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Pharmacist critical care

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https://www.readbyqxmd.com/read/27913084/quality-of-communication-about-medicines-in-united-states-hospitals-a-national-retrospective-study
#1
Lauren Mullings, Jayashri Sankaranarayanan
BACKGROUND: Despite the benefits of improving transitions across care, literature is very limited on inpatient "Communication about Medicines" (ComMed) by staff across United States (U.S.) hospitals. OBJECTIVES: To evaluate ComMed quality variations by hospital characteristics. METHODS: In a cross-sectional, retrospective study of publicly available U.S. Medicare's Hospital Consumer Assessment of Health Care Plans Survey (HCAHPS) data (January 2013-September 2014), ComMed quality (high = above average/excellent vs...
October 26, 2016: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/27899826/an-elective-course-in-cardiovascular-electrophysiology-for-pharmacy-learners
#2
Diptiman D Bose
Objective. To implement an integrated, comprehensive, and learner-centered elective course focused at exposing learners to the interpretation of electrocardiograms and highlighting the mechanisms underlining the abnormal electrophysiological events. Design. Learners were presented with foundational information on the mechanisms underlying electrophysiological changes associated with the development of arrhythmias. They then discussed the interpretation of electrocardiogram (ECG) recordings and diagnosis of cardiovascular events...
October 25, 2016: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/27866392/drug-caused-deaths-in-australian-medical-practitioners-and-health-care-professionals
#3
Jennifer L Pilgrim, Rhyse Dorward, Olaf H Drummer
BACKGROUND AND AIMS: There are numerous factors putting health-care professionals (HCP) at a higher risk of substance abuse and premature death, including high-stress jobs, access to controlled substances, long hours of practice and constant contact with the critically ill. This study aimed to examine fatal drug toxicity in this high-risk cohort, in order to: (1) estimate the rate of drug-caused deaths of Australian HCPs; (2) describe the key characteristics of the cohort; and (3) examine the relationship between HCP occupation and drug type, or intent...
November 20, 2016: Addiction
https://www.readbyqxmd.com/read/27785164/purchasing-over-the-counter-medicines-from-australian-pharmacy-what-do-the-pharmacy-customers-value-and-expect
#4
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
https://www.readbyqxmd.com/read/27738095/ceritinib-a-primer-for-pharmacists
#5
Trang H Au, Courtney C Cavalieri, David D Stenehjem
Clinical pharmacists are important contributors to the care of patients with cancer; it is therefore critical for oncology clinical pharmacists to stay current with new anticancer therapies. This review summarizes the epidemiology and pathogenesis of non-small cell lung cancer, including the most common genetic alterations, as well as the mechanism of action, clinical development, pharmacodynamics and pharmacokinetics of the anaplastic lymphoma kinase inhibitor ceritinib for the treatment of patients with anaplastic lymphoma kinase-positive non-small cell lung cancer...
October 13, 2016: Journal of Oncology Pharmacy Practice
https://www.readbyqxmd.com/read/27729051/from-personal-crisis-care-to-convenience-shopping-an-interpretive-description-of-the-experiences-of-people-with-mental-illness-and-addictions-in-community-pharmacies
#6
Andrea L Murphy, Ruth Martin-Misener, Stan P Kutcher, Claire L O'Reilly, Timothy F Chen, David M Gardner
BACKGROUND: The role of community pharmacists is changing globally with pharmacists engaging in more clinically-oriented roles, including in mental health care. Pharmacists' interventions have been shown to improve mental health related outcomes but various barriers can limit pharmacists in their care of patients. We aimed to explore the experiences of people with lived experience of mental illness and addictions in community pharmacies to generate findings to inform practice improvements...
October 12, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27713625/impact-of-pharmacist-interventions-in-older-patients-a-prospective-study-in-a-tertiary-hospital-in-germany
#7
L Cortejoso, R A Dietz, G Hofmann, M Gosch, A Sattler
BACKGROUND: Inappropriate pharmacotherapy among older adults remains a critical issue in our health care systems. Besides polypharmacy and multiple comorbidities, the age-related pharmacokinetic and pharmacodynamic changes may increase the risk of adverse drug reactions and medication errors. OBJECTIVE: The main target of this study was to describe the characteristics of pharmaceutical interventions in two geriatric wards (orthogeriatric ward and geriatric day unit) of a general teaching hospital and to evaluate the clinical significance of the detected medication errors...
2016: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/27699912/protected-uk-clinical-pharmacist-interventions-in-the-uk-critical-care-unit-exploration-of-relationship-between-intervention-service-characteristics-and-experience-level
#8
Nicola Rudall, Catherine McKenzie, June Landa, Richard S Bourne, Ian Bates, Rob Shulman
PURPOSE: Clinical pharmacist (CP) interventions from the PROTECTED-UK cohort, a multi-site critical care interventions study, were further analysed to assess effects of: time on critical care, number of interventions, CP expertise and days of week, on impact of intervention and ultimately contribution to patient care. METHODS: Intervention data were collected from 21 adult critical care units over 14 days. Interventions could be error, optimisation or consults, and were blind-coded to ensure consistency, prior to bivariate analysis...
October 4, 2016: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/27698502/leadership-book-club-an-innovative-strategy-to-incorporate-leadership-development-into-pharmacy-residency-programs
#9
Alyssa Chappell, Katelyn Dervay
Purpose: To describe an innovative strategy for incorporating leadership training and development across multiple postgraduate year 2 (PGY2) pharmacy residency programs at a single institution. Background: Tampa General Hospital has 7 pharmacy residency positions: 4 postgraduate year 1 (PGY1) residents and a single resident for each of the 3 PGY2 programs (critical care, emergency medicine, and solid organ transplant). Administrative topics are incorporated across the PGY1 and PGY2 residency programs, with each PGY2 program having additional administrative topics specific to their specialty area...
September 2016: Hospital Pharmacy
https://www.readbyqxmd.com/read/27663561/pharmacists-guide-to-the-management-of-organ-donors-after-brain-death
#10
REVIEW
Catherine Korte, Jennifer L Garber, Jillian L Descourouez, Katelyn R Richards, Karen Hardinger
PURPOSE: This article reviews organ donor pathophysiology as it relates to medication use with the goal of maximizing the successful procurement and transplantation of donor organs. SUMMARY: The number of patients requiring organ transplantation continues to grow, yet organ donation rates remain flat, making it critical to appropriately manage each organ donor in order to ensure viability of all transplantable organs. The care given to one organ donor is tantamount to the care of several transplant recipients...
November 15, 2016: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/27662106/therapeutic-challenges-posed-by-critical-drug-drug-interactions-in-cystic-fibrosis
#11
Cameron L Jordan, Terry L Noah, Marianna M Henry
This review seeks to re-introduce cystic fibrosis (CF) clinicians to the pharmacology of drug-drug interactions among medications commonly used in CF and provide a framework for understanding these interactions among medications outside the scope of this discussion. We here focus on drugs impacted by the cytochrome P-450 (CYP450) enzyme system and on interactions involving antimicrobials, psychotropic medications, and cystic fibrosis transmembrane conductance regulator (CFTR) modulators. Particular attention is needed when prescribing rifampin, azole antifungals and the CFTR modulators, ivacaftor, and lumacaftor/ivacaftor, in combination with other medications...
October 2016: Pediatric Pulmonology
https://www.readbyqxmd.com/read/27650819/appropriateness-of-acid-suppression-therapy
#12
Thomas De Rijdt, Isabel Spriet, Ludo Willems, Marianne Blanckaert, Martin Hiele, Alexander Wilmer, Steven Simoens
BACKGROUND: The inappropriate startup of long-term acid suppressive therapy (AST) can have clinical and pharmacoeconomic impacts on ambulatory care. OBJECTIVE: To assess the proportion of patients with appropriate initiation of long-term AST in non-critically ill patients. To describe possible risk factors for nonappropriate AST. To calculate the potential savings when eliminating the nonappropriate startup of AST. METHOD: This observational, retrospective study evaluated the appropriateness of startup of long-term AST in medical records using a broad variety of international criteria and guidelines and using a validated screening instrument...
September 20, 2016: Annals of Pharmacotherapy
https://www.readbyqxmd.com/read/27570986/clinical-outcomes-of-the-inclusion-of-the-therapeutic-drug-monitoring-report-in-the-electronic-clinical-record
#13
Marina Sáez Belló, Ana Moya Gil, M Ángeles López Montenegro Soria, Pablo Sánchez Sancho, Pau Frias Ruiz, Mónica Climente Martí
OBJECTIVES: To assess the inclusion of the Therapeutic Drug Monitoring Report (TDMR) in the Electronic Clinical Record (ECR). METHOD: An observational ambispective cohort study with a duration of 149 days: PRE (retrospective, 49 days) with the TDMR printed in paper, and POST (prospective, 100 days) with the TDMR included in the ECR. EXCLUSION CRITERIA: Patients not hospitalized, applications for Therapeutic Drug Monitoring by Critical Care and Neonatal Units, as well as monitoring with an objective other than dose adjustment...
September 2016: Farmacia Hospitalaria
https://www.readbyqxmd.com/read/27559191/implementing-the-use-of-pharmacist-progress-notes-in-a-surgical-icu
#14
Tyler Sledge, Nick Lonardo, Heidi Simons, Wayne Shipley
BACKGROUND: Critical care pharmacists are established and valuable members of the critical care team, however there is rarely written evidence of their daily involvement in the patient's electronic medical record (EMR). Documentation in the EMR has the advantage of ensuring a seamless pass-off and provides an opportunity to capture the pharmacist's cognitive and clinical impact in a way that traditional systems of tracking "interventions" fail to do. We investigated implementation of pharmacist progress notes in a surgical intensive care unit (ICU) and their utility in measuring pharmacist activity...
July 2016: Hospital Pharmacy
https://www.readbyqxmd.com/read/27559182/outcome-assessment-of-critical-care-pharmacist-services
#15
Seth R Bauer, Sandra L Kane-Gill
No abstract text is available yet for this article.
July 2016: Hospital Pharmacy
https://www.readbyqxmd.com/read/27550739/creating-opportunities-for-interdisciplinary-collaboration-and-patient-centred-care-how-nurses-doctors-pharmacists-and-patients-use-communication-strategies-when-managing-medications-in-an-acute-hospital-setting
#16
Wei Liu, Marie Gerdtz, Elizabeth Manias
AIMS AND OBJECTIVES: This paper examines the communication strategies that nurses, doctors, pharmacists and patients use when managing medications. BACKGROUND: Patient-centred medication management is best accomplished through interdisciplinary practice. Effective communication about managing medications between clinicians and patients has a direct influence on patient outcomes. There is a lack of research that adopts a multidisciplinary approach and involves critical in-depth analysis of medication interactions among nurses, doctors, pharmacists and patients...
October 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27540258/evaluation-of-an-electronic-paediatric-intensive-care-unit-picu-medication-reconciliation-mr-form
#17
Diane Murray, Cathy Sedgeworth, Moira Kinnear, Lesley Diack
AIM: To gather opinions from doctors and pharmacists to improve the design of the PICU MR form generated by the electronic prescribing and clinical notes system to support transfer of care from PICU to downstream wards that use paper systems. METHOD: A purposive sample of 10 forms covering a comprehensive range of medication information common to PICU patients was selected from practice between March 2014 and May 2014. Pharmacists (n=7) and doctors (n=9) who received these forms on downstream wards were invited to participate in semi-structured one-to-one interviews (n=20) with the PICU pharmacist within 48 hrs of receipt to explore their views about the form...
September 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/27540216/audit-of-oxygen-prescribing-in-a-children-s-hospital
#18
Lucy Wheeler, Janet James, Sarah Byrne, Julian Forton
AIM: To audit oxygen prescribing in a children's hospital following the introduction of a new paediatric medication chart, which incorporates an oxygen prescription section. METHOD: In June 2015 a 1-day snapshot audit was carried out across all wards in the children's hospital. All patients receiving oxygen on that day were included:▸ The audit was repeated in July 2015.▸ The standards for the audit were set at 100% in accordance with our local guidelines...
September 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/27540209/creating-and-auditing-a-new-electronic-continuous-infusion-prescription-chart-for-a-paediatric-critical-care-unit
#19
Emily Siu, Kalaimaran Sadasivam, Nanna Christiansen
INTRODUCTION: Prescription errors, including continuous infusion prescriptions are one major source of concern in the paediatric population. Evidence suggests that use of an electronic or web-based calculator could minimise these errors. In our paediatric critical care unit (PCCU) we have created an electronic continuous infusion prescription chart to target errors in this area and conducted an audit to assess its effect on error reduction. AIM: To create an electronic continuous infusion prescription chart and audit its effect on prescription errors...
September 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/27535290/self-care-in-the-twenty-first-century-a-vital-role-for-the-pharmacist
#20
John Bell, Gerald Dziekan, Charles Pollack, Varocha Mahachai
: In order for the global healthcare system to remain sustainable, healthcare spending needs to be reduced, and self-treating certain conditions under the guidance of a pharmacist provides a means of accomplishing this goal. This article was developed to describe global healthcare trends affecting self-care with a specific focus on the role of the pharmacist in facilitating over-the-counter (OTC) medication management. Potential healthcare-related economic benefits associated with the self-care model are outlined...
October 2016: Advances in Therapy
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