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Pharmacist interventions

Stephanie L Harrison, Monica Cations, Tiffany Jessop, Sarah N Hilmer, Mouna Sawan, Henry Brodaty
Psychotropic medications have a high risk of serious adverse events and small effect size for changed behaviours for people with dementia. Non-pharmacological approaches are recommended as first-line treatment for changed behaviours, yet psychotropic medications remain highly prevalent in long-term aged care settings. This narrative review describes the current evidence regarding deprescribing psychotropic medications for people with dementia in long-term care. Deprescribing psychotropic medications can be achieved without harm to the person with dementia, and most people experience no withdrawal symptoms...
December 11, 2018: Drugs & Aging
Iman A Basheti, Nathir M Obeidat, Helen K Reddel
Objectives: To investigate the effect of inhaler technique education delivered by a clinical pharmacist to patients hospitalised for asthma, on inhaler technique scores and asthma control at three months post-discharge. Methods: This pre-post interventional study in Jordan enrolled patients who had been admitted for asthma and were using controller medication by Accuhaler [Diskus] (ACC), Turbuhaler (TH) or Pressurized metered dose inhalers (pMDI). Inhaler technique was assessed using published checklists (score 0-9)...
December 2018: Saudi Pharmaceutical Journal: SPJ: the Official Publication of the Saudi Pharmaceutical Society
Khara M Sauro, Rebecca Brundin-Mather, Jeanna Parsons Leigh, Daniel J Niven, Barry Kushner, Andrea Soo, Deborah J Cook, Sharon Straus, Christopher J Doig, Sean Bagshaw, Henry T Stelfox
PURPOSE: This study evaluated a complex initiative to increase evidence-based use of low molecular weight heparin for venous thromboembolism prophylaxis among adult medical-surgical ICU patients. MATERIALS AND METHODS: This study included: quantitative survey and interviews. Participants were healthcare providers within four ICUs. Surveys collected knowledge of evidence underpinning best practice, exposure to the implementation strategies and their perceived utility, and recommendations...
November 29, 2018: Journal of Critical Care
Sarah M Anderson, Sarah Geyer, Stephanie M Cailor, Aleda M H Chen
BACKGROUND AND PURPOSE: With increasing deaths related to prescription medications, it is important to educate adolescents on the dangers of drug misuse. Pharmacists possess the knowledge and are accessible to provide education to patients on this topic; therefore, the objectives were to improve student pharmacist confidence in prescription drug misuse knowledge and engaging patients. EDUCATIONAL ACTIVITY AND SETTING: As part of a co-curricular activity, pharmacy, and pre-pharmacy students participated in an informational session to establish a common foundation of drug misuse concepts using a team-based learning pedagogy...
January 2019: Currents in Pharmacy Teaching & Learning
Cortney M Mospan, Geoffrey A Mospan
BACKGROUND AND PURPOSE: Advocacy has been defined as "the essential competence". Literature describes and assesses the impact of elective, extracurricular, and co-curricular advocacy experiences, but there is a deficiency of literature that describes and assesses core curricular advocacy experiences. EDUCATIONAL ACTIVITY AND SETTING: An electronic pre- and post-survey was administered to second-year student pharmacists who attended a didactic lecture on advocacy within a pharmacy law course...
October 2018: Currents in Pharmacy Teaching & Learning
Lucas G Hill, John Patrick Sanchez, S Andrea Laguado, Kenneth A Lawson
BACKGROUND AND PURPOSE: A service learning program for student pharmacists was developed to train other university students to respond effectively to opioid overdoses with naloxone. Assessments were analyzed to determine the effect of program participation on student pharmacists' overdose-related knowledge retention and harm reduction attitudes. EDUCATIONAL ACTIVITY AND SETTING: Student pharmacists were invited to attend a 90-min train-the-trainer seminar to obtain foundational knowledge regarding opioid overdose risk, symptoms, and response...
October 2018: Currents in Pharmacy Teaching & Learning
Moninne M Howlett, Brian J Cleary, Cormac V Breatnach
BACKGROUND: The use of health information technology (HIT) to improve patient safety is widely advocated by governmental and safety agencies. Electronic-prescribing and smart-pump technology are examples of HIT medication error reduction strategies. The introduction of new errors on HIT implementation is, however, also recognised. To determine the impact of HIT interventions, clear medication error definitions are required. This study aims to achieve consensus on defining as medication errors a range of either technology-generated, or previously unaddressed infusion-related scenarios, common in the paediatric intensive care setting...
December 7, 2018: BMC Medical Informatics and Decision Making
V Scharnhorst, E M H Schmitz, D van de Kerkhof, L J J Derijks, M A C Broeren
Treatment of inflammatory bowel diseases and rheumatic disorders with anti-tumor necrosis factor alpha (TNFα) drugs is expensive, while a significant proportion of patients does not show adequate clinical response. Therapeutic drug monitoring (TDM) enables patient-specific anti-TNFα therapy. The role of laboratory tests in clinical care has recently been described in a value proposition framework. It describes care processes, stakeholders, costs, risks, benefits and patient outcomes based on the use of a laboratory test in a clinical care pathway...
December 3, 2018: Clinica Chimica Acta; International Journal of Clinical Chemistry
Karishma Ramsubeik, Laurie Ann Ramrattan, Gurjit S Kaeley, Jasvinder A Singh
Background: We aimed to systematically review the effectiveness of healthcare behavioral and education interventions for gout patients on clinical outcomes. Methods: We searched multiple databases to identify trials or observational studies of educational or behavioral interventions in gout. Risk of bias was assessed with the Cochrane tool for randomized control trials (RCTs) and the Newcastle-Ottawa Scale for observational studies. We estimated odds ratios (ORs) for categorical and standardized mean difference (SMD) for continuous measures using a random-effects model...
December 2018: Therapeutic Advances in Musculoskeletal Disease
John Rene Labib, Meray Rene Labib-Youssef, Shaimaa Fatah
Labib JR, Youssef MRL, Abd El Fatah SAM. High alert medications administration errors in neonatal intensive care unit: A pediatric tertiary hospital experience. Turk J Pediatr 2018; 60: 277-285. Labib JR, Youssef MRL, Abd El Fatah SAM. High alert medications administration errors in neonatal intensive care unit: A pediatric tertiary hospital experience. Turk J Pediatr 2018; 60: 277-285. This is a hospital-based descriptive cross sectional study, implemented in the NICU, at Cairo University Pediatric hospital...
2018: Turkish Journal of Pediatrics
Amanda J Wheeler, Amary Mey, Jane L Fowler, Gabor Mihala, Fiona Kelly
ISSUE ADDRESSED: Stigma and discrimination can have a significant impact on successful mental health recovery. This research evaluated the effectiveness of a web-based mental health promotion intervention on stigma and discrimination in community pharmacies via assessment of staff attitudes, confidence and skills. METHODS: Guided by the intervention mapping framework, we used experiential learning techniques, including pre-recorded consumer/carer narratives, role-plays and panel discussions accessed by participants in an innovative, flexible, web-based, program of modules...
December 2018: Health Promotion Journal of Australia
Aisha F Badr, Sawsan Kurdi, Samah Alshehri, Claire McManus, Jeannie Lee
Background: Hospitalization can contribute to insomnia in many patients and is usually treated symptomatically. However, sedative/hypnotic misuse is associated with complications in this population, especially in the elderly. Such complications include dizziness, falls and over-sedation. Due to the implicit dangers, widespread use of these drugs for insomnia, particularly in older patients, has been discouraged by many hospitals. The aim of this study was to review and evaluate prescribing patterns and to optimize the use of the sedative/hypnotic agents through daily pharmacy interventions at a community hospital...
December 2018: Saudi Pharmaceutical Journal: SPJ: the Official Publication of the Saudi Pharmaceutical Society
Chioma Amadi, Emma K Tsui
BACKGROUND: Limited access to essential medicines for maternal and child health is a preventable cause of pregnancy-related deaths. This remains a predominant challenge in Nigeria, where sub-standard and falsified medications have historically been associated with maternal mortality. An in-depth understanding of perceptions surrounding quality assurance of essential medicines is pertinent for developing effective and sustainable interventions. OBJECTIVE: To examine stakeholder perspectives on quality control of essential medicines for maternal and child health, while characterizing pharmaceutical distribution of medicines in Nigeria...
November 26, 2018: Research in Social & Administrative Pharmacy: RSAP
Yuki Moriyama, Masahiro Ishikane, Kayoko Hayakawa, Kei Yamamoto, Tsubasa Akazawa, Yuko Sugiki, Norio Ohmagari
Staphylococcus aureus bacteremia (SAB) and candidemia have significant impacts on mortality. Both have important implications for antimicrobial stewardship programs (ASPs). However, there are limited data regarding who should be educated and what components should be considered for the ASPs. Hence, we investigated the possibility of the key elements for implications of SAB and candidemia managements for ASPs. We conducted a cross-sectional study on the knowledge of antimicrobial stewardship institution policies targeting SAB and candidemia for all medical doctors (MDs) and pharmacists to using an E-learning system...
November 30, 2018: Journal of Infection and Chemotherapy: Official Journal of the Japan Society of Chemotherapy
Faten Alhomoud, Reem Almahasnah, Farah Kais Alhomoud
BACKGROUND: The sale of antibiotics without a prescription poses a global public health concern. Antibiotics dispensed without a prescription are largely recognised as a cause of antibiotic misuse and overuse which may result in antibiotic resistance, recurrent infection, increased cost and adverse effects of treatment. There have been no qualitative studies to explore the reasons for over-the-counter (OTC) sale of antibiotics, despite the fact that non-prescription sale of antibiotics are increasing in Saudi Arabia...
December 3, 2018: BMC Health Services Research
Retha Rajah, Atisha A Hanif, Sherene S A Tan, Phin Phin Lim, Sarah A Karim, Ezazaya Othman, Tsyr Fen Teoh
Background Detecting errors before medication dispensed or 'near misses' is a crucial step to combat the incidence of dispensing error. Despite this, no published evidence available in Malaysia relating to these issues. Objective To determine the incidence of medication labeling and filling errors, frequency of each type of the errors and frequency of the contributing factors at the final stage before dispensing. Setting Six Penang public funded hospitals outpatient pharmacies. Methods A prospective multicentre study, over 8 week's period...
November 30, 2018: International Journal of Clinical Pharmacy
Tsuyoshi Chiba
Along with an increase in self-care and self-medication practices, the use of health foods as primary and secondary methods of disease prevention has increased. Consumers are aware only of the health benefits of dietary ingredients, although the potential risks associated with most ingredients are unknown. Adverse events associated with the use of health foods have been reported, and in some cases they were due to inappropriate use such as the concomitant use of several health foods or health foods and drugs...
2018: Yakugaku Zasshi: Journal of the Pharmaceutical Society of Japan
Ted R Mikuls, T Craig Cheetham, Gerald D Levy, Nazia Rashid, Artak Kerimian, Kimberly J Low, Brian W Coburn, David T Redden, Kenneth G Saag, P Jeffrey Foster, Lang Chen
PURPOSE: To test a pharmacist-led intervention to improve gout treatment adherence and outcomes. METHODS: We conducted a site-randomized trial (n=1,463 patients) comparing a one-year, pharmacist-led intervention to usual care in gout patients initiating allopurinol. The intervention was delivered primarily through automated telephone technology. Co-primary outcomes were the proportion of patients adherent (proportion of days covered ≥0.8) and achieving a serum urate <6...
November 29, 2018: American Journal of Medicine
Timothy D MacLaggan, Christopher P Le, Kristen A Iverson, Chelsey L Ellis, Jacques Allard, Tammie J Wilcox-Carrier, Daniel J Smyth
OBJECTIVE: The aim of this study was to assess the impact of a urinary tract infection (UTI) management bundle to reduce the treatment of asymptomatic bacteriuria (AB) and to improve the management of symptomatic UTIs. DESIGN: Before-and-after intervention study.SettingsTertiary-care hospital.PatientsConsecutive sample of inpatients with positive single or mixed-predominant urine cultures collected and reported while admitted to the hospital. METHODS: The UTI management bundle consisted of nursing and prescriber education, modification of the reporting of positive urine cultures, and pharmacists' prospective audit and feedback...
December 3, 2018: Infection Control and Hospital Epidemiology
Eyal Schwartzberg, Joseph P Nathan, Sivan Avron, Eli Marom
The community pharmacy setting is a venue that is readily accessible to the public. In addition, it is staffed by a pharmacist, who is a healthcare provider, trained and capable of delivering comprehensive pharmaceutical care. As such, community pharmacists have a colossal opportunity to serve as key contributors to patients' health by ensuring appropriate use of medications, preventing medication misadventures, identifying drug-therapy needs, as well as by being involved in disease management, screening, and prevention programs...
December 1, 2018: Israel Journal of Health Policy Research
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