CANADIAN JOURNAL OF HOSPITAL PHARMACY最新文献

{"title":"Resolving Medication Reconciliation.","authors":"Robert MacLaren","doi":"10.4212/cjhp.3324","DOIUrl":"10.4212/cjhp.3324","url":null,"abstract":"","PeriodicalId":51646,"journal":{"name":"CANADIAN JOURNAL OF HOSPITAL PHARMACY","volume":"75 3","pages":"155-156"},"PeriodicalIF":0.6,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9245410/pdf/cjhp-75-155.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10485668","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":"Barriers and Facilitators Related to Delivery of Hospital Pharmacy Services to Women, Children, and Their Families during a Pandemic: A Qualitative Study.","authors":"Erin Ring, Jennifer E Isenor, Kathryn Slayter, Melanie MacInnis, Emily K Black","doi":"10.4212/cjhp.3229","DOIUrl":"10.4212/cjhp.3229","url":null,"abstract":"<p><strong>Background: </strong>When the COVID-19 pandemic was declared in March 2020, health care professionals were challenged to adapt quickly and efficiently to change their work practices. However, an evidence-informed approach has not yet been used to systematically gather data on barriers and facilitators related to delivery of hospital pharmacy services in Canada.</p><p><strong>Objectives: </strong>The primary objective was to identify and describe barriers and facilitators related to the delivery of hospital pharmacy services to women, children, and their families during the COVID-19 pandemic. The secondary objective was to provide recommendations for improvement in delivery of pharmacy services to enhance patient care during pandemics.</p><p><strong>Methods: </strong>This qualitative study involved semistructured virtual interviews with pharmacists who worked in direct or nondirect patient care throughout the pandemic (since March 2020) at women's and/or children's hospitals in Canada. Individual interviews were completed virtually using conferencing software. An interview guide mapped to the Theoretical Domains Framework version 2 (TDFV2) was used to facilitate the interviews. Interviews were audio-recorded and transcribed verbatim by the principal investigator. Transcribed interviews were coded, mapped to the TDFV2, and analyzed using thematic analysis.</p><p><strong>Results: </strong>Interviews were completed with 21 pharmacists in 7 provinces across Canada. Barriers and facilitators coded to the TDFV2 were grouped into 4 main themes: communication and collaboration, adaptability, health and well-being, and preparedness.</p><p><strong>Conclusions: </strong>Participants highlighted a significant number of barriers that they experienced during the COVID-19 pandemic; overall, however, participants reported that they felt prepared for subsequent waves of the COVID-19 pandemic and future pandemics.</p>","PeriodicalId":51646,"journal":{"name":"CANADIAN JOURNAL OF HOSPITAL PHARMACY","volume":"75 3","pages":"210-218"},"PeriodicalIF":1.3,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9245414/pdf/cjhp-75-210.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10489715","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":"Exploration de l’association possible entre la consommation d’antibiotiques et l’émergence de résistance dans un centre hospitalier universitaire mère-enfant.","authors":"Aurélie Bleuse, Hélène Roy, Denis Lebel, Philippe Ovetchkine, Julie Blackburn, Jean-François Bussières","doi":"10.4212/cjhp.3183","DOIUrl":"10.4212/cjhp.3183","url":null,"abstract":"<p><strong>Background: </strong>The emergence of antibiotic resistance has contributed to the development of multidrug-resistant bacteria, which is a major concern.</p><p><strong>Objectives: </strong>The primary objective was to explore the possible association between antibiotic use and the emergence of resistance in a mother-child university hospital.</p><p><strong>Method: </strong>This retrospective study was conducted in a university hospital centre. Antibiotic-bacteria pairs were established, taking into account the number of isolates, actual antibiotic use, and clinical relevance. For each pair, a comparison of 2 variables (antibiotic utilization and rate of resistance) was quantified with the Pearson coefficient. Three analyses were conducted: no lag between utilization and resistance, 1-year lag, and 2-year lag.</p><p><strong>Results: </strong>Thirty antibiotic-bacteria pairs were selected from hematology-oncology and 18 from neonatology. In hematology-oncology, 6 pairs had a positive correlation (Pearson coefficient > 0.7): 2 pairs involving meropenem, 2 involving ceftazidime, and 2 involving piperacillin-tazobactam. In 3 of these cases, there was no lag between consumption of antibiotics and presence of resistance. In neonatology, 3 antibiotic-bacteria pairs had a positive correlation, 1 each involving vancomycin, cloxacillin, and meropenem.</p><p><strong>Conclusions: </strong>It is possible to explore the potential association between consumption of antibiotics and emergence of resistance in a particular centre. Our exploratory approach was based on manual data processing. It would be interesting to consider a continuous systematic approach, allowing automatic generation of correlations.</p>","PeriodicalId":51646,"journal":{"name":"CANADIAN JOURNAL OF HOSPITAL PHARMACY","volume":"75 3","pages":"201-209"},"PeriodicalIF":0.6,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9245413/pdf/cjhp-75-201.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10485667","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":"La résolution du bilan comparatif des médicaments.","authors":"Robert MacLaren","doi":"10.4212/cjhp.3327","DOIUrl":"10.4212/cjhp.3327","url":null,"abstract":"","PeriodicalId":51646,"journal":{"name":"CANADIAN JOURNAL OF HOSPITAL PHARMACY","volume":"75 3","pages":"157-158"},"PeriodicalIF":0.6,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9245402/pdf/cjhp-75-157.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10490173","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 to \"Effectiveness and Safety of Palbociclib plus Endocrine Therapy in Hormone Receptor-Positive, HER2-Negative Metastatic Breast Cancer: Real-World Results\".","authors":"","doi":"10.4212/cjhp.v75i2.3285","DOIUrl":"https://doi.org/10.4212/cjhp.v75i2.3285","url":null,"abstract":"[This corrects the article on p. 26 in vol. 75, PMID: 34987260.].","PeriodicalId":51646,"journal":{"name":"CANADIAN JOURNAL OF HOSPITAL PHARMACY","volume":"75 2 1","pages":"128"},"PeriodicalIF":0.9,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44396196","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":"Rhabdomyolysis Possibly Triggered by Clozapine, Paliperidone, Hyponatremia, and Rapid Correction of Hyponatremia: A Case Report.","authors":"M. Lemelin, Nicolas Gagnon, Emmanuelle Jacques, Philippe Sirois, Alexandrine Coulombe","doi":"10.4212/cjhp.v75i2.3129","DOIUrl":"https://doi.org/10.4212/cjhp.v75i2.3129","url":null,"abstract":"","PeriodicalId":51646,"journal":{"name":"CANADIAN JOURNAL OF HOSPITAL PHARMACY","volume":"75 2 1","pages":"122-127"},"PeriodicalIF":0.9,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47081172","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":"L'autre épidémie.","authors":"C. Chant","doi":"10.4212/cjhp.v75i2.3293","DOIUrl":"https://doi.org/10.4212/cjhp.v75i2.3293","url":null,"abstract":"","PeriodicalId":51646,"journal":{"name":"CANADIAN JOURNAL OF HOSPITAL PHARMACY","volume":"75 2 1","pages":"69-70"},"PeriodicalIF":0.9,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43134935","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":"2022 CSHP National Awards Program Winners.","authors":"Various Authors","doi":"10.4212/cjhp.v75i2.3297","DOIUrl":"https://doi.org/10.4212/cjhp.v75i2.3297","url":null,"abstract":"","PeriodicalId":51646,"journal":{"name":"CANADIAN JOURNAL OF HOSPITAL PHARMACY","volume":"75 2 1","pages":"131-132"},"PeriodicalIF":0.9,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46360567","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":"Reasons for Low Regulatory Body Discipline Rates for Canadian Hospital Pharmacists.","authors":"Ariane Fung, Ai-Leng Foong-Reichert, S. Houle, K. Grindrod","doi":"10.4212/cjhp.v75i2.3123","DOIUrl":"https://doi.org/10.4212/cjhp.v75i2.3123","url":null,"abstract":"Background\u0000Past research on disciplinary action by pharmacist regulatory bodies has shown that most cases concern community pharmacists, with few occurring in a hospital setting.\u0000\u0000\u0000Objective\u0000To investigate how discipline-related issues involving pharmacists are dealt with by hospital pharmacy departments in Canada.\u0000\u0000\u0000Methods\u0000Hospital pharmacy directors and managers from small, medium, and large hospitals across Canada were invited to participate in semi-structured telephone interviews. The interview questions focused on the discipline process in participants' organizations, the situations when reporting to the regulatory body is deemed to be warranted, possible penalties, and recommendations for improving the regulatory body or organizational discipline process.\u0000\u0000\u0000Results\u0000Ten participants, from British Columbia, Saskatchewan, Ontario, New Brunswick, Prince Edward Island, and Newfoundland and Labrador, agreed to be interviewed. Five key themes emerged as contributing to lower rates of hospital pharmacist discipline cases being escalated to the regulatory college level: robust organizational discipline processes independent from the regulatory college, a practice environment promoting competence, union representation, preference for a remedial approach to discipline, and lack of clarity about when to report to the regulatory authority.\u0000\u0000\u0000Conclusions\u0000This study identified a number of reasons why discipline of hospital pharmacists by a regulatory body may be less prevalent than discipline relating to community pharmacists. The main reasons may be lack of clarity about when to report a case to the regulator and a lack of transparency, given that many cases are handled internally within hospitals. Environmental supports for competence and employee protections (e.g., through a union) may also reduce discipline cases.","PeriodicalId":51646,"journal":{"name":"CANADIAN JOURNAL OF HOSPITAL PHARMACY","volume":"75 2 1","pages":"97-103"},"PeriodicalIF":0.9,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45411711","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":"Ambulatory Heart Function and Transplant Patients' Perceptions of Drug-Drug Interactions: A Qualitative Study.","authors":"David Poon, M. Legal, Louise Lau, Harkaryn Bagri, K. Dahri","doi":"10.4212/cjhp.v75i2.3074","DOIUrl":"https://doi.org/10.4212/cjhp.v75i2.3074","url":null,"abstract":"Background\u0000Drug-drug interactions (DDIs) can cause adverse drug events, leading to hospitalizations and an increase in the risk of morbidity and mortality. Until now, patients' perceptions of DDIs have represented an understudied area of research.\u0000\u0000\u0000Objectives\u0000To explore patients' perceptions of DDIs and identify factors important to patients' understanding of their medications.\u0000\u0000\u0000Methods\u0000Participants were recruited from 2 ambulatory clinics (heart function and transplant) in Vancouver, British Columbia. Participants engaged in key informant interviews and were asked to provide their demographic information, rate their understanding of their own medications, and define a DDI. Afterward, participants were interviewed to gather their perceptions of DDIs and factors important to their understanding of their medications.\u0000\u0000\u0000Results\u0000A total of 7 patients were recruited. Participants struggled to define a DDI and were unsure if they had ever experienced a DDI. There was a reliance on health care professionals to help manage DDIs. Participants did not identify barriers preventing them from accessing medication information from health care professionals; however, they independently sought medication information found on the internet.\u0000\u0000\u0000Conclusions\u0000Patients in this study had an incomplete understanding of DDIs and had difficulties differentiating DDIs from side effects of medications. As a result of their limited understanding of DDIs, patients relied on health care professionals to inform and manage their DDIs. Although patients did not identify barriers to accessing medication information, their pervasive use of the internet suggests that there are unidentified barriers preventing patients from speaking directly to their health care professionals regarding their medication therapy.","PeriodicalId":51646,"journal":{"name":"CANADIAN JOURNAL OF HOSPITAL PHARMACY","volume":"75 2 1","pages":"71-78"},"PeriodicalIF":0.9,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49406162","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}