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https://www.readbyqxmd.com/read/27919878/pharmacy-residency-training-measured-through-a-standardized-knowledge-test
#1
Amy N Thompson, Brian P McKinzie, Jason S Haney, Jean M Nappi, Nicole Pilch
PURPOSE: The use of a standardized knowledge test to assess postgraduate year 1 (PGY1) pharmacy residency training was evaluated. METHODS: This was a retrospective review of a prospectively administered exam. A bank of questions was developed by preceptors from each of the core rotation disciplines: general medicine (including ambulatory care and oncology), pediatrics, critical care (including transplantation), drug information, operations, practice management, and psychiatry...
December 15, 2016: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/27906995/assessment-of-the-world-health-organization-s-hiv-drug-resistance-early-warning-indicators-in-main-and-decentralized-outreach-antiretroviral-therapy-sites-in-namibia
#2
Nicholus Mutenda, Alexandra Bukowski, Anne-Marie Nitschke, Tuli Nakanyala, Ndapewa Hamunime, Tadesse Mekonen, Francina Tjituka, Greatjoy Mazibuko, Samson Mwinga, David Mabirizi, Evans Sagwa, Rosalia Indongo, Natalie Dean, Michael R Jordan, Steven Y Hong
BACKGROUND: The World Health Organization (WHO) early warning indicators (EWIs) of HIV drug resistance (HIVDR) assess factors at individual ART sites that are known to create situations favourable to the emergence of HIVDR. METHODS: In 2014, the Namibia HIV care and treatment program abstracted the following adult and pediatric EWIs from all public ART sites (50 main sites and 143 outreach sites): On-time pill pick-up, Retention in care, Pharmacy stock-outs, Dispensing practices, and Viral load suppression...
2016: PloS One
https://www.readbyqxmd.com/read/27877099/asthma-review-for-pharmacists-providing-asthma-education
#3
Stacie J Lampkin, Cheryl A Maslouski, William A Maish, Barnabas M John
Asthma is the most common pediatric illness affecting more than 6 million children in the United States. Children with asthma have more frequent office visits and hospitalizations compared with adults. Despite advances in therapies, asthma still has a significant effect on the health care system. Regardless of the setting, pharmacists are uniquely equipped with an intimate knowledge of medications. With this knowledge, they can provide education to patients at various points throughout the health care system, from hospitalization to office visits to point of pick up at the pharmacy...
September 2016: Journal of Pediatric Pharmacology and Therapeutics: JPPT: the Official Journal of PPAG
https://www.readbyqxmd.com/read/27843107/pediatric-medication-use-experiences-and-patient-counseling-in-community-pharmacies-perspectives-of-children-and-parents
#4
Olufunmilola Abraham, Amanda Brothers, Dayna S Alexander, Delesha M Carpenter
OBJECTIVES: This study aimed to explore the perspectives of children and parents regarding: 1) pediatric patients' knowledge and medication use experiences for chronic conditions; 2) how they want to learn about medicines; and 3) perceptions of community pharmacist-provided counseling. DESIGN: Qualitative study using semistructured interviews and thematic analyses. SETTING: Three community pharmacies in 2 eastern states: one in rural western North Carolina, and 2 in an urban region of western Pennsylvania...
November 11, 2016: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/27826160/pharmacy-support-of-a-pediatric-patient-receiving-milrinone-at-home
#5
Ariel Xue, Deonne Dersch-Mills, Clara Tsang, Steven C Greenway
No abstract text is available yet for this article.
September 2016: Canadian Journal of Hospital Pharmacy
https://www.readbyqxmd.com/read/27756924/variables-affecting-pharmacy-students-patient-care-interventions-during-advanced-pharmacy-practice-experiences
#6
Laura L Bio, Brandon J Patterson, Sanchita Sen, Angela L Bingham, Jane F Bowen, Benjamin Ereshefsky, Laura A Siemianowski
Objective. To identify the temporal effect and factors associated with student pharmacist self-initiation of interventions during acute patient care advanced pharmacy practice experiences (APPE). Methods. During the APPE, student pharmacists at an academic medical center recorded their therapeutic interventions and who initiated the intervention throughout clinical rotations. At the end of the APPE student pharmacists completed a demographic survey. Results. Sixty-two student pharmacists were included. Factors associated with lower rates of self-initiated interventions were infectious diseases and pediatrics APPEs and an intention to pursue a postgraduate residency...
September 25, 2016: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/27701831/clinical-outcomes-of-levalbuterol-versus-racemic-albuterol-in-pediatric-patients-with-asthma-propensity-score-matching-approach-in-a-medicaid-population
#7
Jing Yuan, Zhiqiang Kevin Lu, Yanjun Zhang, Jun Wu, Bryan L Love, Richard M Schulz
OBJECTIVE: Racemic albuterol and levalbuterol are used to treat acute episodes of asthma. The main objective of this study was to compare levalbuterol therapy to albuterol therapy on incidence rates of subsequent emergency department (ED) visits and hospitalizations. METHOD: We conducted a retrospective cohort study of asthmatic children who had pharmacy refills for levalbuterol/albuterol in the South Carolina Medicaid database in 2002-2011. Children receiving levalbuterol were matched to those receiving albuterol using propensity score matching technique...
October 4, 2016: Pediatric Pulmonology
https://www.readbyqxmd.com/read/27697316/time-driven-activity-based-costing-to-identify-opportunities-for-cost-reduction-in-pediatric-appendectomy
#8
Yangyang R Yu, Paulette I Abbas, Carolyn M Smith, Kathleen E Carberry, Hui Ren, Binita Patel, Jed G Nuchtern, Monica E Lopez
PURPOSE: As reimbursement programs shift to value-based payment models emphasizing quality and efficient healthcare delivery, there exists a need to better understand process management to unearth true costs of patient care. We sought to identify cost-reduction opportunities in simple appendicitis management by applying a time-driven activity-based costing (TDABC) methodology to this high-volume surgical condition. METHODS: Process maps were created using medical record time stamps...
September 15, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27695918/assessing-adherence-to-inhaled-corticosteroids-in-asthma-patients-using-an-integrated-measure-based-on-primary-and-secondary-adherence
#9
Lucie Blais, Fatima-Zohra Kettani, Amélie Forget, Marie-France Beauchesne, Catherine Lemière, Francine M Ducharme
PURPOSE: There are very few studies on primary adherence (i.e., first filling of a prescription) to inhaled corticosteroids (ICS) in asthma patients; two have involved children. Moreover, adherence can be overestimated when considering only secondary adherence (i.e., following the medication recommendations for a defined period) and ignoring primary adherence. We aimed thus to evaluate the real-world primary and secondary adherence to ICS and to develop an integrated primary and secondary adherence (IPSA) measure...
October 1, 2016: European Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/27658320/development-of-a-novel-physico-chemically-and-microbiologically-stable-oral-solution-of-flecainide-for-pediatrics
#10
Ana Santoveña, Irma Charola, Javier Suárez-González, Nuria Teigell-Pérez, Susana García-van Nood, Mabel Soriano, José B Fariña
There is as yet no commercialized preparation for oral administration of flecainide acetate (FA) to children. In such cases, manipulation of commercial tablets is the usual practice in pharmacy services of hospitals and compounding pharmacies, to provide a suitable dosage form for this vulnerable pediatric population group. In this study we have formulated FA as an oral solution, as an alternative to the suspension elaborated from commercial tablets. Due to this sensitivity of young patients, we have used the pure active pharmaceutical ingredient (API) and the lowest permitted levels of pediatric excipients...
September 23, 2016: Pharmaceutical Development and Technology
https://www.readbyqxmd.com/read/27578187/relation-between-safe-use-of-medicines-and-clinical-pharmacy-services-at-pediatric-intensive-care-units
#11
Lucas Miyake Okumura, Daniella Matsubara da Silva, Larissa Comarella
OBJECTIVE: Clinical Pharmacy Services (CPS) are considered standard of care and they are endorsed by the Joint Commission International, the American Academy of Pediatrics, and the American College of Clinical Pharmacy. In Brazil, single experiences have been discreetly arising and the importance of these services to children and adolescents care has led to interesting results, but certainly are under reported. This short report aims to discuss the effect of implementing a bedside CPS at a Brazilian Pediatric Intensive Care Unit (PICU)...
August 12, 2016: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
https://www.readbyqxmd.com/read/27555821/pharmacist-remote-review-of-medication-prescriptions-for-appropriateness-in-pediatric-intensive-care-unit
#12
Moran Lazaryan, Ibrahim Abu-Kishk, Noa Rosenfeld-Yehoshua, Sofia Berkovitch, Michal Toledano, Iris Reshef, Tal Kanari, Tomer Ziv-Baran, Matitiahu Berkovitch
BACKGROUND: One aspect of ordering and prescribing medication is the requirement for a trained professional to review medication orders or prescriptions for appropriateness. In practice, this review process is usually performed by a clinical pharmacist. However, in many medical centers there is a shortage of staff and a pharmacist is not always available. OBJECTIVE: To determine whether remote review of medication orders by a pharmacist is a plausible method in a pediatric intensive care unit (PICU)...
2016: Frontiers in Pharmacology
https://www.readbyqxmd.com/read/27555523/health-care-institutional-charges-associated-with-ambulatory-bloodstream-infections-in-pediatric-oncology-and-stem-cell-transplant-patients
#13
Chris I Wong Quiles, Stephanie Gottsch, Usha Thakrar, Belen Fraile, Amy L Billett
BACKGROUND: The impact of ambulatory bloodstream infections (Amb-BSIs) in pediatric oncology and stem cell transplant (PO/SCT) patients is poorly understood, although a large portion of their treatment increasingly occurs in this setting. This study aimed to understand the economic impact and length of stay (LOS) associated with these infections. PROCEDURE: Charges and LOS were retrospectively collected and analyzed for Amb-BSI events leading to a hospital admission between 2012 and 2013 in a tertiary, university-affiliated hospital...
August 24, 2016: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/27461120/the-role-of-the-pharmacist-in-the-treatment-of-patients-with-infantile-hemangioma-using-propranolol
#14
Saul Castaneda, Samuel Melendez-Lopez, Esbeydy Garcia, Hermelinda De la Cruz, Jose Sanchez-Palacio
INTRODUCTION: Infantile hemangiomas (IH) are the most common benign vascular tumors of childhood, with an incidence of 5-10% during the first year of age. Propranolol is considered the first-line treatment for this condition. Potentially there is a high probability of negative results to therapy, because in many countries there are no treatment protocols or propranolol formulations appropriate for the pediatric population. The objective of the present study was to evaluate the impact of pharmacist interventions such as detecting, analyzing, and solving problems presented during treatment with propranolol in patients with IH...
October 2016: Advances in Therapy
https://www.readbyqxmd.com/read/27453699/medications-for-children-a-survey-of-community-pharmacists
#15
Alina R Rashid, Mark Duffett
BACKGROUND: Seamless and safe discharge of children from hospital requires successful collaboration with community pharmacists, for whom pediatrics is often a small part of their practice. OBJECTIVES: The purpose of this study was to understand community pharmacists' comfort level and confidence in providing care for children. METHODS: We conducted a self-administered online survey of community pharmacists in Ontario, Canada. Respondents rated their comfort and confidence on a scale of 1 to 7 in each of 3 scenarios: oral morphine, prednisone, and amoxicillin...
May 2016: Journal of Pediatric Pharmacology and Therapeutics: JPPT: the Official Journal of PPAG
https://www.readbyqxmd.com/read/27418941/acetylsalicylic-acid-as-a-potential-pediatric-health-hazard-legislative-aspects-concerning-accidental-intoxications-in-the-european-union
#16
REVIEW
Menen E Mund, Christoph Gyo, Dörthe Brüggmann, David Quarcoo, David A Groneberg
Acetylsalicylic acid is a frequently used medication worldwide. It is not used in pediatrics due its association with Reye syndrome. However, in case of pediatric intoxication, children are more fragile to salicylate poisoning because of their reduced ability of buffer the acid stress. Intoxication leads to a decoupling of oxidative phosphorylation and subsequently to a loss in mitochondrial function. Symptoms of poisoning are diverse; eventually they can lead to the death of the patient. Governmental websites of various EU countries were searched for legal information on acetylsalicylic acid availability in pharmacies and non-pharmacy stores...
2016: Journal of Occupational Medicine and Toxicology
https://www.readbyqxmd.com/read/27398302/accuracy-of-adverse-drug-reaction-documentation-upon-implementation-of-an-ambulatory-electronic-health-record-system
#17
Caleb Hui, Regis Vaillancourt, Lissa Bair, Elaine Wong, James W King
BACKGROUND: Detection, monitoring and treatment of adverse drug reactions (ADRs) are paramount to patient safety. The use of a comprehensive electronic health record (EHR) system has the potential to address inadequacies in ADR documentation and to facilitate ADR reporting to health agencies. However, effective methods to maintain the quality of documented ADRs within an EHR have not been well studied. OBJECTIVE: To evaluate the accuracy and effectiveness of ADR documentation transfer throughout the implementation of a comprehensive EHR system...
June 2016: Drugs—Real World Outcomes
https://www.readbyqxmd.com/read/27382422/improving-pediatric-liquid-medication-labeling-of-the-hospital-information-system-in-malaysia-qualitative-analysis-of-pharmacists-perceptions
#18
Huan-Keat Chan, Mohamed A Hassali, Ching-Jou Lim, Fahad Saleem, Norazila A Ghani
BACKGROUND: Inadequacies of drug labeling have been frequently reported among Malaysian healthcare institutes, in which the Hospital Information System (HIS) is used. OBJECTIVE: To identify potential areas to improve the existing labels used for pediatric liquid medications. METHODS: This study was qualitative in nature, whereby focus group discussions (FGDs), face-to-face interviews (FTFIs), and onsite observation were used for data collection...
April 2016: Pharmacy Practice
https://www.readbyqxmd.com/read/27332144/results-of-a-nationwide-capacity-survey-of-hospitals-providing-trauma-care-in-war-affected-syria
#19
Hani Mowafi, Mahmoud Hariri, Houssam Alnahhas, Elizabeth Ludwig, Tammam Allodami, Bahaa Mahameed, Jamal Kaby Koly, Ahmed Aldbis, Maher Saqqur, Baobao Zhang, Anas Al-Kassem
IMPORTANCE: The Syrian civil war has resulted in large-scale devastation of Syria's health infrastructure along with widespread injuries and death from trauma. The capacity of Syrian trauma hospitals is not well characterized. Data are needed to allocate resources for trauma care to the population remaining in Syria. OBJECTIVE: To identify the number of trauma hospitals operating in Syria and to delineate their capacities. DESIGN, SETTING, AND PARTICIPANTS: From February 1 to March 31, 2015, a nationwide survey of 94 trauma hospitals was conducted inside Syria, representing a coverage rate of 69% to 93% of reported hospitals in nongovernment controlled areas...
September 1, 2016: JAMA Surgery
https://www.readbyqxmd.com/read/27325879/standardization-of-compounded-oral-liquids-for-pediatric-patients-in-michigan
#20
Melanie J Engels, Scott L Ciarkowski, Janis Rood, Bryan Wang, Larry D Wagenknecht, Chris J Dickinson, James G Stevenson
PURPOSE: The development, dissemination, and adoption of standard concentrations for compounded oral liquids for pediatric patients in Michigan are described. SUMMARY: A baseline assessment of current practices in Michigan revealed significant variations in the concentrations of commonly used oral liquid medicines for pediatric patients. A statewide collaborative initiative in Michigan was created to standardize the concentrations of compounded oral liquids for pediatric patients...
July 1, 2016: American Journal of Health-system Pharmacy: AJHP
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