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https://www.readbyqxmd.com/read/30543495/integration-of-buprenorphine-treatment-with-primary-care-comparative-effectiveness-on-retention-utilization-and-cost
#1
Yea-Jen Hsu, Jill A Marsteller, Sarah G Kachur, Michael I Fingerhood
Opioid use disorder (OUD) is a national crisis. Health care must achieve greater success than it has to date in helping opioid users achieve recovery. Integration of comprehensive primary care with treatment for OUD has the potential to increase care access among the substance-using population, improve outcomes, and reduce costs. However, little is known about the effectiveness of such care models. The Comprehensive Care Practice (CCP), a primary care practice located in Maryland, implemented a care model that blends buprenorphine treatment for OUD with attention to primary care needs...
December 13, 2018: Population Health Management
https://www.readbyqxmd.com/read/30541819/drug-samples-in-family-medicine-teaching-units-a-cross-sectional-descriptive-study-part-1-drug-sample-management-policies-and-the-relationship-between-the-pharmaceutical-industry-and-residents-in-quebec
#2
Caroline Rhéaume, Michel Labrecque, Nadine Moisan, Jacky Rioux, Émilie Tardieux, Fatoumata Binta Diallo, Marie-Thérèse Lussier, Andréa Lessard, Roland Grad, Pierre Pluye
OBJECTIVE: To determine the existence and the level of health care professional (HCP) knowledge of local policies regarding drug sample use and the relationship between residents and the pharmaceutical industry in academic primary health care settings. DESIGN: Descriptive cross-sectional survey. Health care providers were invited to complete a self-administered questionnaire on drug sample use between February and December 2013. Managers of drug samples were also asked to complete a specific questionnaire on drug sample management and policies and an inventory log sheet...
December 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/30537335/major-bleeding-with-antithrombotic-agents-a-2012-2015-study-using-the-french-nationwide-health-insurance-database-sniiram-linked-to-emergency-departments-records-within-five-areas-rationale-and-design-of-sacha-study
#3
Jacques Bouget, Frédéric Balusson, Lucie-Marie Scailteux, Maxime Maignan, Pierre-Marie Roy, Erwan L'her, Laure Pavageau, Emmanuel Nowak
Bleeding represents the most recognised and feared complications of antithrombotic drugs including oral anticoagulants. Previous studies showed inconsistent results on the safety profile. Among explanations, bleeding definition could vary and classification bias exist related to the lack of medical evaluation. To quantify the risk of major haemorrhagic event and event-free survival associated with antithrombotic drugs (Vitamin K Antagonist [VKA], non-VKA anticoagulant [NOAC], antiplatelet agent, parenteral anticoagulant) in 2012-2015, we linked the French nationwide Health Insurance database (SNIIRAM) with a local "emergency database" (clinical and biological data collected in clinical records)...
December 10, 2018: Fundamental & Clinical Pharmacology
https://www.readbyqxmd.com/read/30531374/differences-in-robbery-prevention-strategies-across-retail-business-types
#4
Jonathan Davis, Carri Casteel, Maryalice Nocera, Robert Summers, Corinne Peek-Asa
OBJECTIVE: To compare implementation of robbery prevention strategies between gas station/convenience stores with liquor stores/grocery stores/pharmacies, restaurants/bars, and other retail businesses. METHODS: 149 retail businesses were evaluated by police personnel across four police departments for adherence to robbery prevention strategies. Assessment of these strategies occurred between November 2012 and October 2014. Implementation of these strategies were compared across business types using logistic regression...
December 7, 2018: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/30525932/identifying-preanalytic-and-postanalytic-laboratory-quality-gaps-using-a-data-warehouse-and-structured-multidisciplinary-process
#5
Marsha A Raebel, LeeAnn M Quintana, Emily B Schroeder, Susan M Shetterly, Lisa E Pieper, Paul L Epner, Laura K Bechtel, David H Smith, Andrew T Sterrett, Joseph A Chorny, Ira M Lubin
CONTEXT.—: The laboratory total testing process includes preanalytic, analytic, and postanalytic phases, but most laboratory quality improvement efforts address the analytic phase. Expanding quality improvement to preanalytic and postanalytic phases via use of medical data warehouses, repositories that include clinical, utilization, and administrative data, can improve patient care by ensuring appropriate test utilization. Cross-department, multidisciplinary collaboration to address gaps and improve patient and system outcomes is beneficial...
December 10, 2018: Archives of Pathology & Laboratory Medicine
https://www.readbyqxmd.com/read/30479196/lessons-learned-from-using-global-outcome-measures-to-assess-community-pharmacy-performance
#6
Benjamin Y Urick, Stefanie P Ferreri, Charles Shasky, Trista Pfeiffenberger, Troy Trygstad, Joel F Farley
INTRODUCTION: As value-based and alternative payment models proliferate, there is growing interest in measuring pharmacy performance. However, little research has explored the development and implementation of systems to measure pharmacy performance. Additionally, systems that currently exist rely on process and surrogate outcome measures that are not always relevant to patients and payers. PROGRAM DESCRIPTION: This article describes the process used to design and implement a performance measurement program for a group of enhanced services pharmacies in North Carolina...
December 2018: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/30458844/implementation-study-of-an-interprofessional-medication-adherence-program-for-hiv-patients-in-switzerland-quantitative-and-qualitative-implementation-results
#7
Mélanie Lelubre, Olivier Clerc, Marielle Grosjean, Karim Amighi, Carine De Vriese, Olivier Bugnon, Marie-Paule Schneider
BACKGROUND: An interprofessional medication adherence program (IMAP) for chronic patients was developed and successfully implemented in the community pharmacy of the Department of ambulatory care and community medicine (Lausanne, Switzerland). This study assesses the capacity of a physician and a nurse at the infectious diseases service of a public hospital and of community pharmacists in the Neuchâtel area (Switzerland) to implement the IMAP in their practice. METHODS: Mixed method, prospective, observational study...
November 20, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/30457955/the-no-wrong-door-approach-to-hiv-testing-results-from-a-statewide-retail-pharmacy-based-hiv-testing-program-in-virginia-2014-2016
#8
Bryan Collins, Heather Bronson, Fatima Elamin, Lauren Yerkes, Elaine Martin
OBJECTIVE: As part of the Care and Prevention in the United States Demonstration Project (2012-2016), which aimed to reduce HIV-related morbidity and mortality among racial/ethnic minority groups in 8 states, the Virginia Department of Health (VDH) funded Walgreens to provide HIV testing in retail pharmacies in areas with large racial/ethnic minority communities and high rates of poverty. We describe this program and summarize its outcomes. We hypothesized that (1) offering walk-in HIV testing outside of traditional business hours and alongside other point-of-care tests in retail pharmacies would increase rates of first-time testers and (2) using data on social determinants of health associated with higher rates of HIV infection to locate test sites would increase the identification of people who were previously undiagnosed...
November 2018: Public Health Reports
https://www.readbyqxmd.com/read/30454668/incentives-and-patches-for-medicaid-smokers-an-rct
#9
Christopher M Anderson, Sharon E Cummins, Neal D Kohatsu, Anthony C Gamst, Shu-Hong Zhu
INTRODUCTION: Most successful trials of financial incentives for smoking cessation have offered large rewards contingent on outcomes. This study examines whether more modest incentives to encourage engagement, non-contingent on outcomes, also increase cessation; whether sending medications directly to participants boosts quitting; and whether these strategies are effective in Medicaid. STUDY DESIGN: Three-group RCT of usual care (UC); nicotine patch (NP); and NP and financial incentive (NP+FI)...
December 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/30453891/correlation-between-antifungal-consumption-and-the-distribution-of-candida-species-in-different-hospital-departments-of-a-lebanese-medical-centre
#10
Lyn Awad, Hani Tamim, Dania Abdallah, Mohammad Salameh, Anas Mugharbil, Tamima Jisr, Kamal Zahran, Nabila Droubi, Ahmad Ibrahim, Rima Moghnieh
BACKGROUND: In recent years, there has been a significant increase in the incidence of fungal infections attributed to Candida species worldwide, with a major shift toward non-albicans Candida (NAC). In this study, we have described the distribution of Candida species among different hospital departments and calculated the antifungal consumption in our facility. We also correlated the consumption of certain antifungals and the prevalence of specific Candida species. METHODS: This was a retrospective review of all the Candida isolates recovered from the computerised microbiology laboratory database of Makassed General Hospital, a tertiary care centre in Beirut, Lebanon, between January 2010 and December 2015...
November 20, 2018: BMC Infectious Diseases
https://www.readbyqxmd.com/read/30452210/overdose-risk-for-veterans-receiving-opioids-from-multiple-sources
#11
Guneet K Jasuja, Omid Ameli, Donald R Miller, Thomas Land, Dana Bernson, Adam J Rose, Dan R Berlowitz, David A Smelson
OBJECTIVES: The aim of this study was to evaluate whether veterans in Massachusetts receiving opioids and/or benzodiazepines from both Veterans Health Administration (VHA) and non-VHA pharmacies are at higher risk of adverse events compared with those receiving opioids at VHA pharmacies only. STUDY DESIGN: A cohort study of veterans who filled a prescription for any Schedule II through V substance at a Massachusetts VHA pharmacy. Prescriptions were recorded in the Massachusetts Department of Public Health Chapter 55 data set...
November 2018: American Journal of Managed Care
https://www.readbyqxmd.com/read/30449751/an-emergency-department-pilot-study-to-save-money-for-patients-through-use-of-retail-pharmacy-generic-drug-discount-programs
#12
Preeti Dalawari, Amar Kantipudi, Jennifer Fitzgerald
OBJECTIVE: The objective was to assess the number of emergency department patients with selected chronic medical conditions having medicine on a generic drug discount program list (GDDP), and to see if providing information about GDDPs would lead to cost savings. METHODS: A survey was given to consenting patients with at least one of 16 chronic medical conditions. Participants were offered education, which provided information about the three pharmacies closest to the participant...
2018: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/30446896/medication-prescribing-errors-a-pre-and-post-computerized-physician-order-entry-retrospective-study
#13
Naïs Rouayroux, Violaine Calmels, Bérengére Bachelet, Brigitte Sallerin, Elodie Divol
Background The computerization of prescriptions with a computerized physician order entry contributes to securing the error-free drug supply, but is not risk-free. Objective: To determine the impact of a computerized physician order entry system on prescribing errors immediately after its implementation and 1 year later. Setting The Cardiology and Diabetology Departments at Toulouse University Hospital, France. Method The prescriptions were analysed by pharmacists over three 30-day periods for 3 consecutive years (N: computerization period, N - 1, N + 1)...
November 16, 2018: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/30446349/analysis-of-delays-in-the-prescription-of-oseltamivir-in-hospitals-and-potential-for-improvement
#14
M Martinot, A Gronnwald, V Gerber, V Greigert, B Rosolen, D De Briel, M Mohseni Zadeh, E Thibaud
OBJECTIVES: Patients hospitalized for influenza should receive early treatment with a neuraminidase inhibitor. PATIENTS AND METHODS: We conducted a retrospective study of the prescription of oseltamivir during the 2016-2017 influenza epidemic among patients hospitalized for influenza confirmed by RT-PCR in the infectious disease department. RESULTS: Treatment with oseltamivir was initiated as recommended in 96% of hospitalized patients presenting with influenza...
November 13, 2018: Médecine et Maladies Infectieuses
https://www.readbyqxmd.com/read/30442431/pharmacoeconomic-impact-of-an-alternative-workflow-process-for-stroke
#15
Brian W Gilbert, Joel B Huffman, Joe Slechta, Christine Porter, John M Gallagher
OBJECTIVE: The objective of this study was to evaluate a new multidisciplinary process in which intravenous alteplase (tPA) waste, used for acute ischemic stroke (AIS), was salvaged in an attempt to maximize cost effectiveness without impacting door-to-needle (DTN) administration times. DESIGN: This was a retrospective cohort between May 2017 and February 2018. The primary endpoint evaluated for this study was the total tPA salvaged and total cost savings in U.S...
October 16, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30440082/caries-prevalence-and-associations-with-medications-and-medical-comorbidities
#16
M Marianne Jurasic, Gretchen Gibson, Carolyn J Wehler, Michelle B Orner, Judith A Jones
OBJECTIVES: To use extensive electronic dental, medical, and pharmacy databases to estimate the prevalence of dental caries in a cohort of new patients during a 5-year period (FY2010-FY2015) and determine whether medication use and medical comorbidities are associated with caries prevalence. METHODS: This was a retrospective analysis of existing data from the Department of Veterans Affairs (VA). The number of teeth treated due to a caries-related diagnosis was determined and outcomes were presented as number of teeth/person and proportion of patients receiving caries-related treatment...
November 15, 2018: Journal of Public Health Dentistry
https://www.readbyqxmd.com/read/30418300/multidisciplinary-approach-to-improve-sepsis-outcomes
#17
Andrew MacMillan, David Rudinsky, Gena Han, John O Elliott, Kim Jordan
Severe sepsis and septic shock cause significant morbidity and mortality with health care costs approximating $17 billion annually. The Surviving Sepsis Campaign 2012 recommended time-sensitive care bundles to improve outcomes for patients with sepsis. At our community teaching hospital, a review of sepsis management for patients admitted to a medical intensive care unit (ICU) between December 2015 and March 2016 found 70.8% compliance with timing of lactate draw, 65.3% compliance for blood cultures, and 51...
November 2, 2018: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/30409194/costs-incurred-by-outpatients-at-a-university-hospital-in-northwestern-ethiopia-a-cross-sectional-study
#18
Fitsum Sebsibe Teni, Begashaw Melaku Gebresillassie, Eshetie Melese Birru, Sewunet Admasu Belachew, Yonas Getaye Tefera, Befikadu Legesse Wubishet, Bethelhem Hailu Tekleyes, Bilal Tessema Yimer
BACKGROUND: Out-of-pocket expenditure constitutes high proportion of healthcare spending in low-income countries. It can affect patients' adherence to treatments leading to serious health consequences. The objective of this study was to document costs incurred by patients visiting Gondar University Referral Hospital, in Gondar, northwestern Ethiopia. METHODS: An institution-based cross-sectional study was conducted among 346 outpatients at the hospital from 2nd to 20th of May 2016...
November 8, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/30408006/variation-in-outpatient-antibiotic-dispensing-for-respiratory-infections-in-children-by-clinician-specialty-and-treatment-setting
#19
Abiy Agiro, Santosh Gautam, Eric Wall, Jesse Hackell, Mark Helm, John Barron, Theoklis Zaoutis, Katherine E Fleming-Dutra, Lauri A Hicks, Alan Rosenberg
BACKGROUND: Antibiotics are commonly prescribed for children with acute respiratory infections (ARIs). This study describes the distribution of ARI diagnoses and specifically quantifies antibiotic dispensing for bronchitis and upper respiratory infection (URI) by treatment setting and specialty. METHODS: This retrospective, observational cross-sectional study used data from the HealthCore Integrated Research Environment containing claims from 14 commercial health plans for 2012 to 2014...
December 2018: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/30384335/current-trends-and-emerging-priorities-in-compounded-preparations-for-children
#20
Richard H Parrish
The problems related to pediatric pharmacotherapeutics and medication management are not unique to any particular country, as drug therapy problems are common causes of emergency department visits. Over the past 20 years, there were only sporadic scientific and commercial efforts to develop unique oral nonsterile dosage forms with a potential for mass production and standardization that would address the needs of pediatric patients under the age of four years with chronic diseases. This article raises awareness of the issues encountered in pharmacy pediatrics practice surrounding compounded nonsterile preparations...
September 2018: International Journal of Pharmaceutical Compounding
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