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Pharmacist intervention

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https://www.readbyqxmd.com/read/29023938/a-pharmacist-led-program-to-evaluate-and-reduce-polypharmacy-and-potentially-inappropriate-prescribing-in-older-hiv-positive-patients
#1
I R McNicholl, M Gandhi, C Bradley Hare, M Greene, E Pierluissi
OBJECTIVE: The goal of this pharmacist-led study was to utilize 2 validated instruments, Beers and Screening Tool of Older Persons' Potentially inappropriate Prescriptions (STOPP), to assess potentially inappropriate prescribing (PIP) in older patients infected with the human immunodeficiency virus (HIV) and evaluate pharmacist interventions. DESIGN: Prospective, randomized, interventional trial. SETTING: Large urban clinic providing interdisciplinary primary and HIV care for approximately 2700 HIV-positive, publically insured patients...
October 10, 2017: Pharmacotherapy
https://www.readbyqxmd.com/read/29020181/a-healthcare-improvement-intervention-combining-nucleic-acid-microarray-testing-with-direct-physician-response-for-management-of-staphyloccocus-aureus-bacteremia
#2
Joshua C Eby, Morgan M Richey, James A Platts-Mills, Amy J Mathers, Wendy M Novicoff, Heather L Cox
Background: Nucleic acid microarray (NAM) testing for detection of Staphylococcus aureus bacteremia (SAB) and S. aureus resistance gene determinants can reduce time to targeted antibiotic administration. Evidence-based management of SAB includes bedside Infectious Diseases (ID) consultation. As a healthcare improvement initiative at our institution, with the goal of improving management and outcomes for subjects with SAB, we implemented NAM with a process for responding to positive NAM results by directly triggered, mandatory ID consultation...
August 17, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29019297/reducing-potentially-inappropriate-prescribing-for-older-people-in-primary-care-cost-effectiveness-of-the-opti-script-intervention
#3
Paddy Gillespie, Barbara Clyne, Adam Raymakers, Tom Fahey, Carmel M Hughes, Susan M Smith
OBJECTIVES: This study examines the cost-effectiveness of the OPTI-SCRIPT intervention on potentially inappropriate prescribing in primary care. METHODS: Economic evaluation, using incremental cost-effectiveness and cost utility analyses, conducted alongside a cluster randomized controlled trial of twenty-one general practices and 196 patients, to compare a multifaceted intervention with usual practice in primary care in Ireland. Potentially inappropriate prescriptions (PIPs) were determined by a pharmacist...
October 11, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/29017994/utilizing-consumer-health-informatics-to-support-management-of-hypertension-by-clinical-pharmacists-in-primary-care-study-protocol
#4
Lorraine R Buis, Dana N Roberson, Reema Kadri, Nicole G Rockey, Melissa A Plegue, Hae Mi Choe, Caroline R Richardson
BACKGROUND: Hypertension (HTN) is a major public health concern in the United States given its wide prevalence, high cost, and poor rates of control. Multiple strategies to counter this growing epidemic have been studied, and home blood pressure (BP) monitoring, mobile health (mHealth) interventions, and referrals to clinical pharmacists for BP management have all shown potential to be effective intervention strategies. OBJECTIVE: The purpose of this study is to establish feasibility and acceptability of BPTrack, a clinical pharmacist-led mHealth intervention that aims to improve BP control by supporting home BP monitoring and medication adherence among patients with uncontrolled HTN...
October 10, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/29017755/self-medication-and-non-prescription-drug-counseling-illustrating-profession-uncertainty-within-turkish-pharmacy-practice
#5
Afonso Miguel Cavaco, Bilge Sozen-Sahne, Elif Ulutas-Deniz, Selen Yegenoglu
BACKGROUND: Recommending effective minor ailment treatments and using non-prescription or over-the-counter (OTC) medicines is a pharmacist's duty. Although common in most European countries, self-medication counseling practices may differ from country to country. OBJECTIVES: This study explored Turkish community pharmacists' attitudes concerning the present self-medication market, professional responsibilities toward patients' self-care, and the usefulness of e-learning for patients' counseling education...
September 29, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29017421/access-to-medical-records-impact-on-community-pharmacist-delivered-medication-therapy-management-a-pilot-from-the-medication-safety-research-network-of-indiana-rx-safenet
#6
Stephanie A Gernant, Alan J Zillich, Margie E Snyder
BACKGROUND: Medication therapy management (MTM) may be optimized if pharmacists engaged in health information exchange (HIE) by reviewing unedited medical records. METHODS: In this nonblinded, randomized, controlled pilot, pharmacists delivered a part of MTM, comprehensive medication reviews (CMRs), to adult patients in a practice-based research network (PBRN). Intervention community pharmacists solicited the last 6 months of patients' primary care provider-held, unedited medical records...
January 1, 2017: Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/28992823/impact-of-music-therapy-on-dementia-behaviors-a-literature-review
#7
Nora Fakhoury, Nathaniel Wilhelm, Kristen F Sobota, Kelly R Kroustos
Worldwide, dementia is the most important contributor to disability in elderly patients. Treating patients with dementia can be challenging for clinicians because of the numerous behavioral and psychological symptoms of dementia (BPSD). The Dementia Action Alliance and American Geriatrics Society Beers criteria promote nonpharmacological and behavioral treatments as first-line therapy to manage BPSD to avoid adverse events associated with antipsychotic medications. Some of the nonpharmacologic therapies proposed for BPSD include: music therapy (MT), light therapy, acupressure, aromatherapy, massage, and animal-assisted therapy...
October 1, 2017: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/28986515/improving-admission-medication-reconciliation-with-pharmacists-or-pharmacy-technicians-in-the-emergency-department-a-randomised-controlled-trial
#8
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/28977687/professional-structural-and-organisational-interventions-in-primary-care-for-reducing-medication-errors
#9
REVIEW
Hanan Khalil, Brian Bell, Helen Chambers, Aziz Sheikh, Anthony J Avery
BACKGROUND: Medication-related adverse events in primary care represent an important cause of hospital admissions and mortality. Adverse events could result from people experiencing adverse drug reactions (not usually preventable) or could be due to medication errors (usually preventable). OBJECTIVES: To determine the effectiveness of professional, organisational and structural interventions compared to standard care to reduce preventable medication errors by primary healthcare professionals that lead to hospital admissions, emergency department visits, and mortality in adults...
October 4, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28975679/an-emergency-department-observation-unit-is-a-feasible-setting-for-multidisciplinary-geriatric-assessments-in-compliance-with-the-geriatric-emergency-department-guidelines
#10
Lauren T Southerland, Anthony J Vargas, Lalitha Nagaraj, Tanya R Gure, Jeffery M Caterino
BACKGROUND: The Geriatric Emergency Department Guidelines recommend providing multidisciplinary geriatric assessment in the Emergency Department (ED), but these assessments can be difficult to coordinate and may prolong length of stay. Patients who need longer than a typical ED stay can be placed in an ED Observation Unit (Obs Unit). We investigated the effects of offering multidisciplinary assessments for ED patients in an Obs Unit. METHODS: Evaluation by a geriatric hospital consultation team, physical therapist, case manager, and/or pharmacist was made available to all Obs Unit patients...
October 4, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28975485/introducing-clinical-pharmacy-services-to-cardiovascular-clinics-at-a-university-hospital-in-northern-cyprus
#11
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/28970456/safety-of-people-with-intellectual-disabilities-in-hospital-what-can-the-hospital-pharmacist-do-to-improve-quality-of-care
#12
Bernadette Flood
People with intellectual disabilities are vulnerable in healthcare environments. They experience health and healthcare inequalities, and when admitted to general hospitals are at a greater risk of patient safety incidents. This is well known in specialist services, but less recognized within primary or secondary healthcare. The most significant barriers to safer and better healthcare appear to include 'invisibility' of people with intellectual disabilities within health-care systems, widespread lack of staff understanding of intellectual disability, the vulnerabilities of people with intellectual disabilities, and the reasonable adjustment they may need in order to access health-care services...
August 4, 2017: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/28970440/clinical-outcomes-used-in-clinical-pharmacy-intervention-studies-in-secondary-care
#13
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/28970439/pharmacist-intervention-program-at-different-rent-levels-of-geriatric-healthcare
#14
Conxita Mestres, Anna Agustí, Marta Hernandez, Laura Puerta, Blanca Llagostera
As a pharmacy service giving pharmaceutical care at different levels of health care for elderly people, we needed a standardization procedure for recording and evaluating pharmacists' interventions. Our objective was to homogenize pharmacist interventions; to know physicians' acceptance of our recommendations, as well as the most prevalent drug related problems (DRP); and the impact of the pharmacists' interventions. To achieve this goal we conducted a one year prospective study at two levels of health care: 176 nursing homes (EAR) (8828 patients) and 2 long-term and subacute care hospitals (HSS) (268 beds)...
May 19, 2017: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/28970435/introducing-pharmaceutical-care-to-primary-care-in-iceland-an-action-research-study
#15
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/28970405/retrospective-evaluation-of-pharmacist-interventions-on-use-of-antimicrobials-using-a-clinical-surveillance-software-in-a-small-community-hospital
#16
Samuel R Huber, Fekadu Fullas, Kristel R Nelson, Lesleigh B Ailts, James M Stratton, Michael T Padomek
The Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America "Guidelines for Developing an Institutional Program to Enhance Antimicrobial Stewardship" recommend the use of computer-based surveillance programs for efficient and thorough identification of potential interventions as part of an antimicrobial stewardship program (ASP). This retrospective study examined the benefit of utilizing a clinical surveillance software program to help guide antimicrobial therapy in an inpatient setting, in a small community hospital, without a formal ASP...
October 21, 2016: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/28965748/the-effectiveness-of-pharmacist-interventions-on-cardiovascular-risk-in-adult-patients-with-type-2-diabetes-the-multicentre-randomized-controlled-rxeach-trial
#17
Yazid N Al Hamarneh, Brenda R Hemmelgarn, Imran Hassan, Charlotte A Jones, Ross T Tsuyuki
Cardiovascular disease (CVD) is the leading cause of death among patients with diabetes. Management and control of CV risk factors in those with diabetes are generally poor. Pharmacists are frontline primary healthcare providers who see patients with chronic diseases frequently. As such, they are in a prime position to systematically identify patients with diabetes, assess their CV risk and assist in their disease management and preventive measures. OBJECTIVE: to evaluate the effect of pharmacist case finding and intervention program on estimated CV risk in patients with diabetes...
September 28, 2017: Canadian Journal of Diabetes
https://www.readbyqxmd.com/read/28965092/attitudes-and-perceptions-of-gps-and-community-pharmacists-towards-their-role-in-the-prevention-of-bisphosphonate-related-osteonecrosis-of-the-jaw-a-qualitative-study-in-the-north-east-of-england
#18
Andrew Sturrock, Philip M Preshaw, Catherine Hayes, Scott Wilkes
BACKGROUND: Bisphosphonate-related osteonecrosis of the jaw (BRONJ) is a rare, yet significant, adverse effect of bisphosphonate therapy. A multidisciplinary approach to the prevention of BRONJ is recommended due to the significant morbidity and difficulty treating the condition. Current evidence suggests that both general practitioners (GPs) and community pharmacists have limited knowledge relating to BRONJ and that preventative strategies are rarely implemented. OBJECTIVE: To explore the attitudes and perceptions of GPs and community pharmacists on the risks and preventative strategies for the development of BRONJ...
September 29, 2017: BMJ Open
https://www.readbyqxmd.com/read/28963314/a-national-survey-exploring-oral-healthcare-service-provision-across-australian-community-pharmacies
#19
Christopher R Freeman, Nabilah Abdullah, Pauline J Ford, Meng-Wong Taing
OBJECTIVES: This study investigated pharmacists' and pharmacy assistants' current practices and perspectives with regard to oral healthcare provision across Australian community pharmacies. DESIGN: Cross-sectional study. A questionnaire for each pharmacist and pharmacy assistant cohort was developed and administered by online or postal means. Pearson's χ(2) test was used to examine relationships between categorical variables. PARTICIPANTS: Pharmacists and pharmacy assistants working within 2100 randomly selected Australian community pharmacies...
September 28, 2017: BMJ Open
https://www.readbyqxmd.com/read/28960678/documentation-of-pharmaceutical-care-validation-of-an-intervention-oriented-classification-system
#20
Karen A Maes, Helene Studer, Jérôme Berger, Kurt E Hersberger, Markus L Lampert
RATIONALE, AIMS, AND OBJECTIVES: During the dispensing process, pharmacists may come across technical and clinical issues requiring a pharmaceutical intervention (PI). An intervention-oriented classification system is a helpful tool to document these PIs in a structured manner. Therefore, we developed the PharmDISC classification system (Pharmacists' Documentation of Interventions in Seamless Care). The aim of this study was to evaluate the PharmDISC system in the daily practice environment (in terms of interrater reliability, appropriateness, interpretability, acceptability, feasibility, and validity); to assess its user satisfaction, the descriptive manual, and the online training; and to explore first implementation aspects...
September 29, 2017: Journal of Evaluation in Clinical Practice
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