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https://www.readbyqxmd.com/read/29686544/thrombolytic-use-in-the-region-around-amarillo-texas-in-patients-with-st-elevation-myocardial-infarction
#1
Kelly S McMaster, Totini Chatterjee, Drew McBrayer, David Brabham
Appropriate administration of thrombolytic therapy is particularly important for ST elevation myocardial infarction (STEMI) patients who are unable to access primary percutaneous coronary intervention (PCI) in a timely manner. We evaluated the current state of thrombolytic therapy in the Panhandle region of West Texas where access to primary PCI is poor. The medical records of 79 patients transferred from 20 outlying facilities to the two hospitals in Amarillo, Texas, for STEMI in 2016 were retrospectively evaluated for time of onset of chest pain, initial electrocardiogram findings, medication reconciliation, and any contraindications to thrombolytic therapy...
January 2018: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/29682132/creating-a-foundation-for-implementing-an-electronic-health-records-ehr-integrated-social-knowledge-networking-skn-system-on-medication-reconciliation
#2
P Rangachari, K C Dellsperger, D Fallaw, I Davis, M Sumner, W Ray, S Fiedler, T Nguyen, R Rethemeyer
Background: In fall 2016, Augusta University received a two-year grant from AHRQ, to implement a Social Knowledge Networking (SKN) system for enabling its health system, AU-Health, to progress from "limited use" of EHR Medication Reconciliation (MedRec) Technology, to "meaningful use." Phase 1 sought to identify a comprehensive set of issues related to EHR MedRec encountered by practitioners at AU-Health. These efforts helped develop a Reporting Tool , which, along with a Discussion Tool , was incorporated into the AU-Health EHR, at the end of Phase 1...
April 2018: Journal of Hospital Administration
https://www.readbyqxmd.com/read/29674327/incorporating-medication-indications-into-the-prescribing-process
#3
Kevin Kron, Sara Myers, Lynn Volk, Aaron Nathan, Pamela Neri, Alejandra Salazar, Mary G Amato, Adam Wright, Sam Karmiy, Sarah McCord, Enrique Seoane-Vazquez, Tewodros Eguale, Rosa Rodriguez-Monguio, David W Bates, Gordon Schiff
PURPOSE: The incorporation of medication indications into the prescribing process to improve patient safety is discussed. SUMMARY: Currently, most prescriptions lack a key piece of information needed for safe medication use: the patient-specific drug indication. Integrating indications could pave the way for safer prescribing in multiple ways, including avoiding look-alike/sound-alike errors, facilitating selection of drugs of choice, aiding in communication among the healthcare team, bolstering patient understanding and adherence, and organizing medication lists to facilitate medication reconciliation...
April 19, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29666309/hospital-admissions-associated-with-medication-non-adherence-a-systematic-review-of-prospective-observational-studies
#4
Pajaree Mongkhon, Darren M Ashcroft, C Norman Scholfield, Chuenjid Kongkaew
BACKGROUND: Medication non-adherence in ambulatory care has received substantial attention in the literature, but less so as it affects acute care. Accordingly, we aimed to estimate the frequency with which non-adherence to medication contributes to hospital admissions. METHODS: We searched the Cochrane Library, EMBASE, Cumulative Index to Nursing and Allied Health Literature, International Pharmaceutical Abstracts and PubMed (until December 2017) to identify prospective observational studies that examined prevalence rates of hospital admissions associated with medication non-adherence...
April 17, 2018: BMJ Quality & Safety
https://www.readbyqxmd.com/read/29627108/effect-of-grand-aides-nurse-extenders-on-readmissions-and-emergency-department-visits-in-medicare-patients-with-heart-failure
#5
S Craig Thomas, Robert A Greevy, Arthur Garson
Numerous procedures have been tested to reduce hospital readmissions with varying success. The objective of this study was to evaluate all-cause readmissions and emergency department (ED) visits 30 days and 6 months after discharge with Grand-Aides (GAs): nurse extenders making frequent home visits under video direction by a nurse supervisor. Medicare patients with primary diagnosis of heart failure at the University of Virginia discharged January 1, 2013 to January 1, 2015 were included. A GA visited the patient's home within 24 to 48 hours with supervisor on video for medication reconciliation...
March 2, 2018: American Journal of Cardiology
https://www.readbyqxmd.com/read/29621893/facilitating-home-hospice-transitions-of-care-in-oncology-evaluation-of-clinical-pharmacists-interventions-hospice-program-satisfaction-and-patient-representation-rates
#6
Alison P Duffy, Nina M Bemben, Jueli Li, James Trovato
BACKGROUND: The importance of medication reconciliation and the pharmacist's role within the interdisciplinary team at the point of transition to home hospice is understudied. A transitions of care pilot initiative was developed to streamline the transition for patients at end of life from inpatient cancer center care to home hospice. The initiative consisted of using a hospice discharge checklist, pharmacist-led discharge medication reconciliation in consultation with the primary team responsible for inpatient care, review of discharge prescriptions, and facilitation of bedside delivery of discharge medications...
January 1, 2018: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/29619837/creating-and-evaluating-an-opportunity-for-medication-reconciliation-in-the-adult-population-of-south-africa-to-improve-patient-care
#7
Pranusha Naicker, Natalie Schellack, Brian Godman, Elmien Bronkhorst
BACKGROUND AND AIMS: Adverse drug events (ADEs) are a major cause of morbidity and mortality, with more than 50% of ADEs being preventable. Adverse Drug Reactions (ADRs) are typically the result of an incomplete medication history, prescribing or dispensing error, as well as over- or under-use of prescribed pharmacotherapy. Medication reconciliation is the process of creating the most accurate list of medications a patient is taking and subsequently comparing the list against the different transitions of care...
April 5, 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29618941/implementing-a-social-knowledge-networking-skn-system-to-enable-meaningful-use-of-an-ehr-medication-reconciliation-system
#8
Pavani Rangachari
Background: Despite the regulatory impetus toward meaningful use of electronic health record (EHR) Medication Reconciliation (MedRec) to prevent medication errors during care transitions, hospital adherence has lagged for one chief reason: low physician engagement, stemming from lack of consensus about which physician is responsible for managing a patient's medication list. In October 2016, Augusta University received a 2-year grant from the Agency for Healthcare Research and Quality to implement a Social Knowledge Networking (SKN) system for enabling its health system (AU Health) to progress from "limited use" of EHR MedRec technology to "meaningful use...
2018: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/29618283/review-of-the-role-of-the-pharmacist-in-reducing-hospital-readmissions
#9
Quyen N Bach, Samuel K Peasah, Elizabeth Barber
Hospital readmissions remain a public health concern despite progress in reducing and preventing its occurrence. Among strategies that have been implemented to reduce readmission most involves medication management. Our objective was to evaluate the effectiveness of interventions involving pharmacists to reduce hospital readmissions. PubMed and Google Scholar were searched for primary literature from January 1990 to July 2016 with search terms such as "hospital readmission," and "Pharmacist," or "Pharmacy," or "medications...
January 1, 2018: Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/29609701/evaluation-of-pharmacist-initiated-discharge-medication-reconciliation-and-patient-counseling-procedures
#10
Sebastian Choi, Jaime Babiak
OBJECTIVE: To evaluate a recently implemented procedure of discharge medication reconciliation and patient counseling completed by pharmacists at a nursing facility. SETTING: This is a 138-bed nursing facility that houses long-term care residents as well as patients for subacute rehabilitation. PRACTICE DESCRIPTION: Discharge process involves the medical team (geriatrician, medical resident, medical students), social workers, and nurse coordinators...
April 1, 2018: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/29608779/interdisciplinary-home-visits-for-individuals-with-advanced-parkinson-s-disease-and-related-disorders
#11
Jori Fleisher, William Barbosa, Meghan M Sweeney, Sarah E Oyler, Amy C Lemen, Arash Fazl, Mia Ko, Talia Meisel, Naomi Friede, Geraldine Dacpano, Rebecca M Gilbert, Alessandro Di Rocco, Joshua Chodosh
Parkinson's disease (PD) is a complex, multisymptom, neurodegenerative disease affecting primarily older adults. With progression, many individuals become homebound and removed from coordinated, expert care, resulting in excess morbidity, mortality, and healthcare expenditures in acute care settings and institutions. Home visit care models have achieved the triple aim of improving individual and population health while reducing costs in many frail, community-dwelling geriatric cohorts. This study details a novel, interdisciplinary home visit program specifically designed for individuals with PD and related disorders and their family caregivers built upon best practice principles in the care of multimorbid older adults...
April 2, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29602664/rate-of-patients-at-elevated-risk-of-opioid-overdose-visiting-the-emergency-department
#12
Justin Ray Pedigo, Charles F Seifert
OBJECTIVE: To determine the rate of patients visiting the emergency department who are at risk of opioid overdose. METHODS: The electronic records of a 412 bed tertiary care county teaching hospital were searched for emergency department (ED) visits from January 1, 2013 to October 31, 2016 to find patients on at least 100mg morphine equivalents (MME) of oral opioid therapy, or an opioid in combination with a benzodiazepine. Records were also searched for patients with a positive urinalysis for opioids when no opioid was present on their home medication list...
March 22, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29590350/usage-and-accuracy-of-medication-data-from-nationwide-health-information-exchange-in-quebec-canada
#13
Aude Motulsky, Daniala L Weir, Isabelle Couture, Claude Sicotte, Marie-Pierre Gagnon, David L Buckeridge, Robyn Tamblyn
Objective: (1) To describe the usage of medication data from the Health Information Exchange (HIE) at the health care system level in the province of Quebec; (2) To assess the accuracy of the medication list obtained from the HIE. Methods: A descriptive study was conducted utilizing usage data obtained from the Ministry of Health at the individual provider level from January 1 to December 31, 2015. Usage patterns by role, type of site, and tool used to access the HIE were investigated...
March 26, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29590146/the-impact-of-pharmacists-led-medicines-reconciliation-on-healthcare-outcomes-in-secondary-care-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#14
Ejaz Cheema, Farah Kais Alhomoud, Amnah Shams Al-Deen Kinsara, Jomanah Alsiddik, Marwah Hassan Barnawi, Morooj Abdullah Al-Muwallad, Shatha Abdulbaset Abed, Mahmoud E Elrggal, Mahmoud M A Mohamed
BACKGROUND: Adverse drug events (ADEs) impose a major clinical and cost burden on acute hospital services. It has been reported that medicines reconciliation provided by pharmacists is effective in minimizing the chances of hospital admissions related to adverse drug events. OBJECTIVE: To update the previous assessment of pharmacist-led medication reconciliation by restricting the review to randomized controlled trials (RCTs) only. METHODS: Six major online databases were sifted up to 30 December 2016, without inception date (Embase, Medline Ovid, PubMed, BioMed Central, Web of Science and Scopus) to assess the effect of pharmacist-led interventions on medication discrepancies, preventable adverse drug events, potential adverse drug events and healthcare utilization...
2018: PloS One
https://www.readbyqxmd.com/read/29587353/implementation-of-a-medication-reconciliation-process-in-an-internal-medicine-clinic-at-an-academic-medical-center
#15
Kathryn M Holt, Amy N Thompson
Discrepancies in medication orders at transitions of care have been shown to affect patient outcomes in a negative way. The Joint Commission recognizes the importance of medication reconciliation through their National Patient Safety Goals, with an emphasis placed on maintaining accurate medication information for each patient. The primary objective of this study was to assess the effectiveness of implementing a medication reconciliation process in an internal medicine clinic at an academic medical center. A retrospective chart review of patients seen at an Internal Medicine Clinic within and Academic Medical Center, a continuity and teaching clinic for Internal Medicine residents and faculty practice clinic, was conducted...
March 24, 2018: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/29579500/nursing-duties-and-accreditation-standards-and-their-impacts-the-nursing-perspective
#16
Parneet Jaggi, Rhonda Tomlinson, Kirstie McLelland, Warren Ma, Carol Manson-McLeod, Michael J Bullard
BACKGROUND: Medical advances and increasingly complex patients presenting to the Emergency Department (ED) make nursing challenging. Gaining new knowledge and skills is a perpetual requirement. New quality initiatives to improve patient safety and care are being constantly introduced and create significant work and time pressures for healthcare providers involved. STUDY QUESTION: Do ED nurses support the introduction of new quality standards, in addition to their current heavy workload? STUDY DESIGN: A cross-sectional survey...
April 2018: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/29547577/pharmacists-as-interprofessional-collaborators-and-leaders-through-clinical-pathways
#17
Sherine Ismail, Mohamed Osman, Rayf Abulezz, Hani Alhamdan, K H Mujtaba Quadri
Pharmacists possess pivotal competencies and expertise in developing clinical pathways (CPs). We present a tertiary care facility experience of pharmacists vis-a-vis interprofessional collaboration for designing and implementing CPs. We participated in the development of CPs as leading members of a collaborative team of healthcare professionals. We reviewed literature, aligning it with hospital formulary and institutional standards, and participated in weekly team meetings for six months. Several tools and services were adapted to guide prescribing and standardization of care through time-bound order sets...
March 16, 2018: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/29534629/use-of-an-anti-infective-medication-review-process-at-hospital-discharge-to-identify-medication-errors-and-optimize-therapy
#18
Christy P Su, Levita Hidayat, Shafiqur Rahman, Veena Venugopalan
BACKGROUND: Medication reconciliation is a major patient safety concern, and the impact of a structured process to evaluate anti-infective agents at hospital discharge warrants further review. OBJECTIVE: The aim of this study was to (1) describe a structured, multidisciplinary approach to review anti-infectives at discharge and (2) measure the impact of a stewardship-initiated antimicrobial review process in identifying and preventing anti-infective-related medication errors (MEs) at discharge...
January 1, 2018: Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/29505484/medication-reconciliation
#19
Gerry Altmiller
No abstract text is available yet for this article.
March 3, 2018: Nurse Educator
https://www.readbyqxmd.com/read/29502481/a-successful-pharmacist-based-quality-initiative-to-reduce-inappropriate-stress-ulcer-prophylaxis-use-in-an-academic-medical-intensive-care-unit
#20
Umair Masood, Anuj Sharma, Zabeer Bhatti, Jessica Carroll, Amit Bhardwaj, Devamohan Sivalingam, Amit S Dhamoon
Stress ulcer prophylaxis (SUP) is often inappropriately utilized, particularly in critically ill patients. The objective of this study is to find an effective way of reducing inappropriate SUP use in an academic medical intensive care unit (ICU). Medical ICU patients receiving SUP were identified over a 1-month period, and their charts were reviewed to determine whether American Society of Health-System Pharmacists guidelines were followed. Inappropriate usage was calculated as inappropriate patient-days and converted to incidence per 100 patient-days...
January 2018: Inquiry: a Journal of Medical Care Organization, Provision and Financing
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