Evaluation of Clinical Pharmacy Services in a Hospital Ambulatory Satellite Pharmacy and Effects of These Services on Medication Adherence for Hypertensive Patients

Evaluation of Clinical Pharmacy Services in a Hospital Ambulatory Satellite Pharmacy and Effects of These Services on Medication Adherence for Hypertensive Patients PDF Author: Augustine K. Kole-James
Publisher:
ISBN:
Category :
Languages : en
Pages : 272

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Drug Intelligence & Clinical Pharmacy

Drug Intelligence & Clinical Pharmacy PDF Author:
Publisher:
ISBN:
Category : Drugs
Languages : en
Pages : 834

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An Evaluation of the Impact of Clinical Pharmacists on Care Transitions in a Non-Integrated Healthcare System

An Evaluation of the Impact of Clinical Pharmacists on Care Transitions in a Non-Integrated Healthcare System PDF Author: Andrea Sorensen
Publisher:
ISBN:
Category :
Languages : en
Pages : 138

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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.

Handbook of Institutional Pharmacy Practice

Handbook of Institutional Pharmacy Practice PDF Author:
Publisher:
ISBN:
Category : Hospital pharmacies
Languages : en
Pages : 464

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Impact of Clinical Pharmacy Services in a Veterans Affairs Hospital Emergency Department

Impact of Clinical Pharmacy Services in a Veterans Affairs Hospital Emergency Department PDF Author: Michael J. Meldrum
Publisher:
ISBN:
Category : Pharmacy management
Languages : en
Pages :

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Problem: The Michael E. DeBakey Veterans Affairs Medical Center is a large tertiary care teaching hospital with a busy emergency department. Currently there are no pharmacy services provided in the emergency department, which is similar to national trends. Methods: A one-month pilot was arranged to place a clinical pharmacist in the emergency department during the day shift. Pharmacist interventions and activities were chronicled and translated into financial savings for the hospital. In addition to intervention tracking the pharmacist focused on Adverse Drug Event reporting and discharge counseling. Review of the number of Adverse Drug Event reports during the month was compared to the months surrounding the pilot period. Readmission rates for patients seen for Chronic Obstructive Pulmonary Disease were also compared to the months surrounding the pilot. Comparisons were made using Chi Square analysis. Results: The pharmacist made a total of 68 quantifiable interventions for a total cost avoidance of $97,953.90. In addition, the pharmacist completed 207 medication reconciliations, 29 discharge counseling sessions, and a small number of other interventions. There were a total of 10 Adverse Drug Events reported during the pilot period, which demonstrated a significant increase in reporting during the pilot (p

The Economic Feasibility of Clinical Pharmacy in the Hospital Setting

The Economic Feasibility of Clinical Pharmacy in the Hospital Setting PDF Author: William E. Smith
Publisher:
ISBN:
Category : Hospitals
Languages : en
Pages : 130

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American Journal of Hospital Pharmacy

American Journal of Hospital Pharmacy PDF Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 922

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The CMS Hospital Conditions of Participation and Interpretive Guidelines

The CMS Hospital Conditions of Participation and Interpretive Guidelines PDF Author:
Publisher:
ISBN: 9781683086857
Category :
Languages : en
Pages : 546

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Book Description
In addition to reprinting the PDF of the CMS CoPs and Interpretive Guidelines, we include key Survey and Certification memos that CMS has issued to announced changes to the emergency preparedness final rule, fire and smoke door annual testing requirements, survey team composition and investigation of complaints, infection control screenings, and legionella risk reduction.

The Clinical Role of the Community Pharmacist

The Clinical Role of the Community Pharmacist PDF Author:
Publisher:
ISBN:
Category : Pharmaceutical services
Languages : en
Pages : 86

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Unity in Diversity and the Standardisation of Clinical Pharmacy Services

Unity in Diversity and the Standardisation of Clinical Pharmacy Services PDF Author: Elida Zairina
Publisher: CRC Press
ISBN: 1351622978
Category : Medical
Languages : en
Pages : 508

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Book Description
Unity in Diversity and the Standardisation of Clinical Pharmacy Services represents the proceedings of the 17th Asian Conference on Clinical Pharmacy (ACCP 2017), held 28—30 July 2017 in Yogyakarta, Indonesia. The primary aim of ACCP 2017 was to bring together experts from all fields of clinical pharmacy to facilitate the discussion and exchange of research ideas and results. The conference provided a forum for the dissemination of knowledge and exchange of experiences. As such, it brought together clinical pharmacy scholars, pharmacy practitioners, policy makers and stakeholders from all areas of pharmacy society and all regions of the world to share their research, knowledge, experiences, concepts, examples of good practice, and critical analysis with their international peers. This year also marks the celebration of 20 years of ACCP. Central themes of the conference and contributed papers were Clinical Pharmacy, Social and Administrative Pharmacy, Pharmacy Education, Pharmacoeconomics, Pharmacoepidemiology, Complementary and Alternative Medicine (CAM) and a number of related topics in the field of Pharmacy.