, costly, and harmful. While discharge-specific antibiotic stewardship interventions are effective, they are resource-intensive and often infeasible for hospitals with resource constraints. This weakness impacts generalizability of stewardship interventions and has health equity implications as not all patients have access to the benefits of stewardship based on where they receive care. There may be different pathways to improve discharge antibiotic prescribing that vary widely in feasibility...
March 4, 2024: Implementation Science: IS
https://read.qxmd.com/read/38438120/-it-s-on-your-shoulders-now-transitioning-from-child-to-adult-uk-cleft-lip-palate-services-an-exploration-of-young-adults-narratives
#18
JOURNAL ARTICLE
Danielle McWilliams, Maia Thornton, Matthew Hotton, Marc C Swan, Nicola Marie Stock
OBJECTIVES: Treatment for cleft lip and/or palate (CL/P) in the United Kingdom is administered on a standardised pathway from diagnosis to early adulthood, with options to be re-referred in later life. At age 16, patients become responsible for their treatment decisions. Evidence from the wider health literature indicates this transition can be challenging and that this population may require additional support. The present study explored young people's experiences of transition to adult care in the context of CL/P services, with the aim of identifying support needs and informing future service delivery...
March 4, 2024: Cleft Palate-craniofacial Journal
https://read.qxmd.com/read/38437041/improving-the-accuracy-of-code-status-documentation-in-home-care
#19
JOURNAL ARTICLE
Joanne Benedict
Advance care planning discussions require specialized skills to elicit goals and preferences from patients contending with life-limiting illness. Documentation forms which include Health Care Proxies, Medical Orders for Life Sustaining Treatments, or Physician Orders for Life Sustaining Treatments are meant to accompany patients through every transition of care. However, they are often forgotten between the hospital and the home setting. Home care clinicians have the obligation to ensure all providers involved in the patient's care are made aware of their code status and goals of care...
March 2024: Home Healthcare Now
https://read.qxmd.com/read/38434252/post-intensive-cardiac-care-outpatient-long-term-outreach-clinic-piccolo-clinic-defining-health-care-needs-and-outcomes-among-coronary-care-unit-survivors
#20
JOURNAL ARTICLE
Christopher K Mason, Sara K Adie, Michael J Shea, Matthew C Konerman, Michael P Thomas, Jakob I McSparron, Theodore J Iwashyna, Hallie C Prescott, Andrea D Thompson
OBJECTIVE: Patients who survive critical illness endure complex physical and mental health conditions, referred to as post-intensive care syndrome (PICS). The University of Michigan's post-intensive cardiac care outpatient long-term outreach (PICCOLO) clinic is designed for patients recently admitted to the coronary care unit (CCU). The long-term goal of this clinic is to understand post-CCU patients' needs and design targeted interventions to reduce their morbidity and mortality post-discharge...
February 2024: American heart journal plus: cardiology research and practice
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