Journal of Applied Pharmacy最新文献_第6页

Effectiveness of Pre-Consultation Medication Reconciliation Service in Reducing Medication Discrepancies during Transition of Care from Hospital Discharge to Primary Care Setting in Singapore - A Randomised Controlled Trial 会诊前药物调解服务在减少新加坡从出院到初级保健护理过渡期间药物差异的有效性-一项随机对照试验

Journal of Applied Pharmacy Pub Date : 2017-11-18 DOI: 10.21065/1920-4159.1000255

Cheryl Wai Teng Char, Anthony Yew Fei Yip, Kok Wai Kee, Eng Sing Lee, Angelia Chua

{"title":"Effectiveness of Pre-Consultation Medication Reconciliation Service in Reducing Medication Discrepancies during Transition of Care from Hospital Discharge to Primary Care Setting in Singapore - A Randomised Controlled Trial","authors":"Cheryl Wai Teng Char, Anthony Yew Fei Yip, Kok Wai Kee, Eng Sing Lee, Angelia Chua","doi":"10.21065/1920-4159.1000255","DOIUrl":"https://doi.org/10.21065/1920-4159.1000255","url":null,"abstract":"Background: Medication discrepancies during care transition are common. Many factors contribute to the risk of medication discrepancies. Despite medication reconciliation service being practiced in the hospital setting, there is limited knowledge on its effectiveness in the primary care setting. \u0000Objective: To evaluate the effectiveness of a pre-consultation medication reconciliation service in reducing unintentional medication discrepancies in patients who are transitioning from hospital to primary care. \u0000Methods: A multi-centre, randomised controlled trial in 3 Singapore public sector primary care clinics was conducted.189 patients aged ≥ 21 years, with ≥ 5 chronic medications and on first follow-up visit to primary care clinics for chronic disease management after recent hospital discharge were randomly assigned to receive either a pharmacist-led MRS prior to physician consultation or usual care. Post-consultation medication reconciliation was subsequently conducted for both groups. \u0000Results: Post-consultation unintentional medication discrepancies were significantly lower in the intervention compared to the control group (15.8% versus 57.4% respectively, p<0.001). Pre-consultation medication reconciliation is effective in reducing unintentional medication discrepancies (OR 7.74 (95% CI 3.72 to 16.13). Omission of drug was the most common type of medication discrepancy (35.8%). The 30-day rehospitalisation rate was 5.4%. 30- day medication adherence was significantly higher compared to baseline (mean MMAS-8 score of 7.25 versus 6, p<0.001). \u0000Conclusion: Medication discrepancies posed as potential risks to patient safety. With the findings of this research and the recommendations of local and international medication safety committees, medication reconciliation service should be provided for all patients who transit from hospital to primary care.","PeriodicalId":15238,"journal":{"name":"Journal of Applied Pharmacy","volume":"108 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2017-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75932274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Preliminary Study of PatientsÃ¢ÂÂ Perceptions and Satisfaction in Outpatient Pharmacies at the Cancer and Heart Centres in Qatar PatientsÃ①ÂÂ对卡塔尔癌症和心脏中心门诊药房的认知和满意度的初步研究

Journal of Applied Pharmacy Pub Date : 2017-11-10 DOI: 10.21065/1920-4159.1000254

R. Ghasoub, M. Zaidan, S. Al-Yafie, K. Al-Siyabi, Y. Radwan, M. Mi

{"title":"Preliminary Study of PatientsÃ¢ÂÂ Perceptions and Satisfaction in Outpatient Pharmacies at the Cancer and Heart Centres in Qatar","authors":"R. Ghasoub, M. Zaidan, S. Al-Yafie, K. Al-Siyabi, Y. Radwan, M. Mi","doi":"10.21065/1920-4159.1000254","DOIUrl":"https://doi.org/10.21065/1920-4159.1000254","url":null,"abstract":"Background: Patient satisfaction is a worldwide goal of health care organizations and is considered as an indicator for the quality of healthcare services provided in any health care sector. \u0000Purpose: To assess patients’ perceptions and satisfaction in the outpatient pharmacies at the National Centre for Cancer Care and Research (NCCCR) and the Heart Hospital (HH) at Hamad Medical Corporation (HMC) in Qatar. \u0000Methods: A cross-sectional, descriptive study was conducted at the HH and the NCCCR from February to March 2013 using validated and piloted questionnaire. The self-administered questionnaire consisted of 5 sections: patients socio-demographic characteristics, five perception statements regarding pharmacy layout and waiting area, six statements regarding patients interaction with pharmacists, four perception questions concerning pharmacists’ skills and two statements regarding the overall satisfaction. All statements were assessed with 5 points Likert scale. The survey was distributed to patients visited HH and NCCCR during the study period. Data was analysed descriptively using SPSS version 18. \u0000Results: A total of 198 participants completed the survey. Assessment of patients` satisfaction with the general pharmacy layout revealed that 93% of respondents were satisfied with pharmacy physical layout and 99% with dispensing area. With regard to patient's perception about interaction with pharmacists, the majority of respondents expressed high satisfaction with pharmacists' professionalism (99%), time spent consulting them (98%) and pharmacists` wellness to answer their inquires (99%). Top rated pharmacists’ skill by patients was pharmacists' explanation to treatment (97%). Finally, the overall satisfaction was 98% with the service provided in pharmacy and 99% with the pharmacy staff. \u0000Conclusion: The preliminary study showed a high level of patients` satisfaction with the pharmacy layout, as well as with the pharmacy staff.","PeriodicalId":15238,"journal":{"name":"Journal of Applied Pharmacy","volume":"45 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2017-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80966762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

MEDICINE STORAGE TRENDS & PRACTICES: A LITERATURE REVIEW 药物储存趋势与实践:文献综述

Journal of Applied Pharmacy Pub Date : 2017-11-01 DOI: 10.21065/19204159.9.1.1

A. Hussain, M. Malik, R. Iram

引用次数: 6

Is it Possible to Forecast Food Drug Interaction 能否预测食品与药物的相互作用

Journal of Applied Pharmacy Pub Date : 2017-11-01 DOI: 10.21065/19204159.9.15

K. Pathak

引用次数: 0

Investigation of Treatment Mechanisms of Psyco-Diegest Distilled on Digestive Diseases 精神食疗对消化系统疾病的治疗机制探讨

Journal of Applied Pharmacy Pub Date : 2017-10-25 DOI: 10.21065/1920-4159.1000253

S. Bakhshaei, Afsaneh Amin Ghafoori

{"title":"Investigation of Treatment Mechanisms of Psyco-Diegest Distilled on Digestive Diseases","authors":"S. Bakhshaei, Afsaneh Amin Ghafoori","doi":"10.21065/1920-4159.1000253","DOIUrl":"https://doi.org/10.21065/1920-4159.1000253","url":null,"abstract":"There are a wide number of digestive system disorders, which impose a substantial influence on morbidity and mortality rates, worldwide. Ethno medicinal plant studies have become of particular interest and have become increasingly more valuable in the development of health care and conservation programs in different parts of the world. In developing countries, medicinal plants continue to be a main source of medication. It has been estimated that approximately 88% of the inhabitants of underdeveloped countries rely mainly on traditional medicine for their primary form of medicinal health care. This review investigates the available studies on the pharmacological effects of some medicinal plants (Aloysia triphlla, Citrus aurantium, Echium amoenum, Lavandula stoechas, Melissa officinalis, Valeriana officinalis, Viola odorata, Salix aegyptica and Cinnamomum zelanicum) on digestive diseases. The present article incorporated a detailed interpretation of the these nine medicinal plants, emphasizing its therapeutic uses, pharmacological properties and mechanism of action based on preclinical and clinical studies, safety issues along with the current research potential of the medicinal plants.","PeriodicalId":15238,"journal":{"name":"Journal of Applied Pharmacy","volume":"16 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2017-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84731847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Clinical Pharmacists Main Focus 临床药师的主要关注点

Journal of Applied Pharmacy Pub Date : 2017-09-15 DOI: 10.21065/1920-4159.1000E114

M. Luisetto, Behzad Nili-Ahmadabadi, G. Mashori

引用次数: 9

Co-Amorphization of Acyclovir with Oxalic Acid as an Excipient 以草酸为赋形剂的无环鸟苷共非晶化

Journal of Applied Pharmacy Pub Date : 2017-09-12 DOI: 10.21065/1920-4159.1000251

S. Rohani, A. Sarkar

引用次数: 1

Design and Validation of Stability Indicating Assay of Glibenclamide UsingRP-HPLC Technique in Both Bulk, Pharmaceutical Formulations and Human Plasma 格列本脲原料药、制剂和人血浆稳定性指示法的设计与验证

Journal of Applied Pharmacy Pub Date : 2017-08-10 DOI: 10.21065/1920-4159.1000250

Ellis Sm, El-sadek Me, Hasan Mh

引用次数: 2

Perceptions and Satisfaction of Pharmacy Staff towards the OrientationProgram at the Specialized Hospitals in Qatar: A Cross-Sectional Study 卡塔尔专科医院药学人员对定向项目的认知和满意度:一项横断面研究

Journal of Applied Pharmacy Pub Date : 2017-07-27 DOI: 10.21065/1920-4159.1000249

M. AlZaidan, K. Alsiyabi, M. Ibrahim, A. Saad, F. Rustom, H. Abukhadijah

{"title":"Perceptions and Satisfaction of Pharmacy Staff towards the OrientationProgram at the Specialized Hospitals in Qatar: A Cross-Sectional Study","authors":"M. AlZaidan, K. Alsiyabi, M. Ibrahim, A. Saad, F. Rustom, H. Abukhadijah","doi":"10.21065/1920-4159.1000249","DOIUrl":"https://doi.org/10.21065/1920-4159.1000249","url":null,"abstract":"Background: Quality health personnel are an important asset to the healthcare institution which will benefit the patients and the society. \u0000 \u0000Objective: To study pharmacists’ and pharmacy technicians’ perceptions and satisfaction towards the structured pharmacy orientation program at two specialized hospitals. \u0000 \u0000Methods: A cross-sectional, observational study was conducted from January 2010 till April 2013 using an online validated and piloted questionnaire. The questionnaire consisted of 3 parts: Pharmacy staff socio-demographic and practice characteristics, perceptions and satisfaction. There were 8 perception statements related to the orientation’s site, 11 perception statements related to the mentors, and an overall satisfaction question. A five points Likert type scale was used in the questionnaire. The self- administered survey was distributed to 64 newly pharmacy staff upon the completion of their orientation program using Survey Monkey®. Data was analysed using descriptive statistics. \u0000 \u0000Results: A total of 64 pharmacy staff completed the survey; 42 (66%) were pharmacists and 22 (34%) were pharmacy technicians. The overall pharmacy staff satisfaction towards the orientation program was 94%. Fifty six (88%) of respondents agreed that the orientation at the site was adequate, 60 (94%) of pharmacy staff agreed that the mentor provided constructive criticism on interpersonal skills with staff and patients whenever needed, 59 (92%) of pharmacy staff agreed that the mentor displayed professional attitude and motivation. \u0000 \u0000Conclusion: The newly developed orientation system was successful in achieving high satisfaction level among pharmacy staffs in different aspects. This study helped in assessing and improving the orientation system in our institution and could improve work quality at workplace. The experience and findings could be shared and the orientation could be done in other hospitals.","PeriodicalId":15238,"journal":{"name":"Journal of Applied Pharmacy","volume":"256 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2017-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79936406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Effectiveness of Topical Steroid Therapy for Prevention of Regorafenib associatedHand-foot Skin Reaction 局部类固醇治疗预防瑞非尼相关手足皮肤反应的有效性

Journal of Applied Pharmacy Pub Date : 2017-07-24 DOI: 10.21065/1920-4159.1000248

H. Ishikawa, S. Hamauchi, R. Tanaka, M. Shino, K. Yamazaki

{"title":"Effectiveness of Topical Steroid Therapy for Prevention of Regorafenib associatedHand-foot Skin Reaction","authors":"H. Ishikawa, S. Hamauchi, R. Tanaka, M. Shino, K. Yamazaki","doi":"10.21065/1920-4159.1000248","DOIUrl":"https://doi.org/10.21065/1920-4159.1000248","url":null,"abstract":"Introduction: Hand-foot Skin Reaction (HFSR) often hinders completion of Regorafenib therapy. No established prophylaxis exists against multikinase inhibitor-associated HFSR and further improvement of prophylaxis for HFSR is needed. Therefore, we offer multiagent therapy to prevent Regorafenib-associated HFSR comprising topical steroid (0.05% difluprednate) ointment and 20% urea-based cream. \u0000Methods: Subjects were unresectable or recurrent colorectal cancer patients who started Regorafenib therapy between May 2013 and March 2014 at the Shizuoka Cancer Center. Electronic medical records were retrospectively examined for HFSR incidence, CTCAE v3.0 grade of severest HFSR, time of HFSR onset, rate of therapy termination, delay and dose reduction. \u0000Results: Subjects were 55 patients and median treatment time 7.1 weeks. Overall and grade 3 HFSR incidence rate in this study (73 and 22%, respectively) was lower than in the CORRECT study Japanese subpopulation (80 and 28%, respectively). HFSR (grade ≥ 2) occurred in the first cycle or later in 42 and 11% of patients, respectively. HFSR accounted for 33 and 61% of first-cycle Regorafenib delay and dose reductions, respectively, and HFSR accounted for 40 and 53% in any cycle, respectively. \u0000Conclusion: Effectiveness of prophylactic topical steroids against Regorafenib-associated HFSR was shown in this study. Therefore, this prophylaxis is applicable in clinical settings.","PeriodicalId":15238,"journal":{"name":"Journal of Applied Pharmacy","volume":"52 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76457632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0