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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Book Description
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

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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Book Description
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

Oxford Handbook of Clinical Pharmacy

Oxford Handbook of Clinical Pharmacy PDF Author: Phil Wiffen
Publisher: Oxford University Press, USA
ISBN: 0199603642
Category : Medical
Languages : en
Pages : 696

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Book Description
This handbook is the definitive quick reference guide to clinical pharmacy, providing practising and student pharmacists with a wealth of practical information.

Clinical Pharmacy in the United States

Clinical Pharmacy in the United States PDF Author: Robert M. Elenbaas
Publisher:
ISBN: 9781939862907
Category :
Languages : en
Pages :

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Book Description


The APhA Complete Review for the FPGEE, 2nd Edition (Foreign Pharmacy Graduate Equivalency Examination)

The APhA Complete Review for the FPGEE, 2nd Edition (Foreign Pharmacy Graduate Equivalency Examination) PDF Author: Bradley A. Boucher
Publisher:
ISBN: 9781582122991
Category :
Languages : en
Pages : 816

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Book Description
The FPGEE (Foreign Pharmacy Graduate Equivalency Examination®) is the tallest hurdle for graduates of foreign pharmacy schools who wish to practice in the United States. With a pass rate that is under 60%, the FPGEE is a daunting 51⁄2 hour, 250-question exam that tests a wide range of knowledge in four major areas of pharmacy education:Basic biomedical sciences (21%); Pharmaceutical sciences 29%; Social/behavioral/administrative pharmacy sciences (15%); Clinical sciences (35%) Completely revised an updated, the second edition of The APhA Complete Review for the FPGEE is a one-stop compilation of.

Evaluation of the Department of Veterans Affairs Mental Health Services

Evaluation of the Department of Veterans Affairs Mental Health Services PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309466601
Category : Medical
Languages : en
Pages : 467

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Book Description
Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.

Combating Tobacco Use in Military and Veteran Populations

Combating Tobacco Use in Military and Veteran Populations PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309146844
Category : Medical
Languages : en
Pages : 381

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Book Description
The health and economic costs of tobacco use in military and veteran populations are high. In 2007, the Department of Veterans Affairs (VA) and the Department of Defense (DoD) requested that the Institute of Medicine (IOM) make recommendations on how to reduce tobacco initiation and encourage cessation in both military and veteran populations. In its 2009 report, Combating Tobacco in Military and Veteran Populations, the authoring committee concludes that to prevent tobacco initiation and encourage cessation, both DoD and VA should implement comprehensive tobacco-control programs.

Returning Home from Iraq and Afghanistan

Returning Home from Iraq and Afghanistan PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309152852
Category : Medical
Languages : en
Pages : 193

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Book Description
Nearly 1.9 million U.S. troops have been deployed to Afghanistan and Iraq since October 2001. Many service members and veterans face serious challenges in readjusting to normal life after returning home. This initial book presents findings on the most critical challenges, and lays out the blueprint for the second phase of the study to determine how best to meet the needs of returning troops and their families.

Hospital-Based Emergency Care

Hospital-Based Emergency Care PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133777
Category : Medical
Languages : en
Pages : 424

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Book Description
Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care, not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes: • The role and impact of the emergency department within the larger hospital and health care system. • Patient flow and information technology. • Workforce issues across multiple disciplines. • Patient safety and the quality and efficiency of emergency care services. • Basic, clinical, and health services research relevant to emergency care. • Special challenges of emergency care in rural settings. Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.

Pharmacy Practice in Developing Countries

Pharmacy Practice in Developing Countries PDF Author: Ahmed Fathelrahman
Publisher: Academic Press
ISBN: 0128017112
Category : Medical
Languages : en
Pages : 518

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Book Description
Pharmacy Practice in Developing Countries: Achievements and Challenges offers a detailed review of the history and development of pharmacy practice in developing countries across Africa, Asia, and South America. Pharmacy practice varies substantially from country to country due to variations in needs and expectations, culture, challenges, policy, regulations, available resources, and other factors. This book focuses on each country's strengths and achievements, as well as areas of weakness, barriers to improvement and challenges. It sets out to establish a baseline for best practices, taking all of these factors into account and offering solutions and opportunities for the future. This book is a valuable resource for academics, researchers, practicing pharmacists, policy makers, and students involved in pharmacy practice worldwide as it provides lessons learned on a global scale and seeks to advance the pharmacy profession. - Uses the latest research and statistics to document the history and development of pharmacy practice in developing countries - Describes current practice across various pharmacy sectors to supply a valuable comparative analysis across countries in Africa, Asia, Europe, and South America - Highlights areas of achievement, strengths, uniqueness, and future opportunities to provide a basis for learning and improvement - Establishes a baseline for best practices and solutions

Pharmacy

Pharmacy PDF Author: William N. Kelly
Publisher: Routledge
ISBN: 135165215X
Category : Medical
Languages : en
Pages : 521

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Book Description
Now fully updated for its fourth edition, Pharmacy: What It Is and How It Works continues to provide a comprehensive review of all aspects of pharmacy, from the various roles, pathways and settings of pharmacists to information about how pharmacy works within the broader health care system. Beginning with a brief historical perspective on the field, the book discusses the many facets of the pharmacy profession. It describes the role of pharmacists in different settings and provides information ranging from licensing requirements to working conditions, highlighting the critical role of pharmacists within the health care system. The author examines the drug use process with sections on distribution, prescribing, dispensing, and pricing. He also discusses the role of pharmacy support personnel. A chapter on informatics explores how pharmacy has evolved through information technology and automation. Additional chapters cover poison control, pharmaceutical care, pharmacy organizations, the drug approval process, and career development. Designed for classroom and professional use, the book contains numerous tools to facilitate comprehension, including: Learning objectives to help readers focus on the goals of each chapter Informative tables and figures summarizing data Summary paragraphs tying in salient points Discussion questions and exercises to test assimilation "Challenges" which place the material in broader context Websites and references to encourage further study This valuable text provides a look into the profession that is both broad and deep, supplying a one-stop introduction to a promising career in pharmacy.