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Ambulatory pharmacy

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https://www.readbyqxmd.com/read/29898622/continuity-of-specialty-pharmacy-practice-a-survey-of-pgy-2-pharmacy-residency-graduates
#1
Ardis M Copenhaver, Amy Haver, Aaron J Pickering, Ronald J Campbell, Stephen A Wilson, Jennie B Jarrett
BACKGROUND: Literature regarding career trajectory for postgraduate year 2 (PGY-2) pharmacy residency specialty-trained pharmacists is limited. OBJECTIVE: The objective of our study is to describe PGY-2 pharmacy residency training on career practice and satisfaction. METHODS: A cross-sectional study surveyed graduates of PGY-2 pharmacy residency programs. Respondents were identified by current PGY-2 residency program directors requesting participation from their program alumni...
January 1, 2018: Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/29871801/implementation-of-a-medication-therapy-management-collaborative-within-a-pediatric-health-system
#2
Gregory Sneed, Karl Kappeler, Travis Gilmore, Catherine Kuhn
OBJECTIVES: To describe the implementation of a medication therapy management (MTM) collaborative within a pediatric health system to ensure the safe use of medication. SETTING: Outpatient pharmacies and clinics within a pediatric health system in Central Ohio. PRACTICE DESCRIPTION: The outpatient pharmacies conducted the daily operations of a community pharmacy following a standard, 4-point workflow. The ambulatory clinical pharmacists served on interdisciplinary teams within outpatient clinics to ensure the appropriate use of medication...
June 2, 2018: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29846031/pharmacy-based-interdisciplinary-program-for-patients-with-chronic-heart-failure-pharm-chf-rationale-and-design-of-a-randomized-controlled-trial-and-results-of-the-pilot-study
#3
Ulrich Laufs, Nina Griese-Mammen, Katrin Krueger, Angelika Wachter, Stefan D Anker, Friedrich Koehler, Volker Rettig-Ewen, Lea Botermann, Dorothea Strauch, Dietmar Trenk, Michael Böhm, Martin Schulz
We report the rationale and design of a community PHARMacy-based prospective randomized controlled interdisciplinary study for ambulatory patients with Chronic Heart Failure (PHARM-CHF) and results of its pilot study. The pilot study randomized 50 patients to a pharmacy-based intervention or usual care for 12 months. It demonstrated the feasibility of the design and showed reduced systolic blood pressure in the intervention group as indicator for improved medication adherence. The main study will randomize patients ≥60 years on stable pharmacotherapy including at least one diuretic and a history of heart failure hospitalization within 12 months...
May 30, 2018: European Journal of Heart Failure
https://www.readbyqxmd.com/read/29844135/identifying-opportunities-to-advance-practice-at-a-large-academic-medical-center-using-the-ashp-ambulatory-care-self-assessment-tool
#4
Amber Lanae Martirosov, Angela Michael, Melissa McCarty, Opal Bacon, John R DiLodovico, Arin Jantz, Diana Kostoff, Nancy C MacDonald, Nancy Mikulandric, Klodiana Neme, Nimisha Sulejmani, Bryant B Summers
PURPOSE: The use of the ASHP Ambulatory Care Self-Assessment Tool to advance pharmacy practice at 8 ambulatory care clinics of a large academic medical center is described. SUMMARY: The ASHP Ambulatory Care Self-Assessment Tool was developed to help ambulatory care pharmacists assess how their current practices align with the ASHP Practice Advancement Initiative. The Henry Ford Hospital Ambulatory Care Advisory Group (ACAG) opted to use the "Practitioner Track" sections of the tool to assess pharmacy practices within each of 8 ambulatory care clinics individually...
May 29, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29793699/an-advanced-pharmacy-practice-experience-in-academia-more-benefit-than-burden
#5
Elizabeth A Harrington, Kristen M Gawronski
INTRODUCTION: Within the curriculum, students gain exposure to careers in community, ambulatory, and institutional pharmacy. Students may not consider alternative options, like academia. Perceived barriers to incorporation by faculty may limit opportunities for students. The following commentary describes one student and faculty member's experience with an academic advanced pharmacy practice experience (APPE), and offers suggestions for overcoming potential barriers to implementation...
April 2018: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29764644/influence-of-an-ambulatory-care-elective-on-career-interest-and-perception-of-ambulatory-care-practice
#6
Jennifer Dettra, Cassandra Legari, Anojinie Karunathilake, Jigna Patel Richards
BACKGROUND AND PURPOSE: Ambulatory care is a growing area of pharmacy practice. Previous studies have shown that an ambulatory care elective course may improve student understanding and interest in ambulatory care, but it is unknown if an elective course may impact a student's intended career choice. The purpose of this study is to assess the impact of an ambulatory care elective on student understanding of ambulatory care pharmacy practice, career interest, and interest in residency training...
March 2018: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29761596/the-electronic-pharmaceutical-record-a-new-method-for-medication-reconciliation
#7
Camille Jurado, Violaine Calmels, Emilie Lobinet, Elodie Divol, Hélène Hanaire, David Metsu, Brigitte Sallerin
RATIONALE, AIM, AND OBJECTIVE: There are several ways to establish an accurate medication list in the hospital admission medication reconciliation (MedRec). The challenge for MedRec lies in the availability, reliability, and completeness of the data used. In France, the Electronic Pharmaceutical Record (ePR) was developed to register each medication taken by ambulatory patients, primarily to make dispensation in community pharmacies safe. We evaluated the suitability of this tool in the MedRec when patients were admitted to the hospital...
May 15, 2018: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29739667/utah-pharmacists-knowledge-attitudes-and-barriers-regarding-human-papillomavirus-vaccine-recommendation
#8
Victoria Tolentino, Elizabeth Unni, Jaime Montuoro, Diane Bezzant-Ogborn, Deanna Kepka
OBJECTIVES: To evaluate Utah community pharmacists' knowledge and attitudes toward recommendation of human papillomavirus (HPV) vaccine, to determine whether the knowledge and attitude of pharmacists regarding the HPV vaccine influence their recommendation behaviors, and to capture any self-identified barriers to recommending the HPV vaccine. DESIGN: A cross-sectional anonymous 73-item survey was developed and administered to community, outpatient, and ambulatory care pharmacists...
May 5, 2018: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29717678/communicating-gastrointestinal-symptoms-the-patient-s-challenge
#9
Surinder K Dhaliwal, Richard H Hunt, David Armstrong
Gastrointestinal (GI) disorders present with signs that are objective and symptoms that are subjective, evaluable only if an individual can recognize, characterize, describe, and communicate them to a healthcare professional (HCP). The aim of this study was to quantify the extent to which healthcare seekers perceive difficulties in communicating their GI symptoms to HCPs. Interviews were conducted in two settings where individuals were expected to acknowledge experiencing GI symptoms: a tertiary-care, ambulatory GI clinic and the digestive health medication area of a large retail pharmacy...
2018: Critical Reviews in Biomedical Engineering
https://www.readbyqxmd.com/read/29713690/improving-medication-reconciliation-at-hospital-admission-discharge-and-ambulatory-care-through-a-transition-of-care-team
#10
John Kreckman, Waiz Wasey, Sharron Wise, Tammy Stevens, Lance Millburg, Cassie Jaeger
Medication reconciliation is an important component to the care of hospitalised patients and their safe transition to the ambulatory setting. In our Family Medicine Hospitalist Service, patient care is frequently transferred between the various physicians, residents, nurses and eventually to a separate group of providers who provide ambulatory management. Due to frequent transitions of care, there was no clear ownership of the medication reconciliation process. To improve the medication reconciliation process, a Transition of Care Team composed of registered nurses was created to oversee the entire reconciliation process...
2018: BMJ Open Quality
https://www.readbyqxmd.com/read/29713150/review-of-antimicrobial-use-and-considerations-in-the-elderly-population
#11
REVIEW
Angela Giarratano, Samantha El Green, David P Nicolau
Pharmacologic management of infections in elderly patients presents multiple challenges to health care professionals due to variable pharmacokinetics, pharmacodynamics, and immune function. Age is a well-established risk factor for infection, but furthermore is a risk factor for prolonged length of hospital stay, increased incidence of complications, and significant and sustained decline in baseline functional status. In 2014, 46.2 million Americans were aged ≥65 years, accounting for 14.5% of the total population...
2018: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29713097/a-pilot-evaluating-clinical-pharmacy-services-in-an-ambulatory-psychiatry-setting
#12
Valerie A Lindell, Nicole L Stencel, Rachel C Ives, Kristen M Ward, Thomas Fluent, Hae Mi Choe, Jolene R Bostwick
Objectives: A pilot of clinical services provided by psychiatric clinical pharmacists in an outpatient clinic are described and evaluated. The primary objective was to evaluate the difference in change of Patient Health Questionnaire (PHQ)-9 and/or Generalized Anxiety Disorder (GAD) Questionnaire scores between the two groups. Secondary objectives were to assess time patients spent in clinic, time to target psychotropic medication dose, and patient self-reported medication adherence. Experimental Design: Data were collected from January 2014 to November 2015 for patients with depression and/or anxiety who had an appointment within an outpatient psychiatric clinic with either a provider (control) or both a provider and clinical pharmacist (case)...
February 5, 2018: Psychopharmacology Bulletin
https://www.readbyqxmd.com/read/29691269/implementation-of-a-pharmacy-managed-program-for-the-transition-of-chemotherapy-to-the-outpatient-setting
#13
Ali McBride, Christopher J Campen, James Camamo, Marie Maloney, Daniel Persky, Sandra E Kurtin, Nikki L Barket, Ravitharan Krishnadasan, Emad Elquza, Faiz Anwer, Kurt Weibel
PURPOSE: Implementation of a pharmacy-managed program for the transition of chemotherapy to the outpatient setting is described. SUMMARY: The University of Arizona Cancer Center and Banner-University Medical Center Tucson are affiliated not-for-profit academic medical centers in Tucson, Arizona, whose facilities include a hospital and ambulatory care clinics that maintain 3 outpatient infusion centers. The cancer center pharmacy currently employs 25 pharmacists, with 4 clinical pharmacists serving both the inpatient and outpatient treatment sites...
May 1, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29677126/patient-education-on-oral-anticoagulation
#14
Emily M Hawes
Given the potential harm associated with anticoagulant use, patient education is often provided as a standard of care and emphasized across healthcare settings. Effective anticoagulation education involves face-to-face interaction with a trained professional who ensures that the patient understands the risks involved, the precautions that should be taken, and the need for regular monitoring. The teaching should be tailored to each patient, accompanied with written resources and utilize the teach-back method...
April 20, 2018: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/29650726/reduction-of-healthcare-costs-through-a-transitions-of-care-program
#15
Weiyi Ni, Danielle Colayco, Jonathan Hashimoto, Kevin Komoto, Chandrakala Gowda, Bruce Wearda, Jeffrey McCombs
PURPOSE: Results of an evaluation of the impact of a pharmacy-based transitional care program on healthcare costs in a population of high-risk patients are reported. METHODS: A nonrandomized, observational cohort study was conducted to compare cost outcomes in a group of patients discharged from a single hospital who were referred to an ambulatory care pharmacy-based transitions-of-care (TOC) program and a control group of patients discharged from neighboring hospitals who received usual care; all patients were members of the same managed Medicaid plan...
May 15, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29622031/prevalence-of-drug-drug-interactions-in-geriatric-patients-at-an-ambulatory-care-pharmacy-in-a-tertiary-care-teaching-hospital
#16
Rawabi Aljadani, Mohammed Aseeri
OBJECTIVE: A cross-sectional study was performed from February to May 2015, to estimate the prevalence of drug-drug interactions in geriatric patients at the ambulatory care pharmacy at King Abdul-Aziz Medical City in Jeddah, Saudi Arabia. RESULTS: A total of 310 patients were included, with a mean age (± SD) of 73.78 ± 6.96, and 48.70% were female. The overall prevalence of DDIs of all categories was 90.64%. Category B DDIs was 55.80%, category C DDIs 87...
April 5, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29621836/a-systematic-review-of-coding-systems-used-in-pharmacoepidemiology-and-database-research
#17
Yong Chen, Marko Zivkovic, Tongtong Wang, Su Su, Jianyi Lee, Edward A Bortnichak
BACKGROUND: Clinical coding systems have been developed to translate real-world healthcare information such as prescriptions, diagnoses and procedures into standardized codes appropriate for use in large healthcare datasets. Due to the lack of information on coding system characteristics and insufficient uniformity in coding practices, there is a growing need for better understanding of coding systems and their use in pharmacoepidemiology and observational real world data research. OBJECTIVES: To determine: 1) the number of available coding systems and their characteristics, 2) which pharmacoepidemiology databases are they adopted in, 3) what outcomes and exposures can be identified from each coding system, and 4) how robust they are with respect to consistency and validity in pharmacoepidemiology and observational database studies...
February 2018: Methods of Information in Medicine
https://www.readbyqxmd.com/read/29610252/enhancing-postdischarge-asthma-care-by-using-pharmacy-claims-and-telephone-follow-up
#18
Ronald J Teufel, Anita B Shuler, Myla D Ebeling, Kristen Morella, Annie L Andrews
BACKGROUND AND OBJECTIVES: Asthma is a common reason for hospital readmission. The majority of children are not receiving adequate preventive care after discharge. Our objective is to decrease return visits to the emergency department (ED) or hospital for asthma through a series of interventions (eg, access to real-time claims data and structured follow-up phone calls) designed to increase preventive care. METHODS: We performed a single-site quality improvement project for children 2 to 17 years old discharged with asthma from January 2010 to March 2014...
May 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29518017/adherence-to-oral-anticancer-medications-evolving-interprofessional-roles-and-pharmacist-workforce-considerations
#19
Gennaro A Paolella, Andrew D Boyd, Scott M Wirth, Sandra Cuellar, Neeta K Venepalli, Stephanie Y Crawford
Interprofessional care is exhibited in outpatient oncology practices where practitioners from a myriad of specialties (e.g., oncology, nursing, pharmacy, health informatics and others) work collectively with patients to enhance therapeutic outcomes and minimize adverse effects. Historically, most ambulatory-based anticancer medication therapies have been administrated in infusion clinics or physician offices. Oral anticancer medications (OAMs) have become increasingly prevalent and preferred by patients for use in residential or other non-clinic settings...
March 8, 2018: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/29514743/a-case-mix-classification-system-for-explaining-healthcare-costs-using-administrative-data-in-italy
#20
Maria Chiara Corti, Francesco Avossa, Elena Schievano, Pietro Gallina, Eliana Ferroni, Natalia Alba, Matilde Dotto, Cristina Basso, Silvia Tiozzo Netti, Ugo Fedeli, Domenico Mantoan
BACKGROUND: The Italian National Health Service (NHS) provides universal coverage to all citizens, granting primary and hospital care with a copayment system for outpatient and drug services. Financing of Local Health Trusts (LHTs) is based on a capitation system adjusted only for age, gender and area of residence. We applied a risk-adjustment system (Johns Hopkins Adjusted Clinical Groups System, ACG® System) in order to explain health care costs using routinely collected administrative data in the Veneto Region (North-eastern Italy)...
March 4, 2018: European Journal of Internal Medicine
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