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Author: Andrea Sorensen
Publisher:
ISBN:
Category :
Languages : en
Pages : 138
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Book Description
Medication errors and medication non-adherence can contribute to adverse drug events, poor health outcomes, and avoidable hospitalizations and emergency department (ED) visits. Patients are at increased risk for medication-related problems during transitions of care. The causes include inaccuracies in medication lists upon admission to the hospital, documentation errors caused by inadequate communication among providers, and insufficient education provided to patients regarding changes to their medication regimens. The objective of this dissertation is to evaluate the impact of two care transition interventions at UCLA Health that aimed to reduce hospital readmissions and ED visits by improving medication accuracy and patient adherence to medications following hospitalization. The analyses undertaken in this dissertation use health system administrative data to (1) evaluate the impact on hospital readmissions and ED visits of a hospital to home care transitions program that included a home visit by a health coach, and a review and modification of medications as needed by a clinical pharmacist in coordination with the patient's primary care provider; (2) document the prevalence and types of medication-related problems and discrepancies that occur and persist following a patient's transition from hospital to home; and (3) evaluate the impact on hospital readmissions and ED visits of a pilot program that used a clinical pharmacist in a skilled nursing facility (SNF) to manage medications between the hospital, post-acute care setting, and home. Propensity score and multivariate regression approaches as well as qualitative methods were used to evaluate the interventions. Results from the first study showed that receipt of the intervention was associated with a significantly lower predicted probability of hospital readmissions and ED visits compared with usual care. Results from the second study revealed that clinical pharmacists identified and took action on a wide range of medication discrepancies and medication-related problems following a patient's hospitalization. Results from the third study showed that patients who were discharged from a SNF to home and who were under the care of a clinical pharmacist had a significantly lower likelihood of being readmitted to the hospital compared with similar patients who received usual care. In summary, the results demonstrate that clinical pharmacists can play an important role in decreasing the risk of poor outcomes following care transitions, and that strengthening the linkage with the primary care system is a potentially necessary component for facilitating safe and effective care transitions.
Author: Andrea Sorensen
Publisher:
ISBN:
Category :
Languages : en
Pages : 138
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Book Description
Medication errors and medication non-adherence can contribute to adverse drug events, poor health outcomes, and avoidable hospitalizations and emergency department (ED) visits. Patients are at increased risk for medication-related problems during transitions of care. The causes include inaccuracies in medication lists upon admission to the hospital, documentation errors caused by inadequate communication among providers, and insufficient education provided to patients regarding changes to their medication regimens. The objective of this dissertation is to evaluate the impact of two care transition interventions at UCLA Health that aimed to reduce hospital readmissions and ED visits by improving medication accuracy and patient adherence to medications following hospitalization. The analyses undertaken in this dissertation use health system administrative data to (1) evaluate the impact on hospital readmissions and ED visits of a hospital to home care transitions program that included a home visit by a health coach, and a review and modification of medications as needed by a clinical pharmacist in coordination with the patient's primary care provider; (2) document the prevalence and types of medication-related problems and discrepancies that occur and persist following a patient's transition from hospital to home; and (3) evaluate the impact on hospital readmissions and ED visits of a pilot program that used a clinical pharmacist in a skilled nursing facility (SNF) to manage medications between the hospital, post-acute care setting, and home. Propensity score and multivariate regression approaches as well as qualitative methods were used to evaluate the interventions. Results from the first study showed that receipt of the intervention was associated with a significantly lower predicted probability of hospital readmissions and ED visits compared with usual care. Results from the second study revealed that clinical pharmacists identified and took action on a wide range of medication discrepancies and medication-related problems following a patient's hospitalization. Results from the third study showed that patients who were discharged from a SNF to home and who were under the care of a clinical pharmacist had a significantly lower likelihood of being readmitted to the hospital compared with similar patients who received usual care. In summary, the results demonstrate that clinical pharmacists can play an important role in decreasing the risk of poor outcomes following care transitions, and that strengthening the linkage with the primary care system is a potentially necessary component for facilitating safe and effective care transitions.
Author: Robert M. Elenbaas
Publisher:
ISBN: 9781939862907
Category :
Languages : en
Pages :
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Book Description
Author:
Publisher: Academic Press
ISBN: 0128127368
Category : Medical
Languages : en
Pages : 2370
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Book Description
Encyclopedia of Pharmacy Practice and Clinical Pharmacy, Three Volume Set covers definitions, concepts, methods, theories and applications of clinical pharmacy and pharmacy practice. It highlights why and how this field has a significant impact on healthcare. The work brings baseline knowledge, along with the latest, most cutting-edge research. In addition, new treatments, algorithms, standard treatment guidelines, and pharmacotherapies regarding diseases and disorders are also covered. The book's main focus lies on the pharmacy practice side, covering pharmacy practice research, pharmacovigilance, pharmacoeconomics, social and administrative pharmacy, public health pharmacy, pharmaceutical systems research, the future of pharmacy, and new interventional models of pharmaceutical care. By providing concise expositions on a broad range of topics, this book is an excellent resource for those seeking information beyond their specific areas of expertise. This outstanding reference is essential for anyone involved in the study of pharmacy practice. Provides a ‘one-stop’ resource for access to information written by world-leading scholars in the field Meticulously organized, with articles split into three clear sections, it is the ideal resource for students, researchers and professionals to find relevant information Contains concise and accessible chapters that are ideal as an authoritative introduction for non-specialists and readers from the undergraduate level upwards Includes multimedia options, such as hyperlinked references and further readings, cross-references and videos
Author: Jennifer L. Wiler
Publisher: Cambridge University Press
ISBN: 1108211356
Category : Medical
Languages : en
Pages : 251
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Book Description
Access to acute and emergency care is essential when we are ill or injured, but the costs are significant. How can we make services more efficient and effective? This thought-provoking text provides twenty case studies detailing successful innovations to enhance value, including telehealth, observation medicine, high utilizer programs, and the use of informatics to improve clinical decision support. A detailed history of system developments over the last fifty years in the US and internationally is provided, and subjects including measurement and quality improvement, volume versus value based care, and emergency department crowding are discussed. This book is an ideal way for emergency physicians and healthcare managers to explore new ideas and enhance the quality of care in their area.
Author: National Academy of Engineering
Publisher: National Academies Press
ISBN: 0309120640
Category : Medical
Languages : en
Pages : 340
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Book Description
Improving our nation's healthcare system is a challenge which, because of its scale and complexity, requires a creative approach and input from many different fields of expertise. Lessons from engineering have the potential to improve both the efficiency and quality of healthcare delivery. The fundamental notion of a high-performing healthcare system-one that increasingly is more effective, more efficient, safer, and higher quality-is rooted in continuous improvement principles that medicine shares with engineering. As part of its Learning Health System series of workshops, the Institute of Medicine's Roundtable on Value and Science-Driven Health Care and the National Academy of Engineering, hosted a workshop on lessons from systems and operations engineering that could be applied to health care. Building on previous work done in this area the workshop convened leading engineering practitioners, health professionals, and scholars to explore how the field might learn from and apply systems engineering principles in the design of a learning healthcare system. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary focuses on current major healthcare system challenges and what the field of engineering has to offer in the redesign of the system toward a learning healthcare system.
Author:
Publisher:
ISBN:
Category : Medicine
Languages : en
Pages : 1496
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Book Description
Author: Jeffrey C. Bauer
Publisher: CRC Press
ISBN: 1351686577
Category : Business & Economics
Languages : en
Pages : 133
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Book Description
This 25th Anniversary edition completely updates the powerful insights and policy recommendations of Not What the Doctor Ordered, first published in 1993 by renowned healthcare futurist and medical economist the author. It presents specific solutions to serious problems of cost, quality, access, and outcomes by allowing all Americans to purchase services directly from caregivers who provide an expanding array of medical services at least as well as physicians—at lower cost. Focusing on new realities of the 21st century, the authorshows not only why giving consumers the right to choose advanced practitioners is the top priority for improving our overpriced, underperforming medical care delivery system, but also how to make the necessary changes. As he clearly and concisely explains from medical and economic perspectives, the key is eliminating physicians’ monopoly powers over advanced practice nurses, clinical pharmacists, physical therapists, clinical psychologists, and other advanced practice (AP) health professionals who now rival physicians in scientific knowledge and caregiving skills within well-defined scopes of practice regulated by state governments.
Author: Kimberley J. Haines
Publisher: Springer Nature
ISBN: 3030686809
Category : Medical
Languages : en
Pages : 300
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Book Description
This book provides a comprehensive overview of improving critical care survivorship. Comprised of four sections, the text presents interventions that can be used to improve patient outcomes and reduce the burden of post-intensive care syndrome across the arc of care, from the ICU to returning home. The first section of the text focuses on preventing adverse outcomes in the ICU, with an emphasis on implementing early mobilization, engaging and supporting families, and employing various forms of therapy. The second section revolves around enhancing recovery post-ICU, focusing on physical and neurocognitive rehabilitation programs, peer support, and poly-pharmacy management. Community reintegration is the subject of the third section, with emphasis on socioeconomic reintegration, healthcare utilization, and volunteerism in ICU recovery. The book concludes with a section on future considerations, specifically spotlighting preliminary ideas that address long-term sequelae and international collaboration to solve critical care challenges. Written by experts in the field, Improving Critical Care Survivorship: A Guide for Prevention, Recovery, and Reintegration is a valuable resource for critical care clinicians and researchers interested in improving the quality of patient survival after ICU admission.
Author: Filipa Alves da Costa
Publisher: Springer
ISBN: 3319925768
Category : Medical
Languages : en
Pages : 503
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Book Description
Through the contributions of global experts, this book meets the growing need to understand the implementation and development of pharmaceutical care. Pharmaceutical Care Implementation details the clinical pharmacist's role in providing care to different kind of patients using clinical strategies that improve humanistic, economic and clinical outcomes. Written with a focus for students and pharmacists, this book offers multiple scenarios that serve to improve technical skills. These examples show step-by-step implementation processes from pharmacists who have worked for many years in these fields: drug-related problems, pharmaceutical care in different settings (community, hospital, home care), research outcomes, communication skills, indicators, advertising, remuneration of practice, standards, guidelines, protocols and teaching approaches for universities. Readers will use this book to:- Improve their skills to prevent, detect and solve drug-related problems - Understand the characteristics of care for patients in different settings- Consolidate knowledge from different global research outcomes- Develop and improve communication skills to establish relationships with patients and healthcare professionals.- Learn to use indicators, standards,guidelines,and protocols to guide and evaluate pharmaceutical care performance- Use different tools to advertise pharmaceutical care services- Document pharmaceutical care practices and create evidence for remuneration
Author: Nathan I. Cherny
Publisher: Oxford University Press
ISBN: 0192554565
Category : Medical
Languages : en
Pages : 1409
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Book Description
This sixth edition of the Oxford Textbook of Palliative Medicine takes us now into the third decade for this definitive award-winning textbook. It has been rigorously updated to offer a truly global perspective, highlighting the best current evidence-based practices, and collective wisdom from more than 200 experts around the world. This leading textbook covers all the new and emerging topics, updated and restructured to reflect major developments in the increasingly widespread acceptance of palliative medicine as a fundamental public health need. The sixth edition includes new sections devoted to family and caregiver issues, cardio-respiratory symptoms and disorders, and genitourinary symptoms and disorders. In addition, the multi-disciplinary nature of palliative care is emphasized throughout the textbook, covering areas from ethical and communication issues, the treatment of symptoms, and the management of pain. The Oxford Textbook of Palliative Medicine is a truly comprehensive text. No hospital, hospice, palliative care service, or medical library should be without this essential source of information. This sixth edition of the Oxford Textbook of Palliative Medicine is dedicated to the memory of Professor Kenneth Fearon husband of Professor Marie Fallon and a surgeon who became a world leader in the research and management of anorexia and cachexia. He modeled a work-life balance that is so critical in our field, with devotion to both his patients and his family.
