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Emily Alexander, C David Butler, Andrea Darr, Matthew T Jenkins, Robert D Long, Colleen J Shipman, Timothy P Stratton
No abstract text is available yet for this article.
May 1, 2017: American Journal of Health-system Pharmacy: AJHP
David M Scott, Daniel L Friesner, Teri Undem, Gabrielle Anderson, Kelli Sem, Charles D Peterson
OBJECTIVES: To assess the sustainability of the business model underlying the North Dakota Telepharmacy Project (NDTP). SETTING: Of the 38 community pharmacy organizations (14 central, 24 remote), 27 organizations (11 central and 16 remote sites) in North Dakota provided a useable set of responses (71.1% response rate). A twelfth organization (a community pharmacy) ceased operations over the study's time frame and was not included in the data analysis. PRACTICE DESCRIPTION: Emphasis is placed on NDTP community telepharmacies, because the community telepharmacy business model is more established than hospital telepharmacies...
April 8, 2017: Journal of the American Pharmacists Association: JAPhA
Wendy Brown, David Scott, Daniel Friesner, Tara Schmitz
OBJECTIVE: To demonstrate that real-time, telepharmacy-based asthma educational services are feasible and to support the efforts of local primary care prescribers to improve patient outcomes. METHODS: The lead investigator (a pharmacist, physician assistant, and certified asthma educator) identified an independent community pharmacy with telehealth capabilities in a rural area with a high prevalence of asthma. Working with the pharmacy, an asthma education program was developed based on the National Asthma Education and Prevention Program guidelines...
January 17, 2017: Journal of Asthma: Official Journal of the Association for the Care of Asthma
Katherine E Rebello, Jeffrey Gosian, Marci Salow, Pamela Sweeney, James L Rudolph, Jane A Driver
PURPOSE: To evaluate the efficacy of the Rural Pharmacological Intervention in Late Life (PILL) program, a quality improvement initiative in which a Boston-based pharmacist provided postdischarge telepharmacy care to veterans from rural Maine. METHODS: Using an automated screening tool, we identified 100 veterans aged 65 and older who had an acute care admission to VA medical centers in Boston or Maine and were at risk of problems with medication management. The PILL pharmacist called patients the week after hospital discharge to reconcile medications, assess adherence, and identify potentially inappropriate drugs...
September 8, 2016: Journal of Rural Health
Gary L Cochran, Ryan S Barrett, Susan D Horn
PURPOSE: The role of pharmacist transcription, onsite pharmacist dispensing, use of automated dispensing cabinets (ADCs), nurse-nurse double checks, or barcode-assisted medication administration (BCMA) in reducing medication error rates in critical access hospitals (CAHs) was evaluated. METHODS: Investigators used the practice-based evidence methodology to identify predictors of medication errors in 12 Nebraska CAHs. Detailed information about each medication administered was recorded through direct observation...
August 1, 2016: American Journal of Health-system Pharmacy: AJHP
Frédéric Benizri, Benoit Dalifard, Christophe Zemmour, Maxime Henriquet, Emmanuelle Fougereau, Benoit Le Franc
DrugCam(®) is a new approach to control the chemotherapy preparations with an intelligent video system that enables automatic verification during the critical stages of preparations combined with an a posteriori control with partial or total visualization of the video recording of preparations. The assessment was about the recognizing of anticancer drug vials (qualitative analysis) and syringe volumes (quantitative analysis). The qualitative analysis was conducted for a total of 120 vials with sensitivity of 100% for 84...
April 11, 2016: International Journal of Pharmaceutics
Donna Goodridge, Darcy Marciniuk
The challenges of providing quality respiratory care to persons living in rural or remote communities can be daunting. These populations are often vulnerable in terms of both health status and access to care, highlighting the need for innovation in service delivery. The rapidly expanding options available using telehealthcare technologies have the capacity to allow patients in rural and remote communities to connect with providers at distant sites and to facilitate the provision of diagnostic, monitoring, and therapeutic services...
May 2016: Chronic Respiratory Disease
Christopher Keeys, Bamidele Kalejaiye, Michelle Skinner, Mandana Eimen, Joann Neufer, Gisele Sidbury, Norman Buster, Joan Vincent
PURPOSE: The development, implementation, and pilot testing of a discharge medication reconciliation service managed by pharmacists with offsite telepharmacy support are described. SUMMARY: Hospitals' efforts to prepare legible, complete, and accurate medication lists to patients prior to discharge continue to be complicated by staffing and time constraints and suboptimal information technology. To address these challenges, the pharmacy department at a 324-bed community hospital initiated a quality-improvement project to optimize patients' discharge medication lists while addressing problems that often resulted in confusing, incomplete, or inaccurate lists...
December 15, 2014: American Journal of Health-system Pharmacy: AJHP
Brandon J Patterson, Peter J Kaboli, Traviss Tubbs, Bruce Alexander, Brian C Lund
OBJECTIVES: To examine the impact of rural residence and primary care site on use of clinical pharmacy services (CPS) and to describe the use of clinical telepharmacy within the Veterans Health Administration (VHA) health care system. METHODS: Using 2011 national VHA data, the frequency of patients with CPS encounters was compared across patient residence (urban or rural) and principal site of primary care (medical center, urban clinic, or rural clinic). The likelihood of CPS utilization was estimated with random effects logistic regression...
September 2014: Journal of the American Pharmacists Association: JAPhA
Inger Ho, Line Nielsen, Helle Jacobsgaard, Hassan Salmasi, Anton Pottegård
OBJECTIVES: Following the introduction of a nationwide online telepharmacy chat-service in Denmark in the spring of 2012, offering free counselling to all Danish citizens, we aimed to investigate the types of enquiries that are made to the telepharmacy. METHODS: We extracted 500 consecutive chat transcripts and categorised them in four categories: drug-related, symptom, technical and other. These categories were further divided into 28 prespecified subcategories...
February 2015: International Journal of Pharmacy Practice
Jayashri Sankaranarayanan, Lori J Murante, Lisa M Moffett
OBJECTIVES: This retrospective cross-sectional study evaluated a telepharmacy service model using a conceptual framework to compare documented remote pharmacist interventions by year, hospital, and remote pharmacist and across rural hospitals with or without an on-site rural hospital pharmacist. MATERIALS AND METHODS: Documented remote pharmacist interventions for patients at eight rural hospitals in the Midwestern United States during prospective prescription order review/entry from 2008 to 2011 were extracted from RxFusion(®) database (a home-grown system, i...
October 2014: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Joseph Bubalo, Bruce A Warden, Joshua J Wiegel, Tess Nishida, Evelyn Handel, Leanne M Svoboda, Lam Nguyen, P Neil Edillo
PURPOSE: Medical errors, in particular medication errors, continue to be a troublesome factor in the delivery of safe and effective patient care. Antineoplastic agents represent a group of medications highly susceptible to medication errors due to their complex regimens and narrow therapeutic indices. As the majority of these medication errors are frequently associated with breakdowns in poorly defined systems, developing technologies and evolving workflows seem to be a logical approach to provide added safeguards against medication errors...
December 2014: Journal of Oncology Pharmacy Practice
David M Scott, Daniel L Friesner, Ann M Rathke, Shelly Doherty-Johnsen
PURPOSE: Results of a study of medication "quality-related events" (QREs) at critical access hospitals (CAHs) participating in a telepharmacy project are reported. METHODS: Rates and types of medication QREs (i.e., all types of drug therapy problems requiring pharmacist intervention) were evaluated at 17 CAHs receiving telepharmacy services from a central order-entry site in the North Dakota Telepharmacy Project (NDTP). During the 17-month study, remote pharmacists used telepharmacy technology to review medication orders prepared at the CAH sites, identify and address QREs, and code clinical interventions...
January 1, 2014: American Journal of Health-system Pharmacy: AJHP
Philip J Schneider
PURPOSE: The impact of remote pharmacist review of medication orders in three small community hospitals in California was evaluated. METHODS: A longitudinal study was conducted in three community hospitals without 24-hour pharmacy services before and after the implementation of telepharmacy services. Override reports from automated dispensing cabinets were reviewed. Charts were reviewed for errors and potential adverse drug events. Pharmacist interventions during times when the pharmacy was closed were evaluated...
December 1, 2013: American Journal of Health-system Pharmacy: AJHP
Kate Traynor
No abstract text is available yet for this article.
April 1, 2013: American Journal of Health-system Pharmacy: AJHP
David M Scott, Daniel L Friesner, Ann M Rathke, Charles D Peterson, Howard C Anderson
OBJECTIVE: To examine differences in dispensing errors within community telepharmacy practices by comparing error rates across central sites (community telepharmacy sites with pharmacists present) and the corresponding remote sites, which are staffed by registered technicians and overseen by the central site pharmacist. DESIGN: Cross-sectional pilot study with a test group (remote sites) and comparison group (central sites). SETTING: 24 rural community telepharmacies (14 remote sites and 10 central sites)...
September 2012: Journal of the American Pharmacists Association: JAPhA
Stacey L Cole, John H Grubbs, Cathy Din, Thomas S Nesbitt
OBJECTIVE: Medication errors contribute to a significant number of fatal and nonfatal adverse medical events each year. Many actions, from both a policy and innovation standpoint, have been taken to reduce medication errors in the inpatient setting; yet, these actions often target larger urban hospitals. Rural hospitals face many more challenges in implementing these changes due to fewer resources and lower patient volumes. Our article discusses the implementation and results of a telepharmacy demonstration implemented between the University of California Davis Health System and six rural hospitals...
September 2012: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Ahmad S Alfaar, Sherif Kamal, Sherif Abouelnaga, William L Greene, Yuri Quintana, Raul C Ribeiro, Ibrahim A Qaddoumi
OBJECTIVE: In developed countries, pharmacists play a crucial role in designing and implementing cancer treatments as part of a multidisciplinary oncology team. However, developing countries have a shortage of pharmacists, and their role is generally limited to dispensing and selling drugs. The aim of this study was to investigate the feasibility of providing clinical pharmacy educational activities via international teleconferencing to improve cancer care in developing countries. MATERIALS AND METHODS: Meticulous preparation and intense promotion of the workshop were done in Egypt before the telepharmacy conferences began...
July 2012: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Henry N Young, S Nadra Havican, Sara Griesbach, Joshua M Thorpe, Betty A Chewning, Christine A Sorkness
OBJECTIVE: To assess the feasibility, acceptability, and preliminary impact of a telepharmacy intervention in an underserved, rural asthma patient population. SUBJECTS AND METHODS: Patients with asthma were randomized to receive either standard care or telephone consultations from pharmacists regarding asthma self-management over a 3-month period. Qualitative interviews were conducted to identify participants' attitudes/opinions regarding the intervention. Baseline and follow-up surveys assessed asthma control, patient activation, and medication utilization...
July 2012: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Kevin McDonald
No abstract text is available yet for this article.
November 2009: Canadian Journal of Hospital Pharmacy
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