Journal of the American College of Clinical Pharmacy : JACCP最新文献

{"title":"Bridging Geographic and Linguistic Gaps in Anticoagulation: A Pharmacist-Led Telemedicine Cohort Study of Warfarin Patients From Pakistan, Afghanistan, and Iran","authors":"Attaullah Khan,&nbsp;Ahmad Ullah Humza,&nbsp;Kashif Ali,&nbsp;Ahsan Ali lakho,&nbsp;Asim Ali,&nbsp;Muffrah Shams Khan,&nbsp;Sadia Ghousia Baig,&nbsp;Sumaiya Amanat Ali","doi":"10.1002/jac5.70289","DOIUrl":"10.1002/jac5.70289","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Warfarin therapy necessitates precise monitoring using the International Normalized Ratio (INR) owing to its narrow therapeutic index. Patients in remote regions of Pakistan, Afghanistan, and Iran face significant barriers to regular health care access, compounded by language barriers when health care is not provided in their native languages. The objectives of this study are to evaluate pharmacist-led telemedicine delivered in native languages on anticoagulation control, monitoring adherence, and clinical outcomes among warfarin-treated patients from remote, linguistically isolated regions of Pakistan, Afghanistan, and Iran.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this retrospective cohort study, 200 adults on warfarin and registered at the National Institute of Cardiovascular Diseases (NICVD) anticoagulation clinic, who spoke Pashto or Persian/Dari and could not attend in person were enrolled. These patients received 6 months of structured telemedicine from bilingual pharmacists comprising educational reminders, biweekly counseling, and remote INR review with protocolized dosing. Time in Therapeutic Range (TTR) was the principal outcome measure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Mean TTR was 62.8% ± 18.1% and medication adherence was 83.5%. Out of 200 patients, 97 patients (48.5%) achieved TTR ≥ 65%. Overall complications occurred in 20 patients (10.0%). All bleeding events (BARC 1–3), the left atrial thrombus, and the stuck prosthetic valve occurred exclusively in the TTR &lt; 65% group. Adequate control was associated with greater on-schedule INR testing (76.3% vs. 57.3%, <i>p</i> = 0.004) and less long-distance laboratory travel (36.1% vs. 63.1%, <i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Native-language, pharmacist-led telemedicine is a feasible model for warfarin management in geographically and linguistically isolated populations and may be scalable to other resource-limited, conflict-affected settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":"9 9","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148893040","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":"Comment on “Preparing Future Pharmacists for an AI-Enhanced Health Care Environment: Educational Strategies and Implementation Challenges”","authors":"Huaping Liu,&nbsp;Jing He","doi":"10.1002/jac5.70281","DOIUrl":"10.1002/jac5.70281","url":null,"abstract":"","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":"9 9","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889650","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":"Correction to “Identification of HIV Prevention Counseling Errors Following a Brief Stigma-Sensitive Intervention in Pharmacy Students”","authors":"","doi":"10.1002/jac5.70285","DOIUrl":"https://doi.org/10.1002/jac5.70285","url":null,"abstract":"<p>\u0000 “ <span>2026 ACCP Virtual Poster Symposium May 19 &amp; 20, 2026</span>.” <i>Journal of the American College of Clinical Pharmacy</i> <span>9</span>, no. <span>7</span> (<span>2026</span>): e70234, https://doi.org/10.1002/jac5.70234.\u0000 </p><p>In the article cited above, the updated Results for the abstract “Identification of HIV prevention counseling errors following a brief stigma-sensitive intervention in pharmacy students” by Dhafer Q. and Essien E.J. should read as follows:</p><p><b>Results:</b> Forty students completed the assessment; most had not yet completed infectious diseases coursework. Preparedness (Δ = 0.400, <i>p</i> = 0.002, d = 0.514) and confidence (Δ = 0.375, <i>p</i> = 0.017, d = 0.400) increased, while professional worry decreased (Δ = −0.325, <i>p</i> = 0.014, d = −0.408). No significant changes were observed in comfort discussing HIV or public health concern. Despite moderate baseline knowledge (mean 63.3%), clinically relevant applied reasoning errors were identified at baseline: <b>10%</b> achieved full accuracy on PrEP candidacy, 52.5% correctly <b>rejected a 1-week</b> PEP initiation window, and 37.5% correctly interpreted a U = U counseling statement.</p><p>We apologize for this error.</p>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":"9 9","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jac5.70285","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148942233","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":"Multi-Source Retrospective Analysis Exploring the “Pipeline” Relationship Between Pharmacist Board Certifications, Number of Pharm.D. Graduates, and Pharmacy Residency Candidates Matched","authors":"Richard Silvia,&nbsp;Elizabeth LaNou,&nbsp;John Schroader,&nbsp;Brian Lawson","doi":"10.1002/jac5.70280","DOIUrl":"10.1002/jac5.70280","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Board of Pharmacy Specialties board certification has become a common method of distinguishing pharmacists with advanced expertise in various areas of practice. These certifications are an important achievement for the pharmacy workforce, yet the number of new certifications has declined in recent years. Determining if various factors within the education and training pipeline of pharmacists, such as the number of Doctor of Pharmacy (Pharm.D.) graduates and the number of pharmacy residency candidate matches, are involved in this decline has not been previously studied.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study was a retrospective database review correlating numbers of Pharm.D. graduates and Postgraduate Year (PGY) 1 and PGY2 residency candidate matches to new board certifications annually. Data from each database was aligned to Pharm.D. year of graduation from 2015–2023 for analysis. Correlation analysis was performed for both Pharm.D. graduates and residency candidate matches with new board certifications, as well as multivariate analysis of both factors with new board certifications. Pharm.D. graduate and PGY2 residency candidate matches were also analyzed for correlations (individually) and multivariate effects (together) with their respective aligned specialty certifications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The number of Pharm.D. graduates declined over the study time period and showed strong correlations between all new board certifications (<i>r</i> = 0.95, <i>p</i> &lt; 0.001) and new Board-Certified Pharmacotherapy Specialist certifications (<i>r</i> = 0.94, <i>p</i> &lt; 0.001). No significant correlations were found for residency candidate matches (PGY1 or PGY2) and new certifications. Correlation analysis between Pharm.D. graduates and PGY2 residency candidate matches with their aligned specialty certifications showed minimal, if any, significant results.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Number of Pharm.D. graduates, but not residency candidate matches, showed significant correlations with new board certifications annually. Reasons for these correlations should be investigated further to determine how Pharm.D. graduate numbers affect certification patterns, and how this can be utilized to increase board certifications in the future.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":"9 9","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876815","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":"Pharmacist-Led Antimicrobial Stewardship Optimizes Antibiotic Prescribing for Pediatric Community-Acquired Pneumonia in Vietnam: A Quasi-Experimental Before-and-After Study","authors":"Thang Nguyen,&nbsp;Trang Thuy Thi Tran,&nbsp;Thu Ngoc Chau Phan,&nbsp;Ly Truong Cam Nguyen,&nbsp;Phuong Minh Nguyen","doi":"10.1002/jac5.70279","DOIUrl":"10.1002/jac5.70279","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Suboptimal antibiotic prescribing for pediatric community-acquired pneumonia (CAP) contributes to avoidable harm and antimicrobial resistance, yet evidence on pharmacist-led stewardship in low- and middle-income countries remains limited. The objective of this study is to evaluate the impact of a pharmacist-led antimicrobial stewardship intervention on antibiotic prescribing appropriateness for pediatric CAP in Vietnam.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a quasi-experimental before-and-after study at a provincial maternal and pediatric referral hospital. Using monthly stratified systematic sampling, we reviewed 560 unique paper-based medical records of children aged 2 months to 5 years who were hospitalized with a primary diagnosis of CAP and received systemic antibiotics (280 records in January–June 2024 and 280 in January–June 2025). The intervention comprised locally adapted prescribing guidance, two in-person educational seminars, printed and digital prescribing tools, and case-triggered face-to-face audit and feedback. Appropriateness was evaluated against the hospital protocol, Vietnamese national guidance, the Vietnam National Drug Formulary, and manufacturer information. Proportions were compared between periods; exploratory univariable logistic regression examined factors associated with inappropriate prescribing before the intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall appropriateness increased from 60.36% (169/280) to 86.79% (243/280; <i>p</i> &lt; 0.001). Dose appropriateness increased from 67.14% to 90.71% (<i>p</i> &lt; 0.001), and dosing-interval appropriateness increased from 90.36% to 98.57% (<i>p</i> &lt; 0.001). Before the intervention, age &lt; 12 months (odds ratio [OR] 2.1, 95% confidence interval [CI] 1.3–3.5; <i>p</i> = 0.003) and combination therapy (OR 4.6, 95% CI 1.75–12.1; <i>p</i> = 0.001) were associated with inappropriate prescribing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A structured pharmacist-led stewardship intervention was associated with substantial improvement in antibiotic prescribing appropriateness for pediatric CAP, driven mainly by better dosing and dosing intervals. These findings support sustained pharmacist participation in pediatric antimicrobial stewardship in provincial Vietnamese hospitals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":"9 9","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867895","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":"Reply to Comment on “Preparing Future Pharmacists for an AI-Enhanced Health Care Environment: Educational Strategies and Implementation Challenges”","authors":"Khoa A. Nguyen,&nbsp;Cary Mobley,&nbsp;Jodi Taylor,&nbsp;Karen Whalen,&nbsp;Casey Rowe,&nbsp;Tracy Leonard,&nbsp;Chris Egan,&nbsp;Elizabeth Aguirre,&nbsp;Michael Outar,&nbsp;Kaitlin Alexander","doi":"10.1002/jac5.70282","DOIUrl":"10.1002/jac5.70282","url":null,"abstract":"","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":"9 9","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148868051","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":"Impact of a Pharmacist-Led Antimicrobial Stewardship Program on Empiric Prescribing Appropriateness in the Emergency Department: A Retrospective Cohort Study","authors":"Ali A. Althubyani,&nbsp;Benito Fernandez Lopez,&nbsp;Lily G. Fechtmeyer,&nbsp;Daria K. Szczepanek,&nbsp;Melissa A. Catalano,&nbsp;Kyle Brown,&nbsp;Dana J. Holger","doi":"10.1002/jac5.70287","DOIUrl":"10.1002/jac5.70287","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Inappropriate antimicrobial use in emergency departments (EDs) contributes significantly to antimicrobial resistance (AMR). Pharmacist-led antimicrobial stewardship programs (ASPs) can potentially optimize antimicrobial prescribing and improve patient outcomes; however, their specific impact in the ED setting warrants further evaluation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective cohort study evaluated adult patients receiving empiric antimicrobial therapy in the ED of a large, tertiary-care, community teaching hospital in South Florida before (pre-ASP) and after (post-ASP) the implementation of a pharmacist-led ASP. The primary outcome was the appropriateness of empiric antimicrobial therapy based on societal guidelines and local resistance patterns. Secondary outcomes included the use and appropriateness of antipseudomonal and anti-Methicillin-resistant Staph Aureus (MRSA) agents, as well as the appropriateness of vancomycin dosing. Logistic regression analyses identified predictors of inappropriate prescribing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 324 patients (median age, 65 years; 53.4% female) were included, with 162 patients in both the pre-ASP and post-ASP groups. Appropriate empiric regimens did not differ significantly (49.4% vs. 53.7%, <i>p</i> = 0.44). There were significant reductions in unnecessary pseudomonal (54.9% vs. 35.2%; <i>p</i> &lt; 0.001) and MRSA coverage (23.5% vs. 13.6%; <i>p</i> = 0.02), and vancomycin dosing appropriateness trended upward post-ASP (52.6% vs. 77.3%; <i>p</i> = 0.06). The post-ASP group demonstrated significant reductions in aztreonam (5.2% vs. 0.5%; <i>p</i> &lt; 0.01), piperacillin/tazobactam (22.3% vs. 14.5%; <i>p</i> = 0.02), and vancomycin use (18.0% vs. 11.0%; <i>p</i> = 0.02), with increased ceftriaxone (17.5% vs. 33.0%; <i>p</i> &lt; 0.001) and metronidazole prescribing (1.4% vs. 7.0%; <i>p</i> = 0.01). Independent predictors of inappropriate prescribing included home wound care (Adjusted odds ratio [aOR], 5.36; CI, 1.3–36.2), male sex (aOR, 1.72; CI, 1.1–2.8), and gastrointestinal infection (aOR, 2.67; CI, 1.1–6.7).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Although the overall rate of appropriate empiric therapy remained unchanged, the pharmacist-led ASP was associated with reduced broad-spectrum antimicrobial usage and enhanced vancomycin dosing accuracy. These findings suggest that pharmacists can help optimize ED antimicrobial use, although additional strategies are needed to improve overall appropriateness.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":"9 9","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876800","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 “POWERS” Heuristic: Key Considerations for Enhancing Implementation Readiness in Pharmacy Practice and Beyond","authors":"Melanie Livet","doi":"10.1002/jac5.70266","DOIUrl":"10.1002/jac5.70266","url":null,"abstract":"<div>\u0000 \u0000 <p>Effective implementation of pharmacist-delivered patient care interventions requires systematic, careful pre-launch planning, which includes assessing and building readiness of the health care setting embracing this change. A health care team needs to be both willing and able to deliver the selected service. Despite its recognized importance, implementation readiness has rarely been operationalized into a usable system for pharmacy practice. The present article introduces the “POWERS” heuristic, which outlines the six elements of implementation readiness to consider in preparation for service implementation: Ready patient (<span>P</span>atient), Ready priorities (<span>O</span>rganizational Priorities), Ready workflow (<span>W</span>orkflow), Ready workforce (<span>E</span>ngaged Workforce), Ready Operations (<span>R</span>esources and Operations), and Ready Supports (<span>S</span>upports). These domains represent the readiness content components of a broader readiness formula that, when paired with a systematic readiness assessment and building (RAB) process, provides a structured approach to strengthening implementation readiness. Application of the heuristic within the RAB process is illustrated through a case study involving delivery of three community pharmacist-delivered patient care services (for diabetes, cardiovascular disease, and anxiety/depression) in 22 national/regional, grocery store, and independently owned pharmacies. This heuristic not only expands on current conceptualizations of readiness, but also provides a practical and actionable set of readiness domains to support systematic readiness assessment and building efforts in pharmacy practice and beyond.</p>\u0000 </div>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":"9 9","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867998","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":"Reducing Potentially Harmful Drug-Related Problems in Outpatient Prescribing: A Quasi-Experimental Evaluation of a Multifaceted Clinical Pharmacist Intervention in Vietnam","authors":"Thanh-Tam Le,&nbsp;Thang Nguyen,&nbsp;Minh-Thy Tran-Doan,&nbsp;Huong-Thao Nguyen","doi":"10.1002/jac5.70278","DOIUrl":"10.1002/jac5.70278","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Drug-related problems (DRPs) are common in ambulatory prescribing and can cause preventable harm, yet evidence that pharmacist-led interventions reduce clinically meaningful DRPs in Vietnam remains limited. This study evaluated a multifaceted clinical pharmacist intervention to reduce the prevalence and potential clinical harm of DRPs in adult outpatient prescriptions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a quasi-experimental pre-post study of electronic adult outpatient prescription records at a tertiary hospital in Ho Chi Minh City, Vietnam. Adult outpatient encounters in which patients were prescribed at least two medicines were consecutively sampled during two 14-day observation periods before and after a 4-week intervention. The intervention combined prospective prescription review with prescriber feedback, targeted education, and reminders. DRPs were classified using the Pharmaceutical Care Network Europe classification. The primary outcome was the prevalence of prescription records with at least one DRP. Secondary outcomes were DRP density and potentially harmful DRPs assessed by expert-panel consensus using the Doerper method. Multivariable logistic regression adjusted for prespecified potential confounders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 8832 prescription records were analyzed (pre-intervention, 4586; post-intervention, 4246). Prescriptions with at least one DRP decreased from 65.7% to 37.3% (<i>p</i> &lt; 0.001), and mean DRPs per prescription decreased from 1.22 ± 1.24 to 0.55 ± 0.83 (<i>p</i> &lt; 0.001). Prescriptions with potentially harmful DRPs decreased from 2.4% to 1.7% (<i>p</i> = 0.04). Reductions occurred across all evaluated DRP subtypes, especially dose selection and administration-timing problems. After adjustment, the post-intervention phase remained associated with lower DRP occurrence (adjusted odds ratio, 0.29; 95% confidence interval, 0.26–0.32; the estimated prevalence ratio was 0.57).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A structured, multifaceted clinical pharmacist intervention was associated with substantial reductions in DRP burden and potentially harmful DRPs in outpatient prescribing. These findings support integrating clinical pharmacists into ambulatory care teams as a scalable medication-safety strategy in Vietnam and similar resource-limited health systems.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":"9 9","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860554","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":"Keeping the Good in Goodhart's Law: Bridging Key Performance Indicators to Comprehensive Medication Management","authors":"Brian Murray,&nbsp;Andrea Sikora","doi":"10.1002/jac5.70277","DOIUrl":"10.1002/jac5.70277","url":null,"abstract":"","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":"9 9","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148835235","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}