Research in social & administrative pharmacy : RSAP最新文献

{"title":"Development, content validation and standardization of an adult patient prioritization tool for hospital clinical pharmacy services.","authors":"Stephanie Ferreira Botelho, Laís Lessa Neiva Pantuzza, Adriano Max Moreira Reis","doi":"10.1016/j.sapharm.2024.05.005","DOIUrl":"https://doi.org/10.1016/j.sapharm.2024.05.005","url":null,"abstract":"","PeriodicalId":187352,"journal":{"name":"Research in social & administrative pharmacy : RSAP","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141057972","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}

{"title":"Reductions and pronounced regional differences in morphine distribution in the United States","authors":"Megan E Dowd, E. Tang, Kurlya T Yan, K. McCall, B. Piper","doi":"10.1101/2022.05.16.22275134","DOIUrl":"https://doi.org/10.1101/2022.05.16.22275134","url":null,"abstract":"Background: Morphine is one of the oldest, most commonly prescribed, and widely used opioids in the United States (US). The potent analgesic properties of morphine have also been associated with the increase in misuse, addiction and opioid-related deaths in the US since the 1990s. Despite federal regulations, population-adjusted prescription opioid distribution varies markedly between states. The objective of this study was to describe the temporal pattern of morphine distribution nationally and between states. Methods: Drug weight and population data were obtained from Report 5 of the US Drug Enforcement Administrations Automation of Reports and Consolidated Orders System (ARCOS) to characterize patterns in the distribution of morphine from 2012 to 2020. Morphine distribution amounts were separated by state and business type and corrected for population. States outside a 95% confidence interval relative to the national average were considered statistically significant. Results: Pharmacies and hospitals distributed 24,200 kilograms of morphine in 2012. Tennessee (180.2 mg/person) was 4.7-fold higher than Texas (39.4 mg/person). National distribution decreased 56.4% to 10,723 kilograms in 2020. Tennessee (56.4 mg/person) was 3.8-fold higher than the District of Columbia (15.0 mg/person). The decline in Illinois (-40.9%) was significantly less than the national average (-56.8%) while that of Oregon (-71.1%) and Arizona (-70.4%) were significantly higher. Hospital decrease (-72.7%) from 2012-2020 was larger than that of pharmacies (-56.12%). Conclusions: The national 56% decline in the distribution of morphine in the last decade may be attributable to prioritization of the opioid crisis as a public concern, including subsequent growth of opioid misuse and treatment programs and decreased production quotas for opioids, including morphine. This decline also coincides with the national shortage of parenteral opioids resulting in greater prescriptions of alternative opioids such as nalbuphine and buprenorphine. Further research is necessary to understand the persistent four-fold regional difference between states.","PeriodicalId":187352,"journal":{"name":"Research in social & administrative pharmacy : RSAP","volume":"83 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123232682","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}

{"title":"Implementing the pharmacy technician role in existing pharmacy settings: Stakeholders views of barriers and facilitators.","authors":"Tamara Koehler, F. Velthuis, E. Helmich, M. Westerman, D. Jaarsma","doi":"10.1016/j.sapharm.2022.04.005","DOIUrl":"https://doi.org/10.1016/j.sapharm.2022.04.005","url":null,"abstract":"","PeriodicalId":187352,"journal":{"name":"Research in social & administrative pharmacy : RSAP","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120780669","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}

{"title":"Patient-reported outcome measures for medication-related quality of life: A scoping review.","authors":"Kadesha A. James, Lauren Cadel, S. Hitzig, S. Guilcher","doi":"10.1016/j.sapharm.2022.03.003","DOIUrl":"https://doi.org/10.1016/j.sapharm.2022.03.003","url":null,"abstract":"","PeriodicalId":187352,"journal":{"name":"Research in social & administrative pharmacy : RSAP","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"118570144","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}

{"title":"Hospital initiation of benzodiazepines and Z-drugs in older adults and discontinuation in primary care","authors":"Seán Coll, M. Walsh, T. Fahey, F. Moriarty","doi":"10.1101/2020.07.24.20161711","DOIUrl":"https://doi.org/10.1101/2020.07.24.20161711","url":null,"abstract":"Objective: To examine factors associated with continuation of hospital-initiated benzodiazepine receptor agonists (BZRAs) among adults aged [≥]65 years, specifically instructions on hospital discharge summaries. Methods: This retrospective cohort study involved anonymised electronic record data on prescribing and hospitalisations for 38,229 patients aged [≥]65 from forty-four GP practices in Ireland 2011-2016. BZRA initiations were identified among patients with no BZRA prescription in the previous 12 months. Multivariate regression examined whether instructions on discharge messages for hospital-initiated BZRA prescriptions was associated with continuation after discharge in primary care and time to discontinuation. Results: Most BZRA initiations occurred in primary care, however the rate of hospital-initiated BZRAs was higher. Almost 60% of 418 hospital initiations had some BZRA instructions (e.g. duration) on the discharge summary. Approximately 40% (n=166) were continued in primary care. Lower age, being prescribed a Z-drug or great number of medicines were associated with higher risk of continuation. Of those continued in primary care, in 98 cases (59.6%) the BZRA was discontinued during follow-up (after a mean 184 days). Presence of instructions was associated with higher likelihood of discontinuation (hazard ratio 1.67, 95%CI 1.09-2.55). Conclusions: Improved communication to GPs after hospital discharge may be important in avoiding long-term BZRA use.","PeriodicalId":187352,"journal":{"name":"Research in social & administrative pharmacy : RSAP","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115727442","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}

{"title":"The Inverse Care Law might not apply to preventative health services in community pharmacy.","authors":"Svenja Zonneveld, V. Versace, I. Krass, R. Clark, S. Shih, Suzan Detert Oude Weme, K. M. Mc Namara","doi":"10.1016/j.sapharm.2020.07.0 13","DOIUrl":"https://doi.org/10.1016/j.sapharm.2020.07.0 13","url":null,"abstract":"","PeriodicalId":187352,"journal":{"name":"Research in social & administrative pharmacy : RSAP","volume":"418 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114120707","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}

{"title":"Prescribed heart failure pharmacotherapy: How closely do GPs adhere to treatment guidelines.","authors":"Kyrillos Guirguis","doi":"10.1016/j.sapharm.2019.10.002","DOIUrl":"https://doi.org/10.1016/j.sapharm.2019.10.002","url":null,"abstract":"","PeriodicalId":187352,"journal":{"name":"Research in social & administrative pharmacy : RSAP","volume":"173 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117424500","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}

{"title":"Assessment of public and patient online comments in social media and food and drug administration archival data. A pilot qualitative analysis.","authors":"Christine Lee, Christopher O. St. Clair, Cdr Christine Merenda, Capt Richardae Araojo, S. Ray, Derrick Beasley, Radm Denise Hinton","doi":"10.1016/j.sapharm.2019.10.009","DOIUrl":"https://doi.org/10.1016/j.sapharm.2019.10.009","url":null,"abstract":"","PeriodicalId":187352,"journal":{"name":"Research in social & administrative pharmacy : RSAP","volume":"69 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"118977152","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}

{"title":"Operationalizing occupational fatigue in pharmacists: An exploratory factor analysis.","authors":"Taylor L. Watterson, K. Look, L. Steege, M. Chui","doi":"10.1101/19008169","DOIUrl":"https://doi.org/10.1101/19008169","url":null,"abstract":"BACKGROUND\u0000The Quadruple Aim recognizes that caring for the healthcare employee is necessary to optimize patient outcomes and health system performance. Although previous research has assessed pharmacists' workload, this study is the first to describe pharmacist occupational fatigue-a characteristic of excessive workload that inhibits workers' abilities to function at normal capacity.\u0000\u0000\u0000OBJECTIVE\u0000(s): The purpose of this study was to describe occupational fatigue in pharmacists using exploratory factor analysis (EFA)-assessing whether dimensional structures used to describe occupational fatigue in other health professions fit pharmacist perceptions.\u0000\u0000\u0000METHODS\u0000A model was created to conceptualize two \"fatigue\" domains found in the literature-physical fatigue (ex. Physical discomfort) and mental fatigue (ex. trouble thinking clearly). These domains were operationalized and used to create a survey that was distributed to licensed pharmacists at a conference. An EFA was conducted to identify the key domains underlying pharmacist perceptions of fatigue.\u0000\u0000\u0000RESULTS\u0000A total of 283 surveys were distributed, and 115 were returned and useable. Respondents were primarily white, female, and worked 9.5 h-per-day on average. The EFA suggested a statistically significant two-factor model (Χ2 9.73, p = 0.28), which included physical fatigue (α = 0.87) and mental fatigue (α = 0.82) dimensions.\u0000\u0000\u0000CONCLUSIONS\u0000The EFA yielded a structure similar to what was anticipated from the literature. While working, pharmacists may not be aware of fatigue related short-cuts or lapses that pose risks to patient safety. This study is just the first step in promoting systematic interventions to prevent or cope with fatigue and prevent the patient, pharmacist, and institutional outcomes.","PeriodicalId":187352,"journal":{"name":"Research in social & administrative pharmacy : RSAP","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115722084","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}

{"title":"Interventions to reduce benzodiazepine and sedative-hypnotic drug use in acute care hospitals: A scoping review.","authors":"Heather L Neville, Courtney Granter, Pegah Adibi, J. Belliveau, J. Isenor, S. Bowles","doi":"10.21203/rs.3.rs-88543/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-88543/v1","url":null,"abstract":"BACKGROUND\u0000Benzodiazepines and sedative-hypnotic drugs (BZD/SHD) are commonly utilized in the acute care setting for insomnia and anxiety and are associated with cognitive impairment, falls, and fractures. Interventions to reduce use of BZD/SHD in hospitals are not well characterized.\u0000\u0000\u0000OBJECTIVE\u0000The objective was to conduct a scoping review to identify and characterize interventions to reduce the use of BZD/SHD by adults in the acute care setting.\u0000\u0000\u0000METHODS\u0000English language studies and abstracts that described an intervention to reduce BZD/SHD in adult hospital patients were included. Six databases (PubMed, EMBASE, CINAHL, PsycINFO, Scopus, and Web of Science) were searched up to July 2018 and updated to February 3, 2021. The grey literature (Opengrey, Grey Matters, Google Advanced) was searched up to July 2018. Titles and abstracts were screened and full-text articles were reviewed and charted by three independent reviewers. Stakeholders were consulted to inform the scoping review and collect perspectives on the findings.\u0000\u0000\u0000RESULTS\u0000There were 13,046 records identified and 43 studies included. The most common study designs were uncontrolled before and after (23/43, 53.5%) and randomized controlled trials (7/43, 16.3%). The majority of studies tested a single intervention (32/43, 74.4%) such as education, deprescribing, relaxation training and sleep protocols. Patients were frequently the target of relaxation training and behavior change interventions; while sleep protocols, multifaceted interventions, education and deprescribing were usually directed at healthcare providers, either alone or in combination with patients. Most studies reported positive results in decreasing BZD/SHD use (27/43, 62.8%).\u0000\u0000\u0000CONCLUSIONS\u0000The scoping review found a variety of interventions to decrease the utilization of BZD/SHD in hospitals. Multifaceted interventions aimed at patients and healthcare providers that include a combination of education, sleep protocols, and deprescribing may support reductions in BZD/SHD use. Stakeholders also recommended policy and system changes such as computer alerts due to feasibility and workload.","PeriodicalId":187352,"journal":{"name":"Research in social & administrative pharmacy : RSAP","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128950689","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}