共查询到20条相似文献，搜索用时 218 毫秒
1.
2.
Kenneth C. Hohmeier Nancy Borja-Hart Maureen Cooper James Kirby Cindy Fisher 《Journal of the American Pharmacists Association》2017,57(1):82-85
Objective
To determine pharmacist career paths and resident perceptions after completion of a PGY1 community pharmacy residency with a national supermarket pharmacy chain.Methods
Cross-sectional nationwide survey.Results
Overall, 65% (n = 24) of residents who responded accepted a position with Kroger immediately after graduation. When asked about the degree of value the residency had on obtaining the resident’s ideal position, 29 (76%) reported that it was “very valuable” and the remaining 9 (24%) reported that it was “somewhat valuable.” Positions that these pharmacists held immediately after residency completion were: clinical pharmacist (clinical coordinators, patient care specialists, or patient care managers; 54%), staff pharmacist (21%), split/mixed (mixed clinical and staffing components; 21%), and pharmacy manager (4%).Conclusion
Residency trained pharmacists were retained by the pharmacy chain where they practiced, and the majority of those pharmacists held split or full-time clinical pharmacist roles within the chain supermarket pharmacy. 相似文献3.
4.
5.
6.
7.
8.
9.
10.
11.
Juanita A. Draime Douglas C. Anderson Timothy S. Anderson 《Journal of the American Pharmacists Association》2018,58(3):275-280
Objectives
1) To describe reported medication diversion within the practice of pharmacy; and 2) to compare diversion by employee type.Design
Retrospective study.Setting
A sample of state board of pharmacy records was examined from 9 states. Disciplinary actions were obtained from the records for the time period of May 2008 to May 2013.Participants
Pharmacy employees (pharmacist, technician, interns).Intervention
Not applicable.Main outcome measures
When a diversion case was identified, the following items were obtained for each case of medication diversion: 1) category of pharmacy employee (pharmacist, technician, intern); 2) type of substance (control, noncontrol, both); 3) use of diverted substance (sale, personal use, both, undetermined); and 4) action taken by the board.Results
A total of 811 medication diversion cases in 9 states were identified. Most cases involved a pharmacy technician (71.4%), controlled substances only (94.2%), and diversion for personal use (46.6%) and resulted in license or registration revocation or surrender (62.5%). When examining medication diversion use by purpose for diversion, there were significant differences by pharmacy employee type (sale use: P = 0.003; personal use: P = 0.032; unknown use: P < 0.001).Conclusion
Medication diversion is a pressing problem. There were 811 cases examined by 9 state boards, and many cases may be unreported. Technicians represent nearly three-fourths of diversions. It is essential that the practice of pharmacy identifies and assesses strategies to reduce medication diversion. 相似文献12.
13.
Joshua D. Feldman Rachel I. Otting Craig M. Otting Matthew J. Witry 《Journal of the American Pharmacists Association》2018,58(1):36-43
Objectives
To assess the impact of a community pharmacist–delivered care transition intervention on 30-day hospital readmissions.Setting
A single private 263-bed hospital in the Midwest United States and 12 partnering community pharmacies, 1 serving as primary pharmacy.Practice innovation
Adult general medicine inpatients were evaluated by nursing staff with the use of a worksheet based on the Better Outcomes by Optimizing Safe Transitions (BOOST) readmission risk toolkit. The highest-risk patients were enrolled in a 3-contact intervention. First, a pharmacist from the primary community pharmacy delivered an in-room work-up. The pharmacist focused on medication education, problem identification, and verifying medication access following discharge. A pharmacist visited the hospital for approximately 4 hours most weekdays, during which the pharmacist saw 3-4 patients. A community pharmacist telephoned these patients 8 and 25 days after discharge.Evaluation
The intervention was provided to 555 patients who had a mean readmission risk worksheet score of 1.90 (SD 1.13) and not provided to 430 patients with lower readmission risk worksheet scores, which averaged 0.68 (SD 0.86; P < 0.001). Thirty-day readmissions to the study hospital were lower for intervention patients (8.1%) versus comparison patients (21.4%; P < 0.001). Thirty-day readmissions to any hospital were calculated for a subsample of 129 intervention patients and 103 comparison patients with Medicare Fee for Service insurance for which claims were available, but the difference (10.9% and 15.5%, respectively) did not reach statistical significance (P = 0.328).Practice implication
A community pharmacy was successful in partnering with a hospital and other community pharmacies to lead a care transitions intervention associated with reduced 30-day same-hospital readmissions.Conclusion
A community pharmacist–led intervention delivered to higher-risk patients showed a significant decrease in readmission rate to the same hospital compared with lower-risk patients hospitalized in the same unit but not receiving the intervention. This supports the community pharmacists’ role in care transitions. 相似文献14.
15.
Lorinda Anderson Laura M. Borgelt Paige Clark Gina Moore 《Journal of the American Pharmacists Association》2018,58(1):113-116
Objectives
To initiate a call to action for community pharmacists and key stakeholders to encourage comprehensive and consistent education and certification for contraception services, especially in states where laws have been enacted for pharmacist prescribing of hormonal contraceptives.Date sources
Websites for several boards of pharmacy that have implemented pharmacist training for contraceptive prescribing.Summary
From the authors’ perspective of helping to implement laws that allow pharmacist prescribing of contraception in Oregon and Colorado, lessons learned have shown that it is better to have 1 consistent resource for pharmacist certification for the following reasons: 1) Boards of pharmacy are able to ensure patient safety because all pharmacists are providing the same level of care to every patient; 2) retail chain pharmacies and pharmacy managers are assured that all their pharmacists, regardless of state, are trained in a similar and appropriate manner; and 3) pharmacists can be reimbursed through medical insurance for the patient encounter because payers are able to identify and credential pharmacists who pass an approved and accredited certification program.Conclusion
New laws allowing pharmacists to prescribe contraception are expanding to other states, and the implementation of these laws provides an important increase in pharmacists’ scope of practice. This exciting new prospect allows the pharmacy community of each state an opportunity to coordinate and learn from each other on best practices for implementation. Having a consistent training program was identified as being one key aspect of successful implementation. 相似文献16.
17.
Lorah Hickman Susan G. Poole Ria E. Hopkins Diane Walters Michael J. Dooley 《Research in social & administrative pharmacy》2018,14(10):931-935
Background
Medication errors have the potential to cause significant harm and the final verification of dispensed medications is essential to patient safety. There is international evidence to demonstrate that trained pharmacy technicians can safely and accurately undertake the verification of medication orders in ward-based unit dose containers. There is a need for evaluation of pharmacy technician verification of medication orders in broader contexts including the hospital inpatient dispensary.Aim
To compare the accuracy of Accuracy Checking Pharmacy Assistants (ACPTs) to pharmacists when verifying inpatient medication orders within the hospital pharmacy setting.Method
This ‘real world’ single-blinded study was conducted in the inpatient dispensary of a major tertiary hospital in Melbourne, Australia. Inpatient medication orders were randomly allocated to an ACPT or pharmacist for final verification, before being reviewed for accuracy by an independent research pharmacist blinded to study allocation. Errors identified by the reviewing pharmacist were documented and severity was assessed by an independent Medication Safety pharmacist.Results
Between February and August 2014, three ACPTs verified 4718 items with 75 errors missed (1.59%), and twelve pharmacists verified 4194 items with 158 errors missed (3.77%). There was a statistically significant difference between both total and minor error rates, with pharmacists missing significantly more errors (total errors: p < 0.0001; minor errors: 1.42 vs 3.53%; p < 0.0001). There was no statistically significant difference in the rate of major errors missed by the two groups (0.17 vs 0.24%; p = 0.48).Conclusion
This study is the first of its kind in the hospital dispensary setting, demonstrating that the overall accuracy of ACPTs was greater than pharmacists for verifying dispensed medication orders. ACPTs missed fewer minor and overall errors than pharmacists, indicating that trained pharmacy technicians can verify medication orders safely and accurately. This study provides support for the tech-check-tech model in the hospital setting. 相似文献18.
Jena Jobin Adriane N. Irwin Jana Pimentel Matthew C. Tanner 《Research in social & administrative pharmacy》2018,14(7):695-699
Background
Transitioning activities that do not require clinical judgment from pharmacists to pharmacy technicians has been endorsed as a strategy to increase patient access to clinical pharmacy services. One role becoming increasingly common is using pharmacy technicians to collect the medication history within medication reconciliation processes.Objective
To assess the ability of pharmacy technicians to gather a complete and accurate medication history during the inpatient admission process at a regional medical center.Methods
Prospective study of unscheduled inpatient admissions at Salem Hospital. Patients where the initial information source was patient or caregiver interview, had two medication histories collected – one by a pharmacy technician through usual care processes and one by a student pharmacist with pharmacist oversight. Medication histories were then compared and a percent accuracy ranging from 0 – 100% was calculated for each of the pharmacy technician-collected histories.Results
A total of 101 patients were included from January 19 to March 6, 2016. Patients were on average 65 ± 19 years of age and taking 7 ± 6 medications at admission. The accuracy of the technician collected histories was 92.9 ± 14.2%. Accuracy was not impacted by age, number of medications, or admitting shift (all p > 0.05).Conclusions
Pharmacy technicians can collect complete and accurate medication histories. Results add to the growing body of literature supporting an expanded role for pharmacy technicians in medication reconciliation processes. 相似文献19.
20.