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https://www.readbyqxmd.com/read/29037573/pharmacists-scope-of-practice-supports-for-canadians-with-diabetes
#1
Kerry Mansell, Kirsten Edmunds, Lisa Guirguis
OBJECTIVES: The pharmacists' role in Canada has significantly advanced over the past decade, resulting in increasing access to primary care services. This study aimed to characterize pharmacists' expanded scope of practice as it relates to providing services to Canadians with diabetes. METHODS: This environmental scan characterized services that could be useful to Canadians with diabetes in each of the provinces (excluding the territories): immunizations, medication prescribing, ordering and interpreting laboratory tests, and medication reviews...
October 13, 2017: Canadian Journal of Diabetes
https://www.readbyqxmd.com/read/29036011/evaluating-the-impact-of-prescription-fill-rates-on-risk-stratification-model-performance
#2
Hsien-Yen Chang, Thomas M Richards, Kenneth M Shermock, Stacy Elder Dalpoas, Hong J Kan, G Caleb Alexander, Jonathan P Weiner, Hadi Kharrazi
BACKGROUND: Risk adjustment models are traditionally derived from administrative claims. Prescription fill rates-extracted by comparing electronic health record prescriptions and pharmacy claims fills-represent a novel measure of medication adherence and may improve the performance of risk adjustment models. OBJECTIVE: We evaluated the impact of prescription fill rates on claims-based risk adjustment models in predicting both concurrent and prospective costs and utilization...
October 13, 2017: Medical Care
https://www.readbyqxmd.com/read/29033347/a-multilevel-stakeholder-approach-for-identifying-the-determinants-of-implementation-of-government-funded-community-pharmacy-services-at-the-primary-care-level
#3
Lutfun N Hossain, Jacqueline Tudball, Lucía Franco-Trigo, Desire Durks, Shalom I Benrimoj, Daniel Sabater-Hernández
BACKGROUND: A key early step to enhance the integration of community pharmacy services (CPSs) into primary care practice is identifying key determinants of practice (i.e., critical circumstances that influence the implementation of such services). Involving relevant stakeholders in identifying key determinants enables findings to be more relevant to the context in which CPSs will be implemented. OBJECTIVE: To identify key determinants of practice that can influence the implementation of government-funded CPSs in a primary health network in Australia...
October 5, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29024199/critical-care-pharmacy-workforce-uk-deployment-and-characteristics-in-2015
#4
Mark Borthwick, Greg Barton, Richard S Bourne, Catherine McKenzie
OBJECTIVE: Clinical pharmacists reduce medication errors and optimize the use of medication in critically ill patients, although actual staffing level and deployment of UK pharmacists is unknown. The primary aim was to investigate the UK deployment of the clinical pharmacy workforce in critical care and compare this with published standards. METHODS: An electronic data entry tool was created and distributed for UK critical care pharmacy services to record their critical care workforce deployment data...
October 11, 2017: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/29022823/impact-of-a-medication-reconciliation-program-on-cardiac-surgery-patients
#5
Abdulrazaq S Al-Jazairi, Lujain Khalid Al-Suhaibani, Rayd A Al-Mehizia, Salma Al-Khani, Glyn Lewis, Edward B De Vol, Elias Juan Saad
Background Cardiac surgery patients are at high risk of medication errors. Resumption of home medications reduces the significance and number of medication errors. This could be achieved by implementing a medication reconciliation program. Patients and Methods Patients were eligible for inclusion in this prospective study if they were admitted, transferred, and/or discharged under cardiac surgery team care from September 2015 to March 2016. The primary outcome was the number and proportion of unintentional medication discrepancies...
January 1, 2017: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/29021008/medication-review-and-transitions-of-care-a-case-report-of-a-decade-old-medication-error
#6
Rachel Comer, Mitsi Lizer
A 69-year-old Caucasian male with a 25-year history of paranoid schizophrenia was brought to the emergency department because of violence toward the staff in his nursing facility. He was diagnosed with a urinary tract infection and was admitted to the behavioral health unit for medication stabilization. History included a five-year state psychiatric hospital admission and nursing facility placement. Because of poor cognitive function, the patient was unable to corroborate medication history, so the pharmacy student on rotation performed an in-depth chart review...
October 1, 2017: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/29020857/optimizing-patient-education-of-oncology-medications-a-descriptive-survey-of-pharmacist-provided-patient-education-in-canada
#7
Gillian Donald, Samantha Scott, Larry Broadfield, Claudia Harding, Andrea Meade
Background The incidence of cancer is increasing in Canada due to an aging and growing population. This frequently necessitates chemotherapy, which is a high-risk treatment, often given as a part of a complex regimen with serious side effects. A review of the evidence of pharmacy-provided patient education initiatives targeted to oncology patients revealed that minimal is known about this service. Objective The objective of this study was to determine the different models of patient education of oncology medications delivered by pharmacists to adult oncology patients in a hospital or cancer center in Canada...
January 1, 2017: Journal of Oncology Pharmacy Practice
https://www.readbyqxmd.com/read/28991760/centenary-of-the-birth-of-academician-prof-dr-isak-tadzer-founder-of-the-pathophysiology-and-nuclear-medicine-in-macedonia
#8
Borislav Karanfilski
Academician Prof. Dr. Isak Tadzer was born a hundred years ago on December 24, 1916 in Sofia. He completed the primary and secondary education at the German College in Sofia. In 1935 he began his studies at the Medical Faculty in Vienna, which he had to stop because of the annexation of Austria to Germany in 1938. He returned to Bulgaria where he continued his studies and graduated from the Medical Faculty in Sofia in 1941. During the War, 1941-1944, he was forcedly mobilized and he worked as a doctor in several villages...
September 1, 2017: Prilozi (Makedonska Akademija Na Naukite i Umetnostite. Oddelenie za Medicinski Nauki)
https://www.readbyqxmd.com/read/28990292/investigating-the-impact-of-the-universal-healthcare-coverage-programme-on-community-pharmacy-practice
#9
Andi Hermansyah, Erica Sainsbury, Ines Krass
The introduction of Universal Healthcare Coverage (JKN) in 2014 has changed the landscape of the Indonesian healthcare and affected the community pharmacy sector. This paper investigates perceptions of healthcare and pharmacy stakeholders about the impact of JKN on the practice of pharmacists and pharmacy in both public (Puskesmas) and private (Community or Retail pharmacy) settings. In-depth, semi-structured interviews were conducted from February to August 2016 involving 29 participants representing key stakeholders from different provinces in Indonesia...
October 9, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28989106/demographic-and-healthcare-service-utilization-by-4-417-patients-with-hidradenitis-suppurativa
#10
Guy Shalom, Meir Babaev, Tamar Freud, Shmuel Tiosano, Nadav Pam, Amir Horev, Jacob Dreiher, Daniel A Vardy, Doron Comaneshter, Arnon D Cohen
BACKGROUND: Data on the healthcare utilization of hidradenitis suppurativa (HS) patients in primary care settings are scarce. OBJECTIVE: To investigate the healthcare service utilization of patients with HS. PATIENTS AND METHODS: In a cross-sectional study, HS patients were compared with two age- and gender-matched control groups-general population enrollees of Clalit Health Services and a group of patients with psoriasis. Healthcare services data included inpatient and outpatient community clinic visits and pharmacy claims for topical and systemic treatments...
October 5, 2017: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/28986515/improving-admission-medication-reconciliation-with-pharmacists-or-pharmacy-technicians-in-the-emergency-department-a-randomised-controlled-trial
#11
Joshua M Pevnick, Caroline Nguyen, Cynthia A Jackevicius, Katherine A Palmer, Rita Shane, Galen Cook-Wiens, Andre Rogatko, Mackenzie Bear, Olga Rosen, David Seki, Brian Doyle, Anish Desai, Douglas S Bell
BACKGROUND: Admission medication history (AMH) errors frequently cause medication order errors and patient harm. OBJECTIVE: To quantify AMH error reduction achieved when pharmacy staff obtain AMHs before admission medication orders (AMO) are placed. METHODS: This was a three-arm randomised controlled trial of 306 inpatients. In one intervention arm, pharmacists, and in the second intervention arm, pharmacy technicians, obtained initial AMHs prior to admission...
October 6, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28977382/exploring-novel-diabetes-surveillance-methods-a-comparison-of-administrative-laboratory-and-pharmacy-data-case-definitions-using-thin
#12
Bushra Khokhar, Hude Quan, Gilaad G Kaplan, Sonia Butalia, Doreen Rabi
Background: The objective of this study was to identify patients with diabetes in a comprehensive primary care electronic medical records database using a number of different case definitions (clinical, pharmacy, laboratory definitions and a combination thereof) and understand the differences in patient populations being captured by each definition. Methods: Data for this population-based retrospective cohort study was obtained from The Health Information Network (THIN)...
July 28, 2017: Journal of Public Health
https://www.readbyqxmd.com/read/28975485/introducing-clinical-pharmacy-services-to-cardiovascular-clinics-at-a-university-hospital-in-northern-cyprus
#13
Haider Al-Baghdadi, Çiğdem Koca Al-Baghdadi, Abdikarim Abdi, Onur Gültekin, Arijana Meštrović, Rumeysa Demirdamar, Barçın Özcem, Bilgen Başgut
Background Clinical pharmacists are the primary source of scientifically valid information and advice on the safe, rational, and cost-effective use of medications. However, ward-based clinical pharmacy services are not well optimized in Northern Cyprus. Objective Ward based clinical pharmacy services were introduced and evaluated in cardiovascular clinics. Setting Cardiology and cardiovascular surgery departments in a tertiary university hospital. Methods A prospective interventional study introduced and documented clinical pharmacy services for 120 days...
October 3, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28972983/gabapentin-opioids-and-the-risk-of-opioid-related-death-a-population-based-nested-case-control-study
#14
Tara Gomes, David N Juurlink, Tony Antoniou, Muhammad M Mamdani, J Michael Paterson, Wim van den Brink
BACKGROUND: Prescription opioid use is highly associated with risk of opioid-related death, with 1 of every 550 chronic opioid users dying within approximately 2.5 years of their first opioid prescription. Although gabapentin is widely perceived as safe, drug-induced respiratory depression has been described when gabapentin is used alone or in combination with other medications. Because gabapentin and opioids are both commonly prescribed for pain, the likelihood of co-prescription is high...
October 2017: PLoS Medicine
https://www.readbyqxmd.com/read/28970610/experiences-and-perceptions-of-pharmacy-students-on-practical-skills-and-education-during-clinical-rotations-in-india
#15
Akshaya Srikanth Bhagavathula, Deepak Kumar Bandari, Sudhir Kumar Gogikar, Asim Ahmed Elnour, Abdulla Shehab
Objective. To investigate the overall experience of pharmacy students in India during their clinical rotations and their assessment of primary mentors in imparting the intended clinical skills. Methods. A prospective cross-sectional study using a self-administered survey instrument containing 34 items to obtain feedback from senior PharmD students in the latter three years of their six-year program from November 2014 to February 2015. Results. Of the 415 PharmD students invited for this survey, 261(63% response rate) completed the survey (54% males and 46% females)...
August 2017: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/28970452/defining-the-role-of-the-pharmacy-technician-and-identifying-their-future-role-in-medicines-optimisation
#16
Melanie Boughen, Jane Sutton, Tess Fenn, David Wright
BACKGROUND: Traditionally, pharmacy technicians have worked alongside pharmacists in community and hospital pharmacy. Changes within pharmacy provide opportunity for role expansion and with no apparent career pathway, there is a need to define the current pharmacy technician role and role in medicines optimisation. AIM: To capture the current roles of pharmacy technicians and identify how their future role will contribute to medicines optimisation. METHODS: Following ethical approval and piloting, an online survey to ascertain pharmacy technicians' views about their roles was undertaken...
July 15, 2017: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/28970440/clinical-outcomes-used-in-clinical-pharmacy-intervention-studies-in-secondary-care
#17
Lene Juel Kjeldsen, Charlotte Olesen, Merete Kjær Hansen, Trine Rune Høgh Nielsen
The objective was to investigate type, frequency and result of clinical outcomes used in studies to assess the effect of clinical pharmacy interventions in inpatient care. The literature search using Pubmed.gov was performed for the period up to 2013 using the search phrases: "Intervention(s)" and "pharmacist(s)" and "controlled" and "outcome(s)" or "effect(s)". Primary research studies in English of controlled, clinical pharmacy intervention studies, including outcome evaluation, were selected. Titles, abstracts and full-text papers were assessed individually by two reviewers, and inclusion was determined by consensus...
May 20, 2017: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/28970435/introducing-pharmaceutical-care-to-primary-care-in-iceland-an-action-research-study
#18
Anna Bryndis Blondal, Sofia Kälvemark Sporrong, Anna Birna Almarsdottir
Even though pharmaceutical care is not a new concept in pharmacy, its introduction and development has proved to be challenging. In Iceland, general practitioners are not familiar with pharmaceutical care and additionally no such service is offered in pharmacies or primary care settings. Introducing pharmaceutical care in primary care in Iceland is making great efforts to follow other countries, which are bringing the pharmacist more into patient care. General practitioners are key stakeholders in this endeavor...
April 26, 2017: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/28970403/assessment-of-perceived-barriers-to-herpes-zoster-vaccination-among-geriatric-primary-care-providers
#19
Katherine Montag Schafer, Shannon Reidt
The herpes zoster vaccine is recommended for use in adults 60 years of age and older to reduce the incidence and morbidity associated with infection. Its limited uptake has been attributed to logistical barriers, but uncertain efficacy and safety in subsets of this patient population could also be contributing. The purpose of this study was to evaluate the current vaccination practices, barriers to vaccination, knowledge of vaccination reimbursement and strategies to evaluate for insurance coverage among an urban, safety net, teaching hospital, geriatric primary care provider group through a survey administered via paper and online platforms...
October 18, 2016: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/28966984/reducing-er-use-through-a-trainee-designed-interprofessional-care-group-for-high-utilizing-chronically-ill-patients-a-pilot-program
#20
Linnaea Schuttner, Zhenyu Zhang, Alice Kuo
BACKGROUND: Healthcare utilization is skewed to a subset of high-need, high-use patients, but optimal models of care are not known. PURPOSE: To reduce emergency room (ER) use and hospital readmissions, trainees designed an innovative model of care delivery for chronically ill, high-utilizing adult patients. METHODS: Enrolled patients (N = 65) joined an interprofessional care program (nutrition, behavioral health, pharmacy, and care coordination), located in a single ambulatory clinic with extended hours...
December 2017: Journal of Interprofessional Education & Practice (Online)
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