CANADIAN JOURNAL OF HOSPITAL PHARMACY最新文献

{"title":"Pharmacy First.","authors":"Christine M Bond","doi":"10.4212/cjhp.3446","DOIUrl":"https://doi.org/10.4212/cjhp.3446","url":null,"abstract":"","PeriodicalId":51646,"journal":{"name":"CANADIAN JOURNAL OF HOSPITAL PHARMACY","volume":"76 2","pages":"83-84"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10049762/pdf/cjhp-76-83.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10137424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rapport sur les pharmacies hospitalières canadiennes de la SCPH 2020–2021: Expertise et données probantes.","authors":"Jody Ciufo","doi":"10.4212/cjhp.3457","DOIUrl":"https://doi.org/10.4212/cjhp.3457","url":null,"abstract":"","PeriodicalId":51646,"journal":{"name":"CANADIAN JOURNAL OF HOSPITAL PHARMACY","volume":"76 2","pages":"169-170"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10049772/pdf/cjhp-76-169.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10137430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"2023 CSHP National Awards Program Winners.","authors":"","doi":"10.4212/cjhp.3455","DOIUrl":"https://doi.org/10.4212/cjhp.3455","url":null,"abstract":"","PeriodicalId":51646,"journal":{"name":"CANADIAN JOURNAL OF HOSPITAL PHARMACY","volume":"76 2","pages":"142-143"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10049763/pdf/cjhp-76-142.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10137433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural Competency Education for Health Care Providers: A Literature Review to Guide Canadian Pharmacy Residency Programs.","authors":"Joshua Nurkowski,&nbsp;Kari Rustad,&nbsp;Kirsten Fox","doi":"10.4212/cjhp.3242","DOIUrl":"https://doi.org/10.4212/cjhp.3242","url":null,"abstract":"<p><strong>Background: </strong>The need for cultural competency education has been emphasized for health care professionals in Canada. According to the Canadian Pharmacy Residency Board accreditation standards, pharmacy residents must be able to provide culturally competent care for their patients, further building upon the education received during their undergraduate pharmacy programs. Although these standards exist, guidance for their implementation in pharmacy residency programs is lacking.</p><p><strong>Objectives: </strong>To review the available literature and develop recommendations for pharmacy residency coordinators and directors on cultural competency training for pharmacy residents.</p><p><strong>Data sources: </strong>A literature search was conducted to explore the literature concerning cultural competency education for pharmacy residents. The search was expanded to encompass literature involving pharmacy students and medical residents for information that could be applied to pharmacy residents.</p><p><strong>Data synthesis: </strong>The initial literature search did not yield any results for cultural competency education provided to pharmacy residents. The expanded search yielded information about methods used to educate pharmacy students and medical residents, including didactic lectures, online modules, experiential learning rotations, seminars, workshops, patient simulations and case discussions, and guest lectures by experts in the field or by patients.</p><p><strong>Conclusions: </strong>It is recommended that interactive education methods be used to train pharmacy residents in cultural competency, to match the experiential learning structure of residency training programs. Methods that could be implemented include offering online modules or readings, arranging for guest speakers, contacting local experts and community members for guidance on creation of a suitable curriculum, and providing immersive rotations focused on diverse populations.</p>","PeriodicalId":51646,"journal":{"name":"CANADIAN JOURNAL OF HOSPITAL PHARMACY","volume":"76 1","pages":"71-75"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9817223/pdf/cjhp-76-71.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10139384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of a Computerized Prescriber Order Entry System on Pharmacist Prescribing.","authors":"Stephanie Metzger,&nbsp;Christopher Evernden,&nbsp;Tammy J Bungard,&nbsp;Gordon Bell,&nbsp;Mohamed A Omar","doi":"10.4212/cjhp.3302","DOIUrl":"https://doi.org/10.4212/cjhp.3302","url":null,"abstract":"<p><strong>Background: </strong>In Alberta, pharmacists are eligible to obtain additional prescribing authority (APA). At the University of Alberta Hospital, a transition was made from a paper-based prescriber order entry system to a computerized prescriber order entry (CPOE) system.</p><p><strong>Objectives: </strong>The primary objective was to quantify any change in pharmacist prescribing after CPOE implementation. The secondary objective was to compare the paper-based and CPOE systems in terms of drug schedule, order type, medication class, and the pharmacist's area of clinical practice.</p><p><strong>Methods: </strong>A retrospective comparative review of pharmacist orders was completed using 2-week periods of data from each of the paper-based order entry system and the CPOE system, spaced 1 year apart (in January 2019 and January 2020).</p><p><strong>Results: </strong>Pharmacists prescribed a mean of 3.76 (95% confidence interval 1.97-5.96) more orders per day within the CPOE system than in the paper-based system (<i>p</i> < 0.001). Schedule I medications accounted for a higher proportion of pharmacists' prescriptions in the CPOE system than in the paper-based system (77.7% versus 70.5%, <i>p</i> < 0.001). In terms of order type, discontinuation orders accounted for a much higher proportion of pharmacists' orders in the CPOE system than in the paper-based order entry system (58.0% versus 19.8%, <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>This study showed that a CPOE system resulted in more use of APA by pharmacists, with schedule I medications accounting for a higher proportion of pharmacists' prescriptions. With the CPOE system, pharmacists used their prescribing privileges to discontinue a higher proportion of orders than was the case with the paper-based system. Therefore, the CPOE system is a potential facilitator of pharmacist prescribing.</p>","PeriodicalId":51646,"journal":{"name":"CANADIAN JOURNAL OF HOSPITAL PHARMACY","volume":"76 2","pages":"102-108"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10049774/pdf/cjhp-76-102.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10131983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of Quality Indicators to Evaluate the Appropriateness of Empiric Antimicrobial Use in Pediatric Patients.","authors":"Holly MacKinnon,&nbsp;Kathryn Slayter,&nbsp;Jeannette L Comeau,&nbsp;Kathryn Timberlake,&nbsp;Michelle Science,&nbsp;Emily K Black","doi":"10.4212/cjhp.3258","DOIUrl":"https://doi.org/10.4212/cjhp.3258","url":null,"abstract":"<p><strong>Background: </strong>Use of quality indicators is one strategy recommended to assess antimicrobial prescribing for pediatric inpatients.</p><p><strong>Objective: </strong>To achieve consensus from infectious diseases clinicians on quality indicators that characterize appropriate empiric antimicrobial use for the management of infectious syndromes in pediatric inpatients.</p><p><strong>Methods: </strong>This study was completed using the Delphi technique. The research team developed an initial list of quality indicators, informed by a literature search. A multidisciplinary group of health care providers with expertise in infectious diseases was invited to participate. The list was disseminated to this panel of experts using Opinio survey software. The experts were asked to rate the indicators on a 9-point Likert scale in relation to the following criterion: \"The importance of each item in determining appropriateness considering benefit or harm at the individual or population level\". Consensus was defined as at least 75% agreement and a median score of 7 or higher.</p><p><strong>Results: </strong>Twelve of 31 invited experts completed at least 1 round of the survey, and 10 completed all rounds. Consensus was achieved on 28 of 31 proposed indicators after 3 rounds. Indicators with consensus were categorized under \"empiric choice\" (<i>n</i> = 12 indicators), \"dose\" (<i>n</i> = 5), \"duration\" (<i>n</i> = 2), \"administration\" (<i>n</i> = 4), \"diagnosis\" (<i>n</i> = 2), and \"documentation\" (<i>n</i> = 3). Six of the indicators for which consensus was achieved were rephrased by the experts.</p><p><strong>Conclusions: </strong>Consensus was achieved on quality indicators to assess the appropriateness of empiric antimicrobial use in pediatric patients. Clinicians and researchers can use these consensus-based indicators to assess adherence to best practice.</p>","PeriodicalId":51646,"journal":{"name":"CANADIAN JOURNAL OF HOSPITAL PHARMACY","volume":"76 1","pages":"40-47"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9817230/pdf/cjhp-76-40.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10121180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CSHP Hospital Pharmacy in Canada Report 2020/21: Expertise and Evidence.","authors":"Jody Ciufo","doi":"10.4212/cjhp.3451","DOIUrl":"https://doi.org/10.4212/cjhp.3451","url":null,"abstract":"","PeriodicalId":51646,"journal":{"name":"CANADIAN JOURNAL OF HOSPITAL PHARMACY","volume":"76 2","pages":"167-168"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10049773/pdf/cjhp-76-167.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10137432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk of Treatment Failure for Prosthetic Joint Infections: Retrospective Chart Review in an Outpatient Parenteral Antimicrobial Therapy Program.","authors":"Deanna Flaten,&nbsp;Liam Berrigan,&nbsp;Anna Spirkina,&nbsp;Alfred Gin","doi":"10.4212/cjhp.3264","DOIUrl":"https://doi.org/10.4212/cjhp.3264","url":null,"abstract":"<p><strong>Background: </strong>Prosthetic joint infections (PJIs) are a major complication of total joint replacement surgeries. Treatment includes surgical intervention with prolonged courses of IV antibiotics in outpatient parenteral antimicrobial therapy (OPAT) programs. The risk of PJI treatment failure is high and may be associated with various clinical factors.</p><p><strong>Objectives: </strong>To determine the rate of PJI treatment failure and to identify potential risk factors for failure in patients admitted to an OPAT program.</p><p><strong>Methods: </strong>A retrospective chart review was conducted for adult patients with PJI admitted to an OPAT program between July 1, 2013, and July 1, 2019. Treatment courses were deemed to have failed according to predetermined criteria. χ² tests and multiple linear regression were used to examine associations of comorbidities, pathogens, and antimicrobial regimens with treatment failure.</p><p><strong>Results: </strong>In total, 100 patients associated with 137 PJI treatment courses in the OPAT program were included. Of these, 28 patients accounted for 65 of the treatment courses. Methicillin-susceptible <i>Staphylococcus aureus</i> was the most frequently isolated pathogen (31/137 or 22.6% of treatment courses). Patient comorbidities included body mass index of at least 30 kg/m² (58% of patients) and diabetes (41% of patients). The overall rate of treatment failure was 56.2% (77/137 treatment courses). Selected risk factors associated with treatment failure or success were diabetes (50.9% versus 29.8%; odds ratio [OR] 4.03, 95% confidence interval [CI] 1.38-12.88, <i>p</i> = 0.013) and depression (32.1% versus 14.9%; OR 5.02, 95% CI 1.30-22.89, <i>p</i> = 0.025).</p><p><strong>Conclusions: </strong>The overall rate of PJI treatment failure in the study population was high. Patients with diabetes and depression experienced higher incidences of failure. Future investigations of comprehensive PJI management should be considered to ensure successful treatment and to minimize excessive use of health care resources.</p>","PeriodicalId":51646,"journal":{"name":"CANADIAN JOURNAL OF HOSPITAL PHARMACY","volume":"76 1","pages":"14-22"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9817224/pdf/cjhp-76-14.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10139387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Together: Canada's Hospital Pharmacy Conference 2023.","authors":"","doi":"10.4212/cjhp.3448","DOIUrl":"https://doi.org/10.4212/cjhp.3448","url":null,"abstract":"","PeriodicalId":51646,"journal":{"name":"CANADIAN JOURNAL OF HOSPITAL PHARMACY","volume":"76 2","pages":"144-166"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10049770/pdf/cjhp-76-144.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10131984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction apportée à l’article « Pénuries de médicaments au Canada au cours des 24 derniers mois : la situation ne fait que qu’empirer ».","authors":"","doi":"10.4212/cjhp.3422","DOIUrl":"https://doi.org/10.4212/cjhp.3422","url":null,"abstract":"<p><p>[This corrects the article on p. 75 in vol. 74, PMID: 33487658.].</p>","PeriodicalId":51646,"journal":{"name":"CANADIAN JOURNAL OF HOSPITAL PHARMACY","volume":"76 1","pages":"76"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9817228/pdf/cjhp-76-76.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9113026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}