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https://www.readbyqxmd.com/read/29789217/outcomes-and-cost-of-open-versus-endovascular-repair-of-intact-thoracoabdominal-aortic-aneurysm
#1
Satinderjit Locham, Hanaa Dakour-Aridi, Besma Nejim, Jasninder Dhaliwal, Widian Alshwaily, Mahmoud Malas
OBJECTIVE: Many previous studies have evaluated the outcomes of open and endovascular repair of thoracoabdominal aortic aneurysms (TAAAs). However, little is known about the differences in cost of these procedures and the potential factors driving these differences. The aim of this study was to evaluate the outcomes and cost of open aortic repair (OAR) vs endovascular repair of intact TAAA. METHODS: All patients undergoing repair for intact TAAA were identified in the Premier Healthcare Database (July 2009-March 2015)...
May 19, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29774394/longitudinal-health-care-cost-in-hypoplastic-left-heart-syndrome-palliation
#2
Jesse E Hansen, Nicolas L Madsen, Laurie Bishop, David L S Morales, Jeffrey B Anderson
Management of hypoplastic left heart syndrome (HLHS) is resource intensive. Heath care systems are pressured to provide value to patients by improving outcomes while decreasing costs. A single-center retrospective cohort of infants with HLHS who underwent Norwood procedure or hybrid Norwood from 2004 to 2014 and survived to first outpatient follow up were studied. The primary outcome was total cost through 12 months with a sub-analysis of patients with 60 months of data. Costs were calculated using internal cost accounting system and reported by cost center...
May 17, 2018: Pediatric Cardiology
https://www.readbyqxmd.com/read/29764631/introduction-to-surgical-and-perioperative-clinical-pharmacy-for-third-year-pharmacy-students-a-pilot-study-of-an-elective-course
#3
Eric G Johnson, Douglas R Oyler
INTRODUCTION: The objective of this study was to implement and assess an elective course that exposes pharmacy students to clinical pharmacy in the surgical and perioperative setting. METHODS: A blended-design elective that included synchronous and asynchronous learning was developed and offered to third-year pharmacy students. Students' knowledge and perception regarding clinical topics in perioperative pharmacy was assessed using pre- and post-course assessments, online quizzes, a journal club, and course assignments...
March 2018: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29750454/extemporaneous-formulations-in-germany-relevance-for-everyday-clinical-practice
#4
Petra Staubach, Stefan Salzmann, Adriane Peveling-Oberhag, Veronika Weyer, Sebastian Zimmer, Gabriele Gradl, Berenice M Lang
BACKGROUND: Extemporaneous formulations broaden the spectrum of therapeutic options for topical treatment in particular and thus improve patient care. The latest amendment to the Regulation on the Operation of Pharmacies issued in 2012 brought about changes in prescribing and manufacturing practices. The aim of the present study was to assess the relevance of extemporaneous formulations in everyday clinical practice. METHODS: We used data from the German Institute for Drug Use Evaluation (DAPI) to analyze the prescribing practice for compounded preparations in Germany between the fourth quarter of 2011 and the third quarter of 2014...
May 2018: Journal der Deutschen Dermatologischen Gesellschaft, Journal of the German Society of Dermatology: JDDG
https://www.readbyqxmd.com/read/29734323/-risk-assessment-related-to-galenic-products
#5
Emanuela Vittoria, Raffaella Campana, Rita Pugliese, Luigia Sabatini, Diego Pugliè, Wally Baffone
The risks associated with the preparation of galenic products prepared at a local pharmacy have been hypothesized and evaluated, also carrying out a microbiological environmental monitoring of the used surfaces. Three possible situations risk were evaluated: the first one related to the physical separation of the production phases (medium risk of occurrence), the second to the failure to restore hygienic conditions in the transition from different formulations (high risk of occurrence), the third to contamination caused by the operator itself (unacceptable risk of occurrence)...
January 2018: Igiene e Sanità Pubblica
https://www.readbyqxmd.com/read/29731375/healthcare-professionals-perceptions-related-to-the-provision-of-clinical-pharmacy-services-in-the-public-health-sector-of-mexico-a-case-study
#6
Christian Díaz de León-Castañeda, Jéssica Gutiérrez-Godínez, Juventino Iii Colado-Velázquez, Cairo Toledano-Jaimes
BACKGROUND: In Mexico, the Modelo Nacional de Farmacia Hospitalaria (MNFH, or National Hospital Pharmacy Model), published in 2009, mainly aims to promote the provision of clinical pharmacy services in private and public hospitals. However, there is little scientific documentation about the quality of these services. OBJECTIVES: To explore healthcare professionals' perceptions related to the quality of clinical pharmacy services provision. METHODS: A case-study based on a qualitative approach was performed at the pharmaceutical services unit at a public hospital located in Mexico City, which operates under the administrative control of the Ministry of Health...
April 22, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29717287/universal-access-to-essential-medicines-an-evaluation-of-nepal-s-free-health-care-scheme
#7
Shiva Raj Adhikari, Achyut Raj Pandey, Mamata Ghimire, Arjun Kumar Thapa, Dinesh Kumar Lamsal
BACKGROUND: Access to medicine for the poor is recognized to be difficult task and one of the major challenges in achieving universal health coverage, particularly in low-and- middle income countries. In order to ensure the availability of essential medicines free of cost in public health facilities, Nepal has also commenced Free Health Care Services (FHCS). So, this study aims to evaluate availability, expiry, and stock-out duration of essential medicines at front line service providers in Nepal...
March 13, 2018: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29715589/stigma-at-every-turn-health-services-experiences-among-people-who-inject-drugs
#8
Catherine E Paquette, Jennifer L Syvertsen, Robin A Pollini
BACKGROUND: People who inject drugs (PWID) encounter varying forms of stigma in health services contexts, which can contribute to adverse outcomes. We explored the lived experience of stigma among PWID to elucidate pathways by which stigma influences health care access and utilization. METHODS: We conducted 46 qualitative interviews with PWID in California's Central Valley between March and December 2015, as part of a multi-phase, multi-method study examining implementation of a new pharmacy syringe access law...
April 28, 2018: International Journal on Drug Policy
https://www.readbyqxmd.com/read/29712516/assessment-of-cost-drivers-and-cost-variation-for-lumbar-interbody-fusion-procedures-using-the-value-driven-outcomes-database
#9
Spencer Twitchell, Michael Karsy, Jared Reese, Jian Guan, William T Couldwell, Andrew Dailey, Erica F Bisson
OBJECTIVE Efforts to examine the value of care-combining both costs and quality-are gaining importance in the current health care climate. This thrust is particularly evident in treating common spinal disease where both incidences and costs are generally high and practice patterns are variable. It is often challenging to obtain direct surgical costs for these analyses, which hinders the understanding of cost drivers and cost variation. Using a novel tool, the authors sought to understand the costs of posterior lumbar arthrodesis with interbody devices...
May 2018: Neurosurgical Focus
https://www.readbyqxmd.com/read/29706278/educational-outcomes-associated-with-early-immersion-of-second-year-student-pharmacists-into-direct-patient-care-roles-in-health-system-practice
#10
Kimberly A Sanders, Jacqueline E McLaughlin, Kayla M Waldron, Ian Willoughby, Nicole R Pinelli
BACKGROUND AND PURPOSE: To assess the educational impact of engaging second professional year student pharmacists in active, direct patient care experiences in health system practice. EDUCATIONAL ACTIVITY AND SETTING: Student pharmacists in their second professional year completed a redesigned, skill-based four-week introductory pharmacy practice experience in health system practice. The immersion consisted of experiences in both operational and clinical pharmacy environments...
February 2018: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29706270/prevalence-and-characteristics-of-pharmacies-owned-and-operated-by-schools-of-pharmacy-in-the-united-states
#11
Joseph P Nathan, Sara Grossman, Tina Zerilli, Adam Pace
INTRODUCTION: To identify schools/colleges of pharmacy that own and operate a pharmacy and to gather key details about such pharmacies. METHODS: Schools of pharmacy (n = 134) in the United States were contacted to determine whether they own and operate a pharmacy. Schools identified as having a pharmacy were subsequently sent an online questionnaire to solicit information about school and pharmacy characteristics. RESULTS: Eighteen (13.4%) schools reported owning and operating at least one pharmacy; of these, 14 (77...
February 2018: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29660020/analysis-of-anterior-cervical-discectomy-and-fusion-healthcare-costs-via-the-value-driven-outcomes-tool
#12
Jared C Reese, Michael Karsy, Spencer Twitchell, Erica F Bisson
BACKGROUND: Examining the costs of single- and multilevel anterior cervical discectomy and fusion (ACDF) is important for the identification of cost drivers and potentially reducing patient costs. A novel tool at our institution provides direct costs for the identification of potential drivers. OBJECTIVE: To assess perioperative healthcare costs for patients undergoing an ACDF. METHODS: Patients who underwent an elective ACDF between July 2011 and January 2017 were identified retrospectively...
April 11, 2018: Neurosurgery
https://www.readbyqxmd.com/read/29650727/a-pharmacy-led-united-states-pharmacopeia-usp-chapter-800-compliance-collaborative-at-an-academic-medical-center
#13
Bijan C Mekoba, Erin M Turingan, Patricia A Roberts, Susan Mason, Ian Willoughby, Cindy Taylor, Andrew Stivers, John Valgus
PURPOSE: One academic medical center's efforts to move toward compliance with requirements of United States Pharmacopeia ( USP ) chapter 800 through a multidepartmental collaborative initiative are described. SUMMARY: Requirements of USP general chapter 800 (enforceable as of December 2019) address the handling of hazardous drugs (HDs) throughout the entire operational and clinical cycle, from receiving to compounding, administration, and waste disposal. Due to the variety of pharmacy operational areas in which HDs are encountered at University of North Carolina Medical Center (UNCMC), multiple pharmacy managers oversee the safe handling of HDs...
April 12, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29625912/integrating-a-health-information-exchange-into-a-community-pharmacy-transitions-of-care-service
#14
Frank A Fanizza, Janelle F Ruisinger, Emily S Prohaska, Brittany L Melton
OBJECTIVE: To describe the incorporation of a state health information exchange (HIE) into a community pharmacy transitions of care (TOC) service and to assess its impact on 30-day readmission rates. SETTING: Three suburban community pharmacies in Olathe, Kansas. PRACTICE DESCRIPTION: Balls Food Stores is a grocery store chain which operates 21 supermarket community pharmacies in the Kansas City metropolitan area. PRACTICE INNOVATION: Balls Food Stores launched a pharmacist-led self-referral TOC study in which a state HIE was utilized to collect discharge information from patients' electronic medical records (EMRs) to facilitate TOC comprehensive medication reviews (CMRs)...
April 3, 2018: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29610290/implementation-and-quality-assessment-of-a-pharmacy-services-call-center-for-outpatient-pharmacies-and-specialty-pharmacy-services-in-an-academic-health-system
#15
Matthew H Rim, Karen C Thomas, Jane Chandramouli, Stephanie A Barrus, Nancy A Nickman
PURPOSE: The implementation and quality assessment of a pharmacy services call center (PSCC) for outpatient pharmacies and specialty pharmacy services within an academic health system are described. SUMMARY: Prolonged wait times in outpatient pharmacies or hold times on the phone affect the ability of pharmacies to capture and retain prescriptions. To support outpatient pharmacy operations and improve quality, a PSCC was developed to centralize handling of all outpatient and specialty pharmacy calls...
April 2, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29589761/drop-capturing-based-on-patterned-substrate-in-space
#16
Weibin Li, Ding Lan, Honghui Sun, Yuren Wang
In this work, we introduced a method for capturing aqueous drop based on a patterned substrate in space. Through the manipulation test of a colloidal drop, it could be verified that this patterned substrate had excellent control ability for aqueous drop in microgravity condition. The confinement mechanism of this substrate was clarified, which showed that drops with different volume could be pinned and attracted at a given area on the substrate. The confinement capability was related to the gravity effect, and the patterned substrate could confine aqueous drops with larger volume under microgravity than in normal gravity...
March 28, 2018: Langmuir: the ACS Journal of Surfaces and Colloids
https://www.readbyqxmd.com/read/29587973/improved-utilization-of-operating-room-time-for-trainee-cataract-surgery-in-a-public-hospital-setting
#17
J Minjy Kang, Sriranjani P Padmanabhan, Julie Schallhorn, Neeti Parikh, Saras Ramanathan
PURPOSE: To examine the effect of group goal and group performance theories on operating room efficiency in resident-performed cataract surgery. SETTING: Zuckerberg San Francisco General Hospital and Trauma Center, Department of Ophthalmology, University of California, San Francisco, California, USA. DESIGN: Prospective case series. METHODS: This study assessed 4 specific segments of operating room utilization identified as room-to-incision time, incision-to-close time, close-to-exit time, and room turnover time...
February 2018: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/29582941/-the-new-hadassah-hebrew-university-medical-center-a-leader-in-israeli-public-medicine
#18
Dror Mevorach, Meir Leibergall, Zeev Rothstein
Hadassah-Hebrew University Medical Center is regaining its lead in Israeli public medicine with clinical excellence, state-of-the art technology, high achievement in research, and outstanding medical education for students and trainees. Hadassah has two campuses at Ein Kerem and Mount Scopus that together offer 1200-hospital beds and 40 hybrid and advanced operating rooms. Hadassah Medical Center, an initiative of Hadassah organization led by Henrietta Szold, is one of the foremost health care providers in Israel...
March 2018: Harefuah
https://www.readbyqxmd.com/read/29572317/designing-organizational-structures-key-thoughts-for-development
#19
Patricia Killingsworth, Lynn Eschenbacher
PURPOSE: Current strategies and concepts to consider in developing a system-level organizational structure for the pharmacy enterprise are discussed. SUMMARY: There are many different ways to design an organizational structure for the pharmacy enterprise within a health system. The size of the organization, the number of states in which it operates, and the geographic spread and complexity of the pharmacy business lines should be among the key considerations in determining the optimal organizational and decision-making structures for the pharmacy enterprise...
April 1, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29572316/creating-a-learning-organization-to-help-meet-the-needs-of-multihospital-health-systems
#20
Angela Ward, Nannette Berensen, Rowell Daniels
PURPOSE: The considerations that leaders of multihospital health systems must take into account in developing and implementing initiatives to build and maintain an exceptional pharmacy workforce are described. SUMMARY: Significant changes that require constant individual and organizational learning are occurring throughout healthcare and within the profession of pharmacy. These considerations include understanding why it is important to have a succession plan and determining what types of education and training are important to support that plan...
April 1, 2018: American Journal of Health-system Pharmacy: AJHP
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