Canadian Pharmacists Journal / Revue des Pharmaciens du Canada最新文献_第3页

Setting priorities for physical examination in pharmacy education: A Delphi study 确定药学教育中体格检查的优先事项：德尔菲研究

Canadian Pharmacists Journal / Revue des Pharmaciens du Canada Pub Date : 2024-02-05 DOI: 10.1177/17151635241228259

Marie-Laurence Tremblay, Marc-Antoine Guay, Alexandre Lafleur

{"title":"Setting priorities for physical examination in pharmacy education: A Delphi study","authors":"Marie-Laurence Tremblay, Marc-Antoine Guay, Alexandre Lafleur","doi":"10.1177/17151635241228259","DOIUrl":"https://doi.org/10.1177/17151635241228259","url":null,"abstract":"As the scope of pharmacy practice is expanding, a growing number of pharmacists perform physical examination (PE) to gather additional information to monitor the effectiveness and safety of their patients’ therapy. This professional activity calls for the development of comprehensive and valuable PE training. We sought to determine by consensus which PE tests should be given teaching priority in pharmacy education. Using existing PE literature in pharmacy, we conducted an online Delphi survey from December 2021 to April 2022 with 16 pharmacists who practise in a variety of settings and/or who are considered experts in PE. After 2 Delphi rounds, consensus was reached to either include or exclude 27 PE tests in entry-to-practice programs. One last round allowed prioritizing the agreed-upon PE tests in terms of educational needs. Clinicians agreed that measuring blood pressure is indispensable and should be given teaching priority, followed by pulse rate, weight and blood glucose measurements. Endocrine system and head and neck examinations should be included in pharmacy programs, but their clinical usefulness was considered less important. We compared our results with PE literature in other health care disciplines. We found that only a few PE tests truly influence drug therapy management, that some examinations can be quite difficult to perform accurately and that without proper training and opportunities to retrain, skill decay can lead to dangerous misinterpretations. Pharmacy programs should consider focusing on teaching PE tests supported by evidence as having an impact on drug therapy management. Can Pharm J (Ott) 2024;157:xx-xx.","PeriodicalId":9476,"journal":{"name":"Canadian Pharmacists Journal / Revue des Pharmaciens du Canada","volume":"20 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139805294","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

Setting priorities for physical examination in pharmacy education: A Delphi study 确定药学教育中体格检查的优先事项：德尔菲研究

Canadian Pharmacists Journal / Revue des Pharmaciens du Canada Pub Date : 2024-02-05 DOI: 10.1177/17151635241228259

Marie-Laurence Tremblay, Marc-Antoine Guay, Alexandre Lafleur

{"title":"Setting priorities for physical examination in pharmacy education: A Delphi study","authors":"Marie-Laurence Tremblay, Marc-Antoine Guay, Alexandre Lafleur","doi":"10.1177/17151635241228259","DOIUrl":"https://doi.org/10.1177/17151635241228259","url":null,"abstract":"As the scope of pharmacy practice is expanding, a growing number of pharmacists perform physical examination (PE) to gather additional information to monitor the effectiveness and safety of their patients’ therapy. This professional activity calls for the development of comprehensive and valuable PE training. We sought to determine by consensus which PE tests should be given teaching priority in pharmacy education. Using existing PE literature in pharmacy, we conducted an online Delphi survey from December 2021 to April 2022 with 16 pharmacists who practise in a variety of settings and/or who are considered experts in PE. After 2 Delphi rounds, consensus was reached to either include or exclude 27 PE tests in entry-to-practice programs. One last round allowed prioritizing the agreed-upon PE tests in terms of educational needs. Clinicians agreed that measuring blood pressure is indispensable and should be given teaching priority, followed by pulse rate, weight and blood glucose measurements. Endocrine system and head and neck examinations should be included in pharmacy programs, but their clinical usefulness was considered less important. We compared our results with PE literature in other health care disciplines. We found that only a few PE tests truly influence drug therapy management, that some examinations can be quite difficult to perform accurately and that without proper training and opportunities to retrain, skill decay can lead to dangerous misinterpretations. Pharmacy programs should consider focusing on teaching PE tests supported by evidence as having an impact on drug therapy management. Can Pharm J (Ott) 2024;157:xx-xx.","PeriodicalId":9476,"journal":{"name":"Canadian Pharmacists Journal / Revue des Pharmaciens du Canada","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139865129","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

The quality of pharmacist-led community warfarin management across 2 provinces in Canada: A cross-sectional observational study 加拿大两省药剂师领导的社区华法林管理质量：横断面观察研究

Canadian Pharmacists Journal / Revue des Pharmaciens du Canada Pub Date : 2024-02-05 DOI: 10.1177/17151635241228228

Laura Morrison, Jeff Nagge

{"title":"The quality of pharmacist-led community warfarin management across 2 provinces in Canada: A cross-sectional observational study","authors":"Laura Morrison, Jeff Nagge","doi":"10.1177/17151635241228228","DOIUrl":"https://doi.org/10.1177/17151635241228228","url":null,"abstract":"Guidelines for anticoagulation management services recommend personnel be specially trained in warfarin management and suggest using tools such as decision-support software. To date, there have been no Canadian studies documenting the quality of warfarin management using a similar guideline recommended approach. A cross-sectional, retrospective observational study was conducted to measure the quality of pharmacist-led warfarin management using point-of-care international normalized ratio (INR) testing and decision-support software in various ambulatory settings in Canada. Settings included 4 family health teams in Ontario and 40 community pharmacies across Nova Scotia. Quality was measured using time in therapeutic range (TTR) and was reported in 3 manners: mean TTR, median TTR and time-weighted mean TTR. The primary outcome included 963 patients. The combined mean and median TTR for the 2019 Ontario family health teams and Nova Scotia pharmacies was 74.2% and 77.3% (interquartile range 64%-87.9%), respectively. The time-weighted mean TTR was 76.3%. To the best of our knowledge, the TTR achieved by this model of care is the highest reported in Canadian general practice. Since Thrombosis Canada defines good-quality warfarin management as a TTR of 60% or greater, and many studies have reported an association between higher TTR values and lower rates of thrombosis and hemorrhage, this model of care may have significant benefits for patients. This study demonstrates the high quality of anticoagulation management provided by specially trained pharmacists using point-of-care INR testing and decision-support software. These results support expanded access to this service for all Canadians. Can Pharm J (Ott) 2024;157:xx–xx.","PeriodicalId":9476,"journal":{"name":"Canadian Pharmacists Journal / Revue des Pharmaciens du Canada","volume":"100 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139863281","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

The quality of pharmacist-led community warfarin management across 2 provinces in Canada: A cross-sectional observational study 加拿大两省药剂师领导的社区华法林管理质量：横断面观察研究

Canadian Pharmacists Journal / Revue des Pharmaciens du Canada Pub Date : 2024-02-05 DOI: 10.1177/17151635241228228

Laura Morrison, Jeff Nagge

{"title":"The quality of pharmacist-led community warfarin management across 2 provinces in Canada: A cross-sectional observational study","authors":"Laura Morrison, Jeff Nagge","doi":"10.1177/17151635241228228","DOIUrl":"https://doi.org/10.1177/17151635241228228","url":null,"abstract":"Guidelines for anticoagulation management services recommend personnel be specially trained in warfarin management and suggest using tools such as decision-support software. To date, there have been no Canadian studies documenting the quality of warfarin management using a similar guideline recommended approach. A cross-sectional, retrospective observational study was conducted to measure the quality of pharmacist-led warfarin management using point-of-care international normalized ratio (INR) testing and decision-support software in various ambulatory settings in Canada. Settings included 4 family health teams in Ontario and 40 community pharmacies across Nova Scotia. Quality was measured using time in therapeutic range (TTR) and was reported in 3 manners: mean TTR, median TTR and time-weighted mean TTR. The primary outcome included 963 patients. The combined mean and median TTR for the 2019 Ontario family health teams and Nova Scotia pharmacies was 74.2% and 77.3% (interquartile range 64%-87.9%), respectively. The time-weighted mean TTR was 76.3%. To the best of our knowledge, the TTR achieved by this model of care is the highest reported in Canadian general practice. Since Thrombosis Canada defines good-quality warfarin management as a TTR of 60% or greater, and many studies have reported an association between higher TTR values and lower rates of thrombosis and hemorrhage, this model of care may have significant benefits for patients. This study demonstrates the high quality of anticoagulation management provided by specially trained pharmacists using point-of-care INR testing and decision-support software. These results support expanded access to this service for all Canadians. Can Pharm J (Ott) 2024;157:xx–xx.","PeriodicalId":9476,"journal":{"name":"Canadian Pharmacists Journal / Revue des Pharmaciens du Canada","volume":"49 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139803122","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

The pharmacist primary care clinic: The evolution of pharmacy practice? 药剂师初级保健诊所：药学实践的演变？

Canadian Pharmacists Journal / Revue des Pharmaciens du Canada Pub Date : 2024-02-01 DOI: 10.1177/17151635241229059

Stephanie C. Gysel, Ross T. Tsuyuki

引用次数: 0

The pharmacist primary care clinic: The evolution of pharmacy practice? 药剂师初级保健诊所：药学实践的演变？

Canadian Pharmacists Journal / Revue des Pharmaciens du Canada Pub Date : 2024-02-01 DOI: 10.1177/17151635241229059

Stephanie C. Gysel, Ross T. Tsuyuki

引用次数: 0

OPEN Summit 2023 Abstracts–Poster and Oral Presentations 2023 年开放峰会摘要--海报和口头报告

Canadian Pharmacists Journal / Revue des Pharmaciens du Canada Pub Date : 2023-12-18 DOI: 10.1177/17151635231219546

Yasmin Abdul Aziz, Vivian Ng, Diya Srinivasan, Julie Vo, Laura Desveaux, Kevin Schwartz, Z. Rosenberg-Yunger, Erin Berenbaum, Lindsay Friedman, Bradley Langford, Valerie Leung, Emily Angl, Nardine Nakhla, Mina Tadrous, Barbara Farrell, Mathew DeMarco, Nancy Waite, Lisa Dolovich, Mansur Mehdi, Jon Jones, Humayra Tasnim, Mhd Wasem, E. Alsabbagh, Kelly Neiterman, Grindrod, Kristy Scarfone, Shaleesa Ledlie, D. Shearer, Tara Gomes

{"title":"OPEN Summit 2023 Abstracts–Poster and Oral Presentations","authors":"Yasmin Abdul Aziz, Vivian Ng, Diya Srinivasan, Julie Vo, Laura Desveaux, Kevin Schwartz, Z. Rosenberg-Yunger, Erin Berenbaum, Lindsay Friedman, Bradley Langford, Valerie Leung, Emily Angl, Nardine Nakhla, Mina Tadrous, Barbara Farrell, Mathew DeMarco, Nancy Waite, Lisa Dolovich, Mansur Mehdi, Jon Jones, Humayra Tasnim, Mhd Wasem, E. Alsabbagh, Kelly Neiterman, Grindrod, Kristy Scarfone, Shaleesa Ledlie, D. Shearer, Tara Gomes","doi":"10.1177/17151635231219546","DOIUrl":"https://doi.org/10.1177/17151635231219546","url":null,"abstract":"BACKGROUND: Expanding pharmacists' scope of practice to include prescribing for thirteen minor ailments, including infectious diseases, in the community pharmacy setting began January 2023. This expansion presents opportunities to improve patients’ access to timely care and harness pharmacists’ expertise to increase appropriate prescribing. Identifying key facilitators and barriers for the effective implementation of pharmacist prescribing is crucial to proactively support this evolution. OBJECTIVE : To identify facilitators and barriers for the effective implementation of pharmacists prescribing medications for selected minor ailments and infectious diseases METHODS : Virtual interviews and online surveys were utilized to gather pharmacists’ perspectives on service provision across Ontario prior to the launch. Virtual focus group discussions were conducted with primary care physicians and patients separately. Focus groups and interviews were audio recorded, transcribed verbatim and thematically analyzed. Data analysis was guided by the Consolidated Framework for Implementation Research (CFIR) and the Theoretical Domains Framework","PeriodicalId":9476,"journal":{"name":"Canadian Pharmacists Journal / Revue des Pharmaciens du Canada","volume":"50 ","pages":"S1 - S45"},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139174819","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

Why we need to incorporate obesity medicine into community pharmacies 为什么我们需要将肥胖症医学纳入社区药房？

Canadian Pharmacists Journal / Revue des Pharmaciens du Canada Pub Date : 2023-12-08 DOI: 10.1177/17151635231217196

Daniel Burton, Stephanie Gysel, Ross T. Tsuyuki

引用次数: 0

Social prescribing in pharmacies: What is it, does it work and what does it mean for Canadian pharmacies? 药房的社会处方：社会处方是什么、是否有效、对加拿大药房意味着什么？

Canadian Pharmacists Journal / Revue des Pharmaciens du Canada Pub Date : 2023-12-08 DOI: 10.1177/17151635231216119

Tarek Hussein, Nia Cartright, Jenny Kirschner, Arun Nadarasa, A. Rathbone, Laura Lindsey

引用次数: 0

A practice tool for initiating and managing combined hormonal contraceptives for contraception: Assessment, decision-making and monitoring 启动和管理复方激素避孕药避孕的实践工具：评估、决策和监测

Canadian Pharmacists Journal / Revue des Pharmaciens du Canada Pub Date : 2023-12-08 DOI: 10.1177/17151635231215061

N. Yuksel, Anne Marie Whelan

引用次数: 0