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https://www.readbyqxmd.com/read/29781222/quality-use-of-medicines-in-aged-care-facilities-a-need-for-new-models-of-care
#1
S Kosari, N McDerby, J Thomas, M Naunton
WHAT IS KNOWN AND OBJECTIVE: Despite all the advancement in aged care, medication adverse events are still reported to occur frequently in aged care residents and to be a major contributor to hospitalization and reduced quality of life in older adults. Thus, there is an urgent need for interventions and developing new models of care to address medication safety. COMMENT: Interdisciplinary collaboration, as well as accessibility to health professionals, is amongst the factors affecting medication safety in aged care...
May 20, 2018: Journal of Clinical Pharmacy and Therapeutics
https://www.readbyqxmd.com/read/29779722/the-impact-of-using-an-intravenous-workflow-management-system-ivwms-on-cost-and-patient-safety
#2
Alex C Lin, Yihong Deng, Hilal Thaibah, John Hingl, Jonathan Penm, Marianne F Ivey, Mark Thomas
PURPOSE: The aim of this study was to determine the financial costs associated with wasted and missing doses before and after the implementation of an intravenous workflow management system (IVWMS) and to quantify the number and the rate of detected intravenous (IV) preparation errors. METHOD: A retrospective analysis of the sample hospital information system database was conducted using three months of data before and after the implementation of an IVWMS System (DoseEdge® ) which uses barcode scanning and photographic technologies to track and verify each step of the preparation process...
July 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29778344/impact-of-clinical-pharmacist-engagement-in-ward-teams-on-the-number-of-drug-related-readmissions-among-swedish-older-patients-with-dementia-or-cognitive-impairment-an-economic-evaluation
#3
Maria Sjölander, Lars Lindholm, Bettina Pfister, Jeanette Jonsson, Jörn Schneede, Hugo Lövheim, Maria Gustafsson
BACKGROUND: Clinical pharmacists play an increasing role in the pharmacological treatment of hospital-admitted older patients with dementia or cognitive impairment. In an earlier randomised controlled trial, clinical pharmacist involvement in the ward team could significantly reduce drug-related readmissions in patient subgroups. However, the economic impact of the intervention has not been addressed so far. OBJECTIVES: To evaluate the economic impact of clinical pharmacist engagement in hospital ward teams for medication therapy management in older patients with dementia or cognitive impairments...
May 16, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29773700/implications-of-involving-pharmacy-technicians-in-obtaining-a-best-possible-medication-history-from-the-perspectives-of-pharmaceutical-medical-and-nursing-staff-a-qualitative-study
#4
Andrea Niederhauser, Chantal Zimmermann, Liat Fishman, David L B Schwappach
OBJECTIVES: In recent years, the involvement of pharmacy technicians in medication reconciliation has increasingly been investigated. The aim of this study was to assess the implications on professional roles and collaboration when a best possible medication history (BPMH) at admission is obtained by pharmacy technicians. DESIGN: Qualitative study with semistructured interviews. Data were analysed using a qualitative content analysis approach. SETTING: Internal medicine units in two mid-sized Swiss hospitals...
May 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29773308/collaboration-between-hospital-and-community-pharmacists-to-address-drug-related-problems-the-homecome-program
#5
Hendrik T Ensing, Ellen S Koster, Dasha J Dubero, Ad A van Dooren, Marcel L Bouvy
BACKGROUND: Hospital discharge poses a significant threat to the continuity of medication therapy and frequently results in drug-related problems post-discharge. Therefore, establishing continuity of care by realizing optimal collaboration between hospital and community pharmacists is of utmost importance. OBJECTIVE: To evaluate the collaboration between hospital and community pharmacists on addressing drug-related problems after hospital discharge. METHODS: A prospective follow-up study was conducted between November 2013-December 2014 in a general hospital and all affiliated community pharmacies...
May 8, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29768602/comorbidities-potentially-dangerous-and-low-therapeutic-index-medications-factors-linked-to-emergency-visits
#6
Mariana Younes Tramontina, Maria Beatriz Ferreira, Mauro Silveira de Castro, Isabela Heineck
This article aims to investigate the morbidities related to medications, their risk factors and causes detected in patients who seek the Hospital Emergency Service of a University in the South of Brazil. Data collection was based on application of a questionnaire to patients of a minimum age of 18 years, that signing the Term of Free and Informed Consent (TFIC), during the period from October 2013 to March 2014, and analysis of electronic record charts. Cases were evaluated by pharmacists and a doctor to define whether it was a case of medication related morbidity (MRM) and to establish its possible causes...
May 2018: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/29765871/optimizing-medicine-use-for-people-who-are-homebound-an-evaluation-of-a-pilot-domiciliary-medicine-use-review-dmur-service-in-england
#7
Asam Latif, Baguiasri Mandane, Emma Anderson, Caroline Barraclough, Samantha Travis
Background: As global life expectancy increases, older people with chronic diseases are being required to manage multiple and complex medicine regimes. However, polypharmacy raises the risk of medicine-related problems and preventable hospital admissions. To improve medicine use, English community pharmacies are commissioned to deliver Medicines Use Reviews (MURs), which are typically delivered from the pharmacy. People who are homebound rarely receive the service. This paper describes the uptake and impact of a pilot project that seeks to provide domiciliary Medicines Use Reviews (dMURs)...
2018: Integrated Pharmacy Research and Practice
https://www.readbyqxmd.com/read/29764248/interprofessional-collaboration-and-the-care-and-management-of-type-2-diabetic-patients-in-the-middle-east-a-systematic-review
#8
J M Johnson, R Carragher
The World Health Organization has ranked the Middle East (ME) as the second most prevalent region globally for type 2 diabetes. Currently, treatment options initiated by physicians focus mainly on pharmaceuticals; however, lifestyle factors also have a tremendous impact on a patient's wellness or illness. A potential solution to this issue is to use an interprofessional team approach when caring for this patient population. The purpose of this systematic review is to look at the present literature involving the use of an interprofessional team approach to the care and maintenance of people with type 2 diabetes in the ME...
May 15, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29758950/simulated-medication-errors-a-means-of-evaluating-healthcare-professionals-knowledge-and-understanding-of-medication-safety
#9
Hesty Utami Ramadaniati, Jeffery David Hughes, Ya Ping Lee, Lynne Maree Emmerton
OBJECTIVE: To determine multi-disciplinary perceptions of the clinical significance of medication errors (MEs), the responsible health professional(s), the contributing factors and potential preventive strategies. METHODS: The five simulated ME cases represented errors from five wards at a children's hospital in Australia. Pre-determined answers for each case were developed through consensus among the researchers. The root cause analysis (RCA) was undertaken via a questionnaire disseminated to physicians, nurses and pharmacists at the study hospital to seek their opinions on the ME cases...
May 9, 2018: International Journal of Risk & Safety in Medicine
https://www.readbyqxmd.com/read/29755996/evaluation-of-clinical-pharmacy-services-in-the-intensive-care-unit-of-a-tertiary-university-hospital-in-the-northwest-of-iran
#10
Ata Mahmoodpoor, Arman Kalami, Kamran Shadvar, Taher Entezari-Maleki, Hadi Hamishehkar
Objective: Current literature indicates that the presence of clinical pharmacists in hospitals results in improved patient care, rational drug therapy, and treatment costs. This study assessed the clinical pharmacy services in the intensive care unit (ICU) of a tertiary hospital at Tabriz University of Medical Sciences, Iran. Methods: During a 9-month cross-sectional study (2014-2015), the clinical pharmacy interventions in 27 sessions and educational activities for patients and health-care professionals were randomly assessed based on the Australian guideline and standard of practice for clinical pharmacy...
January 2018: Journal of Research in Pharmacy Practice
https://www.readbyqxmd.com/read/29754251/impact-of-medication-reconciliation-and-review-and-counselling-on-adverse-drug-events-and-healthcare-resource-use
#11
Amna Al-Hashar, Ibrahim Al-Zakwani, Tommy Eriksson, Alaa Sarakbi, Badriya Al-Zadjali, Saif Al Mubaihsi, Mohammed Al Zaabi
Background Adverse drug events from preventable medication errors can result in patient morbidity and mortality, and in cost to the healthcare system. Medication reconciliation can improve communication and reduce medication errors at transitions in care. Objective Evaluate the impact of medication reconciliation and counselling intervention delivered by a pharmacist for medical patients on clinical outcomes 30 days after discharge. Setting Sultan Qaboos University Hospital, Muscat, Oman. Methods A randomized controlled study comparing standard care with an intervention delivered by a pharmacist and comprising medication reconciliation on admission and discharge, a medication review, a bedside medication counselling, and a take-home medication list...
May 12, 2018: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29752256/promoting-integration-of-pharmacy-expertise-in-care-of-hospitalized-patients-with-acute-myocardial-infarction
#12
Leslie A Curry, Marie A Brault, Emily Cherlin, Marie Smith
PURPOSE: The substantive integration of pharmacists into quality-improvement initiatives aimed at improving the care of hospitalized patients with acute myocardial infarction (AMI) is described. METHODS: A 2-year, mixed-methods, interventional study was conducted in 10 U.S. hospitals, directed at promoting the use of evidence-based strategies and fostering domains of hospital organizational culture associated with lower risk-standardized mortality rates (RSMRs) for patients with AMI...
May 11, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29752205/evaluation-of-the-frequency-of-dispensing-electronically-discontinued-medications-and-associated-outcomes
#13
Erin J Copi, Lindsey R Kelley, Kaleigh K Fisher
OBJECTIVES: To determine if outpatient pharmacies of an academic medical center inadvertently dispense discontinued medications and, if so, if these inadvertently dispensed prescriptions contribute to subsequent hospital admissions and patient harm. METHODS: This was a single-center retrospective chart review. Prescription billing data were analyzed for electronic prescriptions for hypotensives, hypoglycemics, anticoagulants, antiplatelets, and statins picked up from 3 outpatient pharmacies within the health system over a period of 1 year...
May 8, 2018: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29748030/pharmacies-versus-doctors-offices-for-adolescent-vaccination
#14
Parth D Shah, Macary W Marciniak, Shelley D Golden, Justin G Trogdon, Carol E Golin, Noel T Brewer
PURPOSE: We evaluated how parents' willingness to get their children HPV vaccine from pharmacists related to their perceptions of relative advantages of vaccination in pharmacies compared to doctors' offices. METHODS: Participants were a national sample of 1500 U.S. parents of adolescents ages 11-17 recruited in 2014-15. In an online survey, items informed by Diffusion of Innovation Theory assessed parents' perceptions of the relative advantages of HPV vaccine delivery in pharmacies and doctors' offices...
May 7, 2018: Vaccine
https://www.readbyqxmd.com/read/29747941/-analysis-of-drug-related-problems-in-a-tertiary-university-hospital-in-barcelona-spain
#15
Olivia Ferrández, Borja Casañ, Santiago Grau, Javier Louro, Esther Salas, Xavier Castells, Maria Sala
OBJECTIVE: To describe drug-related problems identified in hospitalized patients and to assess physicians' acceptance rate of pharmacists' recommendations. METHODS: Retrospective observational study that included all drug-related problems detected in hospitalized patients during 2014-2015. Statistical analysis included a descriptive analysis of the data and a multivariate logistic regression to evaluate the association between pharmacists' recommendation acceptance rate and the variable of interest...
May 7, 2018: Gaceta Sanitaria
https://www.readbyqxmd.com/read/29744261/antimicrobial-stewardship-without-infectious-disease-physician-for-patients-with-candidemia-a-before-and-after-study
#16
Minoru Murakami, Hirokazu Komatsu, Masahide Sugiyama, Yuhei Ichikawa, Kyoko Ide, Rumi Tsuchiya, Kenji Kunieda, Akiko Magishi, Gaku Akiyama, Fumihide Miura, Kunihiko Okada, Masaya Ikezoe
Background: Little is known about the effects of antimicrobial stewardship team (AST) without infectious disease physician (IDP) on clinical outcome in patients with candidemia. Methods: We conducted a before and after study involving patients with hospital-acquired candidemia at a tertiary hospital without IDPs. The AST consisted of physicians, pharmacists, nurse, microbiologist, and administrative staff. A candidemia care bundle was developed based on the Infectious Disease Society of America (IDSA) guideline...
May 2018: Journal of General and Family Medicine
https://www.readbyqxmd.com/read/29739360/investigating-knowledge-regarding-antibiotics-and-antimicrobial-resistance-among-pharmacy-students-in-sri-lankan-universities
#17
M H F Sakeena, Alexandra A Bennett, Shazia Jamshed, Fahim Mohamed, Dilanthi R Herath, Indika Gawarammana, Andrew J McLachlan
BACKGROUND: Antimicrobial resistance (AMR) is a major challenge for global health care. Pharmacists play a key role in the health care setting to help support the quality use of medicines. The education, training, and experiences of pharmacy students have the potential to impact on patterns of antibiotic use in community and hospital settings. The aim of this study was to investigate antibiotic use, knowledge of antibiotics and AMR among undergraduate pharmacy students at Sri Lankan universities and to compare this between junior and senior pharmacy student groups...
May 8, 2018: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29736254/impact-of-pharmacist-counseling-on-reducing-instances-of-adverse-events-that-can-affect-the-quality-of-life-of-chemotherapy-outpatients-with-breast-cancer
#18
Kazuhide Tanaka, Akiyo Hori, Tomoya Tachi, Tomohiro Osawa, Katsuhiro Nagaya, Teppei Makino, Seiji Inoue, Masahiro Yasuda, Takashi Mizui, Takumi Nakada, Chitoshi Goto, Hitomi Teramachi
Background: In recent years, cancer chemotherapy is being conducted at outpatient clinics, wherein pharmacists are involved with patient guidance and management of adverse events as experts in medication therapy. Therefore, we clarified the influence of interventions by pharmacists during counseling of patients with cancer on patients' quality of life. Methods: To determine this influence, we conducted a survey to assess the quality of life of 39 patients with breast cancer who underwent their initial course of outpatient cancer chemotherapy at Gifu Municipal Hospital...
2018: Journal of Pharmaceutical Health Care and Sciences
https://www.readbyqxmd.com/read/29736122/evaluation-of-supportive-care-management-outcomes-in-cancer-chemotherapy-a-prospective-observational-study-in-a-tertiary-care-teaching-hospital-in-south-india
#19
Reshma Susan Reji, Binit Kumar, N Sreedharan, Girish Thunga, K Vijayanarayana, Mahadev Rao, Karthik S Udupa, M K Unnikrishnan
Aims: Evaluation of supportive care management of cancer patients experiencing drug-related problems (DRPs) is a challenge because it might increase the cost due to additional therapy. The main objectives of this study were to estimate chemotherapy-associated drug-related hospital admissions in the department of medical oncology and to estimate the cost of managing chemotherapy-associated DRPs. Settings and Design: This study is a prospective observational study...
April 2018: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/29736046/quality-of-best-possible-medication-history-upon-admission-to-hospital-comparison-of-nurses-and-pharmacy-students-and-consideration-of-national-quality-indicators
#20
Ashley Sproul, Carole Goodine, David Moore, Amy McLeod, Jacqueline Gordon, Jennifer Digby, George Stoica
Background: Medication reconciliation at transitions of care increases patient safety. Collection of an accurate best possible medication history (BPMH) on admission is a key step. National quality indicators are used as surrogate markers for BPMH quality, but no literature on their accuracy exists. Obtaining a high-quality BPMH is often labour- and resource-intensive. Pharmacy students are now being assigned to obtain BPMHs, as a cost-effective means to increase BPMH completion, despite limited information to support the quality of BPMHs obtained by students relative to other health care professionals...
March 2018: Canadian Journal of Hospital Pharmacy
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