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https://www.readbyqxmd.com/read/29650868/-present-status-and-problems-of-management-and-guidance-for-visiting-pharmacy-service-to-in-home-patients-by-hospital-pharmacists
#1
Masumi Nakamura, Yoshie Kishita, Miyako Asada, Megumi Otsuka, Sachiko Takeshita, Norihisa Hama, Seigo Hayashi, Tomoki Ito, Masayuki Nishio, Masaki Nakamura
We conducted a survey of the background of 41 patients who received management and guidance from an in-home visiting pharmacy service and of the contents of support by the pharmacist, using patients' medical records from May 2016 to March 2017. Support comprised delivery of medicine to alleviate a burden to caregiver, suggesting medication, adjusting remaining medicines, and providing support during hospitalization. Out of 285 visits, there were 32 visits for which a medical fee could not be claimed. The main reasons for this were delivery of medicine on the day of visiting medical care, management of prescribed medicine at home, and delivery of temporal medicines...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650727/a-pharmacy-led-united-states-pharmacopeia-usp-chapter-800-compliance-collaborative-at-an-academic-medical-center
#2
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/29650726/reduction-of-healthcare-costs-through-a-transitions-of-care-program
#3
Weiyi Ni, Danielle Colayco, Jonathan Hashimoto, Kevin Komoto, Chandrakala Gowda, Bruce Wearda, Jeffrey McCombs
PURPOSE: Results of an evaluation of the impact of a pharmacy-based transitional care program on healthcare costs in a population of high-risk patients are reported. METHODS: A nonrandomized, observational cohort study was conducted to compare cost outcomes in a group of patients discharged from a single hospital who were referred to an ambulatory care pharmacy-based transitions-of-care (TOC) program and a control group of patients discharged from neighboring hospitals who received usual care; all patients were members of the same managed Medicaid plan...
April 12, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29649197/metronidazole-stewardship-initiative-at-christchurch-hospitals-achievable-with-immediate-benefits
#4
Sharon J Gardiner, Sarah Cl Metcalf, Paul Kl Chin, Matthew P Doogue, Simon C Dalton, Stephen T Chambers
AIMS: To evaluate an antimicrobial stewardship (AMS) initiative to change hospital prescribing practice for metronidazole. METHODS: In October 2015, the Canterbury District Health Board (CDHB) AMS committee changed advice for metronidazole to promote two times daily dosing for most indications, prioritisation of the oral route and avoidance of double anaerobic cover. Adoption of the initiative was facilitated via change in prescribing guidelines, education and ongoing pharmacy support...
April 13, 2018: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29644577/the-impact-of-dose-and-simultaneous-use-of-acid-reducing-agents-on-the-effectiveness-of-vemurafenib-in-metastatic-braf-v600-mutated-melanoma-a-retrospective-cohort-study
#5
Lotte M Knapen, Rutger H T Koornstra, Johanna H M Driessen, Bas van Vlijmen, Sander Croes, Stein Schalkwijk, Angela Colbers, Winald R Gerritsen, David M Burger, Frank de Vries, Nielka P van Erp
BACKGROUND: The impact of dose and simultaneous use of acid-reducing agents (ARAs) on the effectiveness of vemurafenib is unknown. OBJECTIVES: To determine the association between progression of metastatic BRAF V600 mutated melanoma and (1) dose reductions of vemurafenib and (2) simultaneous use of vemurafenib and ARAs. PATIENT AND METHODS: A retrospective cohort study of 112 first-line vemurafenib users for melanoma was conducted (March 2012-March 2016), using electronic patient records and pharmacy dispensing records of a Dutch academic hospital...
April 11, 2018: Targeted Oncology
https://www.readbyqxmd.com/read/29630165/distance-to-pharmacy-and-risk-of-medication-primary-nonadherence
#6
Joseph A Moo-Young, Elizabeth A Suarez, Adewole S Adamson
Primary nonadherence, a form of prescription nonadherence, is defined as failure to fill and pick up a prescription medication. Little is known about the relationship between distance to pharmacy and primary nonadherence in dermatology. In this study, we investigated the association between primary nonadherence and distance between a patient's home and pharmacy. We focused on a low-income patient population within the dermatology clinic of a large, urban county hospital system in which patients were enrolled in a pharmacy benefit within a closed-system...
February 15, 2018: Dermatology Online Journal
https://www.readbyqxmd.com/read/29629476/health-and-health-care-access-for-syrian-refugees-living-in-%C3%A4-stanbul
#7
Perihan Torun, Meltem Mücaz Karaaslan, Büşra Sandıklı, Ceyda Acar, Ellyn Shurtleff, Sophia Dhrolia, Bülent Herek
OBJECTIVES: The study was conducted to assess the health needs of urban refugees living in İstanbul. METHODS: A mixed methods approach was adopted to interview Syrian women from households, doctors, decision makers and NGO representatives. The data were collected between June and October 2015. RESULTS: The main challenges were the cost of living in İstanbul, increased rent and language barrier. Almost half (49.6%) of the interviewed women did not know about free health care rights for Syrians...
April 9, 2018: International Journal of Public Health
https://www.readbyqxmd.com/read/29628355/cross-cultural-adaptation-and-validation-of-a-european-portuguese-version-of-the-8-item-morisky-medication-adherence-scale
#8
Ana C Cabral, Mariana Moura-Ramos, Margarida Castel-Branco, Fernando Fernandez-Llimos, Isabel V Figueiredo
INTRODUCTION AND OBJECTIVE: The 8-Item Morisky Medication Adherence Scale (MMAS-8) is one of the most widely used instruments to assess medication adherence, but a validated European Portuguese version of MMAS-8 does not exist. Our aim was to develop and validate a European Portuguese version of the MMAS-8. METHODS: A process of translation and back-translation of the original MMAS-8 was performed. The questionnaire was administered in nine community pharmacies and one public hospital between March 2014 and September 2015...
April 5, 2018: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://www.readbyqxmd.com/read/29627872/hospital-clinical-pharmacy-services-in-vietnam
#9
Hieu T Trinh, Huong T L Nguyen, Van T T Pham, Hai L Ba, Phuong T X Dong, Thao T B Cao, Hanh T H Nguyen, Jo-Anne Brien
Background Clinical pharmacy is key to the quality use of medicines. While there are different approaches in different countries, international perspectives may inform health service development. The Vietnamese Ministry of Health introduced a legal regulation of clinical pharmacy services in December 2012. Objective To describe the services, and to explore reported barriers and facilitators in implementing clinical pharmacy activities in Vietnamese hospitals after the introduction of Vietnamese Ministry of Health legal regulation...
April 7, 2018: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29626004/pharmacy-staffing-workload-and-productivity-benchmarks-in-state-psychiatric-hospitals
#10
Angela Black Smith, James T Zoller, Glen T Schumock, Ann L Richards
PURPOSE: Current benchmark statistics on staffing, workload, and productivity in hospital pharmacy departments of state psychiatric hospitals are described and assessed by hospital size. METHODS: An electronic survey of state psychiatric hospitals was conducted. Hospitals were categorized based on number of occupied beds. Descriptive statistics using Student's t tests, Pearson's chi-square tests, and Pearson's correlation coefficients were used to characterize the data and compare productivity by hospital size...
April 15, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29625996/hospitals-get-serious-about-pharmacy-technician-training
#11
Kate Traynor
No abstract text is available yet for this article.
April 15, 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
#12
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/29623629/impact-of-fluid-choice-in-systemic-inflammatory-response-syndrome-patients-on-hospital-cost-savings
#13
Suzanne Laplante, Dilip U Makhija, Sibyl H Munson, Victor S Khangulov, Fred W Peyerl, Scott M Paluszkiewicz, Aditi J Ravindranath, Carol R Schermer
BACKGROUND: There is growing evidence of the benefits of intravenous fluid therapy with balanced crystalloids over 0.9% 'normal' saline. This analysis evaluated the economic impact of increasing usage of a calcium-free balanced crystalloid solution (BAL) in patients with systemic inflammatory response syndrome (SIRS) on an annual hospital budget. METHODS: An Excel® -based economic model was developed to estimate costs associated with increased BAL usage (i.e., use in a greater proportion of patients), from the US hospital perspective, over a 5-year time horizon...
September 4, 2017: PharmacoEconomics Open
https://www.readbyqxmd.com/read/29622031/prevalence-of-drug-drug-interactions-in-geriatric-patients-at-an-ambulatory-care-pharmacy-in-a-tertiary-care-teaching-hospital
#14
Rawabi Aljadani, Mohammed Aseeri
OBJECTIVE: A cross-sectional study was performed from February to May 2015, to estimate the prevalence of drug-drug interactions in geriatric patients at the ambulatory care pharmacy at King Abdul-Aziz Medical City in Jeddah, Saudi Arabia. RESULTS: A total of 310 patients were included, with a mean age (± SD) of 73.78 ± 6.96, and 48.70% were female. The overall prevalence of DDIs of all categories was 90.64%. Category B DDIs was 55.80%, category C DDIs 87...
April 5, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29622013/a-cross-sectional-study-of-the-availability-and-pharmacist-s-knowledge-of-nano-pharmaceutical-drugs-in-palestinian-hospitals
#15
Mohyeddin Assali, Ali Shakaa, Sabaa Abu-Hejleh, Reham Abu-Omar, Nareman Karajeh, Nawal Ajory, Saed Zyoud, Waleed Sweileh
BACKGROUND: Nanomedicine is the medical application of nanomaterials that may have an infinite size with the range less than 100 nm. This science has provided solutions to many of the current limitations in the diagnosis and treatment of diseases. Therefore, the pharmacist's knowledge and awareness of nano-pharmaceutical drugs will increase their availability in the market, and will improve the patient's compliance to their drug therapy. This study aimed to determine the availability of nano-pharmaceutical drugs in Palestinian hospitals and evaluate the extent of pharmacist's knowledge about them...
April 5, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29619140/challenges-and-opportunities-of-clinical-pharmacy-services-in-ethiopia-a-qualitative-study-from-healthcare-practitioners-perspective
#16
Henok G Tegegn, Ousman A Abdela, Abebe B Mekuria, Akshaya S Bhagavathula, Asnakew A Ayele
Background: Currently, clinical pharmacists have in-depth therapeutic knowledge and scientific skills to act as drug therapy experts in healthcare settings. Objective: The aim of this study was to assess the opportunities and challenges of clinical pharmacy services from the health practitioners' perspective in University of Gondar (UOG) hospital Ethiopia. Methods: A qualitative study was performed using face-to-face in-depth interviews with health practitioners who were directly involved in clinical pharmacy services (clinical pharmacists, physicians, and nurses) in UOG hospital...
January 2018: Pharmacy Practice
https://www.readbyqxmd.com/read/29619135/satisfaction-of-patients-receiving-value-added-services-compared-to-traditional-counter-service-for-prescription-refills-in-malaysia
#17
Boon-Tiang Lau, Abdul-Rani Nurul-Nadiah-Auni, Siew-Yen Ng, Nie Shuen-Wong
Background: Patients' satisfaction is the key parameter to measure the quality of healthcare services. Value added-services (VAS) were introduced to improve the quality of medication deliveries and to reduce the waiting time at outpatient pharmacy. Objective: This study aimed to compare the satisfaction levels of patients receiving VAS and traditional counter service (TCS) for prescription refills in Port Dickson Hospital. Methods: A single-center, cross-sectional study was conducted in the outpatient pharmacy department of Port Dickson Hospital from 1 March to 30 June 2017...
January 2018: Pharmacy Practice
https://www.readbyqxmd.com/read/29618345/perceptions-of-a-group-of-hospital-pharmacists-and-other-professionals-of-the-implementation-of-clinical-pharmacy-at-a-high-complexity-public-hospital-in-brazil
#18
Thaciana Dos S Alcântara, Thelma Onozato, Fernando de C Araújo Neto, Aline S Dosea, Luiza C Cunha, Dyego C S A de Araújo, Déborah Pimentel, Divaldo P Lyra Junior
BACKGROUND: During the process of implementation of clinical pharmacy services, internal and external factors may favor or hinder the incorporation of care into the hospital routine. This study aimed to understand the perceptions of a group of hospital pharmacists and other professionals of the implementation of clinical pharmacy at a high complexity public hospital in Brazil. METHODS: A focus group with 16 pharmacists and interviews with tree key stakeholders including managers in the pharmaceutical, medical, and nursing profession were conducted to understand their perceptions of the implementation clinical pharmacy services in a high complexity public hospital in Brazil...
April 4, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29618283/review-of-the-role-of-the-pharmacist-in-reducing-hospital-readmissions
#19
Quyen N Bach, Samuel K Peasah, Elizabeth Barber
Hospital readmissions remain a public health concern despite progress in reducing and preventing its occurrence. Among strategies that have been implemented to reduce readmission most involves medication management. Our objective was to evaluate the effectiveness of interventions involving pharmacists to reduce hospital readmissions. PubMed and Google Scholar were searched for primary literature from January 1990 to July 2016 with search terms such as "hospital readmission," and "Pharmacist," or "Pharmacy," or "medications...
January 1, 2018: Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/29616482/impact-of-a-health-management-program-on-healthcare-outcomes-among-patients-on-augmentation-therapy-for-alpha-1-antitrypsin-deficiency-an-insurance-claims-analysis
#20
Michael A Campos, Michael C Runken, Angela M Davis, Michael P Johnson, Glenda A Stone, Ami R Buikema
INTRODUCTION: Alpha 1-antitrypsin deficiency (AATD) is a genetic disorder which reduces serum alpha 1-antitrypsin (AAT or alpha1-proteinase inhibitor, A1PI) and increases the risk of chronic obstructive pulmonary disease (COPD). Management strategies include intravenous A1PI augmentation, and, in some cases, a health management program (Prolastin Direct® ; PD). OBJECTIVES: This study compared clinical and economic outcomes between patients with and without PD program participation...
April 3, 2018: Advances in Therapy
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