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

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2023 update to the American College of Clinical Pharmacy Pharmacotherapy Didactic Curriculum Toolkit 美国临床药剂学院药物治疗教学课程工具包 2023 年更新版
Journal of the American College of Clinical Pharmacy : JACCP Pub Date : 2024-02-29 DOI: 10.1002/jac5.1930
Denise M. Kolanczyk Pharm.D., Jessica R. Merlo Pharm.D., Bridget Bradley Pharm.D., Alexander H. Flannery Pharm.D., Ph.D., FCCP, Caitlin M. Gibson Pharm.D., M.Ed., Sarah McBane Pharm.D., FCCP, Julie A. Murphy Pharm.D., FCCP, Jacob M. Noble Pharm.D., MPH, Melissa B. Noble Pharm.D., Hunter M. Patton Pharm.D., Jennifer L. Rosselli Pharm.D., Rebecca H. Stone Pharm.D., FCCP, Krisy-Ann Thornby Pharm.D.
{"title":"2023 update to the American College of Clinical Pharmacy Pharmacotherapy Didactic Curriculum Toolkit","authors":"Denise M. Kolanczyk Pharm.D.,&nbsp;Jessica R. Merlo Pharm.D.,&nbsp;Bridget Bradley Pharm.D.,&nbsp;Alexander H. Flannery Pharm.D., Ph.D., FCCP,&nbsp;Caitlin M. Gibson Pharm.D., M.Ed.,&nbsp;Sarah McBane Pharm.D., FCCP,&nbsp;Julie A. Murphy Pharm.D., FCCP,&nbsp;Jacob M. Noble Pharm.D., MPH,&nbsp;Melissa B. Noble Pharm.D.,&nbsp;Hunter M. Patton Pharm.D.,&nbsp;Jennifer L. Rosselli Pharm.D.,&nbsp;Rebecca H. Stone Pharm.D., FCCP,&nbsp;Krisy-Ann Thornby Pharm.D.","doi":"10.1002/jac5.1930","DOIUrl":"https://doi.org/10.1002/jac5.1930","url":null,"abstract":"<p>The American College of Clinical Pharmacy (ACCP) Pharmacotherapy Didactic Curriculum Toolkit has been used by colleges and schools of pharmacy as a guide for curricular development and revisions since its inaugural publication in 2009. The toolkit was last revised and updated by the 2019 Publications Committee. The 2023 ACCP Publications Committee was charged with reviewing the 2019 Update to the ACCP Pharmacotherapy Didactic Curriculum Toolkit to determine any necessary revisions/updates. The committee revised tier classifications, shifting the focus of the 2023 toolkit to content within the Pharm.D. curriculum. Multiple literature sources were reviewed to assess conditions for inclusion in the 2023 toolkit, and external feedback was solicited from various practice disciplines. All topics were voted on by a simple majority rule during virtual meetings or by electronic votes. There are a total of 231 topics in the 2023 toolkit, a decrease of 77 (23.2%) from the 2019 edition. Topics in each tier are as follows: 68 as tier 1 (29%), 111 as tier 2 (48%), and 52 as tier 3 (23%). Although some topics were removed completely, others were combined with other line items or revised, which may further minimize curricular overload. Similar to the 2016 and 2019 toolkits, many tier 2 topics remain in the 2023 toolkit, emphasizing the continued need for additional training through postgraduate residencies or fellowships (or “on-the-job” equivalent experiences), board certifications, and various certificate training programs. The 2023 ACCP Pharmacotherapy Didactic Curriculum Toolkit is designed to assist individual faculty and colleges and schools of pharmacy with curricular development and revisions. It will continue to be reviewed every 3 years to identify needed revisions on the basis of the pharmacist's evolving role, advances in therapeutics and pharmacy practice, and changes to accreditation standards and recognized professional competencies.</p>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140145873","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
Securing administrative leadership commitment for anticoagulation stewardship programs 确保行政领导对抗凝血管理计划的承诺
Journal of the American College of Clinical Pharmacy : JACCP Pub Date : 2024-02-20 DOI: 10.1002/jac5.1936
Jori E. May M.D., Darren M. Triller Pharm.D., Lauren Inglis Pharm.D., MBA, Anne E. Rose Pharm.D., Vicky DiLorenzo-Agramonte MSN, Allison E. Burnett Pharm.D., Glen T. Schumock Pharm.D., MBA, Ph.D., Scott Kaatz D.O., Geoffrey D. Barnes M.D., M.Sc, Jack E. Ansell M.D.
{"title":"Securing administrative leadership commitment for anticoagulation stewardship programs","authors":"Jori E. May M.D.,&nbsp;Darren M. Triller Pharm.D.,&nbsp;Lauren Inglis Pharm.D., MBA,&nbsp;Anne E. Rose Pharm.D.,&nbsp;Vicky DiLorenzo-Agramonte MSN,&nbsp;Allison E. Burnett Pharm.D.,&nbsp;Glen T. Schumock Pharm.D., MBA, Ph.D.,&nbsp;Scott Kaatz D.O.,&nbsp;Geoffrey D. Barnes M.D., M.Sc,&nbsp;Jack E. Ansell M.D.","doi":"10.1002/jac5.1936","DOIUrl":"https://doi.org/10.1002/jac5.1936","url":null,"abstract":"<p>Anticoagulation is a leading cause of medication-related harm. As a result, there is increasing recognition of the importance of the development of anticoagulation stewardship programs to ensure safe and effective anticoagulation use across health care settings. Securing administrative leadership support to build such programs is a necessary first step but is often a significant barrier to implementation. Herein, we present a structured approach to guide providers advocating to leadership for stewardship programs at their institutions. We divide the approach into four phases: (1) Build the foundation, (2) Select stewardship initiatives, (3) Develop implementation plans, and (4) Prepare and present a business plan. Within each phase, we outline specific actions to consider, all leading up to the end goal of creating a compelling business plan to generate administrative leadership buy-in. We also provide resources to promote the understanding of institutional needs as well as broader trends across health systems that influence stewardship program development. Our aim is to provide stewardship advocates with the tools to effectively secure leadership support to facilitate the development of Anticoagulation Stewardship Programs across all health care institutions.</p>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jac5.1936","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140345815","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}
引用次数: 0
Integrating clinical pharmacists into transitions of care: A qualitative study of barriers and facilitators among federally qualified health centers 将临床药剂师纳入护理过渡:联邦合格医疗中心的障碍与促进因素定性研究
Journal of the American College of Clinical Pharmacy : JACCP Pub Date : 2024-02-17 DOI: 10.1002/jac5.1927
Ben C. D. Weideman M.S., Katie M. White EdD, MBA, Joel F. Farley Ph.D., Lindsay A. Sorge Pharm.D., MPH, Swetha Pradeep Pharm.D., Athena Cannon Pharm.D., Kim Tran Pharm.D., Deborah L. Pestka Pharm.D., Ph.D.
{"title":"Integrating clinical pharmacists into transitions of care: A qualitative study of barriers and facilitators among federally qualified health centers","authors":"Ben C. D. Weideman M.S.,&nbsp;Katie M. White EdD, MBA,&nbsp;Joel F. Farley Ph.D.,&nbsp;Lindsay A. Sorge Pharm.D., MPH,&nbsp;Swetha Pradeep Pharm.D.,&nbsp;Athena Cannon Pharm.D.,&nbsp;Kim Tran Pharm.D.,&nbsp;Deborah L. Pestka Pharm.D., Ph.D.","doi":"10.1002/jac5.1927","DOIUrl":"10.1002/jac5.1927","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Comprehensive medication management (CMM) is a service provided by clinical pharmacists. CMM aims to optimize pharmacotherapy outcomes by ensuring patients' medications are indicated, effective, safe, and patients are able to adhere to the prescribed medication regimen and take the medications as intended. The goal of CMM is to optimize patients' medications to ensure they are meeting their medication and health-related goals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The objective of this project is to evaluate facilitators and barriers to integrating CMM during transitions of care (ToC) at Federally Qualified Health Centers (FQHCs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Semistructured qualitative interviews were conducted with 22 key informants identified through purposive sampling at three FQHCs. Interviews were coded and analyzed deductively using a modified Consolidated Framework for Implementation Research (CFIR) adapted for ToC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Key Results</h3>\u0000 \u0000 <p>Thirty-nine codes were identified across all CFIR constructs, including the addition of a new construct, “Patient characteristics.” Major facilitators included the perceived advantage and feasibility of the intervention, standardization of ToC processes, and organizational buy-in. Major barriers included health information technology system limitations, communication barriers with discharge facilities, technical and staffing challenges in applying criteria to identify patients for CMM, and low patient throughput.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Identifying early-stage barriers and facilitators are key to maximize facilitators and address barriers to support successful implementation. The findings of this work are being used to guide project adaptations to better integrate CMM into the ToC processes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jac5.1927","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139960376","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}
引用次数: 0
Factors associated with attaining a pharmacy residency interview: A scoping review 获得药学住院医师资格面试的相关因素:范围审查
Journal of the American College of Clinical Pharmacy : JACCP Pub Date : 2024-02-15 DOI: 10.1002/jac5.1929
Suzanne Whitten Pharm.D., Beth Bryles Phillips Pharm.D., FCCP, Sharmon P. Osae Pharm.D., Rebecca H. Stone Pharm.D., FCCP, Chelsea A. Keedy Pharm.D., Blake R. Johnson Pharm.D., MPH, Amber Prentiss MLIS, Devin L. Lavender Pharm.D.
{"title":"Factors associated with attaining a pharmacy residency interview: A scoping review","authors":"Suzanne Whitten Pharm.D.,&nbsp;Beth Bryles Phillips Pharm.D., FCCP,&nbsp;Sharmon P. Osae Pharm.D.,&nbsp;Rebecca H. Stone Pharm.D., FCCP,&nbsp;Chelsea A. Keedy Pharm.D.,&nbsp;Blake R. Johnson Pharm.D., MPH,&nbsp;Amber Prentiss MLIS,&nbsp;Devin L. Lavender Pharm.D.","doi":"10.1002/jac5.1929","DOIUrl":"10.1002/jac5.1929","url":null,"abstract":"<p>Postgraduate pharmacy residencies are essential in preparing graduates for pharmacy careers. Residencies are highly competitive and despite efforts to increase the number of residency programs in the United States, the demand still outweighs the supply. Attaining a residency interview is a critical step in securing a residency position. The objective of this scoping review is to describe the published literature on factors associated with attaining a pharmacy residency interview. The updated Arksey and O'Malley scoping review framework was followed for this scoping review. The review is reported according to The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Protocols and Scoping Reviews (PRISMA-ScR). The search strategy contained a combination of medical subject headings (MeSH) and keywords from a review of article title and abstracts. The inclusion and exclusion criteria were created a priori. English language studies describing pharmacy residency interview, selection, rubrics, and descriptive, quantitative, or qualitative data were included. Title and abstracts were independently reviewed, followed by independent full-text reviews. Covidence©, an online systematic review platform, was used in the screening, review, and selection process. Thirteen studies assessing factors associated with a residency interview met inclusion criteria. The majority of these studies (<i>n</i> = 7) analyzed data from residency program director (RPD) surveys. Most of these studies found that RPDs highly value letters of recommendation when evaluating a candidate's application. Three studies analyzed retrospective data. Several studies focused on letters of recommendation. The studies described letters of recommendation, letters of intent, grade point average, and leadership experience as factors associated with attaining a residency interview. Most studies had limitations in generalizability, study design, and heterogeneous data.</p>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jac5.1929","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139776793","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}
引用次数: 0
Impact of internal medicine pharmacists on antimicrobial stewardship 内科药剂师对抗菌药物管理的影响
Journal of the American College of Clinical Pharmacy : JACCP Pub Date : 2024-02-14 DOI: 10.1002/jac5.1926
Ashley Rizzo Pharm.D., Sujit Suchindran MD, MPH, Benjamin Albrecht Pharm.D., Nicole L. Metzger Pharm.D.
{"title":"Impact of internal medicine pharmacists on antimicrobial stewardship","authors":"Ashley Rizzo Pharm.D.,&nbsp;Sujit Suchindran MD, MPH,&nbsp;Benjamin Albrecht Pharm.D.,&nbsp;Nicole L. Metzger Pharm.D.","doi":"10.1002/jac5.1926","DOIUrl":"10.1002/jac5.1926","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Increased demands on infectious diseases (ID) pharmacists and providers may result in targeted antimicrobial stewardship (AMS) interventions. Internal medicine (IM) pharmacists frequently intervene on antimicrobials for their patients during general clinical care, although little is known regarding their overall impact on AMS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Characterize AMS interventions made by IM pharmacists to identify areas of AMS that can be expanded to patients not covered by ID teams.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a prospective, dual-center, cross-sectional study where IM pharmacists, and their trainees were recruited to document routinely made AMS interventions that happened during daily patient care activities. These interventions were classified based on infection source, stewardship intervention type, whether recommendations were accepted or rejected by providers, and any barriers incurred during the implementation of interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four IM pharmacists documented 386 interventions from February 2021 through May 2021. Physicians accepted pharmacist interventions 95.6% of the time. The most common interventions were for respiratory (<i>n</i> = 87, 22.5%), genitourinary (<i>n</i> = 80, 20.7%), and skin and skin structure infections (<i>n</i> = 65, 16.8%). The antimicrobials that IM pharmacists most frequently intervened on were vancomycin (<i>n</i> = 89, 23.1%) and ceftriaxone (<i>n</i> = 68, 17.6%). The most common interventions that were made were dose adjustment (<i>n</i> = 105, 27.2%), shortened duration of therapy (<i>n</i> = 86, 22.3%), and intravenous (IV) to oral (PO) conversions (<i>n</i> = 38, 9.8%). Of the 17 interventions not accepted, the most common barrier to implementation was physician concerns (<i>n</i> = 11, 52.4%), which were primarily associated with IV to PO recommendations (<i>n</i> = 7, 63.6%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>IM pharmacists participate in AMS for their patients and intervene frequently to adjust dosing for antimicrobials, shorten duration of therapy, and facilitate IV to PO conversions. IM pharmacists could serve as AMS extenders where additional AMS coverage is needed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139839476","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
Implementation of a pharmacist-driven chronic obstructive pulmonary disease transitions of care service at a large academic medical center 在一家大型学术医疗中心实施由药剂师驱动的慢性阻塞性肺病过渡护理服务
Journal of the American College of Clinical Pharmacy : JACCP Pub Date : 2024-02-13 DOI: 10.1002/jac5.1933
Maggie M. Lycouras Pharm.D., Nicole E. Cieri-Hutcherson Pharm.D., Brian P. Kersten Pharm.D., Collin M. Clark Pharm.D.
{"title":"Implementation of a pharmacist-driven chronic obstructive pulmonary disease transitions of care service at a large academic medical center","authors":"Maggie M. Lycouras Pharm.D.,&nbsp;Nicole E. Cieri-Hutcherson Pharm.D.,&nbsp;Brian P. Kersten Pharm.D.,&nbsp;Collin M. Clark Pharm.D.","doi":"10.1002/jac5.1933","DOIUrl":"10.1002/jac5.1933","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality in the United States, and one in five COPD hospitalizations result in a readmission within 30 days. Pharmacists have been identified as key members of interdisciplinary teams to improve transitions of care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The objective of this study was to develop, implement, and evaluate outcomes for a pharmacist-driven COPD transitions of care bundle at an academic medical center.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A COPD care bundle was implemented for patients presenting with a COPD exacerbation from December 1, 2021 to February 28, 2022. A historical control group was created from patients who were discharged between December 1, 2020 and February 28, 2021. Patient characteristics, pharmacist-driven interventions, and time required for the intervention were assessed descriptively. Inhaler technique was assessed before and after pharmacist education utilizing standardized rubrics. The percentage change in inhaler scores was assessed with a Wilcoxon signed-rank test. Readmission outcomes were analyzed using a chi-squared test.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 30 patients in the intervention group and 46 in the control group. There were 104 interventions requiring provider collaboration, of which 84 (81%) were accepted. A median (interquartile range, IQR) of 46 (37–55) min was spent per patient in the intervention group. At baseline, patients scored a median of 84.6% (75–100) of steps correctly across all inhaler device types. After pharmacist education, patient scores increased to a median of 100% [92.3–100] (<i>p</i> &lt; 0.0001). There were eight (26.7%) 30-day all-cause readmission rates in the intervention group and 15 (32.6%) in the control group (<i>p</i> = 0.58).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Most pharmacist recommendations were accepted by providers. Medication education led to improved understanding of inhaler technique, but there was no difference in 30-day readmission rates. Further development of this service is warranted based on these findings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139841216","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
Acknowledging progress and current challenges 承认进展和当前挑战
Journal of the American College of Clinical Pharmacy : JACCP Pub Date : 2024-02-10 DOI: 10.1002/jac5.1918
M. Lynn Crismon Pharm.D., FCCP, A. John Rush M.D.
{"title":"Acknowledging progress and current challenges","authors":"M. Lynn Crismon Pharm.D., FCCP,&nbsp;A. John Rush M.D.","doi":"10.1002/jac5.1918","DOIUrl":"https://doi.org/10.1002/jac5.1918","url":null,"abstract":"","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139720153","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
Pharmacist-led intervention to reduce inappropriate continuation of targeted medications initiated in the acute care setting at hospital and ICU discharge 药剂师主导的干预措施,以减少在医院和重症监护室出院时不适当地继续使用在急症护理环境中启动的目标药物
Journal of the American College of Clinical Pharmacy : JACCP Pub Date : 2024-02-08 DOI: 10.1002/jac5.1924
Nandini Patel Pharm.D., Robert E. Dannemiller Pharm.D., Mary P. Kovacevic Pharm.D., Kevin M. Dube Pharm.D., Kenneth E. Lupi Pharm.D., Rachel C. Blum Pharm.D., Kaitlin E. Crowley Pharm.D.
{"title":"Pharmacist-led intervention to reduce inappropriate continuation of targeted medications initiated in the acute care setting at hospital and ICU discharge","authors":"Nandini Patel Pharm.D.,&nbsp;Robert E. Dannemiller Pharm.D.,&nbsp;Mary P. Kovacevic Pharm.D.,&nbsp;Kevin M. Dube Pharm.D.,&nbsp;Kenneth E. Lupi Pharm.D.,&nbsp;Rachel C. Blum Pharm.D.,&nbsp;Kaitlin E. Crowley Pharm.D.","doi":"10.1002/jac5.1924","DOIUrl":"10.1002/jac5.1924","url":null,"abstract":"<p>Pharmacist-led interventions may reduce the inappropriate continuation of acid-suppressive agents and antipsychotics temporarily initiated in the intensive care unit (ICU), but limited data exist for other medications. This study evaluated the impact of a pharmacist-led intervention on the number of medications inappropriately continued upon ICU and hospital discharge. This was a single-center, pre-post intervention analysis conducted in the medical and surgical ICUs at a tertiary academic medical center. The pre- and post-intervention groups included adults who were newly initiated on medications used for stress ulcer prophylaxis, delirium, agitation, wakefulness, sedation, and insomnia from December 1, 2021 to January 31, 2022 and December 12, 2022 to February 13, 2023, respectively. In the post-intervention group, pharmacists identified patients who were newly initiated on a medication of interest and documented in patients' charts via an electronic handoff tool utilizing a standardized template. The appropriateness of those medications was assessed daily, and pharmacists intervened when necessary. The number of medications inappropriately continued at ICU and hospital discharge and ICU and hospital lengths of stay were compared. Overall, 399 encounters were included in the final analysis, and a total of 459 medications were newly initiated in the ICU. There was no significant difference in the number of medications inappropriately continued at hospital discharge [22 (8.4%) vs. 10 (5.1%); <i>p</i> = 0.17]. Significantly fewer medications were inappropriately continued at ICU discharge in the post-intervention group [85 (32.3%) vs. 37 (18.9%); <i>p</i> &lt; 0.01]. The median ICU length of stay was significantly greater in the post-intervention group [4 (2–8) vs. 2 (1–6) days; <i>p</i> &lt; 0.01]. No significant difference was found in the median hospital length of stay [14 (7–26.5) vs. 16 (9–33.75) days; <i>p</i> = 0.08]. Use of an electronic handoff tool was associated with a significant reduction in the number of medications inappropriately continued at ICU discharge.</p>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139791062","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
Solid organ transplant residency research publication rates and characteristics associated with successful publication 实体器官移植住院医师研究论文发表率及与成功发表论文相关的特征
Journal of the American College of Clinical Pharmacy : JACCP Pub Date : 2024-02-07 DOI: 10.1002/jac5.1925
Jennifer I. Melaragno Pharm.D., FCCP, Danielle Kovac Pharm.D., Stephanie Witek Pharm.D., Matt Harris Pharm.D., MHS, Karen Khalil Pharm.D., Melissa R. Laub Pharm.D., David Quan Pharm.D., Alicia B. Lichvar Pharm.D., M.S.
{"title":"Solid organ transplant residency research publication rates and characteristics associated with successful publication","authors":"Jennifer I. Melaragno Pharm.D., FCCP,&nbsp;Danielle Kovac Pharm.D.,&nbsp;Stephanie Witek Pharm.D.,&nbsp;Matt Harris Pharm.D., MHS,&nbsp;Karen Khalil Pharm.D.,&nbsp;Melissa R. Laub Pharm.D.,&nbsp;David Quan Pharm.D.,&nbsp;Alicia B. Lichvar Pharm.D., M.S.","doi":"10.1002/jac5.1925","DOIUrl":"10.1002/jac5.1925","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Publication rates, characterization, and assessment for predictors of publication in post-graduate year 2 (PGY2) solid organ transplant (SOT) are lacking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study was conducted to determine the publication rate of PGY2 SOT pharmacy resident projects, understand practices surrounding resident research, and assess characteristics of published manuscripts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An electronic survey of PGY2 SOT residency programs was distributed. Invitation for participation was sent by email to residency program directors (RPDs), and information related to the PGY2 SOT program, RPDs, research mentors/preceptors, residents, and each research project was gathered for residents graduating between 2016 and 2019. Characteristics influencing publication success were assessed with multivariate logistic regression modeling.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-eight RPD responses were analyzed (67.8% response rate). All PGY2 SOT programs were American Society of Health-System Pharmacists (ASHP) accredited, 92% were at academic medical centers, and more than 80% were active over 6 years with a median of 10 (interquartile range [IQR] 5–13) graduated residents. In total, 35/97 (36.1%) of SOT PGY2 research projects were published, 22.7% intend to submit or have a manuscript under revision, and 39.2% will not pursue publication. Of published projects, 81% were in medical journals. Median impact factor was 2.9 (IQR 1.5–2.9). Programs active more than 10 years (odds ratio [OR] 4.0, 95% confidence interval [CI] 1.41–11.17, <i>p</i> = 0.009) and utilization of additional resources (OR 4.2, 95% CI 1.23–14.37, <i>p</i> = 0.022), including availability of a biostatistician/epidemiologist or pharmacy student, were independently predictive of publication. Fifty percent of RPDs rated their programs as either “effective” or “extremely effective” in enabling publication. Perceived barriers to publication, most often continuity of PGY2 SOT involvement after residency, were identified.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Overall, 36.1% of PGY2 SOT pharmacy resident research projects achieved publication over a 4-year period at the time of the survey. Years of PGY2 SOT program activity and having additional resources were independently associated with publication.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139854759","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
A quantitative and qualitative analysis of a medication health literacy workshop for newly and recently arrived refugees 为新近抵达的难民举办的药物健康知识讲习班的定量和定性分析
Journal of the American College of Clinical Pharmacy : JACCP Pub Date : 2024-01-28 DOI: 10.1002/jac5.1923
Gina M. Prescott Pharm.D., FCCP, Shakanya Karunakaran Pharm.D., May Thandar Pharm.D., MPH
{"title":"A quantitative and qualitative analysis of a medication health literacy workshop for newly and recently arrived refugees","authors":"Gina M. Prescott Pharm.D., FCCP,&nbsp;Shakanya Karunakaran Pharm.D.,&nbsp;May Thandar Pharm.D., MPH","doi":"10.1002/jac5.1923","DOIUrl":"10.1002/jac5.1923","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Refugees entering the United States are often unfamiliar with the healthcare system and have different medication beliefs. Since 2016, pharmacy students and faculty have been conducting medication literacy workshops to improve knowledge of medications for newly arriving refugees.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The primary study objective was to measure the newly arriving refugees' medication knowledge after a one-time educational workshop.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a retrospective quantitative and qualitative evaluation. Participants engaged in a student-led 90-min educational workshop utilizing interpreters, translated materials, and demonstrations. Topics included medical definitions, information on getting sick, medication use, and label reading. A translated, postworkshop evaluation included 22 questions grouped into the following categories: demographics (<i>n</i> = 4), medication use (<i>n</i> = 7), label reading (<i>n</i> = 6), access (<i>n</i> = 3), and cultural beliefs (<i>n</i> = 2). Three optional, free-response questions regarding overall workshop feedback were included. Quantitative data was analyzed utilizing descriptive statistics. Thematic analysis was used to analyze qualitative data. Two independent coders reviewed each free-response question and discussed any discrepancies for consensus. The study team developed key themes based on the codes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-one workshops were conducted with 419 participants from 42 countries. Correct responses were highest for medication beliefs (84%), label reading (78%), access (74%), and medication use (73%). Prescription label reading ability was high (86%), while preventative medicine understanding was lower (34%). Three major learning themes developed, including (1) Cultural differences impact medication habits, (2) Knowing provider roles and how to access different services in healthcare settings was important, and (3) Understanding how to read a label was useful. Researchers found that demonstrations were helpful in participants' learning and that additional education on prevention and specific disease states would be useful.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Newly and recently arrived refugees were able to correctly identify basic medication health information through a medication literacy workshop. Additional classes exploring other topics, including preventative medicine and medications, should be considered.</p>\u0000 </section>\u0000 </di","PeriodicalId":73966,"journal":{"name":"Journal of the American College of Clinical Pharmacy : JACCP","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139592149","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
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