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pharmacy technician quality improvement

John D Hill, Sammuel V Anderegg, Rick J Couldry
Background: Influenza and pneumococcal disease contribute substantially to the burden of preventable disease in the United States. Despite quality measures tied to immunization rates, health systems have struggled to achieve these targets in the inpatient setting. Pharmacy departments have had success through implementation of pharmacist standing order programs (SOP); however, these initiatives are labor-intensive and have not resulted in 100% immunization rates. Objective: The objective of this study was to evaluate a pilot utilizing pharmacy technician interventions, in combination with a nursing SOP, to improve vaccination rates of hospitalized patients for influenza and pneumococcal disease...
October 2017: Hospital Pharmacy
Kate J Morton, Brianna Harrand, Carly Cloud Floyd, Craig Schaefer, Julie Acosta, Bridget Claire Logan, Karen Clark
OBJECTIVE: To highlight New Mexico's multifaceted approach to widespread pharmacy naloxone distribution and to share the interventions as a tool for improving pharmacy-based naloxone practices in other states. SETTING: New Mexico had the second highest drug overdose death rate in 2014 of which 53% were related to prescription opioids. Opioid overdose death is preventable through the use of naloxone, a safe and effective medication that reverses the effects of prescription opioids and heroin...
March 2017: Journal of the American Pharmacists Association: JAPhA
Adriane N Irwin, YoungYoon Ham, Theresa M Gerrity
Background: Collection of a complete and accurate medication history is an essential component of the medication reconciliation process. The role of pharmacy technicians in supporting medication reconciliation has been the subject of recent interest. Purpose: The purpose of this article is to review the existing literature on pharmacy technician involvement in the medication reconciliation process and to summarize outcomes on the quality and accuracy of pharmacy technician-collected medication histories. Method: A literature review was conducted using MEDLINE and Academic Search Premier (1948 - April 2015)...
January 2017: Hospital Pharmacy
Megan G Smith, Stefanie P Ferreri, Patrick Brown, Kristen Wines, Christopher M Shea, Trista M Pfeiffenberger
OBJECTIVES: To describe the initiation of a community pharmacy medication management service within a statewide integrated care management program. SETTING: One hundred twenty-three community and community health center pharmacies in 58 counties of North Carolina. PRACTICE DESCRIPTION: Independent and community health center pharmacies offering medication management as part of an integrated care management program to Medicaid, Medicare, dually eligible Medicare-Medicaid, and NC Health Choice beneficiaries in North Carolina...
March 2017: Journal of the American Pharmacists Association: JAPhA
Albert Farre, Carole Cummins
INTRODUCTION: Electronic prescribing systems can improve the quality and safety of healthcare services, but their implementation is not straightforward and may create unexpected change. However, the added complexity of paediatric prescribing (eg, dose calculations, dilutions, manipulations) may pose additional challenges. This study will aim to (1) understand the complex organisational reality of a paediatric hospital in which a new electronic paediatric prescribing (ePP) system will be introduced; (2) describe ePP-related change, over time, in paediatric hospital ward settings; (3) explore staff perspectives in relation to currently established practices and processes; and (4) assess the impact of ePP on care provision and hospital work from the perspective of paediatricians, paediatric nurses and managers...
February 3, 2016: BMJ Open
Courtney West, Karen Landry, Anna Graham, Lori Graham, Anna T Cianciolo, Adina Kalet, Michael Rosen, Deborah Witt Sherman
UNLABELLED: SGEA 2015 CONFERENCE ABSTRACT (EDITED). Evaluating Interprofessional Teamwork During a Large-Scale Simulation. Courtney West, Karen Landry, Anna Graham, and Lori Graham. CONSTRUCT: This study investigated the multidimensional measurement of interprofessional (IPE) teamwork as part of large-scale simulation training. BACKGROUND: Healthcare team function has a direct impact on patient safety and quality of care. However, IPE team training has not been the norm...
2015: Teaching and Learning in Medicine
Patti Napier, Pauline Norris, Rhiannon Braund
BACKGROUND: There is ample evidence that pharmacists' interventions in patient care improve patient outcomes; however, community pharmacists do not necessarily have the time available to undertake these roles. One way to address this problem is to enable technicians to take on a greater role in the mechanical aspects of the dispensing process. OBJECTIVE: This study aimed to investigate the opinions of New Zealand pharmacists regarding the potential introduction of an advanced technician's role into the New Zealand pharmacy setting...
November 2015: Research in Social & Administrative Pharmacy: RSAP
L Sarfati, F Ranchon, N Vantard, V Schwiertz, N Gauthier, S He, E Kiouris, C Gourc-Berthod, M G Gu├ędat, C Alloux, M-P Gustin, B You, V Trillet-Lenoir, G Freyer, C Rioufol
WHAT IS KNOWN AND OBJECTIVE: Medication errors (ME) in oncology are known to cause serious iatrogenic complications. However, MEs still occur at each step in the anticancer chemotherapy process, particularly when injections are prepared in the hospital pharmacy. This study assessed whether a ME simulation program would help prevent ME-associated iatrogenic complications. METHODS: The 5-month prospective study, consisting of three phases, was undertaken in the centralized pharmaceutical unit of a university hospital of Lyon, France...
February 2015: Journal of Clinical Pharmacy and Therapeutics
Bryan Prince, Jeremy Lundevall
This is an ongoing discussion and analysis of powder-handling safety in the compounding pharmacy laboratory that started in the November/December 2013 issue of the International Journal of Pharmaceutical Compounding. In the previous technical article, we established that most chemical powders handled during compounding procedures have an established occupational exposure limits and that powders are micronized during manipulation. All micronized powders handled on an open bench create health hazards to the technicians and create a potential for cross-contamination to the lab environment...
May 2014: International Journal of Pharmaceutical Compounding
A A Dhavle, S T Corley, M T Rupp, J Ruiz, J Smith, R Gill, M Sow
BACKGROUND: Prescribers' inappropriate use of the free-text Notes field in new electronic prescriptions can create confusion and workflow disruptions at receiving pharmacies that often necessitates contact with prescribers for clarification. The inclusion of inappropriate patient direction (Sig) information in the Notes field is particularly problematic. OBJECTIVE: We evaluated the effect of a targeted watermark, an embedded overlay, reminder statement in the Notes field of an EHR-based e-prescribing application on the incidence of inappropriate patient directions (Sig) in the Notes field...
2014: Applied Clinical Informatics
Peter Sullivan, Scott Soefje, David Reinhart, Catherine McGeary, Eric D Cabie
PURPOSE: Quality improvements achieved by a hospital pharmacy through the use of lean methodology to guide i.v. compounding workflow changes are described. SUMMARY: The outpatient oncology pharmacy of Yale-New Haven Hospital conducted a quality-improvement initiative to identify and implement workflow changes to support a major expansion of chemotherapy services. Applying concepts of lean methodology (i.e., elimination of non-value-added steps and waste in the production process), the pharmacy team performed a failure mode and effects analysis, workflow mapping, and impact analysis; staff pharmacists and pharmacy technicians identified 38 opportunities to decrease waste and increase efficiency...
September 1, 2014: American Journal of Health-system Pharmacy: AJHP
Sheryl J Herner, Julia E Rawlings, Kelly Swartzendruber, Thomas Delate
OBJECTIVE: This study's objective was to assess the patient safety culture in a large, integrated health delivery system's pharmacy department to allow for benchmarking with other health systems. METHODS: This was a cross-sectional survey conducted in a pharmacy department consisting of staff members who provide dispensing, clinical, and support services within an integrated health delivery system. The U.S. Agency for Healthcare Research and Quality's 11-composite, validated Pharmacy Survey on Patient Safety Culture questionnaire was transcribed into an online format...
March 2017: Journal of Patient Safety
Carla Masini, Oriana Nanni, Sara Antaridi, Davide Gallegati, Mattia Marri, Demis Paolucci, Martina Minguzzi, Mattia Altini
PURPOSE: The quality and economic implications of manual versus automated preparation of antineoplastic drugs were compared. METHODS: This four-week study evaluated 10 routinely used antineoplastic drugs (fluorouracil, cyclophosphamide, gemcitabine, trastuzumab, bevacizumab, oxaliplatin, cisplatin, paclitaxel, irinotecan, and etoposide) prepared by manual and automated procedures. The accuracy of the dose of the active ingredient was calculated in terms of percent relative error for the difference between the nominal value indicated on the prescription and the actual value of the drug in the finished product...
April 1, 2014: American Journal of Health-system Pharmacy: AJHP
Julia F-M Gilmartin, Jennifer L Marriott, Safeera Y Hussainy
BACKGROUND: Dose administration aids (DAAs) organise medicines that have been repacked according to the day of the week and time of the day in which they must be taken. In Australia, DAAs are commonly prepared by pharmacy staff for residential aged care facility (RACF) medicine administration. Although the limited available literature indicates that DAA incidents of inaccurate or unsuitable medicine repacking do occur, there is a paucity of qualitative research identifying quality improvement strategies for this service...
December 2014: International Journal of Pharmacy Practice
Stephanie B Smith, Michael D Mango
BACKGROUND: Pharmacists and pharmacy technicians have an opportunity to impact the quality of the medication histories and improve patient safety by ensuring accurate medication lists are obtained and complete reconciliation has occurred with the admission medication orders by owning the admission medication reconciliation process. OBJECTIVE: To compare the quality of a pharmacy-based medication reconciliation program on admission utilizing pharmacists and technicians to the usual multidisciplinary process...
February 2013: Hospital Pharmacy
Sanchita Sen, Laura Siemianowski, Michelle Murphy, Susan Coutinho McAllister
PURPOSE: An inpatient medication reconciliation (MR) program emphasizing pharmacy technicians' role in the MR process is described. SUMMARY: As part of quality-improvement (QI) efforts focused on MR-related adverse drug events, an urban academic medical center in New Jersey implemented a pharmacy technician-centered MR (PTMR) program targeting patients on its internal medicine, oncology, and clinical decision units. The program is staffed by five full- or part-time technicians who are trained in MR methods and work under direct pharmacist supervision, interviewing newly admitted patients and using other information sources (e...
January 1, 2014: American Journal of Health-system Pharmacy: AJHP
Dorothy Oqua, Kenneth Anene Agu, Mohammed Alfa Isah, Obialunamma U Onoh, Paul G Iyaji, Anthony K Wutoh, Rosalyn C King
BACKGROUND: The use of medicines is an essential component of many public health programs (PHPs). Medicines are important not only for their capacity to treat and prevent diseases. The public confidence in healthcare system is inevitably linked to their confidence in the availability of safe and effective medicines and the measures for ensuring their rational use. However, pharmacy services component receives little or no attention in most public health programs in developing countries...
2013: SpringerPlus
Olufunmilola K Odukoya, Michelle A Chui, Jia Pu
OBJECTIVE: To examine factors influencing the amount of time and information pharmacy personnel provide to patients at drive-through and walk-in counselling areas. METHODS: On-site observational data collection in 22 community pharmacies by pharmacy students. Information included observable patient characteristics such as gender, age range, English proficiency and mobility impairment; encounter characteristics included type of prescription and whether the patient was acknowledged; and counselling characteristics included types of counselling information conveyed and length of time for each encounter...
August 2014: International Journal of Pharmacy Practice
Marieke M Beex-Oosterhuis, Ed M de Vogel, Heleen van der Sijs, Hetty G Dieleman, Patricia M L A van den Bemt
BACKGROUND: Hospital pharmacists and pharmacy technicians play a major role in detecting prescribing errors by medication surveillance. At present the frequency of detected and correctly handled prescribing errors is unclear, as are factors associated with correct handling. OBJECTIVE: To examine the frequency of detection of prescribing errors and the frequency of correct handling, as well as factors associated with correct handling of prescribing errors by hospital pharmacists and pharmacy technicians...
December 2013: International Journal of Clinical Pharmacy
Gina Dobrasz, Marianne Hatfield, Laura Masak Jones, Jennifer Joan Berdis, Erin Elizabeth Miller, Melanie Smith Entrekin
INTRODUCTION: Infection is a frequent complication experienced by many children with cancer, with potentially life-threatening consequences that may result in hospitalization, prolonged length of stay, and increased mortality. The need for prompt assessment and early intervention for infection is widely recognized by ED staff as best practice; however, the average length of time to antibiotic administration varies widely in published studies. METHODS: An interdisciplinary quality improvement initiative including physician, nursing, and pharmacy leaders was created to streamline the identification and treatment for this high-risk population...
May 2013: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
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