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Sample records for clinical pharmacy services

  1. Clinical Pharmacy Services in the Home

    OpenAIRE

    MacKeigan, Linda D.; Nissen, Lisa M

    2008-01-01

    Articles on clinical pharmacy services in the home began appearing 3 decades ago but numbers have greatly increased in the last decade. This overview of the English language literature identified 66 reports describing 57 home-based clinical pharmacy programs. Most programs were provided in the context of a time-limited research project. Medication reviews (defined as comprehensive assessment of the appropriateness of the medication regimen) and medication management (defined as assessment and...

  2. Experience with the Implementation of Clinical Pharmacy Services and Processes in a University Hospital in Belgium.

    Science.gov (United States)

    Somers, Annemie; Claus, Barbara; Vandewoude, Koen; Petrovic, Mirko

    2016-03-01

    This article summarizes the experience with the development of clinical pharmacy services in the Ghent University Hospital in Belgium. Implementation of clinical pharmacy services in Belgian hospitals has not been evident because these activities were initially not structurally financed. The aim is to describe the strengths and weaknesses of the clinical pharmacy development process, and the milestones that enhanced the progress. Furthermore, the organisation of clinical pharmacy in the Ghent University Hospital is explained, including back- and front-office activities, seamless pharmaceutical care and medication safety improvement. Some working methods, procedures and tools are explained for different clinical pharmacy services. In particular, the clinical pharmacy projects for geriatric patients as well as the preparation of clinical pharmacy services for the accreditation process are explained. We also reflect on the organisation model and the future development of clinical pharmacy, taking into consideration facilitators and potential barriers. PMID:26922733

  3. Impact of clinical pharmacy services on renal transplant recipients’ adherence and outcomes

    OpenAIRE

    Chisholm-Burns, Marie A.; Spivey, Christina A.; Garrett, Charlene; McGinty, Herbert; Mulloy, Laura L

    2008-01-01

    The purpose of this article is to provide a description of a clinical pharmacy services program implemented in a renal transplant clinic to improve medication access and adherence as well as health and economic outcomes among renal transplant recipients (RTRs). Following a team-based planning process and an informal survey of RTRs, a clinical pharmacy service intervention was implemented in the Medical College of Georgia renal transplant clinic. As part of the intervention, a clinical pharmac...

  4. The Need for an Increased Emphasis on Research in Clinical Pharmacy Services.

    Science.gov (United States)

    Nance, Kathleen S.; And Others

    1985-01-01

    Effectiveness of clinical pharmacy services is discussed through an analysis of the literature, an analysis of the funding of grant applications by the National Center for Health Services Research, and a review of the research component of doctoral programs in pharmacy. (MSE)

  5. Implementing ward based clinical pharmacy services in an Ethiopian University Hospital

    OpenAIRE

    Mekonnen AB; Yesuf EA; Odegard PS; Wega SS

    2013-01-01

    Background: Clinical pharmacy practice has developed internationally to expand the role of a pharmacist well beyond the traditional roles of compounding, dispensing and supplying drugs to roles more directly in caring for patients. Studies on the activities of the clinical pharmacist in an inpatient ward in resource constrained settings are scarce, however.Objective: To assess ward based clinical pharmacy services in an internal medicine ward of Jimma University Specialized Hospital. Methods:...

  6. Injection drug users' perspectives on placing HIV prevention and other clinical services in pharmacy settings.

    Science.gov (United States)

    Lutnick, Alexandra; Case, Patricia; Kral, Alex H

    2012-04-01

    In their role as a source of sterile syringes, pharmacies are ideally situated to provide additional services to injection drug users (IDUs). Expanding pharmacy services to IDUs may address the low utilization rates of healthcare services among this population. This qualitative study of active IDUs in San Francisco explored perspectives on proposed health services and interventions offered in pharmacy settings, as well as facilitators and barriers to service delivery. Eleven active IDUs participated in one-on-one semistructured interviews at a community field site and at a local syringe exchange site between February and May 2010. Results revealed that most had reservations about expanding services to pharmacy settings, with reasons ranging from concerns about anonymity to feeling that San Francisco already offers the proposed services in other venues. Of the proposed health services, this group of IDUs prioritized syringe access and disposal, clinical testing and vaccinations, and provision of methadone. Pharmacists' and pharmacy staff's attitudes were identified as a major barrier to IDUs' comfort with accessing services. The findings suggest that although IDUs would like to see some additional services offered within pharmacy settings, this is contingent upon pharmacists and their staff receiving professional development trainings that cultivate sensitivity towards the needs and experiences of IDUs. PMID:22231488

  7. Clinical Pharmacy Education in a Dental Pharmacy

    Science.gov (United States)

    Helling, Dennis K.; Walker, John A.

    1978-01-01

    A clinical pharmacy training program for undergraduate students developed at the University of Iowa provides conjoint training of pharmacy and dental students in the clinic areas and pharmacy at the College of Dentistry. (LBH)

  8. Clinical and conventional pharmacy services in Polish hospitals: a national survey.

    Science.gov (United States)

    Pawłowska, Iga; Pawłowski, Leszek; Kocić, Ivan; Krzyżaniak, Natalia

    2016-04-01

    Background Pharmacist-led care services within the hospital pharmacy setting have a significant impact on efficient drug management processes. The work of pharmacists is directly associated with the provision of drugs and medical supplies along with additional clinical, administrative, organizational and educational duties. Depending on the country, these practice roles may differ to a significant extent. Objective The aim of this research was to explore the role of the hospital pharmacist and the provision of both clinical and traditional pharmaceutical services for patients and medical staff in Polish general hospitals. Setting Hospital pharmacies from all general hospitals in Poland. Method A cross-sectional study was conducted, utilizing an anonymous questionnaire as the research instrument. Heads of hospital pharmacies were requested to participate in this study and complete the questionnaire. The survey was initially piloted to improve the research method. Main outcome measure The types of pharmaceutical services performed in Polish general hospitals. Results 166 hospital pharmacies took part in this survey. The overall response rate was 60.8 %. The total number of full-time equivalent (FTE) professionals employed within the surveyed hospital pharmacies was approximately 833. The procurement and distribution of drugs were identified as pharmaceutical services performed by most of the participants. The significant majority of pharmacists were also involved in compounding, adverse drug reaction monitoring and rational drug management services. Eleven (7 %) of the responding pharmacists had direct contact with patients and 7 (4 %) pharmacists took part in ward rounds. More precise legal regulations regarding hospital pharmacy practice were measures indicated by most pharmacists as necessary changes required in the hospital pharmacy system. Conclusion Polish hospital pharmacists provide various pharmaceutical services. Their work is closely related with direct

  9. Injection Drug Users’ Perspectives on Placing HIV Prevention and Other Clinical Services in Pharmacy Settings

    OpenAIRE

    Lutnick, Alexandra; Case, Patricia; Kral, Alex H.

    2012-01-01

    In their role as a source of sterile syringes, pharmacies are ideally situated to provide additional services to injection drug users (IDUs). Expanding pharmacy services to IDUs may address the low utilization rates of healthcare services among this population. This qualitative study of active IDUs in San Francisco explored perspectives on proposed health services and interventions offered in pharmacy settings, as well as facilitators and barriers to service delivery. Eleven active IDUs parti...

  10. A Required Course in the Development, Implementation, and Evaluation of Clinical Pharmacy Services

    Science.gov (United States)

    Kamal, Khalid M.; Berdine, Hildegarde J.

    2008-01-01

    Objective To develop, implement, and assess a required pharmacy practice course to prepare pharmacy students to develop, implement, and evaluate clinical pharmacy services using a business plan model. Design Course content centered around the process of business planning and pharmacoeconomic evaluations. Selected business planning topics included literature evaluation, mission statement development, market evaluation, policy and procedure development, and marketing strategy. Selected pharmacoeconomic topics included cost-minimization analysis, cost-benefit analysis, cost-effectiveness analysis, cost-utility analysis, and health-related quality of life (HRQoL). Assessment methods included objective examinations, student participation, performance on a group project, and peer evaluation. Assessment One hundred fifty-three students were enrolled in the course. The mean scores on the objective examinations (100 points per examination) ranged from 82 to 85 points, with 25%-35% of students in the class scoring over 90, and 40%-50% of students scoring from 80 to 89. The mean scores on the group project (200 points) and classroom participation (50 points) were 183.5 and 46.1, respectively. The mean score on the peer evaluation was 30.8, with scores ranging from 27.5 to 31.7. Conclusion The course provided pharmacy students with the framework necessary to develop and implement evidence-based disease management programs and to assure efficient, cost-effective utilization of pertinent resources in the provision of patient care. PMID:19214263

  11. Cultivation and Implementation of Community-Engaged Pharmacy Services in a Free Clinic to Enhance Care for the Medically Underserved

    OpenAIRE

    Emmeline Tran, Pharm.D. Candidate; Brandon T. Jennings, Pharm.D.

    2013-01-01

    Partnerships between community free clinics and academic medical centers improve patient outcomes and enhance learning opportunities for students. A community-academic partnership between the Maliheh Free Clinic and the University of Utah College of Pharmacy was formed to fulfill a community need for pharmacy services, to promote interdisciplinary patient care, and to provide an experiential opportunity for students. The Maliheh Free Clinic based in Salt Lake City, Utah provides free primary ...

  12. The Kaiser Permanente Colorado Clinical Pharmacy Anticoagulation Service as a model of modern anticoagulant care.

    Science.gov (United States)

    Witt, Daniel M

    2008-01-01

    The Clinical Pharmacy Anticoagulation Service (CPAS) at Kaiser Permanente Colorado grew from a single pharmacist assisting a single physician to a comprehensive service staffed by over 20 employees. CPAS provides care for over 7200 patients with each CPAS pharmacist managing all aspects of anticoagulation therapy for 150 to 500 patients. Unique aspects of CPAS include its centralized organization structure, the use of telepharmacy, collaboration drug therapy management agreement with referring physicians and a robust research agenda. Results of various CPAS research projects have been published in the peer-reviewed medical literature. PMID:18804262

  13. Implementing ward based clinical pharmacy services in an Ethiopian University Hospital

    Directory of Open Access Journals (Sweden)

    Mekonnen AB

    2013-03-01

    Full Text Available Background: Clinical pharmacy practice has developed internationally to expand the role of a pharmacist well beyond the traditional roles of compounding, dispensing and supplying drugs to roles more directly in caring for patients. Studies on the activities of the clinical pharmacist in an inpatient ward in resource constrained settings are scarce, however.Objective: To assess ward based clinical pharmacy services in an internal medicine ward of Jimma University Specialized Hospital. Methods: The study was carried out in the internal medicine ward from March to April, 2011 at Jimma University Specialized Hospital. The study design was a prospective observational study where pharmaceutical care services provided by clinical pharmacists for inpatients were documented over a period of two months. Interventions like optimization of rational drug use and physician acceptance of these recommendations were documented. Clinical significance of interventions was evaluated by an independent team (1 internist, 1 clinical pharmacologist using a standardized method for categorizing drug related problems (DRPs. Results: A total of 149 drug related interventions conducted for 48 patients were documented; among which 133(89.3% were clinical pharmacists initiated interventions and 16(10.7% interventions were initiated by other health care professionals. The most frequent DRPs underlying interventions were unnecessary drug therapy, 36(24.2%; needs additional drug therapy, 34(22.8% and noncompliance, 29(19.5%. The most frequent intervention type was change of dosage/instruction for use, 23(15.4%. Acceptance rate by physicians was 68.4%. Among the interventions that were rated as clinically significant, 46(48.9% and 25(26.6% had major and moderate clinical importance respectively. Conclusion: Involving trained clinical pharmacists in the healthcare team leads to clinically relevant and well accepted optimization of medicine use in a resource limited settings. This

  14. Development of Clinical Pharmacy services at King Khalid University Hospital and its impact on the quality of healthcare provided.

    Science.gov (United States)

    Saddique, Abdulaziz A

    2012-07-01

    Clinical Pharmacy is a unique service provided by the leading pharmacy departments in the United States. The concept of Clinical Pharmacy evolved after the significant increase in number of pharmaceuticals in the market and the increasing potential of drug interactions. However, the Clinical Pharmacist is not merely an individual who advises on drug interactions. There are a number of functions which include but are not limited to; the design of appropriate drug therapy, such as Pharmacokinetic assessment and evaluation to optimize drug therapy, drug information dissemination to the physicians and other healthcare providers and participation as a toxicology consultant in Poison management. At the King Khalid University Hospital (KKUH) the first Clinical Pharmacy services program began in 1983. The aim of this study is to evaluate the impact of our Clinical Pharmacy program on the patients' care as well as its perception by the Medical staff that came from different parts of the world. Our Clinical Pharmacists were asked to record any suggestions or interventions in the form. The forms were all collected at the end of each day and entered into a database for analysis. Each intervention was analyzed in order to assess the merit of the action in terms of the therapeutic, financial and direct cost impact. The study showed a positive impact on the patients' care as well as on the economy of the drugs prescribed. Meanwhile, the service was very much appreciated by the Medical staff as well as other healthcare providers. PMID:23960800

  15. Cultivation and Implementation of Community-Engaged Pharmacy Services in a Free Clinic to Enhance Care for the Medically Underserved

    Directory of Open Access Journals (Sweden)

    Emmeline Tran, Pharm.D. Candidate

    2013-01-01

    Full Text Available Partnerships between community free clinics and academic medical centers improve patient outcomes and enhance learning opportunities for students. A community-academic partnership between the Maliheh Free Clinic and the University of Utah College of Pharmacy was formed to fulfill a community need for pharmacy services, to promote interdisciplinary patient care, and to provide an experiential opportunity for students. The Maliheh Free Clinic based in Salt Lake City, Utah provides free primary health care to uninsured individuals who live 150% below federal poverty guidelines. Three pharmacy services were developed and implemented. These include: 1 clinic chart reviews which involve written recommendations following a comprehensive assessment of the patient’s chart examining his or her disease states and the appropriateness of his or her medications; 2 medication reconciliations and discussion of pharmacy-related recommendations with patients during Diabetes Day, an inclusive interdisciplinary patient appointment that addresses important aspects of diabetes care; and 3 an insulin dose adjustment service through a collaborative practice agreement with the clinic to monitor a patient’s blood glucose levels and adjust his or her medications accordingly on a weekly basis.

  16. Action research methodology in clinical pharmacy

    DEFF Research Database (Denmark)

    Nørgaard, Lotte Stig; Sørensen, Ellen Westh

    2016-01-01

    Introduction The focus in clinical pharmacy practice is and has for the last 30-35 years been on changing the role of pharmacy staff into service orientation and patient counselling. One way of doing this is by involving staff in change process and as a researcher to take part in the change process...

  17. The Potential Role of Clinical Pharmacy Services in Patients with Cardiovascular Diseases

    Directory of Open Access Journals (Sweden)

    Azita Hajhossein Talasaz

    2012-06-01

    Full Text Available Clinical pharmacy is deemed an integral component of a health care system. The presence of clinical pharmacists in medical rounds could assist physicians in optimizing patients pharmacotherapy. Moreover, clinical pharmacists may reduce adverse effects and medication errors insofar as they contribute significantly to the detection and management of drug-related problems, not least in patients with cardiovascular diseases, who have the highest rank in the frequency of medication errors. Clinical pharmacists can also collaborate with physicians in the management of cardiovascular risk factors as well as anticoagulation therapy based on patients specific situations. In summary, the practice of clinical pharmacy is considered a crucial part of a health care team to improve the level of patients care by increasing the quality of therapy with the least expense for a health care system.

  18. A Systematic Review of the Effects of Continuing Education Programs on Providing Clinical Community Pharmacy Services.

    Science.gov (United States)

    Obreli-Neto, Paulo Roque; Marques Dos Reis, Tiago; Guidoni, Camilo Molino; Girotto, Edmarlon; Guerra, Marisabelle Lima; de Oliveira Baldoni, André; Leira Pereira, Leonardo Régis

    2016-06-25

    Objective. To summarize the effects of media methods used in continuing education (CE) programs on providing clinical community pharmacy services and the methods used to evaluate the effectiveness of these programs. Methods. A systematic review was performed using Medline, SciELO, and Scopus databases. The timeline of the search was 1990 to 2013. Searches were conducted in English, Portuguese, and Spanish. Results. Nineteen articles of 3990 were included. Fourteen studies used only one media method, and the live method (n=11) was the most frequent (alone or in combination). Only two studies found that the CE program was ineffective or partially effective; these studies used only the live method. Most studies used nonrobust, nonvalidated, and nonstandardized methods to measure effectiveness. The majority of studies focused on the effect of the CE program on modifying the knowledge and skills of the pharmacists. One study assessed the CE program's benefits to patients or clients. Conclusion. No evidence was obtained regarding which media methods are the most effective. Robust and validated methods, as well as assessment standardization, are required to clearly determine whether a particular media method is effective. PMID:27402991

  19. Impact of clinical pharmacy services on renal transplant recipients’ adherence and outcomes

    OpenAIRE

    Chisholm-Burns, Marie

    2008-01-01

    Marie A Chisholm-Burns1, Christina A Spivey1, Charlene Garrett2, Herbert McGinty2, Laura L Mulloy31Department of Pharmacy Practice and Science, The University of Arizona College of Pharmacy, Tuscon, AZ, USA; 2Medication Access Program (MAP), University of Georgia College of Pharmacy, Athens, GA, USA; 3Section of Nephrology, Hypertension and Transplantation Medicine, Medical College of Georgia School of Medicine, Augusta, GA, USAAbstract: The purpose of this article is to provide a description...

  20. Provision of clinical pharmacy services in two safety net provider settings

    OpenAIRE

    SE, Connor; Snyder ME; Snyder ZJ; Steinmetz Pater K

    2009-01-01

    Objective: The purpose of this report is to characterize the patient population served by the Grace Lamsam Pharmacy Program and to describe program outcomes. Methods: A chart review was conducted for all patients (n=100) participating in the Grace Lamsam Pharmacy Program from January 1, 2007 to February 6, 2008. The primary outcome data collected were the medication related problems (unnecessary drug therapy, needs additional drug therapy, ineffective drug therapy, dosage too low, dosage too ...

  1. Impact of clinical pharmacy services in a short stay unit of a hospital emergency department in Qatar.

    Science.gov (United States)

    Abdelaziz, Hani; Al Anany, Rasha; Elmalik, Ashraf; Saad, Mohammad; Prabhu, Kirti; Al-Tamimi, Haleema; Salah, Salem Abu; Cameron, Peter

    2016-08-01

    Background The presence of a clinical pharmacist in a hospital's Emergency Department (ED) is important to decrease the potential for medication errors. To our knowledge, no previous studies have been conducted to evaluate the impact of implementing clinical pharmacy services in the ED in Qatar. Objective To characterize the contributions of clinical pharmacists in a short stay unit of ED in order to implement and scale-up the service to all ED areas in the future. Methods A retrospective study conducted for 7 months in the ED of Hamad General Hospital, Qatar. The intervention recommendations were made by clinical pharmacists to the physician in charge during medical rounds. Results A total of 824 documented pharmacist recommendations were analyzed. The interventions included the following: Providing information to the physician (24.4 %) and recommending medication discontinuation (22.0 %), dose adjustment (19.3 %), medication addition (16.0 %), changes in frequency of medications (7.6 %), medication resumption (5.7 %), and patient education (5.0 %). Conclusion Clinical pharmacists in the ED studied play an important role in patient care. PMID:27033505

  2. Clinical research: business opportunities for pharmacy-based investigational drug services.

    Science.gov (United States)

    Marnocha, R M

    1999-02-01

    The application by an academic health center of business principles to the conduct of clinical research is described. Re-engineering of the infrastructure for clinical research at the University of Wisconsin and University of Wisconsin Hospital and Clinics began in 1990 with the creation of the Center for Clinical Trials (CCT) and the restructuring of the investigational drug services (IDS). Strategies to further improve the institution's clinical research activities have been continually assessed and most recently have centered on the adaptation of a business philosophy within the institution's multidisciplinary research infrastructure. Toward that end, the CCT and IDS have introduced basic business principles into operational activities. Four basic business concepts have been implemented: viewing the research protocol as a commodity, seeking payment for services rendered, tracking investments, and assessing performance. It is proposed that incorporation of these basic business concepts is not only compatible with the infrastructure for clinical research but beneficial to that infrastructure. The adaptation of a business mindset is likely to enable an academic health center to reach its clinical research goals. PMID:10030512

  3. Pharmacy Education Reaction to Presentations on Bridging the Gap Between the Basic Sciences and Clinical Practice: Teaching, Research, and Service.

    Science.gov (United States)

    Doluisio, James T.

    1980-01-01

    Issues in the conflict between clinical practice and basic research in pharmacy are reviewed: professional associations' role, curriculum needs and traditions, internal strains and diversity in the profession, computer use, scholarly work of faculty, using the medical profession as a model, and misperceptions of what clinical and basic sciences…

  4. Clinical Pharmacy Education in China

    OpenAIRE

    Ryan, Melody; Shao, Hong; Yang, Li; Nie, Xiao-Yan; Zhai, Suo-Di; Shi, Lu-Wen; Lubawy, William C.

    2008-01-01

    Pharmacy education in China focuses on pharmaceutical sciences, with the bachelor of science (BS) of pharmacy as the entry-level degree. Pharmacy practice curricula in these programs are centered on compounding, dispensing, pharmacy administration, and laboratory experiences, which are the traditional responsibilities for pharmacists. Additional graduate-level training is available at the master of science (MS) and the doctor of philosophy (PhD) levels, most of which concentrate on drug disco...

  5. AN ANALYSIS OF PHARMACY SERVICES BY PHARMACIST IN COMMUNITY PHARMACY

    Directory of Open Access Journals (Sweden)

    Max Joseph Herman

    2013-03-01

    Full Text Available ABSTRACT Background: Up to now there are more than 60 schools of pharmacy with a variety of accreditation level in lndonesia. Previous study found that the standard of pharmaceutical services at various service facilities (hospitals, primary health care and community pharmacy can not be fully implemented because of the limited competency of pharmacist. This study was conducted to identify the qualification of pharmacist who delivers services in community pharmacy in compliance with the Indonesian Health Law No. 36 of 2009. As mandated in the Health Law No. 36 of 2009, the government is obliged to establish minimum requirements that must be possessed. Methods: This cross sectional study was conducted in 2010 at 2 community pharmacies in each of 3 cities, i.e. Bandung, DI Yogyakarta and Surabaya. Other than ten pharmacists delivering services in community pharmacies, there were pharmacists as informants from 4 institutions in each city selected, i.e. six pharmacists from two Schools of Pharmacy, three pharmacists from three Regional Indonesian Pharmacists Association,six pharmacists from three District Health Offices and three Provincial Health Offices. Primary data collection through in-depth interviews and observation as well as secondary data collection concerning standard operating procedures, monitoring documentation and academic curricula has been used. Descriptive data were analysed qualitatively Results: The findings indicate that pharmacists' qualification to deliver services in a community pharmacy in accordance with the Government Regulation No. 51 of 2009, Standards of Pharmacy Services in Community Pharmacy and Good Pharmaceutical Practices (GPP was varied. Most pharmacists have already understood their roles in pharmacy service, but to practice it in accordance with the standards or guidelines they are still having problems. It is also acknowledged by pharmacists in other institutions, including School of Pharmacy, Regional

  6. A comparative evaluation of pharmacy services in single and no pharmacy towns

    OpenAIRE

    Sunderland, V Bruce; Burrows, Suzanne D; Joyce, Andrew W

    2006-01-01

    Background Recent attention has focused on access of communities to pharmacy services in rural areas. To increase access to pharmacy services in rural Western Australia some doctors have been granted a licence to dispense medication on the rationale that a pharmacy would not be economically viable in that community. However, there have been no studies conducted on whether a doctor dispensing service adequately provides a pharmacy service with respect to access and quality. Method Residents of...

  7. Specialty Pharmacy Services: Preparing for a New Era in Health-System Pharmacy.

    Science.gov (United States)

    Shay, Blake; Louden, Les; Kirschenbaum, Bonnie

    2015-10-01

    To deal with the changing health care landscape and the expanding growth of specialty pharmaceuticals, it is imperative that health systems evaluate their current structure of providing hospitalbased specialty pharmacy services. Specialty pharmacy services have rapidly expanded over the last decade, and this has affected a wide variety of disease states and in many cases has dramatically enhanced clinical outcomes. However, these medications come at a substantial cost, and a clear plan must be established at each institution to sustain financial viability. By focusing on developing a plan for specialty pharmaceuticals, the pharmacy director can help ensure the institution has prepared a strategy that is conservative, financially viable, and patient-centered. PMID:26912924

  8. Summative service and stakeholder evaluation of an NHS-funded community Pharmacy Emergency Repeat Medication Supply Service (PERMSS)

    OpenAIRE

    Nazar, Hamde; Nazar, Zachariah; Simpson, Jill; Yeung, Andre; Whittlesea, Cate

    2016-01-01

    OBJECTIVES: Service and stakeholder evaluation of an NHS-funded service providing out-ofhours (OOH) emergency repeat medications to patients self-presenting at community pharmacies. SETTING: Community pharmacies across the North East of England accredited to provide this service. PARTICIPANTS: Patients self-presenting to community pharmacies during OOH periods with emergency repeat medication supply requests. INTERVENTION: Community pharmacists assessed each request for clinical appropriatene...

  9. Immeasurable Benefits of Professional Pharmacy Community Service

    OpenAIRE

    Oliver, Brittany A

    2015-01-01

    Community service provides pharmacy students with invaluable opportunities for professional growth in communication, organization, and practice skills. Furthermore, students develop relationships with practicing pharmacists, which leads to influential mentoring and networking opportunities. While building students’ confidence and skills, these endeavors can have significant impact on community members’ lives.

  10. Analysis of the Practice of Pharmacy Service Quality of Clinical Promotion%临床提升西药房药学服务质量的实践分析

    Institute of Scientific and Technical Information of China (English)

    陈俊龙

    2015-01-01

    Objective To investigate the clinical analysis pharmacy pharmacy practiceto enhance the quality of service.Methods In our hospital from June 2011 to June 2012 in the west pharmacy issues,divided into three groups. Otherwise our hospitalfrom July 2012 to July 2013 in the West pharmacy issues, divided into two groups. Depending on the implementation method,the control group using traditional pharmacy management system,the observation group to raise the overal quality of service pharmacy pharmacy. Two pharmaceutical care in our hospital pharmacy were analysed.Results Pharmacy error event rate and patient satisfaction in the observation group were significantly better than the control group,P< 0.05. The difference was statisticaly significant. Conclusion For a comprehensive upgrade pharmacy pharmacy service quality,greatly reducing the incidence of pharmacy error events, significantly improved patient satisfaction.%目的:探讨临床提升西药房药学服务质量的实践分析。方法选取我院2011年6月~2012年6月的西药房工作事宜,为对照组;另行选取我院2012年7月~2013年7月的西药房工作事宜,为观察组。依据不同的实施方法,对照组采用传统西药房管理制度,观察组采用全面提升西药房药学服务质量,对比分析本院两组西药房药学服务的情况。结果观察组的西药房差错事件发生率和患者满意度优于对照组,P<0.05,差异具有统计学意义。结论对于西药房进行全面提升药学服务质量,降低了西药房差错事件的发生率,提高了患者的满意度。

  11. Guidelines for the Clinical Pharmacy Preceptor

    Science.gov (United States)

    Brodie, Donald C.; And Others

    1977-01-01

    Qualities that describe the performance of the clinical pharmacy preceptor are outlined, with particular concern for the personal and technical components of his role as a teacher. The guidelines were developed at an invitational workshop at the Los Angeles County/University of Southern California Medical Center. (LBH)

  12. Consumer views of community pharmacy services in Bangalore city, India

    OpenAIRE

    Jayaprakash G; Rajan ML; Shivam P

    2009-01-01

    Objective: The opinion about pharmacy services was studied using an instrument which measured satisfaction with pharmacy services. The main focus of the instrument was to assess patients’ opinion and expectation of the present pharmacy services. Method: The instrument contained 20 items, which were grouped based on their similarity into eight dimensions, namely, General satisfaction, Interpersonal Skill, Evaluation, Gathering non-medical information, Trust, Helping Patients, Explanation, and ...

  13. Collaboration with pharmacy services in a family practice for the medically underserved

    Directory of Open Access Journals (Sweden)

    Campbell K

    2009-12-01

    Full Text Available Objectives: Pharmacist-managed collaborative services in a family practice setting are described, and diabetes and hypertension outcomes are assessed.Methods: Pharmacist-managed clinics, pharmacotherapy consultations, and drug information services are provided for a medically underserved, predominantly African American population. A pharmacy residency director, an ambulatory care pharmacy resident and three PharmD candidate student pharmacists work directly with physicians, nurse practitioners, nurses, and social workers to form an interdisciplinary health care team. Providers utilize pharmacy services through consultations and referrals. Collaboration outcomes were evaluated in twenty-two patients with diabetes and thirty hypertensive patients. Patients were retrospectively followed throughout their history with pharmacy service. Hemoglobin A1c (A1C was tracked before referral to pharmacy services, 3 to 6 months after, and as the most current measure after at least 6 months. Blood pressure (BP was observed before pharmacy involvement, 2 to 4 months later, and then currently for at least 4 months with the service. The mean of the most current markers was calculated, and the percent of patients at their goal marker was compared to national averages.Results: Fifty percent of pharmacy service patients met the American Diabetes Association hemoglobin A1c goal of less than 7% in our evaluation compared to the national mean of 49.8% overall and 44% in African Americans. Thirty percent of patients were at their BP goal while 33.1% of patients without diabetes and 33.2% of patients with diabetes nationally are at goal. Conclusion: The medically underserved patients under the care of pharmacy services achieved a higher percentage at their A1C goal than the national mean. The percentage of patients who achieved their BP goals was comparable to the national average. Increasing utilization of pharmacy services in the family practice setting allows for

  14. Evaluation of a controlled, national collaboration study on a clinical pharmacy service of screening for risk medications

    DEFF Research Database (Denmark)

    Kjeldsen, Lene Juel; Clemmensen, Marianne Hald; Kronborg, Christian;

    2014-01-01

    Background Risk medications are frequently associated with adverse events and hospitalisations. Objective To evaluate a risk medication screening service for in-patients at Danish hospitals. Setting Danish hospitals. Methods The study was designed as a controlled, prospective intervention study. ...

  15. Payment for nondistributive hospital pharmacy services--a regional survey.

    Science.gov (United States)

    Strandberg, L R; Stennett, D J; Simonson, W

    1978-07-01

    Questionnaires were mailed to all (464) nongovernment, not-for-profit and investor owned for-profit hospital pharmacies in Washingon, Oregon and California. Responses were received from 350 institutions, a return rate of 75.4 percent. Pharmacists were asked to report data relating to the incidence of, the range of fees charged, and the extent of reimbursement received from third party carriers for the provision of nondistributive pharmacy services. The data received indicate that pharmacy consultation to physicians was provided by 77.9 percent of the respondents, drug therapy monitoring by 48.1 percent, generalized patient discharge consultation by 40.8 percent, CPR team participation by 27.2 percent, indepth patient discharge consultation by 17.5 percent and admitting medication history by 8.8 percent. Additionally, 12 institutions charged for providing 16 nondistributive pharmacy services. Directors of pharmacy from six hospitals indicated that they billed third party carriers for nondistributive pharmacy services as part of their total pharmacy charge via their usual billing procedure. All third party carriers billed in this manner paid for the nondistributive pharmacy service. PMID:10308024

  16. An investigation on pharmacy functions and services affecting satisfaction of patients with prescriptions in community pharmacies.

    Science.gov (United States)

    Sakurai, Hidehiko; Nakajima, Fumio; Tada, Yuichirou; Yoshikawa, Emi; Iwahashi, Yoshiki; Fujita, Kenji; Hayase, Yukitoshi

    2009-05-01

    Various functions expected by patient expects are needed with progress in the system for separation of dispensing and prescribing functions. In this investigation, the relationship between patient satisfaction and pharmacy function were analyzed quantitatively. A questionnaire survey was conducted in 178 community pharmacies. Questions on pharmacy functions and services totaled 87 items concerning information service, amenities, safety, personnel training, etc. The questionnaires for patients had five-grade scales and composed 11 items (observed variables). Based on the results, "the percentage of satisfied patients" was determined. Multivariate analysis was performed to investigate the relationship between patient satisfaction and pharmacy functions or services provided, to confirm patient's evaluation of the pharmacy, and how factors affected comprehensive satisfaction. In correlation analysis, "the number of pharmacists" and "comprehensive satisfaction" had a negative correlation. Other interesting results were obtained. As a results of factor analysis, three latent factors were obtained: the "human factor," "patients' convenience," and "environmental factor," Multiple regression analysis showed that the "human factor" affected "comprehensive satisfaction" the most. Various pharmacy functions and services influence patient satisfaction, and improvement in their quality increases patient satisfaction. This will result in the practice of patient-centered medicine. PMID:19420889

  17. Impact of Clinical Pharmacy Services on KAP and QOL in Cancer Patients: A Single-Center Experience

    Directory of Open Access Journals (Sweden)

    Yan Wang

    2015-01-01

    Full Text Available This study was to evaluate the efficacy of pharmaceutical intervention (PI on chemotherapy knowledge-attitude-practice (KAP and quality of life (QOL in cancer patients. A prospective, randomized, controlled study was carried out at Oncology Ward in a tertiary hospital affiliated to Southern Medical University, China. Eligible patient was randomly assigned to pharmaceutical intervention (PI group or control group. Each patient in PI group was given information booklets and was given 30 min face-to-face medication education and psychological counseling by clinical pharmacists, 2 sessions per week for 2 months. Patients in control group only received conventional treatment. All participants were asked to complete a structured Chemotherapy KAP Questionnaire and QOL Questionnaire at pre- and poststudy time. A total of 149 cancer patients (77 in PI group and 72 in control group completed the study. The baseline scores of KAP and QOL in 2 groups were similar. At the end of study, only knowledge score was significantly increased; meanwhile no difference existed for attitude, practice, and QOL scores in control group; both KAP scores and QOL score were significantly increased in PI group. As for the between-group comparison, both KAP scores and QOL score in PI group were significantly higher than those in control group. In conclusion, pharmaceutical intervention has a positive role in increasing chemotherapy-related knowledge, improving patients’ positive emotions, dealing with chemotherapy adverse reactions, and improving the quality of life of patients.

  18. Impact of Clinical Pharmacy Services on KAP and QOL in Cancer Patients: A Single-Center Experience.

    Science.gov (United States)

    Wang, Yan; Wu, Huimin; Xu, Feng

    2015-01-01

    This study was to evaluate the efficacy of pharmaceutical intervention (PI) on chemotherapy knowledge-attitude-practice (KAP) and quality of life (QOL) in cancer patients. A prospective, randomized, controlled study was carried out at Oncology Ward in a tertiary hospital affiliated to Southern Medical University, China. Eligible patient was randomly assigned to pharmaceutical intervention (PI) group or control group. Each patient in PI group was given information booklets and was given 30 min face-to-face medication education and psychological counseling by clinical pharmacists, 2 sessions per week for 2 months. Patients in control group only received conventional treatment. All participants were asked to complete a structured Chemotherapy KAP Questionnaire and QOL Questionnaire at pre- and poststudy time. A total of 149 cancer patients (77 in PI group and 72 in control group) completed the study. The baseline scores of KAP and QOL in 2 groups were similar. At the end of study, only knowledge score was significantly increased; meanwhile no difference existed for attitude, practice, and QOL scores in control group; both KAP scores and QOL score were significantly increased in PI group. As for the between-group comparison, both KAP scores and QOL score in PI group were significantly higher than those in control group. In conclusion, pharmaceutical intervention has a positive role in increasing chemotherapy-related knowledge, improving patients' positive emotions, dealing with chemotherapy adverse reactions, and improving the quality of life of patients. PMID:26697487

  19. 提高药房药学服务水平搞好临床用药指导工作%Improving the quality of clinical pharmacy service and enhancing the guidance of clinical medication

    Institute of Scientific and Technical Information of China (English)

    刘冠军; 谭永梅

    2014-01-01

    随着我国医疗体制改革的深入和发展,医院药学服务模式的改变,药剂人员面临着新形势下的机遇和挑战。结合药房工作的具体实践及体会,探讨如何提高药房窗口药学服务水平、搞好药学服务指导工作,更好地为病人服务。开展药学服务,保证药品质量,全力维护公众用药安全有效。%With the development of medical system reform in our country and the change in mode of hospital pharmacy services, pharmacy staff are facing opportunities and challenges under the new situation. combining the practice of pharmacy and the experience, we explored how to improve the quality of pharmaceutical care in pharmacy and enhance the guidance of pharmacy service in order to provide better services for patients. Besides we should develop pharmaceutical services and ensure the quality of drugs to maintain public safety and effectiveness of drugs.

  20. Discrete choice experiments of pharmacy services: a systematic review.

    Science.gov (United States)

    Vass, Caroline; Gray, Ewan; Payne, Katherine

    2016-06-01

    Background Two previous systematic reviews have summarised the application of discrete choice experiments to value preferences for pharmacy services. These reviews identified a total of twelve studies and described how discrete choice experiments have been used to value pharmacy services but did not describe or discuss the application of methods used in the design or analysis. Aims (1) To update the most recent systematic review and critically appraise current discrete choice experiments of pharmacy services in line with published reporting criteria and; (2) To provide an overview of key methodological developments in the design and analysis of discrete choice experiments. Methods The review used a comprehensive strategy to identify eligible studies (published between 1990 and 2015) by searching electronic databases for key terms related to discrete choice and best-worst scaling (BWS) experiments. All healthcare choice experiments were then hand-searched for key terms relating to pharmacy. Data were extracted using a published checklist. Results A total of 17 discrete choice experiments eliciting preferences for pharmacy services were identified for inclusion in the review. No BWS studies were identified. The studies elicited preferences from a variety of populations (pharmacists, patients, students) for a range of pharmacy services. Most studies were from a United Kingdom setting, although examples from Europe, Australia and North America were also identified. Discrete choice experiments for pharmacy services tended to include more attributes than non-pharmacy choice experiments. Few studies reported the use of qualitative research methods in the design and interpretation of the experiments (n = 9) or use of new methods of analysis to identify and quantify preference and scale heterogeneity (n = 4). No studies reported the use of Bayesian methods in their experimental design. Conclusion Incorporating more sophisticated methods in the design of pharmacy

  1. Pharmacy Student Learning Through Community Service.

    Science.gov (United States)

    Sobota, Kristen Finley; Barnes, Jeremiah; Fitzpatrick, Alyse; Sobota, Micah J

    2015-07-01

    The Ohio Northern University American Society of Consultant Pharmacists chapter provides students the opportunity to apply classroom knowledge with learning through community service. One such program took place at the Lima Towers Apartment Community from September 18, 2014, to October 2, 2014, in Lima, Ohio. Three evening educational sessions focused on a different health topic: 1) mental health, 2) medication adherence/brown bag, and 3) healthy lifestyle choices/nutrition/smoking cessation. All three programs were structured identically, starting with dinner, followed by educational intervention, survey, blood pressure checks, and medication reviews. Two pharmacists and 16 pharmacy students implemented the program. Participants completed a total of 76 satisfaction surveys for the three programs, which were included in the data analysis. The average age of the participants was 65 years; 82% (n = 63) were female. Data demonstrated that 94% (n = 72) "learned something new," while 96% (n = 74) would "recommend the program to a friend/family member." The collected data showed the vast majority of participants from the surrounding community found value in the presentations performed by students, especially with regard to the new information they received and its perceived benefits. In light of such successes, we encourage other student chapters to implement similar community outreach events. ASCP student members can make a strong, positive impact in the community while learning in a nontraditional environment. PMID:26173194

  2. Patients' reasons for accepting a free community pharmacy asthma service

    DEFF Research Database (Denmark)

    Kaae, Susanne; Sporrong, Sofia Kälvemark

    2015-01-01

    Background Challenges in recruiting patients at the pharmacy counter for cognitive services have been observed, hampering development in this area. To overcome this barrier, insight into the patient perspective is crucial to understanding their lack of appreciation of the services. However, very...... few studies have been conducted so far to explore why patients accept or decline offers of cognitive services at the pharmacy counter. Objective To explore patients’ reasons for accepting a particular cognitive service (the Inhaler Technique Assessment Service) a service intended to detect inhalation...... technique errors. The service is reimbursed by the Danish state and takes approximately 10 min. Setting Ten community pharmacies located in different regions of Denmark, including the center and suburbs of Copenhagen. Method Two types of interviews were conducted: long and short semi-structured interviews...

  3. Consumer views of community pharmacy services in Bangalore city, India

    Directory of Open Access Journals (Sweden)

    Jayaprakash G

    2009-09-01

    Full Text Available Objective: The opinion about pharmacy services was studied using an instrument which measured satisfaction with pharmacy services. The main focus of the instrument was to assess patients’ opinion and expectation of the present pharmacy services. Method: The instrument contained 20 items, which were grouped based on their similarity into eight dimensions, namely, General satisfaction, Interpersonal Skill, Evaluation, Gathering non-medical information, Trust, Helping Patients, Explanation, and Finance. Chance random sampling was done and the participants were the general public above the age of 18 years. The main outcome measure was to study participants’ opinion regarding the current and desired pharmacy services. Descriptive statistics are presented for the satisfaction dimension score. The level of satisfaction with the different dimensions was compared across the different demographic characteristics.Result: The study results revealed significant difference in the General satisfaction and Interpersonal skill amongst the gender. Significant difference was seen in the Helping patients, Evaluation and Explanation skill among the various age groups. Education background showed significant difference in evaluation, Gathering-non-medical information, Helping patients and Explanation skills of the pharmacist. There was an overall satisfaction dimension score of 56.83% in the current practice and 68.83% in the desired practice. Conclusion: Awareness about pharmacy service continuing education programme for practicing pharmacist will heighten the pharmacy profession in our country.

  4. Pharmacies

    Data.gov (United States)

    Department of Homeland Security — Pharmacies in the United States and Territories A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under...

  5. Assessment of patient perceptions concerning a community pharmacy-based warfarin monitoring service

    Directory of Open Access Journals (Sweden)

    Stefanie Ferreri, PharmD, CDE, BCACP, FAPhA1

    2012-01-01

    Full Text Available Objective: To assess patient perceptions of a North Carolina community pharmacy-based warfarin monitoring service. Methods: Prospective study of patients 18 years of age and older, who filled a prescription for warfarin, in one of five Raleigh area community pharmacies, between May 1, 2010 and October 31, 2010. A 14 item survey, along with a self-addressed stamped envelope, was mailed to 330 identified patients. The survey inquired about details of current anticoagulation monitoring services, interest in utilizing a local community pharmacy for this service, and confidence in a pharmacist-managed program. Results: 26% of surveys were returned. 48% of surveyed individuals responded that they would be interested in having their warfarin monitoring performed by a trained pharmacist in a community pharmacy setting. Conclusion: Many participants responded that the community pharmacy would be more convenient than or as convenient as their current location. This may be a new clinical service that could be offered in certain community pharmacies.

  6. Immunization services offered in Québec (Canada) pharmacies

    OpenAIRE

    Sauvageau, Chantal; Dubé, Eve; Bradet, Richard; Mondor, Myrto; Lavoie, France; Moisan, Jocelyne

    2013-01-01

    Canadian Pharmacists are easy to reach. Although Québec pharmacists are not allowed to administer vaccines, they can: (1) promote vaccination, (2) counsel patients on vaccination, (3) sell vaccines and (4) provide vaccine administration by a nurse. Our objectives were to describe immunization services given in Québec pharmacies and assess the potential relation between, on one hand, pharmacy characteristics and difficulties perceived by pharmacists and, on the other hand, vaccine administrati...

  7. Objective structured clinical examination (OSCE) in pharmacy education - a trend

    OpenAIRE

    Shirwaikar A

    2015-01-01

    Pharmacy education has undergone a radical change as it evolves towards becoming a more patient oriented profession. With a greater emphasis on problem based teaching and competency, the Objective Structured Clinical Examination (OSCE), supported by its reliability and validity became the gold standard for the evaluation of clinical skills of undergraduate students of medicine and pharmacy worldwide. Core competency evaluation has become a mandatory and critical norm for accountability of edu...

  8. The Marketing Strategy of Pötting’s Pharmacy Using the Marketing Tool Service Blueprint

    OpenAIRE

    Šilberská, Tereza

    2015-01-01

    The diploma thesis is focused on marketing strategy plan of a private pharmacy using service blueprint as a marketing tool. At the beginning the thesis deals with characteristics of specifics and state regulations of pharmacy marketing. Then the thesis analyses Czech pharmacy market in particular with regard to the expansion of pharmacy chains and also puts emphasis on current pharmacy trends that influence management and marketing of private pharmacies. The main goal is firstly to describe t...

  9. Pharmacy services at admission and discharge in adult, acute, public hospitals in Ireland.

    LENUS (Irish Health Repository)

    Grimes, Tamasine

    2012-02-01

    OBJECTIVES: to describe hospital pharmacy involvement in medication management in Ireland, both generally and at points of transfer of care, and to gain a broad perspective of the hospital pharmacy workforce. METHODS: a survey of all adult, acute, public hospitals with an accident and emergency (A&E) department (n = 36), using a semi-structured telephone interview. KEY FINDINGS: there was a 97% (n = 35) response rate. The majority (n = 25, 71.4%) of hospitals reported delivery of a clinical pharmacy service. On admission, pharmacists were involved in taking or verifying medication histories in a minority (n = 15, 42.9%) of hospitals, while few (n = 6,17.1%) deployed staff to the A&E\\/acute medical admissions unit. On discharge, the majority (n = 30,85.7%) did not supply any take-out medication, a minority (n =5,14.3%) checked the discharge prescription, 51.4% (n = 18) counselled patients, 42.9% (n = 15) provided medication compliance charts and one hospital (2.9%) communicated with the patient\\'s community pharmacy. The number of staff employed in the pharmacy department in each hospital was not proportionate to the number of inpatient beds, nor the volume of admissions from A&E. There were differences identified in service delivery between hospitals of different type: urban hospitals with a high volume of admissions from A&E were more likely to deliver clinical pharmacy. CONCLUSIONS: the frequency and consistency of delivering pharmacy services to facilitate medication reconciliation at admission and discharge could be improved. Workforce constraints may inhibit service expansion. Development of national standards of practice may help to eliminate variation between hospitals and support service development.

  10. Providing Quality Pharmacy Services: Good Intentions Are Not Enough

    OpenAIRE

    Gorecki, Paul K.

    2010-01-01

    Elected representatives, like consumers, want reliable good quality medical services. Pharmacy services are no exception. Providing sound advice on which drug to take for a minor ailment, or the common side effects of a drug or keeping careful track of a consumer?s drug regimen, promote good health outcomes.

  11. Towards an operational definition of pharmacy clinical competency

    Science.gov (United States)

    Douglas, Charles Allen

    The scope of pharmacy practice and the training of future pharmacists have undergone a strategic shift over the last few decades. The pharmacy profession recognizes greater pharmacist involvement in patient care activities. Towards this strategic objective, pharmacy schools are training future pharmacists to meet these new clinical demands. Pharmacy students have clerkships called Advanced Pharmacy Practice Experiences (APPEs), and these clerkships account for 30% of the professional curriculum. APPEs provide the only opportunity for students to refine clinical skills under the guidance of an experienced pharmacist. Nationwide, schools of pharmacy need to evaluate whether students have successfully completed APPEs and are ready treat patients. Schools are left to their own devices to develop assessment programs that demonstrate to the public and regulatory agencies, students are clinically competent prior to graduation. There is no widely accepted method to evaluate whether these assessment programs actually discriminate between the competent and non-competent students. The central purpose of this study is to demonstrate a rigorous method to evaluate the validity and reliability of APPE assessment programs. The method introduced in this study is applicable to a wide variety of assessment programs. To illustrate this method, the study evaluated new performance criteria with a novel rating scale. The study had two main phases. In the first phase, a Delphi panel was created to bring together expert opinions. Pharmacy schools nominated exceptional preceptors to join a Delphi panel. Delphi is a method to achieve agreement of complex issues among experts. The principal researcher recruited preceptors representing a variety of practice settings and geographical regions. The Delphi panel evaluated and refined the new performance criteria. In the second phase, the study produced a novel set of video vignettes that portrayed student performances based on recommendations of

  12. Clinical risk management in community pharmacy

    OpenAIRE

    Buurma, H.

    2006-01-01

    In this thesis, several studies are presented providing information about frequency, nature and determinants of drug therapy related problems as they occur in daily pharmaceutical practice, including unavailability, drug-drug interactions and heavy use of psychotropic medicines. These studies especially focused on the pharmacist and his contribution and quality to the 'solution' of these problems. - In 2001 Dutch community pharmacies still compound more than 13,000 medicines per day (2.3% of ...

  13. Objective structured clinical examination (OSCE in pharmacy education - a trend

    Directory of Open Access Journals (Sweden)

    Shirwaikar A

    2015-12-01

    Full Text Available Pharmacy education has undergone a radical change as it evolves towards becoming a more patient oriented profession. With a greater emphasis on problem based teaching and competency, the Objective Structured Clinical Examination (OSCE, supported by its reliability and validity became the gold standard for the evaluation of clinical skills of undergraduate students of medicine and pharmacy worldwide. Core competency evaluation has become a mandatory and critical norm for accountability of educational objectives as the traditional testing tools cannot evaluate clinical competence. Interpersonal and communication skills, professional judgment, skills of resolution etc., may be best assessed through a well- structured OSCE in comparison to oral examinations, multiple choice tests and other methods of assessment. Though OSCEs as an objective method of evaluation offer several advantages to both students and teachers, it also has disadvantages and pitfalls in implementation. This article reviews the OSCE as a trend in pharmacy education.

  14. Innovation in clinical pharmacy practice and opportunities for academic--practice partnership.

    Science.gov (United States)

    Gubbins, Paul O; Micek, Scott T; Badowski, Melissa; Cheng, Judy; Gallagher, Jason; Johnson, Samuel G; Karnes, Jason H; Lyons, Kayley; Moore, Katherine G; Strnad, Kyle

    2014-05-01

    Clinical pharmacy has a rich history of advancing practice through innovation. These innovations helped to mold clinical pharmacy into a patient-centered discipline recognized for its contributions to improving medication therapy outcomes. However, innovations in clinical pharmacy practice have now waned. In our view, the growth of academic–practice partnerships could reverse this trend and stimulate innovation among the next generation of pioneering clinical pharmacists. Although collaboration facilitates innovation,academic institutions and health care systems/organizations are not taking full advantage of this opportunity. The academic–practice partnership can be optimized by making both partners accountable for the desired outcomes of their collaboration, fostering symbiotic relationships that promote value-added clinical pharmacy services and emphasizing continuous quality improvement in the delivery of these services. Optimizing academic–practice collaboration on a broader scale requires both partners to adopt a culture that provides for dedicated time to pursue innovation, establishes mechanisms to incubate ideas, recognizes where motivation and vision align, and supports the purpose of the partnership. With appropriate leadership and support, a shift in current professional education and training practices, and a commitment to cultivate future innovators, the academic–practice partnership can develop new and innovative practice advancements that will improve patient outcomes. PMID:24877189

  15. Service Scripts: A Tool for Teaching Pharmacy Students How to Handle Common Practice Situations

    Science.gov (United States)

    2006-01-01

    Objectives This paper describes the use of service scripts to teach pharmacy students how to manage specific practice situations by learning and following scripted behaviors. Design Based upon role theory, service scripts require specific behaviors for a broad range of practice problems and communicate consistent messages about the responsibilities of all people involved. Service scripts are developed by (1) identifying scenarios for the script, (2) eliciting the script's structure and content, and (3) documenting the reasoning behind the steps in the script. Assessment Students in a nontraditional doctor of pharmacy program developed scripts for their practice settings. They concluded that scripts were useful for quickly learning new, routine tasks, but expressed concern that scripts could be misused by pharmacists and managers. The process of script development itself was useful in gaining feedback about common practice problems. Conclusion By mastering managerial, clinical, and communication scripts, students can develop capabilities to provide professional services. PMID:17136145

  16. Professional Nursing Duties in the Central Services: Hospital Pharmacy Nurses

    OpenAIRE

    Inmaculada Gómez-Villegas; Belén Ruíz-Pérez; Dolores López-del-Pino; Francisco García-España

    2015-01-01

    Introduction. The new demands of a fast changing world necessitate expanding the traditional concepts of nursing, extending the classical aspects to cover new areas. Purpose. Based on their professional duties, the nursing team in the pharmacy of a second-level hospital aimed to establish a theoretical and situational framework for nurses working in the central services. Material and Methods. Application of the nursing process to nursing work in an area with no direct contact with patients. R...

  17. 临床药师在静脉药物配置中心批次决策中的作用%Role of clinical pharmacists in batches decision making in pharmacy intravenous admixture services

    Institute of Scientific and Technical Information of China (English)

    秦娜; 魏立伟

    2015-01-01

    Reasonable batch decision-making of pharmacy intravenous admixture services (PIVAS) is a prerequisite for clinical rational drug use in the intravenous infusion. Clinical pharmacists in Luoyang Orthopedics Traumatological Hospital PIVAS draw up intravenous infusion batch rule according to the rational use of drug principle, and take manual intervention in special cases, which make the clinical PIVAS infusion delivery batches more scientific and reasonable, the clinical pharmacists play a decisive role in batches decision making.%静脉药物配置中心合理的批次决策能有效保障临床静脉输液合理用药。河南省洛阳正骨医院临床药师根据合理用药原则,制定静脉输液批次规则,在特殊情况下进行人工干预,使临床输液配送批次更加科学合理。临床药师在批次决策中起到举足轻重的作用。

  18. Societal perspectives on community pharmacy services in West Bank - Palestine

    Directory of Open Access Journals (Sweden)

    Khdour MR

    2012-03-01

    Full Text Available Understanding the public's view of professional competency is extremely important; however little has been reported on the public’s perception of community pharmacists in PalestineObjectives: To determine the perception of Palestinian consumers of the community pharmacist and the services they offerMethod: This project used the survey methodology administered by structured interviews to consumers who attended the 39 randomly selected pharmacies, in six main cities in Palestine. The questionnaire had range of structured questions covering: Consumers’ patronage patterns, consumers’ interaction with community pharmacists, consumers’ views on how the pharmacist dealt with personal health issues, procedure with regard to handling private consultations.Results: Of 1,017 consumers approached, 790 consumers completed the questionnaire (77.7 %. Proximity to home and presence of knowledgeable pharmacist were the main reasons for patients to visit the same pharmacy. Physicians were identified as the preferred source of advice by 57.2% and pharmacists by 23.8%. Only 17% of respondents considered pharmacists as health professionals who know a lot about drugs and are concerned about and committed to caring for the public. In addition, 49% indicated that pharmacists spoke more quietly cross the counter during counseling and almost one third reported that the pharmacist used a private area within the pharmacy. The majority of respondents would be happy to receive different extended services in the community pharmacy like blood pressure monitoring.Conclusions: Palestinian consumers have a positive overall perception of community pharmacists and the services they offer. Awareness should be created amongst the public about the role of pharmacist and the added value they can provide as health care professional. There is a need to consider privacy when giving patient counseling to increase user satisfaction.

  19. Integrated Clinical Geriatric Pharmacy Clerkship in Long Term, Acute and Ambulatory Care.

    Science.gov (United States)

    Polo, Isabel; And Others

    1994-01-01

    A clinical geriatric pharmacy clerkship containing three separate practice areas (long-term, acute, and ambulatory care) is described. The program follows the medical education clerkship protocol, with a clinical pharmacy specialist, pharmacy practice resident, and student. Participation in medical rounds, interdisciplinary conferences, and…

  20. Predictive Factors of Patient Satisfaction with Pharmacy Services in South Korea: A Cross-Sectional Study of National Level Data.

    Directory of Open Access Journals (Sweden)

    Sunkyung Lee

    Full Text Available Patient satisfaction has emerged as a prerequisite to improving patients' health behaviors leading to better health care outcomes. This study was to identify predictive determinants for patient satisfaction with pharmacy services using national-level data.A cross-sectional evaluation was conducted using 2008 Korean National Health and Nutrition Examination Survey (KNHANES data. To assess the predictive factors for patient satisfaction with pharmacy services, an ordinal logistic regression model was conducted adjusting for patient characteristics, clinical comorbidities, and perception of health.A total of 9,744 people, a representative sample of 48.2 million Koreans, participated in the 2008 KNHANES, of whom 2,188 (23.6% reported visits to pharmacy within the last 2 weeks prior to the survey. Of the patients who visited the pharmacy, 74.6% reported to be either "very satisfied" or "satisfied," and 25.4% responded as being "neutral," "dissatisfied," or "very dissatisfied." A multivariate ordinal logistic regression analysis with weighted observations revealed that patients with fair perception of health (adjusted OR 1.32; 95% CI 1.01-1.74; p<0.05 and those with middle to low family incomes (adjusted OR 1.34; 95% CI 1.02-1.76; p<0.05 were more likely to be satisfied with pharmacy services, and employment-based insurers were less likely to be satisfied with pharmacy services (adjusted OR 0.80; 95% CI 0.65-0.97; p<0.05.Our findings indicated that three out of four patients expressed satisfaction toward pharmacy services. Middle to low family incomes, fair perception of health, and employee insured individuals were significant predictors of patient satisfaction with pharmacy services.

  1. A Lifestyle Medicine Clinic in a Community Pharmacy Setting

    OpenAIRE

    Thomas L. Lenz, PharmD; Jessica Skradski, PharmD; Maryann Z. Skrabal, PharmD, CDE; Liz Ferguson, MA; Michael S. Monaghan, PharmD, BCPS

    2010-01-01

    Chronic diseases continue to be a significant burden to the health care system. Pharmacists have been able to show that drugtherapy for patients with chronic diseases can be improved through medication therapy management (MTM) services but have yet to become significantly involved in implementing lifestyle modification programs to further control and prevent chronic conditions. A novel and innovative lifestyle medicine program was started by pharmacists in a community pharmacy in 2008 to mo...

  2. A Novel Clinical Pharmacy Management System in Improving the Rational Drug Use in Department of General Surgery

    Directory of Open Access Journals (Sweden)

    L Bao

    2013-01-01

    Full Text Available Hospital information system is widely used to improve work efficiency of hospitals in China. However, it is lack of the function providing pharmaceutical information service for clinical pharmacists. A novel clinical pharmacy management system developed by our hospital was introduced to improve the work efficiency of clinical pharmacists in our hospital and to carry out large sample statistical analyzes by providing pharmacy information services and promoting rational drug use. Clinical pharmacy management system was developed according to the actual situation. Taking prescription review in the department of general surgery as the example, work efficiency of clinical pharmacists, quality and qualified rates of prescriptions before and after utilizing clinical pharmacy management system were compared. Statistics of 48,562 outpatient and 5776 inpatient prescriptions of the general surgical department were analyzed. Qualified rates of both the inpatient and outpatient prescriptions of the general surgery department increased, and the use of antibiotics decreased. This system apparently improved work efficiency, standardized the level and accuracy of drug use, which will improve the rational drug use and pharmacy information service in our hospital. Meanwhile, utilization of prophylactic antibiotics for the aseptic operations also reduced.

  3. A New Approach to Health Services and Pharmacy in Cuba.

    Science.gov (United States)

    Sánchez, Alina M

    2015-12-01

    In December 17, 2014, U.S. President Barack Obama surprised the world by announcing his intention to enter into negotiations aimed at reestablishing diplomatic relations with Cuba. Since then, expectations and interest regarding the health system of that country have increased. This report focuses on the Cuban health and pharmacy systems from a practical and educational standpoint. Pharmaceutical services, strengths, opportunities, and challenges are described. Cuba's new trends toward patient-centered care are analyzed to provide insights for developing pharmaceutical care practice and implementing policies suitable for practice in all health care settings. PMID:26684551

  4. Clinical pharmacy activities in chronic kidney disease and end-stage renal disease patients: a systematic literature review

    Directory of Open Access Journals (Sweden)

    Stemer Gunar

    2011-07-01

    Full Text Available Abstract Background Chronic kidney disease (CKD and end-stage renal disease (ESRD represent worldwide health problems with an epidemic extent. Therefore, attention must be given to the optimisation of patient care, as gaps in the care of CKD and ESRD patients are well documented. As part of a multidisciplinary patient care strategy, clinical pharmacy services have led to improvements in patient care. The purpose of this study was to summarise the available evidence regarding the role and impact of clinical pharmacy services for these patient populations. Methods A literature search was conducted using the Medline, Embase and International Pharmaceutical Abstracts databases to identify relevant studies on the impact of clinical pharmacists on CKD and ESRD patients, regarding disease-oriented and patient-oriented outcomes, and clinical pharmacist interventions on drug-related problems. Results Among a total of 21 studies, only four (19% were controlled trials. The majority of studies were descriptive (67% and before-after studies (14%. Interventions comprised general clinical pharmacy services with a focus on detecting, resolving and preventing drug-related problems, clinical pharmacy services with a focus on disease management, or clinical pharmacy services with a focus on patient education in order to increase medication knowledge. Anaemia was the most common comorbidity managed by clinical pharmacists, and their involvement led to significant improvement in investigated disease-oriented outcomes, for example, haemoglobin levels. Only four of the studies (including three controlled trials presented data on patient-oriented outcomes, for example, quality of life and length of hospitalisation. Studies investigating the number and type of clinical pharmacist interventions and physician acceptance rates reported a mean acceptance rate of 79%. The most common reported drug-related problems were incorrect dosing, the need for additional

  5. Rethinking the Role of Clinical Practice Guidelines in Pharmacy Education.

    Science.gov (United States)

    Brown, Daniel L

    2015-12-25

    Clinical practice guidelines (CPGs) play a major role in pharmacy education. Students learn to locate, retrieve, and apply CPGs in didactic coursework and practice experiences. However, they often memorize and quote recommendations without critical analysis, which tends to undermine their clinical growth. Students should become genuine drug experts, based on strong critical-thinking skills and the ability to assimilate extensive clinical and scientific knowledge. Clinical practice guidelines improve health care, and students should be familiar with them, but there are legitimate criticisms of CPGs, stemming largely from potential conflicts of interest and limitations in the quality and scope of available evidence. Despite such flaws, CPGs can be used to facilitate the clinical growth of students if the emphasis is placed on critically analyzing and evaluating CPG recommendations, as opposed to blindly accepting them. From that perspective, the role that CPGs have come to play in education may need to be reconsidered. PMID:26889060

  6. The relevance of political prestudies for implementation studies of cognitive services in community pharmacies

    DEFF Research Database (Denmark)

    Kaae, Susanne; Traulsen, Janine Marie; Søndergaard, Birthe;

    2009-01-01

    BACKGROUND: Studies of cognitive services implementation in the pharmacy sector traditionally focus on individual and/or organizational factors to explain why some pharmacies are successful and others are not. The social and political context of the origins of these services is rarely part...... of the analysis. Researchers and practitioners in the field of pharmacy practice research are increasingly being encouraged to take into account the specific political and societal climate which often plays a defining role in the success or failure of cognitive services implementation in community pharmacies....... OBJECTIVE: The aim of this article is to argue for the inclusion of political pre-studies as part of the study design for implementation studies on reimbursed services in community pharmacy. METHODS: A political pre-study of the Inhaler Technique Assessment Service (ITAS) introduced in Denmark in 2004...

  7. Characterization of drug-related problems identified by clinical pharmacy staff at Danish hospitals

    DEFF Research Database (Denmark)

    Kjeldsen, Lene Juel; Birkholm, Trine; Fischer, Hanne;

    2014-01-01

    Background In 2010, a database of drug related problems (DRPs) was implemented to assist clinical pharmacy staff in documenting clinical pharmacy activities locally. A study of quality, reliability and generalisability showed that national analyses of the data could be conducted. Analyses...... at the national level may help identify and prevent DRPs by performing national interventions. Objective The aim of the study was to explore the DRP characteristics as documented by clinical pharmacy staff at hospital pharmacies in the Danish DRP-database during a 3-year period. Setting Danish hospital pharmacies....... Method Data documented in the DRP-database during the initial 3 years after implementation were analyzed retrospectively. The DRP-database contains DRPs reported at hospitals by clinical pharmacy staff. The analyses focused on DRP categories, implementation rates and drugs associated with the DRPs. Main...

  8. PATIENT SATISFACTION ON GENERAL, INTERVENTION AND COGNITIVE SERVICES AMONG RETAIL PHARMACIES IN KOTA KINABALU, MALAYSIA

    Directory of Open Access Journals (Sweden)

    Molugulu Nagashekhara

    2012-08-01

    Full Text Available The services of retail pharmacies in Malaysia are still lagging behind compared to those in some developed countries. Doctors are allowed to dispense prescription medication to their patients. Besides that, traditional Chinese practices and other retailers, are allowed to sell their medical products and over the counter medications. Thus, retail pharmacies have to compete with all the above medicine outlets to win the customers. The purpose of this study is to determine the patient satisfaction on retail pharmacy services such as general, intervention and cognitive services. Data was collected using convenience sampling from 250 respondents using structured questionnaire which consisted of 30 items. Reliability test was conducted using Cronbach’s alpha values and are of 0.643, 0.695 and 0.674 for General, Intervention and Cognitive services respectively. The results revealed that respondents were adequately satisfied with general, intervention and cognitive services. In addition there is no difference in opinion among male and female respondents. In Malaysia, there are three different types of retail pharmacies exist, namely independent pharmacies, chain pharmacies and franchised pharmacies. Further investigations in details are required to find out the relationship between services provided by different types of retail pharmacies and patient satisfaction.

  9. Assessing the acceptability of community pharmacy based pharmaceutical care services in Karachi

    Directory of Open Access Journals (Sweden)

    Muhammad Amir, B.Pharmacy, MSc. MBA, Assistant Professor/Clinical Pharmacist

    2011-01-01

    Full Text Available Provision of pharmaceutical care services in community pharmacies is a new trend in pharmacy practice worldwide. Published literature from developed countries is available showing benefits of pharmaceutical care services provided in community pharmacies. However, relatively little published literature is available from developing countries in which unique market environments are encountered. This study was conducted to assess the acceptability of community pharmacy based pharmaceutical care services in Karachi. Pharmaceutical care services were developed and offered to pharmacy customers for a period of two months. Acceptability was evaluated with respect to enrollment of participants in the program, discontinuation, and complaints registered. The findings provide a better understanding of pharmaceutical care marketing strategies and are discussed within the context of the health care environment in Karachi.

  10. Impact of a Service-Learning Course on First-Year Pharmacy Students’ Learning Outcomes

    OpenAIRE

    Kearney, Kevin R.

    2013-01-01

    Objectives. To assess the differences in learning outcomes of first-year (P1) pharmacy students enrolled in a course based on service learning with those of a comparable group of students not enrolled in a course involving service learning.

  11. Counselling in Swedish Community Pharmacies : Understanding the Process of a Pharmaceutical Care Service

    OpenAIRE

    Montgomery, Anna

    2009-01-01

    Community pharmacy practice is moving towards patient care and away from the mere dispensing of medicines. In this movement, which is guided by the philosophy of Pharmaceutical care (PC), new counselling services emerge. The purpose of the thesis was to add knowledge about the real-world provision of PC services by studying a defined PC service in Swedish pharmacies. Specific aims of this thesis were to investigate the experiences of professionals working with or close to the service and to d...

  12. Current status and future prospects of the development of clinical Pharmacy in China: A SWOT analysis.

    Science.gov (United States)

    Rao, Yuefeng; Zhao, Qingwei; Zhang, Xiangyi; Yang, Hongyu; Lou, Yan; Zhang, Xingguo

    2016-03-01

    In many industrialized countries, clinical pharmacy has developed into a separate discipline and become a vital part of inpatient care in hospitals. However, as compared to many established branches of medicine, clinical pharmacy is still in its infancy, with much room for growth, improvement, and recognition by both the medical community and patients. In this study, a widely-recognized development strategy analysis tool, Strength, Weakness, Opportunity and Threat (SWOT), was used to systematically address several key issues to the development of clinical pharmacy in China. This analysis aims to provide feasible recommendations for the development of clinical pharmacy in China by identifying current problems and growth opportunities. Full development of clinical pharmacy as a mature clinical discipline will help promote the rational use of drugs by both clinicians and patients and lead to enhanced drug efficacy and safety. PMID:27087089

  13. Role Model Ambulatory Care Clinical Training Site in a Community-Based Pharmacy.

    Science.gov (United States)

    Magarian, Edward O.; And Others

    1993-01-01

    An interdisciplinary project provided ambulatory care clinical training for pharmacy and nursing students in community-based pharmacies, promoting early detection and medical follow-up of common health problems within the community. Students learned new clinical skills in patient health assessment, new diagnostic technologies, patient education…

  14. An evaluation of community pharmacy-based services for type 2 diabetes in an Indonesian setting: patient survey

    OpenAIRE

    Wibowo, Yosi; Parsons, Richard; Sunderland, Bruce; Hughes, Jeffery

    2015-01-01

    Background. Diabetes is an emerging chronic disease in developing countries. Its management in developing countries is mainly hospital/clinic based. The increasing diabetes burden in developing countries provides opportunities for community pharmacists to deliver a range of services. Since the management of diabetes requires the patient’s own involvement, it is important to gain their views in order to develop pharmacy-based diabetes services. Studies on diabetes patients’ views have been lim...

  15. ASSESSMENT AND EVALUATION OF DRUG INFORMATION SERVICE PROVIDED BY PHARMACY PRACTICE DEPARTMENT BASED ON ENQUIRER’S PERSPECTIVE

    OpenAIRE

    Jeevangi V M; Neelkantreddy Patil; Anand B Geni; Hinchageri SS; Manjunath G; Shantveer H

    2012-01-01

    Drug information service refers to activities carried out by pharmacists in providing any drug related information to healthcare professionals to provide better patient care. Providing drug information is a clinical pharmacy service and delivered as part of the multidisciplinary approach to patient care. Accurate information about safety of drugs is very essential for health care professionals in identifying, preventing and managing Adverse Drug Reactions (ADRs), thereby ensuring safe use of ...

  16. Influence Service Quality and Customer Satisfaction towards Drug Purchase Intention in Anggrek Outpatient Pharmacy Depo at Hasan Sadikin Hospital

    OpenAIRE

    Pratiwi; Ahmad Muhtadi; Emma Surahman

    2016-01-01

    The quality of service is an evaluation which focused on customer’s awareness about a structural construction of a service or product that involves 5 main aspects which are tangibility, empathy, responsiveness, reliability and assurance. Based on monthly reports of pharmacy installation only about 30% of patients buy drugs in the Anggrek out patient depo out off patients visiting Anggrek out patient specialist clinic in Dr. Hasan Sadikin Hospital. The aim of this study is to determine the eff...

  17. Balanced Scorecards As a Tool for Developing Patient-Centered Pharmacy Services

    Science.gov (United States)

    Enwere, Emmanuel N.; Keating, Ellen A.; Weber, Robert J.

    2014-01-01

    Having accurate data is essential for the pharmacy director to manage the department and develop patient-centered pharmacy services. A balanced scorecard (BSC) of essential department data, which is a broad view of a department’s function beyond its financial performance, is an important part of any department’s strategic plan. This column describes how the pharmacy director builds and promotes a department’s BSC. Specifically, this article reviews how the BSC supports the department’s mission and vision, describes the metrics of the BSC and how they are collected, and recommends how the pharmacy director can effectively use the scorecard results in promoting the pharmacy. If designed properly and updated consistently, a BSC can present a broad view of the pharmacy’s performance, serve as a guide for strategic decision making, and improve on the quality of its services. PMID:24958976

  18. A mixed methods evaluation of a patient care clinic located within a pharmacy school.

    Science.gov (United States)

    Jorgenson, Derek J; Landry, Eric J L; Lysak, Katherine J

    2016-08-01

    Background The Medication Assessment Center is a faculty and student run patient care clinic located within the pharmacy school at the University of Saskatchewan (Canada). It was created as a novel experiential education site for pharmacy students and to provide clinical pharmacist services for complex patients who have trouble accessing services elsewhere. Objective To determine if the clinical services provided by faculty and students at the Medication Assessment Center are valuable to patients who are referred to the program. Setting The Medication Assessment Center, which is faculty and student run patient care clinic. Method Convergent mixed methods design comprised of a retrospective patient chart audit and a paper based patient experience survey. All patients who attended at least one appointment at the Medication Assessment Center between March 1, 2014 and July 31, 2015 were included in the chart audit. All new patients who were referred between April 1, 2015 and October 26, 2015 were included in the survey. Main outcome measures Recommendations made by the pharmacist and patient experience survey indicators. Results 173 patients were included in the chart audit, which found that patients were elderly (64.8 years), highly medically complex (13.8 medications and 6.5 diagnoses each), and had a large number of recommendations made by the pharmacist to adjust drug therapy (6.2 per patient). 121 questionnaires were mailed to patients with a response rate of 66.9 % (n = 81). The survey found high levels of support and satisfaction for the program, including more than half of patients (59.2 %) who reported that their health had improved as a result of the Medication Assessment Center. Conclusion The patient care and experiential education program offered by the Medication Assessment Center provides a valuable service to patients who are referred to the clinic. PMID:27166829

  19. Assessment of patient perceptions concerning a community pharmacy-based warfarin monitoring service

    OpenAIRE

    Stefanie Ferreri, PharmD, BCACP, CDE, FAPhA; Debbie Pruss Hiller, PharmD2; Macary Weck Marciniak, PharmD, BCACP, BCPS, FAPhA; Jennifer Waitzman, PharmD1

    2012-01-01

    Objective: To assess patient perceptions of a North Carolina community pharmacy-based warfarin monitoring service. Methods: Prospective study of patients 18 years of age and older, who filled a prescription for warfarin, in one of five Raleigh area community pharmacies, between May 1, 2010 and October 31, 2010. A 14 item survey, along with a self-addressed stamped envelope, was mailed to 330 identified patients. The survey inquired about details of current anticoagulation monitoring services,...

  20. Development, test-retest reliability and validity of the Pharmacy Value-Added Services Questionnaire (PVASQ)

    OpenAIRE

    Tan CL; Hassali MA; Saleem F; Shafie AA; Aljadhey H; Gan VB.

    2015-01-01

    Objective: (i) To develop the Pharmacy Value-Added Services Questionnaire (PVASQ) using emerging themes generated from interviews. (ii) To establish reliability and validity of questionnaire instrument. Methods: Using an extended Theory of Planned Behavior as the theoretical model, face-to-face interviews generated salient beliefs of pharmacy value-added services. The PVASQ was constructed initially in English incorporating important themes and later translated into the Malay language wit...

  1. Proceedings of the International Congress on Clinical Pharmacy Education. (1st, Minneapolis, Minnesota, July 13-16, 1976).

    Science.gov (United States)

    American Association of Colleges of Pharmacy, Bethesda, MD.

    The proceedings of the First International Congress on Clinical Pharmacy Education, which introduced pharmacy educators from outside of North America to the U.S. clinical pharmacy component of education and practice are presented in more than 20 separate papers. The program's objectives were: (1) to provide a historical overview of the development…

  2. Pharmacy-based needle exchange in New Zealand: a review of services

    Directory of Open Access Journals (Sweden)

    Greenhill Nicola

    2005-07-01

    Full Text Available Background New Zealand has been offering needle exchange services since 1987. Over 170 community pharmacies are involved in the provision of this service. However, no recent detailed review of New Zealand's pharmacy-based needle exchange has been published. This study aimed to explore service provision, identify problems faced by pharmacists, and look for improvements to services. Methods The study used a cross-sectional survey of all needle exchange pharmacies. Postal questionnaires were used with postal and telephone follow-up. Results A response rate of 88% was obtained overall. Pharmacists had been providing the service for a mean of 6 years. Pharmacies had given out an average of 130 injecting units, in a mean of 62 transactions to a mean of 17 clients in the 4 weeks prior to completing the questionnaire. The majority had not incurred problems such as violence or intoxicated clients in the last 12 months, although almost one third had experienced shoplifting which they associated with service provision. Training and improving return rates were identified as potential areas for further development. Conclusion New Zealand needle exchange pharmacies are providing services to a number of clients. The majority of service providers had been involved for a number of years, indicating the problems incurred had not caused them to withdraw their services – findings which echo those from the UK. Further training and support, including an exploration of improving return rates may be needed in the future.

  3. Student Pharmacists’ Clinical Interventions in Advanced Pharmacy Practice Experiences at a Community Nonteaching Hospital

    OpenAIRE

    Shogbon, Angela O.; Lundquist, Lisa M.

    2014-01-01

    Objective. To assess student pharmacists’ clinical interventions in advanced pharmacy practice experiences (APPEs) at a community nonteaching hospital and evaluate completed interventions based on the type of documentation method used.

  4. PATIENT SATISFACTION ON GENERAL, INTERVENTION AND COGNITIVE SERVICES AMONG RETAIL PHARMACIES IN KOTA KINABALU, MALAYSIA

    OpenAIRE

    Molugulu Nagashekhara; Ng Sze-Nee; Matanjun David; Urban John Arnold D’Souza; Balan Rathakrishnan

    2012-01-01

    The services of retail pharmacies in Malaysia are still lagging behind compared to those in some developed countries. Doctors are allowed to dispense prescription medication to their patients. Besides that, traditional Chinese practices and other retailers, are allowed to sell their medical products and over the counter medications. Thus, retail pharmacies have to compete with all the above medicine outlets to win the customers. The purpose of this study is to determine the patient satisfacti...

  5. A survey for assessment of the role of pharmacist in community pharmacy services

    OpenAIRE

    SHARMA, H; Jindal, D.; Aqil, M.; Alam, M. S.; Karim, S.; Kapur, P.

    2009-01-01

    Objective : To assess the role of a pharmacist in a community setting and the consumer′s perception in the National Capital Region. Setting : The study was conducted in the National Capital Region of India during the year 2003 - 2004. Materials and Methods : Four pharmacies were selected for this study, which were not attached to any hospital or clinic. Seventy-seven consumers, who visited these pharmacies during the study period, were selected for this study and interviewed just after they v...

  6. PRACTICING HOSPITAL PHARMACISTS MENTORING PHARMACY STUDENTS IN CLINICAL PHARMACY: AN EXPERIENCE FROM DOW UNIVERSITY OF HEALTH SCIENCES (DUHS) PAKISTAN

    OpenAIRE

    Shah Syed Shaukat Ali Muttaqi; Sumbul Shamim; Mustapha Omer

    2012-01-01

    Pharmacy education has been an important and integral part of the education system of a country. Pharmacy education in Pakistan has grown significantly through the ages and there are quite a few number of pharmacy schools providing education to the students. The academia and practice had always been disjointed in the country. Dow College of Pharmacy (DCOP) at DUHS was established in the year 2008, with the vision to provide exemplary pharmacy education to the students and bridging the gap bet...

  7. The impact of introducing a satellite dispensary service at an outpatient HIV clinic

    OpenAIRE

    S Vekeria; Jalali, F.; S Sonecha; Bates, I.

    2012-01-01

    Background: Studies have demonstrated the potential impact of pharmaceutical services in HIV care [1]. We sought to extend HIV pharmacy services at the Dean Street outpatient HIV/GUM clinic to improve efficiency and enhance client satisfaction. The pharmacy team was expanded and a satellite dispensary was opened in the clinic. This project compares the new dispensary service with the previous one offered. Method: Comparisons were made between the pre- and post-change period across a range of ...

  8. PDCA应用于医院药事管理中的临床分析%Clinical Analysis of the Application of PDCA in Pharmacy Administration

    Institute of Scientific and Technical Information of China (English)

    胡宝生

    2015-01-01

    Objective Study on Application of PDCA in clinical management of hospital pharmacy. Methods Our hospital 500 cases of patients were randomly assigned to use clinical management and PDCA management. Statistical analysis of error event rates in patients with pharmacy,pharmacy management quality ratings and pharmacy service evaluation. Results Pharmacy error occurred in the observation group was 6.00%,satisfaction rate of pharmacy services 92.80%,pharmacy management quality score was(93.41±4.69),the control group were 20.80%,78.00%,(73.45±4.51),the difference has statistics significance(P < 0.05). Conclusion In the hospital clinical pharmacy management,PDCA can reduce the occurrence of error events pharmacy,improve patients’satisfaction with pharmaceutical services,improving overal hospital pharmacy management.%目的:研究临床医院药事管理中 PDCA 的应用。方法对我院500例患者随机分组,分别采用临床常规管理模式、PDCA 管理,统计分析患者药学差错事件发生率、药学管理质量评分以及患者对药学服务评价。结果观察组药学差错事件发生率为6.00%,对药学服务满意率为92.80%,药学管理质量评分为(93.41±4.69),对照组分别为20.80%、78.00%、(73.45±4.51),差异具有统计学意义(P <0.05)。结论在医院临床药事管理,PDCA 能减少药学差错事件的发生,提高患者对药学服务满意程度,提高医院整体药学管理水平。

  9. Evolution of Hospital-based Pharmacy Teaching Programs from 1989-1998.

    Science.gov (United States)

    Raehl, Cynthia; Bond, C. A.

    2000-01-01

    Analyzed databases from four U.S. National Clinical Pharmacy Services Studies and the American Hospital Association for trends in hospital involvement in pharmacy education. Detailed findings indicated that clinical pharmacy services within the nation's teaching hospitals are not standardized and that financial pressures impede a full, consistent…

  10. The Future of Clinical Pharmacy: Developing a Holistic Model

    Directory of Open Access Journals (Sweden)

    Patricia A. Shane

    2013-11-01

    Full Text Available This concept paper discusses the untapped promise of often overlooked humanistic skills to advance the practice of pharmacy. It highlights the seminal work that is, increasingly, integrated into medical and nursing education. The work of these educators and the growing empirical evidence that validates the importance of humanistic skills is raising questions for the future of pharmacy education and practice. To potentiate humanistic professional competencies, e.g., compassion, empathy, and emotional intelligence, how do we develop a more holistic model that integrates reflective and affective skills? There are many historical and current transitions in the profession and practice of pharmacy. If our education model is refocused with an emphasis on pharmacy’s therapeutic roots, the field has the opportunity to play a vital role in improving health outcomes and patient-centered care. Beyond the metrics of treatment effects, achieving greater patient-centeredness will require transformations that improve care processes and invest in patients’ experiences of the treatment and care they receive. Is layering on additional science sufficient to yield better health outcomes if we neglect the power of empathic interactions in the healing process?

  11. Impact of Facilitated Asynchronous Distance Education on Clinical Skills Development of International Pharmacy Graduates

    Science.gov (United States)

    Austin, Zubin; Dean, Marie Rocchi

    2006-01-01

    The use of distance education for clinical skills development in the health professions has not been extensively described, due in part to the intensive nature of the relationship between the patient and practitioner. In the context of pharmacy practice, there are specific needs to develop new vehicles for clinical skills education due to growing…

  12. Perception of community pharmacists towards the barriers to enhanced pharmacy services in the healthcare system of Dubai: a quantitative approach

    Directory of Open Access Journals (Sweden)

    Rayes IK

    2015-06-01

    Full Text Available Background: In many developing countries, pharmacists are facing many challenges while they try to enhance the quality of services provided to patients approaching community pharmacies. Objective: To explore perception of community pharmacists in Dubai regarding the obstacles to enhanced pharmacy services using a part of the results from a nation-wide quantitative survey. Methods: A questionnaire was distributed to 281 full-time licensed community pharmacists in Dubai. The questionnaire had 5 inter-linked sections: demographic information, information about the pharmacy, interaction with physicians, pharmacists’ current professional role, and barriers to enhanced pharmacy services. Results: About half of the respondents (45.4%, n=90 agreed that pharmacy clients under-estimate them and 52.5% (n=104 felt the same by physicians. About 47.5% (n=94 of the respondents felt that they are legally unprotected against profession’s malpractice. Moreover, 64.7% (n=128 stated that pharmacy practice in Dubai turned to be business-focused. In addition, 76.8% (n=252 found that one of the major barriers to enhanced pharmacy services is the high business running cost. Pharmacists screened tried to prove that they are not one of the barriers to optimized pharmacy services as 62.7% (n=124 disagreed that they lack appropriate knowledge needed to serve community and 67.7% (n=134 gave the same response when asked whether pharmacy staff lack confidence when treating consumers or not. Conclusions: Although being well established within the community, pharmacists in Dubai negatively perceived their own professional role. They stated that there are number of barriers which hinder optimized delivery of pharmacy services like under-estimation by pharmacy clients and other healthcare professionals, pressure to make sales, and high running cost.

  13. Exploring long term implementation of cognitive services in community pharmacies - a qualitative study

    Directory of Open Access Journals (Sweden)

    Kaae S

    2012-09-01

    Full Text Available Implementing cognitive services in community pharmacies faces certain obstacles. One approach aimed at improving long-term implementation is to consider the implementation process as consisting of different stages, all of which require tailored initiatives. Taking this approach into account, there is a marked need for increased knowledge regarding the initiatives necessary to support especially the later phases of the implementation process. Objective: The aim of this project was to develop insight into factors pertaining to the later phases of implementing cognitive services in community pharmacies.Methods: A qualitative study was conducted, consisting of semi-structured interviews with 12 Danish pharmacy staff members, who were all in charge of improving the implementation of the Inhaler Technique Assessment Service (ITAS in the 5 years following its introduction. The interviews were used to explore which implementation barriers had been identified by the staff and how they had sought to overcome them. The interviews were analyzed by combining content and critical common sense analysis with theoretical interpretations based on Rogers “Diffusion of innovation” theory.Results: The most predominant long-term barrier was the staff members’ adoption of the ITAS at very different rates. The problem of laggards was not lack of competencies, but a lack of self-efficacy in believing that their actual competencies were sufficient to provide the service. Lack of time and attention to the service and obtaining support from the more senior members of the pharmacy were also problematic. Both individual and group activities were launched to overcome the identified challenges belonging to different phases of the implementation process. Conclusion: Those in charge of ensuring long term implementation of cognitive services in community pharmacies should consider the necessity to handle several simultaneous actions of both an individual and collective kind

  14. [Pharmacists' Behavior in Clinical Practice: Results from a Questionnaire Survey of Pharmacy Students].

    Science.gov (United States)

    Nakada, Akiko; Akagawa, Keiko; Yamamoto, Hitomi; Kato, Yasuhisa; Yamamoto, Toshinori

    2016-01-01

    A questionnaire survey was performed to obtain pharmacy students' impressions of pharmacists' behavior, to classify these based on professionalism, and to analyze the relationship between these experiences and students' satisfaction with their clinical practice in Japan. The questionnaire was answered by 327 5th-year pharmacy school students upon completing clinical practice at community pharmacies from 2011 to 2012. They rated their satisfaction with their clinical practice using a 6-point Likert scale, and provided descriptions of their experience such as, "This health provider is professional", or "What a great person he/she is as a health provider". We counted the words and then categorized the responses into 10 traits, as defined by the American Pharmaceutical Association Academy of Students of Pharmacy-American Association of Colleges of Pharmacy, Council of Deans Task Force on Professionalism 1999, using text mining. We analyzed the relationship between their experiences with respectful persons, and satisfaction, using the Mann-Whitney U-test (significance leveltext mining analysis after excluding unsuitable responses. The word most used was "patient" (121 times). Many students noted their impression that the pharmacists had answered patients' questions. Of the 10 trait categories, "professional knowledge and skills" was mentioned most often (151 students). PMID:26831812

  15. Can a pharmacy intervention improve the metabolic risks of mental health patients? Evaluation of a novel collaborative service

    OpenAIRE

    Maulavizada, Husna; Emmerton, Lynne; Hattingh, Hendrika Laetitia

    2016-01-01

    Background The pressure on healthcare services worldwide has driven the incorporation of disease state management services within community pharmacies in developed countries. Pharmacists are recognised as the most accessible healthcare professionals, and the incorporation of these services facilitates patient care. In Australia, the opportunity to manage pharmacy patients with mental illness has been underutilised, despite the existence of service models for other chronic conditions. This pap...

  16. Development, test-retest reliability and validity of the Pharmacy Value-Added Services Questionnaire (PVASQ

    Directory of Open Access Journals (Sweden)

    Tan CL

    2015-09-01

    Full Text Available Objective: (i To develop the Pharmacy Value-Added Services Questionnaire (PVASQ using emerging themes generated from interviews. (ii To establish reliability and validity of questionnaire instrument. Methods: Using an extended Theory of Planned Behavior as the theoretical model, face-to-face interviews generated salient beliefs of pharmacy value-added services. The PVASQ was constructed initially in English incorporating important themes and later translated into the Malay language with forward and backward translation. Intention (INT to adopt pharmacy value-added services is predicted by attitudes (ATT, subjective norms (SN, perceived behavioral control (PBC, knowledge and expectations. Using a 7-point Likert-type scale and a dichotomous scale, test-retest reliability (N=25 was assessed by administrating the questionnaire instrument twice at an interval of one week apart. Internal consistency was measured by Cronbach’s alpha and construct validity between two administrations was assessed using the kappa statistic and the intraclass correlation coefficient (ICC. Confirmatory Factor Analysis, CFA (N=410 was conducted to assess construct validity of the PVASQ. Results: The kappa coefficients indicate a moderate to almost perfect strength of agreement between test and retest. The ICC for all scales tested for intra-rater (test-retest reliability was good. The overall Cronbach’ s alpha (N=25 is 0.912 and 0.908 for the two time points. The result of CFA (N=410 showed most items loaded strongly and correctly into corresponding factors. Only one item was eliminated. Conclusions: This study is the first to develop and establish the reliability and validity of the Pharmacy Value-Added Services Questionnaire instrument using the Theory of Planned Behavior as the theoretical model. The translated Malay language version of PVASQ is reliable and valid to predict Malaysian patients’ intention to adopt pharmacy value-added services to collect partial

  17. A Mass Merchandiser's Role in Enhancing Pharmacy Students’ Business Plan Development Skills for Medication Therapy Management Services

    OpenAIRE

    Morris Moultry, Aisha

    2011-01-01

    Objectives. To develop a relationship between a pharmacy management course and a mass merchandiser and to determine whether involving pharmacy managers from the mass merchandiser in the course would enhance student skills in developing a business plan for medication therapy management services.

  18. Impact of Pharmacy Student Interventions in an Urban Family Medicine Clinic

    OpenAIRE

    Ginzburg, Regina

    2014-01-01

    Objectives. To determine the number of interventions made by pharmacy students at an urban family medicine clinic and the acceptance rate of these recommendations by the healthcare providers. The secondary objective was to investigate the cost avoidance value of the interventions.

  19. An Endocrine Pharmacology Course for the Clinically-Oriented Pharmacy Curriculum

    Science.gov (United States)

    Rahwan, Ralf G.

    1976-01-01

    In view of trends in clinical pharmacy education, the role of the traditional basic sciences has to be reassessed. An endocrine pharmacology course comprised of 49 clock-hours and open for professional undergraduate and graduate credit is described that blends basic and applied pharmacology. (LBH)

  20. Evaluation of a pharmacy service helping patients to get a good start in taking their new medications for chronic diseases

    DEFF Research Database (Denmark)

    Kaae, Susanne; Dam, Pernille; Rossing, Charlotte

    2016-01-01

    to the risk of non-adherence. Counseling at the pharmacy counter may not be structured appropriately to address issues of potential non-adherence to new medication. For these reasons, a new pharmacy service in Denmark was developed. The service consists of a 15-min face-to-face interview and a 10-min...... and a good start in taking the new medication due to the pharmacy service. The majority of patients reported being adherent, but a potential risk of non-adherence was identified in nearly 50% of patients. Only slight improvements in perceived concordance were reported. The positive outcome of the service...... was mainly due to the first interview. Some patients had concerns about their new situation, which they thought more important to resolve than issues of potential non-adherence. CONCLUSIONS: Patients were satisfied with the pharmacy service and reported that staff helped them get a good start with the new...

  1. A multicenter study of biological effects assessment of pharmacy workers occupationally exposed to antineoplastic drugs in Pharmacy Intravenous Admixture Services.

    Science.gov (United States)

    Zhang, Jingjing; Bao, Jianan; Wang, Renying; Geng, Zhou; Chen, Yao; Liu, Xinchun; Xie, Yongzhong; Jiang, Ling; Deng, Yufei; Liu, Gaolin; Xu, Rong; Miao, Liyan

    2016-09-01

    This multi-centered study was designed to evaluate the biological effects of exposure to antineoplastic drugs (ADs) at PIVAS (Pharmacy Intravenous Admixture Service) across ten Chinese hospitals. 8-hydroxy-2-deoxyguanosine (8-OHdG) was used as a biomarker of DNA oxidative damage and lymphocyte apoptosis assays using peripheral lymphocyte cells were used to detect primary DNA damage. The mutagenicity activity was estimated with the Ames fluctuation test. 158 exposed and 143 unexposed workers participated in this study. The urinary 8-OHdG/Cr concentrations of the exposed group was 22.05±17.89ng/mg Cr, which was significantly higher than controls of 17.36±13.50ng/mg Cr (P<0.05). The rate of early lymphocyte apoptosis was slightly increased in exposed group than that of the control group (P=0.087). The mutagenic activity was significantly higher in the exposed group relative to the control group (P<0.05). Moreover, while no statistically significant difference was observed, higher concentrations of 8-OHdG/Cr in urine and an early lymphocyte apoptosis rate were found in exposed group II as compared to exposed group I. In addition, a significant correlation between early lymphocyte apoptosis and exposure time to ADs was also observed (P<0.05). In conclusion, our study identified elevated biomarkers in PIVAS workers exposed to ADs. However whether these findings could lead to increased incidence of genotoxic responses remains to be further investigated. PMID:27179702

  2. Clinical pharmacy in a multidisciplinar team for chronic pain in adults.

    Science.gov (United States)

    Bauters, T G M; Devulder, J; Robays, H

    2008-01-01

    The aim of this study was to evaluate the role and the impact of a clinical pharmacist as a member of a multidisciplinary pain team. Although physicians have a good knowledge of pharmacotherapy in the field of pain medication, pharmacy interventions were necessary to enhance the quality of prescribing. On a population of 93 patients, a total of 120 interventions were recorded. The different types of interventions included: provision of information (10.0%), clinical intervention (89.2%) and the provision of a specific product (0.8%). Out of the 107 clinical interventions, a total of 95.3 % interventions were accepted by the physicians. The results highlight the clinical importance of the pharmacy in optimizing drug therapy for adult patients with chronic pain. PMID:19048702

  3. Pharmacy Locations, Pharmacy Locations, Published in unknown, 1:4800 (1in=400ft) scale, Warren County Emergency Services.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Pharmacy Locations dataset, published at 1:4800 (1in=400ft) scale, was produced all or in part from Hardcopy Maps information as of unknown. It is described as...

  4. Development and operation of a pharmacy-based intravenous cytotoxic reconstitution service.

    OpenAIRE

    M Anderson; Brassington, D; Bolger, J

    1983-01-01

    An intravenous cytotoxic reconstitution service has proved extremely popular with both medical and nursing staff. Since the pharmacy has taken over the responsibility for presenting these medicines in a readily usable form, many potential hazards to inexperienced medical staff have been eliminated, and much time and money have been saved. The pharmacists are in an excellent position to offer advice on many aspects of excellent position to offer advice on many aspects of cytotoxic treatment an...

  5. The lay user perspective on the quality of pharmaceuticals, drug therapy and pharmacy services--results of focus group discussions

    DEFF Research Database (Denmark)

    Traulsen, Janine Marie; Almarsdóttir, Anna Birna; Björnsdóttir, Ingunn

    2002-01-01

    This article presents the results of a study on quality of pharmacy services and perceived risk of pharmaceuticals. The results presented here are part of a multi-study evaluation of major changes in drug distribution in Iceland.......This article presents the results of a study on quality of pharmacy services and perceived risk of pharmaceuticals. The results presented here are part of a multi-study evaluation of major changes in drug distribution in Iceland....

  6. Is Mail Service Pharmacy Cost Beneficial to Plan Sponsors?

    Directory of Open Access Journals (Sweden)

    Larisa Vulakh, Student Pharmacist

    2011-01-01

    Full Text Available The objective of this study was to describe and compare prescription drug costs charged to a plan sponsor for the top 50 maintenance medications provided through retail and mail service procurement channels. Data were obtained for covered beneficiaries of a health plan sponsored by an employer with just over 3,000 covered employees The analytics team at the PBM administering the plan sponsor’s prescription drug benefit provided de-identified claims information for the top 50 maintenance prescription drugs delivered through either mail service or retail procurement methods for this employer over a one year period (7/1/2008 to 6/30/2009. Based on these data, (1 dollar amount difference (mail service minus retail, and (2 percentage difference between mail and retail costs (as a percentage of the lower net cost per day were computed. The findings revealed that 76 percent of the medication products studied were associated with a lower net cost per day to the plan sponsor through mail service procurement and 24 percent were associated with lower net cost through retail procurement.

  7. The influence of job characteristics on job outcomes of pharmacists in hospital, clinic, and community pharmacies.

    Science.gov (United States)

    Lin, Blossom Yen-Ju; Yeh, Ying-Chen; Lin, Wen-Hung

    2007-06-01

    This study examines the relationship between job characteristics and job outcomes of pharmacists in hospital, clinic, and community pharmacies in Taiwan. The structured questionnaires covered the items of job characteristics, job outcomes, and demographics of pharmacists, and were distributed between Feb 2004 and April 2004. Two hundred and ninety-eight pharmacists responded. Data were analyzed descriptively, and univariate analyses, factor analysis, and multiple regression analyses were used. It found the more enriched the job, the greater the job satisfaction and less intention to leave. And community pharmacists reported greater job enrichment and job satisfaction and less intention to leave than did hospital and clinic pharmacists. It suggests pharmacy managers could recognize the needs of pharmacists to redesign and enrich their work arrangements. PMID:17622026

  8. Clinical and Business Intelligence: Why It's Important to Your Pharmacy.

    Science.gov (United States)

    Pinto, Brian; Fox, Brent I

    2016-07-01

    According to the Healthcare Information Management and Systems Society, "Clinical & Business Intelligence (C&BI) is the use and analysis of data captured in the healthcare setting to directly inform decision-making" (http://www.himss.org/library/clinical-business-intelligence). Some say that it is the right information given to the right person at the right time in the right way. No matter how you define it, the fact remains that timely access, synthesis, and visualization of clinical data have become key to how health professionals make patient care decisions and improve care delivery. PMID:27559195

  9. Pharmacy without walls.

    Science.gov (United States)

    Shane, R R

    1996-02-15

    Attributes of excellence in pharmacy management are described: big-picture thinking, the ability to exploit change, and willingness to take risks. Big-picture thinking means understanding trends that are shaping health care in order to determine where pharmacy fits. Health systems look beyond inpatient care and use case managers to maximize resource use; pharmacists might serve as case managers. Managed care has caused physicians to be more receptive to resource-management strategies, such as clinical pathways; pharmacists can collaborate in the development of clinical pathways. Pharmacists can serve as physician extenders; for example, by conducting anticoagulation or hypertension clinics. Pharmacists need flexibility to adapt to changes in the internal organization of acute care institutions; they will need to learn about the clinical, behavioral, operational, and fiscal aspects of managing the total patient. New reporting relationships give pharmacists the opportunity to demonstrate to other members of the health care team their role in preventing, managing, and resolving drug-related problems throughout the continuum of care. Risk-taking can mean setting ambitious goals. By setting and achieving ambitious goals for products and services, pharmacists can raise patients' and other health care providers' expectations for pharmacy services. Pharmacists' success will depend on their willingness to experiment with new services and discard services that do not substantially advance patient care. Pharmacists must monitor changes in the provision of health care, determine the implications for their practice and seek opportunities for participation outside the walls within which they have traditionally practiced. PMID:8673664

  10. THE ROLES OF CLINICAL PHARMACY IN REDUCING MEDICATION ERRORS

    OpenAIRE

    Alsaraf Khulood Majid

    2012-01-01

    Potential activation of clinical pharmacist role is of great importance in reducing the medication errors which are a well- known problem in hospital. The medication errors could be prescribing errors, dispensing errors, and administering errors. In this study medication errors randomly were collected by clinical pharmacist and inpatient pharmacist from different wards at a Hospital in Dubai, UAE, from July to October 2011. The results showed that the highest percentage of medication errors w...

  11. THE ROLES OF CLINICAL PHARMACY IN REDUCING MEDICATION ERRORS

    Directory of Open Access Journals (Sweden)

    Alsaraf Khulood Majid

    2012-09-01

    Full Text Available Potential activation of clinical pharmacist role is of great importance in reducing the medication errors which are a well- known problem in hospital. The medication errors could be prescribing errors, dispensing errors, and administering errors. In this study medication errors randomly were collected by clinical pharmacist and inpatient pharmacist from different wards at a Hospital in Dubai, UAE, from July to October 2011. The results showed that the highest percentage of medication errors was prescribing errors, followed by administering errors and then dispensing errors. Among prescribing errors, the results showed the highest percentage was stat errors, followed by pro re nata(PRN, then incomplete or unclear Rx and at the end antibiotic errors. The study shows that the clinical pharmacist play important role in reduction of medication errors evolving from pharmacist and nursing site, on the other hand, prescribing errors were reduced up to 23% with the medication review system.

  12. Medical Oncology Pharmacy: A New Role for the Clinical Pharmacist

    Science.gov (United States)

    Morris, Carl R.; Hickman, Mary Johne

    1977-01-01

    The University of Tennessee has established a training program for clinical pharmacists dealing with cancer chemotherapy patients. Health-care settings are described in which these individuals can contribute as unique health-care team members in oncology. (Author/LBH)

  13. An Ambient Intelligence Framework for End-User Service Provisioning in a Hospital Pharmacy: a Case Study.

    Science.gov (United States)

    Martín, Diego; Alcarria, Ramón; Sánchez-Picot, Álvaro; Robles, Tomás

    2015-10-01

    End-user development is a new trend to provide tailored services to dynamic environments such as hospitals. These services not only facilitate daily work for pharmacy personnel but also improve self-care in elder people that are still related to hospital, such as discharged patients. This paper presents an ambient intelligence (AmI) environment for End-user service provisioning in the pharmacy department of Gregorio Marañón Hospital in Madrid, composed of a drug traceability infrastructure (DP-TraIN) and a ubiquitous application for enabling the pharmacy staff to create and execute their own services for facilitating drug management and dispensing. The authors carried out a case study with various experiments where different roles from the pharmacy department of Gregorio Marañón Hospital were involved in activities such as drug identification, dispensing and medication administering. The authors analyzed the effort required to create services by pharmacy staff, the discharged patients' perception of the AmI environment and the quantifiable benefits in reducing patient waiting time for drug dispensing. PMID:26286317

  14. Clinical Microbiology in Pharmacy Education: A Practice-based Approach

    OpenAIRE

    Olla Wasfi; Mary Power; Slavcev, Roderick A.

    2010-01-01

    The increasing incidence of multi-drug resistant pathogenic bacteria, alongside viral and fungal human pathogens, supports the argument that skills in microbiology and infectious disease diagnosis, treatment and prevention are of growing global importance to be held among primary care clinicians.In Canada, inevitable future astronomical health care costs largely due to an aging population, have forced eyes upon pharmacists as one of (if not) the primary clinical professions to accommodate the...

  15. Objective structured clinical examination for pharmacy students in Qatar: cultural and contextual barriers to assessment.

    Science.gov (United States)

    Wilby, K J; Black, E K; Austin, Z; Mukhalalati, B; Aboulsoud, S; Khalifa, S I

    2016-04-01

    This study aimed to evaluate the feasibility and psychometric defensibility of implementing a comprehensive objective structured clinical examination (OSCE) on the complete pharmacy programme for pharmacy students in a Middle Eastern context, and to identify facilitators and barriers to implementation within new settings. Eight cases were developed, validated, and had standards set according to a blueprint, and were assessed with graduating pharmacy students. Assessor reliability was evaluated using inter-class coefficients (ICCs). Concurrent validity was evaluated by comparing OSCE results to professional skills course grades. Field notes were maintained to generate recommendations for implementation in other contexts. The examination pass mark was 424 points out of 700 (60.6%). All 23 participants passed. Mean performance was 74.6%. Low to moderate inter-rater reliability was obtained for analytical and global components (average ICC 0.77 and 0.48, respectively). In conclusion, OSCE was feasible in Qatar but context-related validity and reliability concerns must be addressed prior to future iterations in Qatar and elsewhere. PMID:27432407

  16. Evaluation of preceptors and skills achievement by clinical pharmacy clerkship students during their clinical rotations at University of Gondar, Ethiopia

    Directory of Open Access Journals (Sweden)

    Belachew SA

    2016-03-01

    Full Text Available Sewunet Admasu Belachew, Tadesse Melaku Abegaz, Akshaya Srikanth Bhagavathula, Henok Getachew, Yonas Getaya TeferaClinical Pharmacy Department, University of Gondar, Gondar, EthiopiaAim: To investigate the overall experiences of clinical pharmacy students during their clinicalattachments and to understand the breadth and depth of clinical skills provided by their preceptors.Methods: A cross-sectional study using a self-administered questionnaire containing 34 itemsto obtain feedback from the clerkship students from June to July 2015. Data analysis was performedto calculate mean, standard deviation, percentages, and multiple logistic regression usingStatistical Package for the Social Sciences (SPSS software Version 22. Statistical significancewas set at P<0.01.Results: All 58 clerkship students actively participated in the study, yielding a response rateof 100%. While students ranked their clerkship experience as moderate, >15% remarked thatthey did not receive enough opportunities to hone their pharmaceutical care documentationskills. A relatively high percentage of students (32.8% strongly agreed that their preceptors hadprovided ample opportunity to discuss the patient problems at the bedside and encouraged themto express their opinions regarding patients’ drug therapeutic issues. This study also revealedthat students’ continuity in developing their therapeutic and disease process knowledge wassignificantly associated with the preceptor’s ability to provide adequate training and orientation(P =0.01, engagement in clinical pharmacy activities (P =0.01, regular review of students’ work(P =0.01, and instruction to students before entering clinical sites (P =0.00.Conclusion: The findings of this study reveal that a majority of the students were moderatelysatisfied with the clinical training program and preceptors need to demonstrate effective pharmaceutical care processes in their clinical sites.Keywords: pharmaceutical care, training

  17. Addressing Cultural Competency in Pharmacy Education through International Service Learning and Community Engagement

    Directory of Open Access Journals (Sweden)

    Rosemin Kassam

    2013-08-01

    Full Text Available This paper describes the design, implementation and evaluation of a course in international service learning and community engagement for pharmacy undergraduate students. The course offered students opportunities to cultivate cultural competency in an international setting foreign to their own—Sub-Saharan Africa. The experience consisted of pre-departure preparation seminars followed by subsequent community immersion to experience, explore and confront personal attitudes and perceptions. A key feature of this course was its emphasis on a continuing cycle of learning, community engagement and reflection. Three students participated, a near-maximum cohort. Their daily self-reflections were qualitatively analyzed to document the impact of their cultural learning and experiences and revealed meaningful learning in the domains of self-assessment and awareness of their personal and professional culture, exposure to a participatory health delivery model involving the patient, the community and a multidisciplinary team and opportunities to engage in patient care in a different cultural setting. This proof-of-concept course provided students with experiences that were life-changing on both personal and professional levels and confirmed the viability and relevance of international service learning for the pharmacy field within its university-wide mandate.

  18. Identification of patients with atrial fibrillation in UK community pharmacy: an evaluation of a new service.

    Science.gov (United States)

    Twigg, M J; Thornley, T; Scobie, N

    2016-08-01

    Background Many patients with atrial fibrillation (AF) are asymptomatic and diagnosed via opportunistic screening. Community pharmacy has been advocated as a potential resource for opportunistic screening and lifestyle interventions. Objective The objective of this evaluation is to describe the outcomes from an AF service, in terms of referrals and interventions provided to patients identified as not at risk. Methods Eligibility was assessed from pharmacy records and the completion of a short questionnaire. Once consented, patients were screened for AF and their blood pressure was measured. Results Of 594 patients screened, nine were identified as at risk of having AF and were referred to their GP. The service also identified 109 patients with undiagnosed hypertension, 176 patients with a Body Mass Index >30, 131 with an Audit-C score >5 and 59 smokers. Pharmacists provided 413 interventions in 326 patients aimed at weight reduction (239), alcohol consumption (123) and smoking cessation (51). Conclusion This evaluation characterises the interventions provided to, not only those identified with the target condition-in this case AF-but also those without it. The true outcome of these additional interventions, along with appropriate follow-up, should be the focus of future studies. PMID:27107584

  19. Influence Service Quality and Customer Satisfaction towards Drug Purchase Intention in Anggrek Outpatient Pharmacy Depo at Hasan Sadikin Hospital

    Directory of Open Access Journals (Sweden)

    Pratiwi

    2016-04-01

    Full Text Available The quality of service is an evaluation which focused on customer’s awareness about a structural construction of a service or product that involves 5 main aspects which are tangibility, empathy, responsiveness, reliability and assurance. Based on monthly reports of pharmacy installation only about 30% of patients buy drugs in the Anggrek out patient depo out off patients visiting Anggrek out patient specialist clinic in Dr. Hasan Sadikin Hospital. The aim of this study is to determine the effect of service quality and customer satisfaction to purchase intention in the Anggrek out patient depo Hasan Sadikin hospital at Bandung. The method used in this study is analytical survey with cross sectional design. The samples used were 200 patients, consist of 104 customers who have visited more than one times and 96 first visit costumer to this clinic. Data was collected using a questionnaire and analyzed using Smart PLS V 2.0 software. The results of this study showed that the service quality with tangible dimensions, reliability, responsiveness, assurance, and empathy are affecting the customer satisfaction with a score of 12.755 t-count (greater than t-table 1.983 and a positive value of the original sample of 0.800. Customer satisfaction affecting the customer purchase intentions with t-count is greater than t-table values of 5.012 and 0.726 of the original positive sample. While the service quality does not directly influence customer purchase intention with the t-test is smaller than t-table is 1.455 and the negative of the original sample -0.287. Some of service quality influence customers that causes not purchasing drugs from the out patient depo there are effect of unavailability of counseling, long waiting time of service, the need for special counseling room, a spacious waiting room, and the completeness of drug availability.

  20. Pharmacists' Perceptions of the Barriers and Facilitators to the Implementation of Clinical Pharmacy Key Performance Indicators

    Science.gov (United States)

    Minard, Laura V; Deal, Heidi; Harrison, Megan E; Toombs, Kent; Neville, Heather; Meade, Andrea

    2016-01-01

    Background In hospitals around the world, there has been no consensus regarding which clinical activities a pharmacist should focus on until recently. In 2011, a Canadian clinical pharmacy key performance indicator (cpKPI) collaborative was formed. The goal of the collaborative was to advance pharmacy practice in order to improve patient outcomes and enhance the quality of care provided to patients by hospital pharmacists. Following a literature review, which indicated that pharmacists can improve patient outcomes by carrying out specific activities, and an evidence-informed consensus process, a final set of eight cpKPIs were established. Canadian hospitals leading the cpKPI initiative are currently in the early stages of implementing these indicators. Objective To explore pharmacists' perceptions of the barriers and facilitators to the implementation of cpKPIs. Methods Clinical pharmacists employed by the Nova Scotia Health Authority were invited to participate in focus groups. Focus group discussions were audio-recorded and transcribed, and data was analyzed using thematic analysis. Findings Three focus groups, including 26 pharmacists, were conducted in February 2015. Three major themes were identified. Resisting the change was comprised of documentation challenges, increased workload, practice environment constraints, and competing priorities. Embracing cpKPIs was composed of seeing the benefit, demonstrating value, and existing supports. Navigating the unknown was made up of quality versus quantity battle, and insights into the future. Conclusions Although pharmacists were challenged by documentation and other changes associated with the implementation of cpKPIs, they demonstrated significant support for cpKPIs and were able to see benefits of the implementation. Pharmacists came up with suggestions for overcoming resistance associated with the implementation of cpKPIs and provided insights into the future of pharmacy practice. The identification of barriers

  1. 探讨提高我院门诊西药房服务质量满意度%Pharmacy service satisfaction analysis in outpatient pharmacy

    Institute of Scientific and Technical Information of China (English)

    黄洋扬; 谭活玲

    2014-01-01

    Objective:To enhace satisfaction rate of pharmaceutical service in outpatient pharmacy by means of the investigation of outpatients’satisfaction of pharmacy service.Methods:The outpatients’ pharmacy service satisfaction were investigated by questionnaire designed from pharmacy department outpatient pharmacy.100 outpatients were investigated by random selection.Result:After screening indiG cators,96 questionnaires were distributed,and the recovery rate of 96%.The ful mark was 5.The satisfaction of waiting time for taking medicine was the lowest(4.65);secondly,the satisfaction of language courtesy was 4.67;the satisfaction of service attitude was 4.71;the satisfaction of special medication attention was 4.72;the satisfaction of answering the patient questions was 4.76;the satisfaction of the accuracy of medicine dispensing was most(4.88).Conclusion:Patients of our hospital outpatient pharmacy service overal is satisfactory at present.Accuracy of medicine was mostly metioned,while the most unsatisfactory was waiting time for medicine.It stil needed improvement on the language courtesy,service attitude,special medication attention and answering of the patient questions.%目的:通过调查广东省中医院门诊西药房服务质量的现状,探讨提高患者对门诊西药房服务的满意度.方法:采用科室自行设计的药剂科门诊西药房服务满意度调查问卷,用随机抽样法对100名患者进行问卷调查.结果:回收有效问卷96份,有效回收率为96%.满分为5.患者对排队候药时间的满意度最低为4.65,其次为礼貌用语为4.67、服务态度为4.71、交代药品特殊用法为4.72、解答病人疑问为4.76、配发药品准确性是最高为4.88.结论:患者对目前我院门诊西药房服务总体是满意的,集中体现在配方药的准确性,最不满意的是取药候药时间,在礼貌用语、交代特殊用法、服务态度、回答病人疑问方面等仍需要提高.

  2. Online Pharmacy Services in the Context of the Modern Internet of Things Online Pharmacy Services in the Context of the Modern Internet of Things%现代物联网条件下的在线药学服务

    Institute of Scientific and Technical Information of China (English)

    孔健; 刘颖; 李莹莹; 周尚

    2015-01-01

    Objective:To explore online pharmacy service in the context of internet of things, so as to provide references for improving the overall pharmaceutical care level. Methods:By analyzing and comparing online pharmacy services and the advantages of internet of things, this paper expounded the social beneift of integration of pharmacy service and internet of things in the public health service and explored the feasibility of establishment of online pharmacy service in the context of the modern internet of things.Results and Conclusion:The combination of internets of things and online pharmacy service not only can effectively supervise drug safety on the internet, but also can solve difficulties in purchasing medicine and drugs for patients and improve the prevalence and quality of online pharmacy service. In the context of the modern internet of things, establishment of the system of online pharmacy service will better promote the development of pharmaceutical care and public health management.%目的:探索物联网条件下在线药学服务,为全面提高药学服务水平提供参考。方法:通过分析和比较在线药学服务和物联网的优势,论述两者相整合在公共卫生服务中所能发挥的社会效益,探讨建立现代物联网条件下的在线药学服务体系的可行性。结果与结论:物联网与在线药学服务相结合,不仅可以有效监管互联网上的药品安全,还可以解决患者买药和用药困难,提高在线药学服务的普及率与服务质量。建立现代物联网条件下的在线药学服务体系,将更好地推动我国药学服务及全民健康管理事业的发展。

  3. 儿科药学信息服务系统的应用及评价%Application and Evaluation of Pediatric Pharmacy Information Service System

    Institute of Scientific and Technical Information of China (English)

    李晶; 徐咏

    2011-01-01

    目的:为促进儿科合理用药提供参考.方法:介绍我院依据儿科特色,采用动态网页技术设计开发儿科药学信息服务系统并加以应用的情况,同时就其应用效果进行评价.结果与结论:该系统具有立足药学、服务儿科,设计创新、更新及时,数据库管理药学信息,实现网上交流与咨询等特点;主要包括儿科用药查询系统、合理用药、药品不良反应、药学信息等板块.该系统的应用规范了儿科处方,促进了临床合理用药,为医药人员提供了继续教育的平台,为药学与临床架起沟通桥梁,获得了全院医务人员的好评,值得推广.%OBJECTIVE: To provide reference for the improvement of rational drug use in pediatric department. METHODS: Pediatric pharmacy information service system was developed and applied by dynamic web page techniques according to the characteristics of pediatric department in our hospital. The effects of system were evaluated. RESULTS & CONCLUSION: The service system covers various characteristics of basing on pharmacy, serving for pediatric department, innovation and design, timely update, pharmacy information management by database, realizing online communication and query. The service system includes several modules, such as medication inquiry, rational drug use, adverse drug reaction, pharmacy information. The service system standardizes pediatric prescription, promotes rational drug use in the clinic, and provides continuing education platform for medical personnel and platform for communication between pharmacy and clinical practice, etc. It has won the praise of the hospital medical staff and is worth of promoting.

  4. Identifying consumer segments in health services markets: an application of conjoint and cluster analyses to the ambulatory care pharmacy market.

    Science.gov (United States)

    Carrol, N V; Gagon, J P

    1983-01-01

    Because of increasing competition, it is becoming more important that health care providers pursue consumer-based market segmentation strategies. This paper presents a methodology for identifying and describing consumer segments in health service markets, and demonstrates the use of the methodology by presenting a study of consumer segments in the ambulatory care pharmacy market. PMID:10262855

  5. ASSESSMENT AND EVALUATION OF DRUG INFORMATION SERVICE PROVIDED BY PHARMACY PRACTICE DEPARTMENT BASED ON ENQUIRER’S PERSPECTIVE

    Directory of Open Access Journals (Sweden)

    Jeevangi V M

    2012-10-01

    Full Text Available Drug information service refers to activities carried out by pharmacists in providing any drug related information to healthcare professionals to provide better patient care. Providing drug information is a clinical pharmacy service and delivered as part of the multidisciplinary approach to patient care. Accurate information about safety of drugs is very essential for health care professionals in identifying, preventing and managing Adverse Drug Reactions (ADRs, thereby ensuring safe use of medications. The aim of the study was to assess and evaluate the drug information service from enquirer’s perspective. The data was collected from drug information centre through drug information request forms and feedback questionnaires form. A nine months hospital based prospective study was carried out at Basaveshwar Teaching and General Hospital (BTGH, Gulbarga. A total number of 122 queries were received during the study period. Most of the queries were received from general medicine department 82(67.21% and least were from general surgery 2(1.64%. Most of the queries were for update of knowledge 69 (56.56% and time frame for reply was within a day 83 (68.03%, answers were given in printed format 77(63.11%. The majority of queries were regarding dose and administration of drug 49 (36.03% and most preferred resource was Micromedex 75 (52.45%. The quality of the services provided by the centre was appreciated by majority of its users. However there is a need to bring greater awareness about the service in the hospital and to encourage the healthcare professionals to utilize the services for better patient care.

  6. Community pharmacy: an untapped patient data resource

    Directory of Open Access Journals (Sweden)

    Wright DJ

    2016-03-01

    Full Text Available David John Wright, Michael James Twigg School of Pharmacy, University of East Anglia, Norwich, UK Abstract: As community pharmacy services become more patient centered, they will be increasingly reliant on access to good quality patient information. This review describes how the information that is currently available in community pharmacies can be used to enhance service delivery and patient care. With integration of community pharmacy and medical practice records on the horizon, the opportunities this will provide are also considered. The community pharmacy held patient medication record, which is the central information repository and has been used to identify non-adherence, prompts the pharmacist to clinically review prescriptions, identify patients for additional services, and identify those patients at greater risk of adverse drug events. While active recording of patient consultations for treatment over the counter may improve the quality of consultations and information held, the lost benefits of anonymity afforded by community pharmacies need to be considered. Recording of pharmacy staff activities enables the workload to be monitored, remuneration to be justified, critical incidents to be learned from, but is not routine practice. Centralization of records between community pharmacies enables practices to be compared and consistent problems to be identified. By integrating pharmacy and medical practice records, patient behavior with respect to medicines can be more closely monitored and should prevent duplication of effort. When using patient information stored in a community pharmacy, it is, however, important to consider the reason why the information was recorded in the first instance and whether it is appropriate to use it for a different purpose without additional patient consent. Currently, community pharmacies have access to large amounts of information, which, if stored and used appropriately, can significantly enhance the

  7. To Investigate the Central Pharmacy Service Quality%提高中心药房服务质量的探讨

    Institute of Scientific and Technical Information of China (English)

    杨金玲

    2014-01-01

    医院药学是一门综合学科,涉及面广,内容丰富[1]。本文就医院病区药房如何顺应医疗卫生事业的发展,提高服务质量,从规范药房管理、强化与完善药房的药学服务与研究职能、部分实现药房自动化三个方面进行了论述。%The hospital pharmacy is a comprehensive subject, involving a wide range, rich content. The development of the hospital ward pharmacy how to comply with the medical and health work, improve service quality, from the standard of pharmacy management, strengthen and perfect the pharmacy service and research functions, part of the realization of three aspects of pharmacy automation are discussed.

  8. Critical thinking in the context of clinical practice: The need to reinvent pharmacy education

    OpenAIRE

    de Freitas, Erika Lourenço; Ramalho-de-Oliveira, Djenane

    2015-01-01

    In order to understand how pedagogical practices influence pharmacy students’ development of critical thinking skills, we used critical ethnography and the methods of participant observation, focus groups and in-depthinterviews with students and faculty from one of the top ten Colleges of Pharmacy in the United States. The results that emerged from two semesters of fieldwork engagement suggested that the traditionally taught pharmaceutical knowledge isn’t enough to prepare pharmacy students f...

  9. Cost-Effectiveness of Clinical Pharmacy Education on Infection Management Among Patients with Chronic Kidney Disease in an Indonesian Hospital

    OpenAIRE

    Nasution, Azizah; Sulaiman, SA. Syed; A. A. SHAFIE

    2016-01-01

    Objectives This study evaluated the clinical and economic impacts of clinical pharmacy education (CPE) on infection management among patients with chronic kidney disease (CKD) stages 4 and 5 in Haji Adam Malik Hospital, Indonesia. Methods A quasi-experimental economic evaluation comparing CPE impact on 6-month CKD mortality was conducted on the basis of payer perspective. The experimental group (n = 63) received care by health care providers who were given CPE on drug-related probl...

  10. 21 CFR 1304.05 - Records of authorized central fill pharmacies and retail pharmacies.

    Science.gov (United States)

    2010-04-01

    ... retail pharmacies. 1304.05 Section 1304.05 Food and Drugs DRUG ENFORCEMENT ADMINISTRATION, DEPARTMENT OF... fill pharmacies and retail pharmacies. (a) Every retail pharmacy that utilizes the services of a... number, that are authorized to fill prescriptions on its behalf. The retail pharmacy must also verify...

  11. Analysis of Potential Drug-Drug Interactions and Its Clinical Manifestation of Pediatric Prescription on 2 Pharmacies in Bandung

    Directory of Open Access Journals (Sweden)

    Melisa I. Barliana

    2013-09-01

    Full Text Available The potential of Drug-Drug Interactions (DDI in prescription have high incidence around the world, including Indonesia. However, scientific evidence regarding DDI in Indonesia is not available. Therefore, in this study we have conducted survey in 2 pharmacies in Bandung against pediatric prescription given by pediatrician. These prescriptions then analyzed the potential for DDI contained in the prescription and clinical manifestation. The analysis showed that in pharmacy A, there are 33 prescriptions (from a total of 155 prescriptions that have potential DDI, or approximately 21.19% (2 prescriptions have the potential DDI major categories, 23 prescriptions categorized as moderate, and 8 prescriptions as minor. In Pharmacy B, there are 6 prescriptions (from a total of 40 prescriptions or 15% of potential DDI (4 prescriptions categorized as moderate and 2 prescriptions as minor. This result showed that potential DDI happened less than 50% in pediatric prescription from both pharmacies. However, this should get attention because DDI should not happen in a prescription considering its clinical manifestations caused by DDI. Moreover, current pharmaceutical care refers to patient oriented than product oriented. In addition, further study for the pediatric prescription on DDI incidence in large scale need to be investigated.

  12. Pharmacist and Pharmacy Staff Experiences with Non-prescription (NP) Sale of Syringes and Attitudes Toward Providing HIV Prevention Services for Injection Drug Users (IDUs) in Providence, RI

    OpenAIRE

    Zaller, Nickolas; Jeronimo, Alexandra; Bratberg, Jeffrey; Case, Patricia; Rich, Josiah D.

    2010-01-01

    Increased access to sterile syringes among injection drug users (IDUs) has been correlated with reduced syringe sharing. Many states, including Rhode Island, have legalized non-prescription (NP) sale of syringes in pharmacies. Previous studies have suggested that training pharmacists to provide HIV-related services to IDUs may be an important opportunity to engage IDUs and provide them with such services. However, it is not clear to what extent pharmacy staff are willing to expand their roles...

  13. Attitude of fourth year Doctor of Pharmacy students towards pharmacy profession and their career preferences

    Directory of Open Access Journals (Sweden)

    Salman Saad

    2012-01-01

    Conclusion: Fourth year students believed that pharmacy education and practice affect the health care system. Their favorite career areas were clinical pharmacy, industrial pharmacy, and hospital pharmacy. Personal interest was the most important factor involved in this selection. Most of them were interested in pharmacy-related research activities.

  14. ETHICS IN CLINICAL RESEARCH: IS ETHICS INVOLVED INTO THE PHARMACY STUDIES IN EUROPE?

    Directory of Open Access Journals (Sweden)

    Viera Žufková

    2013-06-01

    Full Text Available One of the key questions in medicine nowadays is the ethics and its maximum involvement into medical profession. The absence of ethics is very notable in public and professional relations. In spite of the fact that the pharmacy profession was separated from the medical profession in the 13th century by the emperor Frederic II, the ethics is involved into pharmacy study in minimum amount.  In the article there is presented the ethics inclusion into pharmacy study in 31 Universities of the European Union (EU. The method of our research was the analysis of 31 WebPages of Faculties of Pharmacy in the EU. The ethics is taught in the 45% study programmes. It is mostly a part of syllabus of master programme (Czech Republic, Estonia and Portugal or bachelor programme (Slovakia. We have not managed to find a full study plan in 13% of study plans. As the ethics remains the crucial part of the pharmacy profession, there is a great importance of its involvement into the pharmacy study. The Code of Conduct for Pharmacy students with its seven principles shall be a part of ethical preparation of future pharmacists in Europe. 

  15. ETHICS IN CLINICAL RESEARCH: IS ETHICS INVOLVED INTO THE PHARMACY STUDIES IN EUROPE?

    OpenAIRE

    Viera Žufková; Ján Klimas; Ján Kyselovič; Michal Vivoda; Marián Šuráb

    2013-01-01

    One of the key questions in medicine nowadays is the ethics and its maximum involvement into medical profession. The absence of ethics is very notable in public and professional relations. In spite of the fact that the pharmacy profession was separated from the medical profession in the 13th century by the emperor Frederic II, the ethics is involved into pharmacy study in minimum amount.  In the article there is presented the ethics inclusion into pharmacy study in 31 Universities of the Euro...

  16. A drop-in clinic for patients with poorly-controlled diabetes: a community pharmacy feasibility study

    OpenAIRE

    Twigg, Michael; Bhattacharya, Debi; Desborough, James; Wright, David

    2015-01-01

    Background Preparatory work suggests that there may be a role for the pharmacist in managing sub-optimal medication adherence and dose titration of prescribed medicines in patients with type 2 diabetes. Patients have reported that they are receptive towards pharmacists becoming involved in their care providing that this is integrated into the care received from their medical practice. Objective To determine whether a community pharmacy diabetes drop-in clinic is feasible and acceptable to pat...

  17. [Application of personal drug (P-drug) seminar to clinical pharmacy education in the graduate school of pharmaceutical sciences].

    Science.gov (United States)

    Kawakami, Junichi; Mimura, Yasuhiko; Adachi, Isao; Takeguchi, Noriaki

    2002-10-01

    The P-drug seminar, a novel method of teaching the process of rational pharmacotherapy, was introduced in 2000 into the practice program of the clinical pharmacy course in the Graduate School of Pharmaceutical Sciences, Toyama Medical and Pharmaceutical University (TMPU). The P-drug concept is evidence-based drug selection according to criteria (i.e., efficacy, safety, suitability and cost) deter mined in advance and rational prescribing by each physician. The P-drug seminar originated from educational courses for medical students at the University of Groningen and has been propagated by the WHO Action Programme on Essential Drugs world wide. In the TMPU, the seminar consists of 5 half-days before the start of bedside teaching during clinical pharmacy practice. Each term, 8 graduate students licensed as pharmacists form one seminar group, and 32 students have completed it successfully in the past 2 years. Problem-based learning and self-awareness methods are applied through discussion among students. The same teaching materials as those used in the WHO P-drug workshop and the English textbook Guide to Good Prescribing were adopted. A short lecture on the pharmacist's role in the rational use of drugs was added to modify the original P-drug workshop for medical students since this was considered suitable for graduate students in clinical pharmacy. Our graduate students were able to learn the process of pharmacotherapy by following the steps of P-drug selection and rational treatment under the P-drug concept and also understand the viewpoint of prescribers and pharmacists' roles as medical staff. In conclusion, this is the first report on application of the P-drug method to clinical pharmacy education. PMID:12400163

  18. Clinical Service of Chinese Medicine

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    @@ The clinical practice of traditional Chinese medicine (TCM) faces three major challenges:(1)How to enhance its contribution on overall medical service quality? (2) How to best address the unmet medical needs in the contemporary society? (3)How to guarantee that the traditional perspective for disease diagnosis and treatment not be neglected in clinical practice?

  19. Sequencing of Simulation and Clinic Experiences in an Introductory Pharmacy Practice Experience

    OpenAIRE

    Leon, Nicholas; Hajjar, Emily; DeSevo Bellottie, Gina

    2015-01-01

    Objective. To examine how the intrasemester sequencing of a simulation component, delivered during an ambulatory care introductory pharmacy practice experience (IPPE), affects student performance on a series of 3 assessments delivered during the second professional (P2) year.

  20. Chlamydia testing and treatment in community pharmacies: findings and lessons learned from setting out to evaluate an unexpectedly short lived service in Lothian, Scotland

    OpenAIRE

    Kapadia, Mufiza Zia

    2013-01-01

    Genital chlamydia is the most commonly diagnosed sexually transmitted infection. In August 2008, the Scottish government directed its health boards to involve community pharmacies in providing chlamydia testing and treatment for young people. Lothian Health Board envisaged a pharmacy-based chlamydia testing and treatment (CT&T) service to be able to reach deprived population. This research project set out to evaluate the implementation of the CT&T in Lothian, Scotland. Howev...

  1. Impact of genetic polymorphisms on clinical response to antithrombotics

    OpenAIRE

    Lanham, Kena J; Oestreich, Julie H; Dunn, Steven P.; et al

    2010-01-01

    Kena J Lanham1,2, Julie H Oestreich3, Steven P Dunn1,2, Steven R Steinhubl41Pharmacy Services, UK HealthCare, University of Kentucky, Lexington, Kentucky, USA; 2Department of Pharmacy Practice and Science, College of Pharmacy, University of Kentucky, Lexington, Kentucky, USA; 3Department of Pharmacy Practice, College of Pharmacy, University of Nebraska, Omaha, Nebraska, USA; 4The Medicines Company, Zurich, Switzerland and The Geisinger Clinic, Danville, Pennsylvania, USAAbstract: Antithrombot...

  2. Clinical pharmacy to meet the health needs of Tanzanians: education reform through partnership across continents (2008-2011).

    Science.gov (United States)

    Youmans, Sharon; Ngassapa, Olipa; Chambuso, Mhina

    2012-01-01

    In 2009, the Muhimbili University of Health and Allied Sciences (MUHAS) School of Pharmacy began to revise its BPharm curriculum for students entering in 2011. Its goal was to assure these pioneer students and their successors would be prepared to lead pharmacy practice to improve patient care and health outcomes in Tanzania. Building on its own experience and recommendations from other parts of the world, MUHAS actively engaged counterparts from the University of California San Francisco School of Pharmacy. MUHAS's vision was to create a curriculum to educate students to become 'clinical pharmacists' with a more direct patient-care focus. This means a major expansion in activities undertaken by newly graduating pharmacists - beyond preparing and dispensing medications. With the transformation from a traditional curriculum (knowledge-based) and teaching (lectures), the new approach emphasizes interprofessional team care, clinical science content (treatment and prevention of diseases), and experiential learning opportunities from classrooms to patient-care settings. Assessments of strengths and weaknesses of previous graduates' performance in their early employment informed curricular revision; evaluation of the competence of students and of new graduates will guide further revisions to assure preparation of effective pharmacists to lead practice in Tanzania. PMID:23254837

  3. Comparison of self-reported professional competency across pharmacy education programs: a survey of Thai pharmacy graduates enrolled in the public service program

    OpenAIRE

    Sumpradit N; Suttajit S; Hunnangkul S; Wisaijohn T; Putthasri W

    2014-01-01

    Nithima Sumpradit,1,2 Siritree Suttajit,3 Saowalak Hunnangkul,4 Thunthita Wisaijohn,1 Weerasak Putthasri1 1International Health Policy Program, Ministry of Public Health, Nonthaburi, Thailand; 2Food and Drug Administration, Ministry of Public Health, Nonthaburi, Thailand; 3Faculty of Pharmacy, Chiang Mai University, Chiang Mai, Thailand; 4Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand Introduction: Thai pharmacy education consists of two undergraduate programs, a ...

  4. Identification of losses to follow-up in a community-based antiretroviral therapy clinic in South Africa using a computerized pharmacy tracking system

    OpenAIRE

    Bekker Linda-Gail; Wood Robin; Kaplan Richard; Nglazi Mweete D; Lawn Stephen D

    2010-01-01

    Abstract Background High rates of loss to follow-up (LTFU) are undermining rapidly expanding antiretroviral treatment (ART) services in sub-Saharan Africa. The intelligent dispensing of ART (iDART) is an open-source electronic pharmacy system that provides an efficient means of generating lists of patients who have failed to pick-up medication. We determined the duration of pharmacy delay that optimally identified true LTFU. Methods We conducted a retrospective cross-sectional study of a comm...

  5. Clinical services for sleep disorders

    OpenAIRE

    Stores, G; Wiggs, L.

    1998-01-01

    Children's sleep disorders are common and often harmful to development and well being. The clinical services available to affected children and their families need to be improved. At present, professional interest and expertise in sleep disorders medicine is severely limited by the paucity of appropriate teaching and training. The work of a mainly tertiary sleep disorders clinic was reviewed, which showed that accurate diagnosis of a wide range of sleep disorders is possible...

  6. Satisfação dos usuários com serviços da farmácia: tradução e validação do Pharmacy Services Questionnaire para o Brasil Patient satisfaction with pharmacy services: translation and validation of the Pharmacy Services Questionnaire for Brazil

    Directory of Open Access Journals (Sweden)

    Cassyano Januário Correr

    2009-01-01

    Full Text Available Este estudo teve por objetivo traduzir e validar para o português o Pharmacy Services Questionnaire (PSQ. O instrumento possui 20 questões que medem a satisfação dos usuários com serviços da farmácia, organizadas em dois domínios. Utiliza uma escala de respostas Likert de 1 (ruim a 5 (excelente. O Questionário de Satisfação com os Serviços da Farmácia (QSSF foi aplicado a 137 diabéticos entre 31 e 89 anos (60,6% mulheres, clientes de farmácias privadas, em sua maioria usuários de serviços públicos de saúde (65,7%, com baixa escolaridade (67,9% até ensino fundamental e utilizando em média 4,3 medicamentos por pessoa. O escore geral na população estudada foi de 3,6 [DP = 1,1 (IC95%: 3,4-3,8]. Após análise fatorial, os domínios "exposição agradável" e "manejo da terapia" incluíram 8 e 12 itens, respectivamente, e se correlacionaram significativamente entre si (r = 0,92; p The aim of this study was to translate into Portuguese and validate the Pharmacy Services Questionnaire (PSQ. The instrument includes 20 questions that measure user satisfaction with pharmacy services, and is organized according to two factors. It uses a Likert scale of answers from 1 (poor to 5 (excellent. The PSQ-Brazil was applied to 137 diabetics from 31 to 89 years of age (60.6% women, clients of private pharmacies, mostly users of public health services (65.7%, with low education (67.9% elementary schooling or less, and who used an average of 4.3 medicines per person. Overall score in the sample was 3.6 (SD = 1.1 [95%CI 3.4-3.8]. After factor analysis, "pleasant exposure" and "treatment management" included 8 and 12 items, respectively, and were significantly correlated with each other (r = 0.92, p < 0.001 and with the overall score. The instrument obtained a Cronbach's alpha of 0.98 for the overall score. The pleasant exposure and treatment management variables showed alphas of 0.94 and 0.98. PSQ-Brazil shows adequate reliability and validity

  7. Pharmacy Education and the Role of the Local Pharmacy at Gifu Pharmaceutical University Pharmacy.

    Science.gov (United States)

    Teramachi, Hitomi

    2016-01-01

    Gifu Pharmaceutical University Pharmacy was established in front of Gifu University Hospital (GUH) as a pharmacy attached to the university, the first in Japan in 1998. When GUH moved in 2004, Gifu Pharmaceutical University Pharmacy was built in its current location. One of the priorities of the design of the new facility was easy access to those with disabilities. For example, ramps, wheelchair accessible restrooms, and handicap-friendly waiting-room chairs were installed. In cooperation with GUH, we introduced a two-dimensional bar code system for prescriptions. This promoted the efficiency of compounding medicines. In addition, starting in 2006, we introduced digital drug-history records at Gifu Pharmaceutical University Pharmacy. We also increased the staff of the affiliated pharmacy in 2006. We designed the system of the affiliated pharmacy for long-term pharmacy practice. Currently, we accept pharmacy students visiting pharmacy of early exposure and long-term pharmacy practice. Today, the pharmacy fills an average of 80 prescriptions a day, primarily from GUH. Our staff consists of six pharmacists, one full-time office manager, and three part-time office assistants. In keeping with our role as a community pharmacy, we hold regular lectures and an education forum for pharmacists. We also carry out clinical studies. PMID:27150929

  8. A Pharmacy Student–Facilitated Interprofessional Diabetes Clinic With the Penobscot Nation

    OpenAIRE

    Martin, Sarah Levin; Williams, Evan; Huerth, Benjamin; Robinson, J. Daniel; ,

    2015-01-01

    Background American Indians/Alaska Natives have a greater increased risk for diabetes than non-Hispanic whites. Lifestyle interventions are effective in preventing and treating diabetes, and an interprofessional approach is important in diabetes management. Community Context The Penobscot Nation has a health center with a wide range of services. Our goal with the Nation was to 1) establish an interprofessional, student-facilitated diabetes clinic in the health center; 2) assess the clinic’s p...

  9. Causes and consequences of rural pharmacy closures: a multi-case study.

    Science.gov (United States)

    Todd, Kelli; Westfall, Katie; Doucette, Bill; Ullrich, Fred; Mueller, Keith

    2013-08-01

    Local rural pharmacies provide essential pharmacy and clinical services to their communities. Pharmacists play a critical role in the continuum of care for rural residents, and the loss of a local pharmacy may impact access to prescription drugs and clinical care. This policy brief identifies factors that contributed to the closing of six pharmacies and describes how the affected communities adapted to losing locally based services. Key Findings. (1) Five out of the six pharmacies studied closed due to retirement and/or difficulties in recruiting a successor. (2) In five of the six communities, residents now either drive to the nearest pharmacy or use mail-order to receive their prescriptions and, in some instances, receive their prescriptions through a courier service from a pharmacy in a nearby town. (3) Access to pharmacy services in these communities is of most concern for individuals with limited mobility and those who lack a support system that can pick up and deliver their prescriptions (e.g., the elderly and people with acute conditions). PMID:25399462

  10. 42 CFR 440.90 - Clinic services.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Clinic services. 440.90 Section 440.90 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS SERVICES: GENERAL PROVISIONS Definitions § 440.90 Clinic services....

  11. Pharmacy students' attitudes towards physician-pharmacist collaboration: Intervention effect of integrating cooperative learning into an interprofessional team-based community service.

    Science.gov (United States)

    Wang, Jun; Hu, Xiamin; Liu, Juan; Li, Lei

    2016-09-01

    The aim of this study was to evaluate the attitudes towards physician-pharmacist collaboration among pharmacy students in order to develop an interprofessional education (IPE) opportunity through integrating cooperative learning (CL) into a team-based student-supported community service event. The study also aimed to assess the change in students' attitudes towards interprofessional collaboration after participation in the event. A bilingual version of the Scale of Attitudes Toward Physician-Pharmacist Collaboration (SATP(2)C) in English and Chinese was completed by pharmacy students enrolled in Wuhan University of Science and Technology, China. Sixty-four students (32 pharmacy students and 32 medical students) in the third year of their degree volunteered to participate in the IPE opportunity for community-based diabetes and hypertension self-management education. We found the mean score of SATP(2)C among 235 Chinese pharmacy students was 51.44. Cronbach's alpha coefficient was 0.90. Our key finding was a significant increase in positive attitudes towards interprofessional collaboration after participation in the IPE activity. These data suggest that there is an opportunity to deliver IPE in Chinese pharmacy education. It appears that the integration of CL into an interprofessional team-based community service offers a useful approach for IPE. PMID:27310204

  12. Establishment of pharmacy intravenous admixture service in our hospital and its signification%我院静脉药物配置中心的开展与意义

    Institute of Scientific and Technical Information of China (English)

    林良沫

    2012-01-01

    By introducing the establishment, personnel, processes and other aspects about pharmacy intravenous admixture service (PIVAS) and analyzing the deficiencies of PIVAS which needed to be improved, this article discusses the significance of PIVAS in our hospital. PIVAS can promote the development of clinic pharmacy, ensure ' the safety of drugs use and improve the nursing quality, which is sure to be of great importance to the clinical pharmacy practice in our hospital.%通过介绍我院PIVAS的设施、人员和工作流程等情况,探讨开展PIVAS的意义并在工作实践中分析PIVAS存在的不足之处.PIVAS能有效促进医院临床药学的发展,有利于保障用药安全、提高护理质量等.PIVAS的开展对我院临床药学实践具有重要意义.

  13. Quality Service Analysis and Improvement of Pharmacy Unit of XYZ Hospital Using Value Stream Analysis Methodology

    Science.gov (United States)

    Jonny; Nasution, Januar

    2013-06-01

    Value stream mapping is a tool which is needed to let the business leader of XYZ Hospital to see what is actually happening in its business process that have caused longer lead time for self-produced medicines in its pharmacy unit. This problem has triggered many complaints filed by patients. After deploying this tool, the team has come up with the fact that in processing the medicine, pharmacy unit does not have any storage and capsule packing tool and this condition has caused many wasting times in its process. Therefore, the team has proposed to the business leader to procure the required tools in order to shorten its process. This research has resulted in shortened lead time from 45 minutes to 30 minutes as required by the government through Indonesian health ministry with increased %VA (valued added activity) or Process Cycle Efficiency (PCE) from 66% to 68% (considered lean because it is upper than required 30%). This result has proved that the process effectiveness has been increase by the improvement.

  14. Quality Service Analysis and Improvement of Pharmacy Unit of XYZ Hospital Using Value Stream Analysis Methodology

    International Nuclear Information System (INIS)

    Value stream mapping is a tool which is needed to let the business leader of XYZ Hospital to see what is actually happening in its business process that have caused longer lead time for self-produced medicines in its pharmacy unit. This problem has triggered many complaints filed by patients. After deploying this tool, the team has come up with the fact that in processing the medicine, pharmacy unit does not have any storage and capsule packing tool and this condition has caused many wasting times in its process. Therefore, the team has proposed to the business leader to procure the required tools in order to shorten its process. This research has resulted in shortened lead time from 45 minutes to 30 minutes as required by the government through Indonesian health ministry with increased %VA (valued added activity) or Process Cycle Efficiency (PCE) from 66% to 68% (considered lean because it is upper than required 30%). This result has proved that the process effectiveness has been increase by the improvement.

  15. An Assessment of Service-Learning in 34 US Schools of Pharmacy Follow Up on the 2001 Professional Affairs Committee Report.

    Science.gov (United States)

    Schlesselman, Lauren; Borrego, Matthew; Bloom, Timothy J; Mehta, Bella; Drobitch, Robert K; Smith, Thomas

    2015-10-25

    Objective. To determine if the service-learning components used at a convenience sample of schools and colleges of pharmacy meet the intent of the 2001 AACP Professional Affairs Committee (PAC) report. Methods. An online questionnaire was used to survey faculty members or staff involved with service-learning education at their school of pharmacy. Questions addressed aspects of service-learning including types of activities used, duration of student involvement with community partners, and association of learning objectives with service-learning activities. Results. The majority (85.3%) of respondents reported their institution used service-learning. Activities reported as part of service-learning ranged from working at health fairs to involvement with pharmacy school recruitment. More than half (64.3%) of service-learning activities involved long-term interactions with one community partner, and 74.1% of respondents indicated there was always an opportunity for student reflection on the service-learning activity. Conclusion. There is increasing though inconsistent application of PAC guidelines regarding service-learning. PMID:26688584

  16. Community Pharmacy: an untapped patient data resource

    OpenAIRE

    Wright DJ; Twigg MJ

    2016-01-01

    David John Wright, Michael James Twigg School of Pharmacy, University of East Anglia, Norwich, UK Abstract: As community pharmacy services become more patient centered, they will be increasingly reliant on access to good quality patient information. This review describes how the information that is currently available in community pharmacies can be used to enhance service delivery and patient care. With integration of community pharmacy and medical practice records on the horizon, the opport...

  17. Exploration of Clinical Pharmacy Model for Traditional Chinese Medicine Hospital%中医医院开展临床中药学工作初探

    Institute of Scientific and Technical Information of China (English)

    顾晓玲; 朱江; 陈丽华

    2014-01-01

    In this paper , the current status of the development of clinical pharmacy in our hospital ( as a type A of grade two hospital of traditional Chinese medicine ) , especially the clinical Chinese material medica was analyzed . The training pattern of clinical pharmacist of Chinese medicine and the development strategy were discussed . The standardization of working mode of pharmaceutical ward round was explored , such as the combination of ward round with doctor and without doctor . A valuable reference was provided for clinical work and for the improvement of pharmaceutical service of pharmacist .%分析我院(二级甲等中医医院)临床药学开展的现状,特别是临床中药学,讨论临床中药师的培养模式及发展策略,探索规范化药学查房的工作模式---随医查房和独自查房相结合,为提高药师的临床药学服务质量提供参考。

  18. 我院门诊药房服务流程的改进%Service process in outpatient pharmacy in our hospital

    Institute of Scientific and Technical Information of China (English)

    覃逢超; 陈楚雄; 梁丹

    2011-01-01

    Objective To improve the service quality and efficiency of outpatient pharmacy. Methods We established the label dispensing system through adjusting the proportion of dispensers, guiding patients with LED screen, and flexible scheduling system to optimize the service process in outpatient pharmacy. Results The waiting time of patients was shortened and the quality of dispensing and pharmacy service was improved. Conclusion The service process in the outpatient pharmacy in our hospital is obviously improved.%目的 提高门诊药房工作效率和药学服务水平.方法 通过调整发药窗口数及配-发药人员比例,推行药品标签配-发药系统,使用电子屏幕引导患者取药,实施弹性排班制度,优化门诊药房的服务流程.结果 缩短了患者取药等待时间,提高了发药质量,加强了药学服务.结论 我院门诊药房服务流程的改进取得了明显效益,值得推广.

  19. Survey and coping strategies for job stress of new nurses in pharmacy intravenous admixture service: a pilot study.

    Science.gov (United States)

    Wang, Feng-Shuang; Jin, Ou; Feng, Hua; Wang, Feng-Hua; Ren, Chun-Hui

    2015-01-01

    To survey the nurse stress and analyze stressors in new nurses from pharmacy intravenous admixture service (PIAS). A questionnaire survey referring to the revised stressor scale was carried out on 52 new nurses of PIAS in four hospitals in Harbin. The average stress score for all participants was 2.43±0.63, as medium level of stress. The stressors were classified into 6 categories: ensuring up-to-date knowledge of professional nursing skills, increased workload and work-time, interpersonal relationship, ensuring knowledge of equipments, attending educational programs, and decreased occupational demand. The most important stressors included fear of medical accident occurrence, fear of failure in performance assessment, fear of occupational injuries, feeling fatigue and lack of sleep. Considering the various kinds of stressors in the working places, it was necessary for managers' to use appropriate strategies to cope with the job stress in new nurses of PIAS. PMID:26770583

  20. The WHO UNESCO FIP Pharmacy Education Taskforce

    Directory of Open Access Journals (Sweden)

    Rouse Mike

    2009-06-01

    Full Text Available Abstract Pharmacists' roles are evolving from that of compounders and dispensers of medicines to that of experts on medicines within multidisciplinary health care teams. In the developing country context, the pharmacy is often the most accessible or even the sole point of access to health care advice and services. Because of their knowledge of medicines and clinical therapeutics, pharmacists are suitably placed for task shifting in health care and could be further trained to undertake functions such as clinical management and laboratory diagnostics. Indeed, pharmacists have been shown to be willing, competent, and cost-effective providers of what the professional literature calls "pharmaceutical care interventions"; however, internationally, there is an underuse of pharmacists for patient care and public health efforts. A coordinated and multifaceted effort to advance workforce planning, training and education is needed in order to prepare an adequate number of well-trained pharmacists for such roles. Acknowledging that health care needs can vary across geography and culture, an international group of key stakeholders in pharmacy education and global health has reached unanimous agreement that pharmacy education must be quality-driven and directed towards societal health care needs, the services required to meet those needs, the competences necessary to provide these services and the education needed to ensure those competences. Using that framework, this commentary describes the Pharmacy Education Taskforce of the World Health Organization, United Nations Educational, Scientific and Cultural Organization and the International Pharmaceutical Federation Global Pharmacy and the Education Action Plan 2008–2010, including the foundation, domains, objectives and outcome measures, and includes several examples of current activities within this scope.

  1. Obesity: A preliminary report of an introductory service- learning course on the role of pharmacy students in health promotion

    Directory of Open Access Journals (Sweden)

    Sarah Radloff

    2009-04-01

    Full Text Available

    Lifestyle diseases such as obesity have been neglected in developing countries partly due to a more urgent focus on infectious diseases in these countries. The incidence of obesity is on the increase in developing countries, with a marked rise in childhood obesity. The present health-promotion activity employed service-learning principles by which final year pharmacy students prepared a piloted computer-based quiz using a pre- and post- test design along with other learning material, for participants who attended the 2007 Sasol National Festival of Science and Technology (SciFest. Interactive models, posters and information leaflets were used in explaining the prevention and control of obesity to learners. The results showed that the pre-existing knowledge of the  participants was good. There was a further improvement after the educational intervention. Activities such as this are important in heightening awareness of obesity in learners as it is likely to reduce the incidence of obesity later in life. Furthermore, the activity also served to increase awareness of the role of pharmacists in the prevention of lifestyle diseases such as obesity.

    Opsomming

    Leefwysesiektes soos obesiteit word verwaarloos in ontwikkelende lande weens die fokus op aansteeklike siektes. Voorvalle van obesiteit het verdriedubbel in ontwikkelende lande, met 'n skerp styging in kinderobesiteit. Die huidige gesondheidsprogram bied 'n indiensopleidingskursus aan, waar finalejaar-aptekerstudente 'n loodsprogram aanbied met behulp van 'n rekenaarvasvraprogram waar 'n voor- en na-toets saam met ander leermateriaal gebruik word vir bywoners van die 2007 Sasol Nasionale Wetenskap- fees. Interaktiewe modelle, plakkate en inligtingspam- flette is as hulpmiddels gebruik om die voorkoming en beheer van obesiteit aan leerders te illustreer. Die resultate het gewys dat die kennis van die deelnemers goed was. Dit het ná opvoedkundige raadgewing verder

  2. Brief talk about quality control of various aspects in pharmacy intravenous admixture service%浅谈 PIVAS 工作中各环节质量控制

    Institute of Scientific and Technical Information of China (English)

    石锐

    2015-01-01

    目的:通过分析总结静脉用药调配中心(PIVAS)各工作环节注意事项,为提高工作质量提供参考。方法:分析医嘱审核、摆药、配制等环节,提出针对性的解决措施。结果:加强医嘱审核、科学合理摆药、严密把握配制关等环节可进一步提高各环节质量。结论:通过各工作环节质量控制,为临床提供安全输液的静脉用药。%Objective:To summarize and analyze the points for attention of all work aspects in pharmacy intravenous ad-mixture service(PIVAS),to provide a reference for improve work quality. Methods:By analyzing prescriptions analysis,drug dispensing and admixture,to come up with purposeful solving measures. Results:By means of reinforcing prescription analysis, scientific and reasonable drug dispensing and strict drug admixture and so on,all aspects of work can be further improved. Con-clusion:According to the improvement measure of all work aspects,safe clinical infusion can be provided.

  3. Measures of improving service quality in outpatient pharmacy for western medicine%提高门诊西药房服务质量的对策

    Institute of Scientific and Technical Information of China (English)

    欧阳宇; 闫彩霞; 廖义芳

    2014-01-01

    Objective To explore the factors affecting service quality in outpatient pharmacy in a hospital, and to summarize the improvement methods. Methods An outpatient pharmacy for western medicine in a hospital was selected as the research subject. Its service was observed and studied, its staff and patients were surveyed and related measures were proposed according to study results.ResultsInsufficient staff allocation and uneven time arrangement could be seen in the pharmacy; Excessive number of patients and long waiting time were the key factors affecting the service quality; dispensing time of pharmacists with occupational qualification was shorter and patients’ satisfaction towards them was higher.Conclusion The pharmacy should open more service windows and allocate more staff members, and enhance service capabilities of staff members. Service concepts should be changed actively, and therefore provide a full range of service such as consultation, guidance and prescription verification for patients. In addition, management should be strengthened so as to realize the target of comprehensively improving the service quality of the pharmacy.%目的:探讨某院门诊西药房影响服务质量的因素,总结改善方法。方法以某院门诊西药房为研究对象,对其服务现状进行观察研究,对工作人员、患者分别进行调查,并据结果提出对策。结果药房存在工作人员配置相对不足、时间分配不均现象;患者人数太多、等待时间过长是影响服务质量的重要因素;具有药师职业资格者其配药时间、患者满意度相对较高。结论药房应积极增加窗口、增加人员配置,提升工作人员业务水平,并积极转变服务理念,为患者提供咨询、指导、处方审核等全方位服务,通过加强管理实现全面提升药房服务质量的目的。

  4. A Model of Small-Group Problem-Based Learning in Pharmacy Education: Teaching in the Clinical Environment

    Science.gov (United States)

    Khumsikiew, Jeerisuda; Donsamak, Sisira; Saeteaw, Manit

    2015-01-01

    Problem-based Learning (PBL) is an alternate method of instruction that incorporates basic elements of cognitive learning theory. Colleges of pharmacy use PBL to aid anticipated learning outcomes and practice competencies for pharmacy student. The purpose of this study were to implement and evaluate a model of small group PBL for 5th year pharmacy…

  5. Seeking to understand: using generic qualitative research to explore access to medicines and pharmacy services among resettled refugees.

    Science.gov (United States)

    Bellamy, Kim; Ostini, Remo; Martini, Nataly; Kairuz, Therese

    2016-06-01

    Introduction There are challenges associated with selecting a qualitative research approach. In a field abundant with terminology and theories, it may be difficult for a pharmacist to know where and how to begin a qualitative research journey. The purpose of this paper is to provide insight into generic qualitative research and to describe the journey of data collection of a novice qualitative researcher in the quest to answer her research question: 'What are the barriers to accessing medicines and pharmacy services for resettled refugees in Queensland, Australia?' Methodology Generic qualitative research draws on the strengths of one or more qualitative approaches. The aim is to draw out participants' ideas about things that are 'outside themselves'; rather than focussing on their inner feelings the research seeks to understand a phenomenon, a process, or the perspectives of participants. Sampling is designed to obtain a broad range of opinions about events and experiences and data collection includes interviews, questionnaires or surveys; thematic analysis is often used to analyse data. When to use Generic qualitative research provides an opportunity to develop research designs that fit researchers' epistemological stance and discipline, with research choices, including methodology and methods, being informed by the research question. Limitations Generic qualitative research is one of many methodologies that may be used to answer a research question and there is a paucity of literature about how to do it well. There is also debate about its validity as a qualitative methodology. PMID:26873481

  6. [Evaluation of Brazilian online pharmacies].

    Science.gov (United States)

    Gondim, Ana Paula Soares; Falcão, Cláudio Borges

    2007-04-01

    The growing number of Internet users brought forth an increase in the search for Brazilian online pharmacy services. Aiming at evaluating the validity of information disseminated in these websites, a descriptive study was carried out in 18 virtual pharmacies concerning legal aspects, accessibility, sources of information and drug advertising. It was found 15 pharmacies did not have authorization of the Brazilian National Health Surveillance Agency; the manager pharmaceutical officer's name could not be found in 17 of them; 17 pharmacies marketed drugs with no registration, especially herbal medicines, and did not show either information on adverse drug reactions or this agency's alerts and health recommendations. Since health control and drug commerce in Brazilian online pharmacies have not been yet regulated by proper government agencies, these gaps found in the sites can pose risk to the users' health. PMID:17384808

  7. Use of clinical practice as a motivating tool of radioprotection teaching and radiopharmacology in early semesters of pharmacy course

    International Nuclear Information System (INIS)

    The research teaching methods aimed at the success of the higher education student in pharmacology and medicine courses in technical expertise in the fields of radiological protection, radiopharmacology and interventional radiology is extremely important in view of the progress of these sectors. The objective of this work is to propose a methodological sequence of teaching work with first-year students of pharmacy and medicine courses within a biophysical discipline where the integrated knowledge to clinical practice can be used for this purpose. The methodology was to assess individual learning of a group of N = 49 students of the first half in the age group of 17-19 years through conceptual acquisition by the traditional method of 'blackboard and chalk' and developed method that includes four pedagogical moments focused on the area health. An analysis of the evaluation student performance through Variance Analysis of a pathway showed improved scores with respect to the performance of application issues of knowledge concerning radiation protection and biological mechanisms of radiation with respect to the method of 'blackboard and chalk' with p < 0.05. Therefore, work with students with respect to the content in the form of six steps of clinical interest are a promising technique for radiation protection education in the early grades of college courses with experimental effectiveness

  8. Special Risks of Pharmacy Compounding

    Science.gov (United States)

    ... serious eye infections in the Miami area. A pharmacy had repackaged the Avastin from single-use vials into multiple single-use syringes, distributing them to multiple eye clinics, and infecting at least 12 patients. Some patients ...

  9. Pharmacy intervention on antimicrobial management of critically ill patients

    Directory of Open Access Journals (Sweden)

    Ijo I

    2011-06-01

    Full Text Available Frequent, suboptimal use of antimicrobial drugs has resulted in the emergence of microbial resistance, compromised clinical outcomes and increased costs, particularly in the intensive care unit (ICU. Mounting on these challenges is the paucity of new antimicrobial agents.Objectives: The study aims to determine the impact of prospective pharmacy-driven antimicrobial stewardship in the ICU on clinical and potential financial outcomes. The primary objectives were to determine the mean length of stay (LOS and mortality rate in the ICU resulting from prospective pharmacy interventions on antimicrobial therapy. The secondary objective was to calculate the difference in total drug acquisition costs resulting from pharmacy infectious diseases (ID-related interventions.Methods: In collaboration with an infectious disease physician, the ICU pharmacy team provided prospective audit with feedback to physicians on antimicrobial therapies of 70 patients over a 4-month period in a 31-bed ICU. In comparison with published data, LOS and mortality of pharmacy-monitored ICU patients were recorded. Daily cost savings on antimicrobial drugs and charges for medication therapy management (MTM services were added to calculate potential total cost savings. Pharmacy interventions focused on streamlining, dose optimization, intravenous-to-oral conversion, antimicrobial discontinuation, new recommendation and drug information consult. Antimicrobial education was featured in oral presentations and electronic newsletters for pharmacists and clinicians.Results: The mean LOS in the ICU was 6 days, which was lower than the published reports of LOS ranging from 11 to 36 days. The morality rate of 14% was comparable to the reported range of 6 to 20% in published literature. The total drug cost difference was a negative financial outcome or loss of USD192 associated with ID-related interventions.Conclusion: In collaboration with the infectious disease physician, prospective

  10. Opportunities and challenges in social pharmacy and pharmacy practice research

    DEFF Research Database (Denmark)

    Almarsdóttir, Anna Birna; Kaae, Susanne; Traulsen, Janine M

    2014-01-01

    Pharmacy practice and social pharmacy are two important research areas within pharmaceutical and health sciences. As the disciplines have undergone and are still undergoing changes, it is useful to reflect on the current state of their research as the basis for discussing further development....... The two areas are currently beset by a lack of consensus and charged all too often with evaluating narrowly focused pharmacy services. With the added challenge of diminished funding for research and the pressures to publish results, these fields have to accommodate a much broader research framework than...

  11. Service-based Systems in Clinical Environments

    OpenAIRE

    Stantchev, Vladimir

    2008-01-01

    In this report we present an architectural approach to add quality-of-service (QoS) assurance and location awareness to service-based systems within existing clinical infrastructures. To address typical design requirements of such systems (e.g., cooperating services, performance and availability) the work proposes a service-oriented architecture (SOA) as architectural concept and architectural translucency to provide stable QoS. We evaluate position sensing systems, QoS assurance approaches a...

  12. Harvey A. K. Whitney Lecture. Shifting pharmacy's paradigm.

    Science.gov (United States)

    Ivey, M F

    1993-09-01

    Changes occurring in the pharmacy profession and their effects on the paradigm for pharmacy practice are discussed. The paradigm of pharmacy, the pattern or model of pharmacy's structure, services, daily activities, and organization, is shifting, and if pharmacists do not shift with it, they will be left behind. Advances in technological capabilities often result in automation and centralization of services. Improvements in drug therapy have caused shifts in the performance of clinical functions. Philosophical changes about the way health care should be delivered have produced the concepts of pharmaceutical care, patient-focused care, and continuous quality improvement of care. Teams of caregivers whose primary concern is the patient have replaced caregiving based on technology, discipline, or employee needs. Pharmacists have focused on the patient as their primary customer instead of the nurse or practitioner, and they anticipate the patient's needs in a structured and documented fashion. The principles of continuous quality improvement have been applied to every aspect of providing pharmaceutical care. If pharmacists are to adjust to the shift in the pharmacy paradigm, they must recognize their strength as a group, make proper recommendations about pharmaceutical use, move horizontally to grow as professionals, consider themselves clinicians, be active in the making of pharmaceutical care decisions, and believe in themselves. PMID:8135232

  13. Clinical risk management in Dutch community pharmacies: the case of drug-drug interactions.

    NARCIS (Netherlands)

    Buurma, H.; Smet, P.A.G.M. de; Egberts, A.C.G.

    2006-01-01

    BACKGROUND: The prevention of drug-drug interactions requires a systematic approach for which the concept of clinical risk management can be used. The objective of our study was to measure the frequency, nature and management of drug-drug interaction alerts as these occur in daily practice of Dutch

  14. 中药房调剂质量对临床治疗效果的影响%The Quality of Clinical Therapeutic Effect of TCM Pharmacy Dispensing

    Institute of Scientific and Technical Information of China (English)

    李海涛; 蔺爽; 刘丹

    2015-01-01

    目的:观察中药房调剂质量对临床治疗效果的影响。方法选择2013年2月~2015年2月我院开具的340例中药房处方,其中实施中药房强化调剂质量监督管理前处方160例,管理后处方180例,分析管理前后不良事件发生情况。结果实施管理前不良事件发生率16.25%高于管理后3.89%,差异有统计学意义(P<0.05)。结论中药房强化调剂质量监督管理减少不良事件,确保临床用药的具有较高安全性及有效性。%ObjectiveTo observe the effects of TCM pharmacy dispensing quality of clinical therapeutic effect.MethodsFrom February 2013 to February 2013, 340 cases of TCM pharmacy prescription,including implementation of TCM pharmacy to strengthen prescription 160 cases before dispensing quality supervision and management,management prescriptions of 180 cases after adverse events before and after the analysis of the management.ResultsThe incidence of adverse events before implementing management 16.25% above 3.89% after management,the difference was statisticaly significant(P<0.05).ConclusionTCM pharmacy improved dispensing quality supervision management significantly reduce adverse events,to ensure high safety and efficacy of clinical application.

  15. Diabetes and Hypertension Screening by Pharmacy Students in Thai Communities

    OpenAIRE

    Ploylearmsang, Chanuttha; Sookaneknun, Phayom; Poophalee, Thanapong; Pongruea, Piyatida

    2013-01-01

    Objective. To integrate pharmacy education into a diabetes and hypertension screening program to improve pharmacy student disease knowledge and screening skills and provide a valuable service to the community.

  16. Clinical service desires of medical cannabis patients

    Directory of Open Access Journals (Sweden)

    Janichek Jennifer L

    2012-03-01

    Full Text Available Abstract Background Medical cannabis dispensaries following the social or hybrid model offer supplementary holistic services in addition to dispensing medical cannabis. Historically, alternative physical health services have been the norm for these dispensaries, including services such as yoga, acupuncture, or chiropractor visits. A clinical service dearth remains for medical cannabis patients seeking substance use, misuse, dependence, and mental health services. This study examined patient desires for various clinical services and level of willingness to participate in specific clinical services. Methods Anonymous survey data (N = 303 were collected at Harborside Health Center (HHC, a medical cannabis dispensary in Oakland, CA. The sample was 70% male, 48% Caucasian and 21% African American. The mean male age was 38 years old and female mean age was 30. Sixty two percent of the male participants and 44% of the female participants are single. Sixteen percent of the population reported having a domestic partner. Forty six percent of the participants are employed full time, 41% have completed at least some college, and 49% make less than $40,000 a year. Results A significant portion of the sample, 62%, indicated a desire to participate in free clinical services at HHC, 34% would like more information about substances and use, and 41% want to learn more about reducing harms from substance use. About one quarter of the participants marked "would" or "likely would" participate in individual services such as consultation. Approximately 20% indicated "would" or "likely would" participate in psycho-educational forums, harm reduction information sharing sessions, online support groups, and coping, life, and social skills group. There was little interest in traditional NA/AA 12-step groups or adapted 12-step groups. Conclusions Desired clinical services can be qualified as a combination of harm reduction, educational, skills-based, peer support and

  17. Community Impact of Pharmacy-Randomized Intervention to Improve Access to Syringes and Services for Injection Drug Users

    Science.gov (United States)

    Crawford, Natalie D.; Amesty, Silvia; Rivera, Alexis V.; Harripersaud, Katherine; Turner, Alezandria; Fuller, Crystal M.

    2014-01-01

    Objectives: In an effort to reduce HIV transmission among injection drug users (IDUs), New York State deregulated pharmacy syringe sales in 2001 through the Expanded Syringe Access Program by removing the requirement of a prescription. With evidence suggesting pharmacists' ability to expand their public health role, a structural,…

  18. Antibody-Drug Conjugates: A Clinical Pharmacy Perspective on an Emerging Cancer Therapy.

    Science.gov (United States)

    Jerjian, Taleen V; Glode, Ashley E; Thompson, Lisa A; O'Bryant, Cindy L

    2016-01-01

    Antibody-drug conjugates (ADCs) combine highly specific monoclonal antibodies with potent cytotoxic drugs. Their synergy allows for targeted delivery of toxic drugs to cancer cells while sparing systemic exposure. In this review, we focus on the history and clinical applications of ADCs approved by the U.S. Food and Drug Administration (FDA) for the treatment of cancer and highlight new ADCs in the drug development pipeline. Three ADCs have received FDA approval thus far. Gemtuzumab ozogamicin, although withdrawn from the U.S. market, may still be an effective treatment modality in subsets of patients with acute myeloid leukemia. Brentuximab vedotin and ado-trastuzumab emtansine have shown improved efficacy and safety data compared with standard chemotherapy for the treatment of advanced lymphoma and breast cancer, respectively. With a number of ADCs with promising preliminary data in the clinical trial pipeline, cancer therapy is moving forward from traditional chemotherapy to targeted treatment modalities driven by the specificity of monoclonal antibodies and advancing biotechnology. PMID:26799352

  19. Pharmacy experience with facsimile prescriptions.

    Science.gov (United States)

    Huntzinger, Paul E

    2010-11-01

    The purpose of this mixed qualitative/quantitative study was to review the impact of a policy to accept facsimile (fax) prescriptions as standard operating procedure. Between February and April 2009 the pharmacy processed 4,792 new prescriptions of which 363 (7.6%) were received through fax. Of the fax prescriptions, 19 (5.2%) concerned clarification of information, which took approximately 30 minutes to resolve. The fax prescription process allowed the pharmacy to adjust the distribution of its workload, provided quicker service for new prescriptions, and allowed more time for medication consultation that resulted in a high level of customer satisfaction. It appeared the policy allowing fax prescriptions was a "win-win" situation for both the pharmacy and its customers. Military pharmacies should consider running trials of accepting fax prescriptions to see whether it improves their prescription filling process. PMID:21121504

  20. Drug assessment by a Pharmacy and Therapeutics committee: from drug selection criteria to use in clinical practice

    OpenAIRE

    Lozano-Blázquez A; Calvo-Pita C; Carbajales-Álvarez M; Suárez-Gil P; Martínez-Martínez F; Calleja-Hernández MA

    2014-01-01

    Ana Lozano-Blázquez,1 Cecilia Calvo-Pita,2 Mónica Carbajales-Álvarez,1 Patricio Suárez-Gil,3 Fernando Martínez-Martínez,4 Miguel Ángel Calleja-Hernández51Pharmacy Department, Hospital de Cabueñes, Gijón, Spain; 2Pharmacy Department, Primary Health Care, Servicio Madrileño de Salud, Dirección Asistencial Oeste, Madrid, Spain; 3Research Unit Área V, Hosp...

  1. Nuclear pharmacy education: international harmonization

    International Nuclear Information System (INIS)

    Education of nuclear pharmacists exists in many countries around the world. The approach and level of education varies between countries depending upon the expectations of the nuclear pharmacist, the work site and the economic environment. In Australia, training is provided through distance learning. In Europe and Canada, nuclear pharmacists and radiochemists receive postgraduate education in order to engage in the small-scale preparation and quality control of radiopharmaceuticals as well as research and development. In the U.S.A., nuclear pharmacy practitioners obtain basic knowledge primarily through undergraduate programs taken when pursuit the first professional degree in pharmacy. Licensed practitioners in pharmacy enter the practice of nuclear pharmacy through distance learning programs or short courses. While different approaches to education exist, there is a basic core of knowledge and a level of competence required of all nuclear pharmacists and radiochemists providing radiopharmaceutical products and services. It was with this realization that efforts were initiated to develop harmonization concepts and documents pertaining to education in nuclear pharmacy. The benefits of international harmonization in nuclear pharmacy education are numerous. Assurance of the availability of quality professionals to provide optimal products and care to the patient is a principle benefit. Spanning national barriers through the demonstration of self governance and unification in education will enhance the goal of increased freedom of employment between countries. Harmonization endeavors will improve existing education programs through sharing of innovative concepts and knowledge between educators. Documents generated will benefit new educational programs especially in developing nations. A committee on harmonization in nuclear pharmacy education was formed consisting of educators and practitioners from the international community. A working document on education was

  2. SimPharm: How Pharmacy Students Made Meaning of a Clinical Case Differently in Paper- and Simulation-Based Workshops

    Science.gov (United States)

    Loke, Swee-Kin; Tordoff, June; Winikoff, Michael; McDonald, Jenny; Vlugter, Peter; Duffull, Stephen

    2011-01-01

    Several scholars contend that learning with computer games and simulations results in students thinking more like professionals. Bearing this goal in mind, we investigated how a group of pharmacy students learnt with an in-house developed computer simulation, SimPharm. Adopting situated cognition as our theoretical lens, we conducted a case study…

  3. Retail pharmacy market structure and performance.

    Science.gov (United States)

    Brooks, John M; Doucette, William R; Wan, Shaowei; Klepser, Donald G

    2008-01-01

    Substantial variation has been observed in the use of prescription drugs from retail pharmacies, the level of services provided by retail pharmacies, and the prices paid for prescriptions from retail pharmacies. It is not clear whether local area retail pharmacy market structures affect these pharmacy outcomes. The goal of this paper is to discuss the potential research avenues to address these issues. The discussion provides. 1) background on the retail pharmacy and its place within the pharmaceutical supply chain; 2) a discussion of the data that are available to address these issues and the measures that can be developed from these data; and 3) a review of existing research findings and gaps in knowledge. PMID:18524293

  4. Establishing a clinical cardiac MRI service

    International Nuclear Information System (INIS)

    After several years of research development cardiovascular MRI has evolved into a widely accepted clinical tool. It offers important diagnostic and prognostic information for a variety of clinical indications, which include ischaemic heart disease, cardiomyopathies, valvular dysfunction and congenital heart disorders. It is a safe non-invasive technique that employs a variety of imaging sequences optimized for temporal or spatial resolution, tissue-specific contrast, flow quantification or angiography. Cardiac MRI offers specific advantages over conventional imaging techniques for a significant number of patients. The demand for cardiac MRI studies from cardiothoracic surgeons, cardiologists and other referrers is likely to continue to rise with pressure for more widespread local service provision. Setting up a cardiac MRI service requires careful consideration regarding funding issues and how it will be integrated with existing service provision. The purchase of cardiac phased array coils, monitoring equipment and software upgrades must also be considered, as well as the training needs of those involved. The choice of appropriate imaging protocols will be guided by operator experience, clinical indication and equipment capability, and is likely to evolve as the service develops. Post-processing and offline analysis form a significant part of the time taken to report studies and an efficient method of providing quantitative reports is an important requirement. Collaboration between radiologists and cardiologists is needed to develop a successful service and multi-disciplinary meetings are key component of this. This review will explore these issues from our perspective of a new clinical cardiac MRI service operating over its first year in a teaching hospital imaging department

  5. Effective medicine control for Platinum Health pharmacies / Dewald Jacobus Pretorius

    OpenAIRE

    Pretorius, Dewald Jacobus

    2010-01-01

    Effective Medicine Control is the essence of pharmaceutical service delivery and of financial management in Platinum Health Pharmacies. Platinum Health Pharmacies implement medicine control measures to enhance and optimise service delivery. As Platinum Health Pharmacies deliver a pharmaceutical service as business associates of Anglo Platinum, it serves the same workforce. The requirement of the pharmaceutical service delivery for Anglo Platinum is timely, appropriate and available medicine. ...

  6. Prevalence and determinants of pharmacy shopping behaviour.

    NARCIS (Netherlands)

    Buurma, H.; Bouvy, M.L.; Smet, P.A.G.M. de; Floor-Schreudering, A.; Leufkens, H.G.; Egberts, A.C.G.

    2008-01-01

    BACKGROUND AND OBJECTIVE: Discontinuity of care bears the risk of medication errors and poor clinical outcomes. Little is known about the continuity of care related to pharmacies. Therefore, we studied the prevalence and determinants of pharmacy shopping behaviour in the Netherlands. METHODS: Benefi

  7. Prevalence and determinants of pharmacy shopping behaviour

    NARCIS (Netherlands)

    Bouvy, M. L.; De Smet, P. A. G. M.; Floor-Schreudering, A.; Leufkens, H. G. M.; Egberts, A. C. G.; Buurma, H

    2008-01-01

    Background and objective: Discontinuity of care bears the risk of medication errors and poor clinical outcomes. Little is known about the continuity of care related to pharmacies. Therefore, we studied the prevalence and determinants of pharmacy shopping behaviour in the Netherlands. Methods: Benefi

  8. Clinical pathology services: remapping our strategic itinerary.

    Science.gov (United States)

    Blanckaert, Norbert

    2010-07-01

    Both technological advances and economic drivers have led to major changes in clinical laboratories across the world, with vastly improved testing productivity. However, the production process capability advances have far outpaced the clinical pathologists' success in assuring optimal test utilization and interpretation. While productivity of 'commodity' testing increases, our healthcare value productivity decreases. Such developments constitute a serious threat to our clinical pathology specialty, not only because pathologists may lose direct control of the commodity testing production activities, but also because the present evolution exposes a failure of our core clinical activities, the pathologist's knowledge processes that translate 'commodity' results into medical outcomes optimization. At a time when a revolution in health care organization is inescapable in the years ahead, clinical pathology must proceed from a merely reactive strategy (to fulfill the 'more with less' demands) to a proactive strategy where we build excellence and visibility in knowledge services on a strong foothold of operational excellence. Based on a Strengths-Weaknesses-Opportunities-Threats analysis, we argue that clinical pathology should safeguard and expand its healthcare value productivity by assuming leadership in building integrated laboratory services networks. We also suggest that the core knowledge processes deserve a system approach, for example, by applying a risk-based quality management system. PMID:20491600

  9. The Implementation and Development of an Objective Structured Clinical Examination in the Community Pharmacy Course of a Select Gulf-Region Academic Institution (Ras Al Khaimah College of Pharmaceutical Sciences): A Pilot Study

    Science.gov (United States)

    Al-Azzawi, Amad Mohammed Jamil; Nagavi, B.G.; Hachim, Mahmood Y.; Mossa, Omar H.

    2016-01-01

    Background: Objective Structured Clinical Examinations (OSCEs) were used to assess translational pharmacotherapeutic skills of a Gulf-region representative academic institution. Aim: The aim of the current study was to assess the clinical skills of students enrolled within the third year Bachelor of Pharmacy (BPharm) programme within Ras Al…

  10. An Evaluation of the Education of Hospital Pharmacy Directors.

    Science.gov (United States)

    Oakley, Robert S.; And Others

    1985-01-01

    Hospital pharmacy directors ranked their academic needs as: personnel and financial management (greatest), computers, hospital organization, clinical pharmacy practice, traditional pharmacy practice, and statistics. Those with MBAs perceived themselves stronger in these areas than did those with other degrees. Only MBAs and MSs felt adequately…

  11. Pharmacy Education in India: Strategies for a Better Future

    OpenAIRE

    Jishnu, V; Gilhotra, RM; Mishra, DN.

    2011-01-01

    In this world of specialization and globalization the pharmacy education in India is suffering from serious backdrops and flaws. There is an urgent need to initiate an academic exercise aimed at attaining revamping of curriculum, keeping in pace with current and emerging trends in the field of pharmacy. Unfortunately all these years, enough emphasis was not laid on strengthening the components of Community Pharmacy, Hospital and Clinical pharmacy, while designing curriculum at diploma and deg...

  12. Application of Quality Assurance Strategies in Diagnostics and Clinical Support Services in Iranian Hospitals

    Directory of Open Access Journals (Sweden)

    Asgar Aghaei Hashjin

    2015-10-01

    Full Text Available Background Iran has a widespread diagnostics and clinical support services (DCSS network that plays a crucial role in providing diagnostic and clinical support services to both inpatient and outpatient care. However, very little is known on the application of quality assurance (QA policies in DCSS units. This study explores the extent of application of eleven QA strategies in DCSS units within Iranian hospitals and its association with hospital characteristics. Methods A descriptive cross-sectional study was conducted in 2009/2010. Data were collected from 554 DCSS units among 84 hospitals. Results The average reported application rate for the QA strategies ranged from 57%-94% in the DCSS units. Most frequently reported were checking drugs expiration dates (94%, pharmacopoeia availability (92%, equipment calibration (87% and identifying responsibilities (86%. Least reported was external auditing of the DCSS (57%. The clinical chemistry and microbiology laboratories (84%, pharmacies, blood bank services (83% reported highest average application rates across all questioned QA strategies. Lowest application rates were reported in human tissue banks (50%. There was no significant difference between the reported application rates in DCSS in the general/specialized, teaching/research, nonteaching/research hospitals with the exception of pharmacies and radiology departments. They reported availability of a written QA plan significantly more often in research hospitals. Nearly all QA strategies were reported to be applied significantly more often in the DCSS of Social Security Organization (SSO and private-for-profit hospitals than in governmental hospitals. Conclusion There is still room for strengthening the managerial cycle of QA systems and accountability in the DCSS in Iranian hospitals. Getting feedback, change and learning through application of specific QA strategies (eg, external/internal audits can be improved. Both the effectiveness of QA

  13. Clinical laboratories: production industry or medical services?

    Science.gov (United States)

    Plebani, Mario

    2015-06-01

    The current failure to evidence any link between laboratory tests, clinical decision-making and patient outcomes, and the scarcity of financial resources affecting healthcare systems worldwide, have put further pressure on the organization and delivery of laboratory services. Consolidation, merger, and laboratory downsizing have been driven by the need to deliver economies of scale and cut costs per test while boosting productivity. Distorted economics, based on payment models rewarding volume and efficiency rather than quality and clinical effectiveness, have underpinned the entrance of clinical laboratories into the production industry thus forcing them to relinquish their original mission of providing medical services. The sea change in laboratory medicine in recent years, with the introduction of ever newer and ever more complex tests, including 'omics', which impact on clinical decision-making, should encourage clinical laboratories to return to their original mission as long as payments models are changed. Rather than being considered solely in terms of costs, diagnostic testing must be seen in the context of an entire hospital stay or an overall payment for a care pathway: the testing process should be conceived as a part of the patient's entire journey. PMID:25405721

  14. Pharmacy practice simulations: performance of senior pharmacy students at a University in southern Brazil

    OpenAIRE

    Galato D; Alano GM; Trauthman SC; França TF

    2011-01-01

    Objective: A simulation process known as objective structured clinical examination (OSCE) was applied to assess pharmacy practice performed by senior pharmacy students.Methods: A cross-sectional study was conducted based on documentary analysis of performance evaluation records of pharmacy practice simulations that occurred between 2005 and 2009. These simulations were related to the process of self-medication and dispensing, and were performed with the use of patients simulated. The simulati...

  15. Clinical effectiveness of baclofen for the treatment of alcohol dependence: a review

    OpenAIRE

    Brennan JL; Leung JG; Gagliardi JP; Rivelli SK; Muzyk AJ

    2013-01-01

    Jessica L Brennan,2 Jonathan G Leung,1 Jane P Gagliardi,3 Sarah K Rivelli,3 Andrew J Muzyk4 1Department of Hospital Pharmacy Services, Mayo Clinic, Rochester, MN, 2Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, PA, 3Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, 4Department of Pharmacy Practice, Campbell University School of Pharmacy and Health Sciences, Buies Creek, NC, USA Abstract: Baclofen, an agonist at the ...

  16. Pharmaceutical care in community pharmacies: practice and research in Denmark

    DEFF Research Database (Denmark)

    Herborg, Hanne; Sørensen, Ellen Westh; Frøkjaer, Bente

    2007-01-01

    OBJECTIVE: To review the current status of Danish community pharmacy in both practice and research and discuss future trends. FINDINGS: Denmark has a social welfare system that provides health care, social services, and pensions to its population. Medical care and surgery are free. Prescription...... medicines are reimbursed by an average of 56%. Community pharmacies are privately owned, but the health authorities regulate drug prices and the number of pharmacies. At present, Denmark has 322 pharmacies, corresponding to 1 pharmacy per 16,700 inhabitants. All pharmacies provide prescription and over......-the-counter products, advice about medicine use, dose dispensing, generic substitutions, and administration of individual reimbursement registers. Except for very simple processes, compounding is centralized at 3 pharmacies. Many pharmacies offer measurement of blood glucose, blood pressure, and cholesterol, and 60...

  17. Pharmacy in a New Frontier - The First Five Years at the Johnson Space Center Pharmacy

    Science.gov (United States)

    Bayuse, Tina

    2008-01-01

    A poster entitled "Space Medicine - A New Role for Clinical Pharmacists" was presented in December 2001 highlighting an up-and-coming role for pharmacists at the Johnson Space Center (JSC) in Houston, Texas. Since that time, the operational need for the pharmacy profession has expanded with the administration s decision to open a pharmacy on site at JSC to complement the care provided by the Flight Medicine and Occupational Medicine Clinics. The JSC Pharmacy is a hybrid of traditional retail and hospital pharmacy and is compliant with the ambulatory care standards set forth by the Joint Commission. The primary charge for the pharmacy is to provide medication management for JSC. In addition to providing ambulatory care for both clinics, the pharmacists also practice space medicine. A pharmacist had been involved in the packing of both the Space Shuttle and International Space Station Medical Kits before the JSC Pharmacy was established; however, the role of the pharmacist in packing medical kits has grown. The pharmacists are now full members of the operations team providing consultation for new drug delivery systems, regulations, and patient safety issues. As the space crews become more international, so does the drug information provided by the pharmacists. This presentation will review the journey of the JSC Pharmacy as it celebrated its five year anniversary in April of 2008. The implementation of the pharmacy, challenges to the incorporation of the pharmacy into an existing health-care system, and the current responsibilities of a pharmacist at the Johnson Space Center will be discussed.

  18. A performance evaluation of {sup 90}Y dose-calibrator measurements in nuclear pharmacies and clinics in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Schultz, Michael K. [National Institute of Standards and Technology, Nuclear Medicine Standards Program, 100 Bureau Drive, MS 8462, Gaithersburg, MD 20899 (United States)], E-mail: michael-schultz@uiowa.edu; Cessna, Jeffrey T. [National Institute of Standards and Technology, Nuclear Medicine Standards Program, 100 Bureau Drive, MS 8462, Gaithersburg, MD 20899 (United States); Anderson, Tamara L. [College of Pharmacy, Univ. of New Mexico Health Sciences Center, New Mexico Center for Isotopes in Medicine, 2502 Marble, NE MSC09 5360, Albuquerque, NM 87131-0001 (United States); Ponto, James A. [Dept. of Radiology, Div. of Nuclear Medicine, Univ. of Iowa Hospital and Clinics, 200 Hawkins Drive, 3832 JPP, Iowa City, IA 52242 (United States); Petry, Neil [Dept. of Radiology, Dept. of Nuclear Medicine, Duke Univ. Medical Center, 133 Bell Building, Box 3304, Durham, NC 27710-3304 (United States); Kowalsky, Richard J. [Dept. of Radiology, Univ. of North Carolina, 1312 Kerr Hall, CB 7360, Chapel Hill, NC 27599 (United States); Palmer, Matthew R. [Dept. of Radiology, Div. of Nuclear Medicine, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215-5400 (United States); Beinlich, Uwe F. [QSA Global, Inc., Auriga Medical Div., 40 North Avenue, Burlington, MA 01803 (United States); Baker, William [Pharmaceutical and Diagnostic Services, 1152 West 2240 South St. E., West Valley City, UT 84119 (United States); Hinkle, George H. [Ohio State Univ. Medical Center, Room 203D, Doan Hall, 410 West 10th Avenue, Columbus, OH 43210 (United States); Hung, Joseph C. [Mayo Clinic, Div. of Nuclear Medicine, Dept. of Radiology, 200 First Street SW, Rochester, MN 55905 (United States); Quinton, Timothy [Radiopharmacy, Inc., 1409 E. Virginia St., Evansville, IN 47711 (United States); Rice, Peter A. [Massachusetts General Hospital, Div. of Nuclear Medicine, Tilton-2, 55 Fruit Street, Boston, MA 02114 (United States)] (and others)

    2008-02-15

    A blind performance test was conducted to evaluate dose-calibrator measurements at nuclear pharmacies in the United States (US). Two test-sample geometries were chosen to represent those used for measurements of {sup 90}Y-ibritumomab tiuxetan (ZEVALIN). The radioactivity concentration of test-samples was verified by the US National Institute of Standards and Technology. Forty-five results were reported by 10 participants. Eighty percent of reported values were within the US Pharmacopoeia content standard ({+-}10%) for {sup 90}Y-ZEVALIN. All results were within US Nuclear Regulatory Commission conformance limits ({+-}20%) for defining therapeutic misadministrations.

  19. A performance evaluation of 90Y dose-calibrator measurements in nuclear pharmacies and clinics in the United States

    International Nuclear Information System (INIS)

    A blind performance test was conducted to evaluate dose-calibrator measurements at nuclear pharmacies in the United States (US). Two test-sample geometries were chosen to represent those used for measurements of 90Y-ibritumomab tiuxetan (ZEVALIN). The radioactivity concentration of test-samples was verified by the US National Institute of Standards and Technology. Forty-five results were reported by 10 participants. Eighty percent of reported values were within the US Pharmacopoeia content standard (±10%) for 90Y-ZEVALIN. All results were within US Nuclear Regulatory Commission conformance limits (±20%) for defining therapeutic misadministrations

  20. To improve the outpatient pharmacy service quality, some improvement measures of doctor-patient relationship%提高门诊药房服务质量改善医患关系的几点措施

    Institute of Scientific and Technical Information of China (English)

    张玉凤

    2013-01-01

    objective to improve out-patient pharmacy service quality, better service for patients, to provide protection for the doctor-patient relationship better. Methods in our hospital outpatient pharmacy characteristics and current situation, to strengthen the system and internal management, improve the comprehensive quality of pharmacists, actively carry out pharmaceutical care, meet the doctors and patients needs. Results the system more sound and perfect the outpatient pharmacy; pharmacists professional knowledge and comprehensive ability has been improved obviously; doctors prescription medication more standardized, more safe, economic, effective; patients to the hospital service satisfaction improved. Conclusion the system construction, pharmacist training and pharmacy services, improve service quality, outpatient pharmacy important measure to improve the doctor-patient relationship.%目的提高门诊药房服务质量,更好的为患者服务,为更好的医患关系提供保障。方法结合我院特点和门诊药房现状,强化制度和内部管理,提高药师的综合素质,积极开展药学服务,满足医生和患者需求。结果门诊药房各项制度更加健全和完善;药师的专业知识和综合能力得到明显提高;各科医生处方更加规范,用药更加安全、经济、有效;患者对医院服务的满意度不断提高。结论制度建设、药师培养和开展药学服务等,是提高门诊药房服务质量、改善医患关系的重要措施。

  1. Establish the Procedure of Hospital Pharmacy Service Based on Six Sigma Management%基于六西格玛管理构建医院药学服务流程

    Institute of Scientific and Technical Information of China (English)

    张美玲; 黄萍; 应茵; 叶佐武; 杨秀丽; 袁雍

    2011-01-01

    目的 运用六西格玛管理形成一套系统、切实可行的标准化流程,提升医院药学服务质量.方法 按照六西格玛的五步法(DMAIC)实施,即定义-测量-分析-改进-控制,重组和优化药学服务流程.结果 形成98个标准流程,涵盖药事管理各个方面.结论 应用六西格玛管理,使医院药学流程标准化和规范化,以低资源成本、低缺陷的质量水平、优质的服务水准整体上实现医院药学服务质量的提升,实现六西格玛水准,满足患者多层次的需求,顺利接轨新医改.%OBJECTIVE To establish a set of systemic, available and standard procedure, and improve the quality of hospital pharmacy service by the application of six sigma management. METHODS According to five steps of six sigma management including definition, measurement, analysis, improvement and control, we rebuilt and optimized the pharmacy service procedure. RESULTS All of 98 standard procedures were established covering all aspects of pharmacy management. CONCLUSION The established hospital pharmacy service procedure based on six sigma management can improve the quality of pharmacy service by reducing the resource cost and the defect of service quality. This will be benefit for satisfying patients at multi-aspects requirements and connecting to the new medical system reformation.

  2. Satisfaction With Medication Therapy Management Services at a University Ambulatory Care Clinic.

    Science.gov (United States)

    Kim, Shiyun; Martin, Michelle T; Pierce, Andrea L; Zueger, Patrick

    2016-06-01

    A survey was issued to patients enrolled in the Medication Therapy Management Clinic (MTMC) at University of Illinois Hospital and Health Sciences (June 2011-January 2012) in order to assess satisfaction with pharmacy services provided by pharmacists. A 23-item survey was offered to 65 patients in the MTMC program before or after clinic visits. Since there is a paucity of data indicating the level of satisfaction with MTM services provided by pharmacists, this survey may contribute to the process of building a greater collaboration between the pharmacist and patient. Sixty-two of 65 patients completed the survey; satisfaction with MTMC pharmacists was demonstrated to be significantly positively correlated with overall satisfaction with the MTMC. Patient satisfaction is not significantly different according to age, gender, ethnicity, or number of disease states. Satisfaction with the pillbox service is not significantly different between younger and older patients. It was also noted that patients taking a greater number of medications had higher levels of satisfaction. Most patients indicated that they were satisfied with the MTMC pharmacists and services; further study linking patient satisfaction with MTM services to improved patient outcomes may allow our MTMC to serve as a model for other pharmacist-managed MTMCs serving similar patient populations. PMID:25312261

  3. Investigation on the Influential Factors of Satisfaction about Patients on Pharmacy Services in Medical and Health Institutions of Zhejiang Province Based on Structural Equation%基于结构方程的浙江省医疗卫生机构患者药学服务满意度影响因素调研

    Institute of Scientific and Technical Information of China (English)

    夏立义

    2015-01-01

    目的:了解影响患者对于药学服务满意度的因素,为药学服务工作的改善提供参考.方法:采用问卷调查的方法,从取药便利度、感知质量、药学服务预期、感知价值、患者感受、患者投诉6个方面,对浙江省23家医院的部分患者进行药学服务满意度影响因素调查,基于结构方程构建模型,并进行分析.结果:共发放问卷500份,回收有效问卷413份,有效回收率为82.6%.所建立的模型共包含19个观测变量和6个潜变量.结果显示,取药便利度对于感知质量、药物服务预期、感知价值、患者感受具有正向的影响作用,其中取药便利度对于患者感受(满意度)影响程度最大;药学服务预期与患者感受成正相关关系;感知价值与患者投诉呈现负相关关系.结论:为提升患者对于药学服务的满意度,需提高药学服务人员的专业水平和服务态度,提高患者取药便利程度,提高患者在心理、社会性方面的满意度.%OBJECTIVE:To understand the influential factors of clinical pharmacy service satisfaction,and provide reference for improving the pharmacy service. METHODS:Questionnaire survey was adopted to investigate and analyze the influential fac-tors about satisfaction of parts of patients from 23 hospitals in Zhejiang province on pharmacy service from aspects of ease of tak-ing medicines,perceived quality,pharmacy services expectations,perceived value,patients'feelings and complaints based on structural equation. RESULTS:Totally 500 questionnaires were sent out and 413 were valid with effective rate of 82.6%. The estab-lished model included 19 observed variables and 6 latent variables;results showed ease of taking medicines had positive effect on perceived quality,pharmacy services expectations,perceived value and patients'feelings,and most affected on patients'feelings (satisfaction);pharmacy services expectations had positive correlation with patients'feelings;perceived value had

  4. Study of two-dimensional barcode prescription system for pharmacists' activities of NHI contracted pharmacy.

    Science.gov (United States)

    Wang, Wei-Ling; Lin, Chyi-Hong

    2008-01-01

    To lower the cost and enhance the quality of healthcare service, the Taiwan government launched National Health Insurance (NHI) in 1995 and the System of Separation of Medicine and Pharmacy in 1997. After the separation of dispensing and prescribing (SDP), pharmacists in NHI-contracted pharmacies have the right to fill prescriptions from a clinic. This means that pharmacists in NHI-contracted pharmacies have four more activities than previously. How to improve the additional activities remains an issue to be solved. Today, in most countries, patients deliver a written prescription to the pharmacy of their choice. The pharmacist validates the prescription and dispenses the drug. In this paper, we describe an automatic data collection system, the two-dimensional barcode prescription system (2DBPS) for pharmacists. The system allows patients to deliver a paper prescription with a 2D barcode issued by a clinic to the pharmacy of their choice. The pharmacist scans in the 2D barcode, validates the prescription, and dispenses the drug. Evaluation of the 2DBPS showed that most pharmacists use it to execute additional activities and it was more efficient than before. Moreover, the easy-to-use 2DBPS is accepted and appreciated by pharmacists. We can thus conclude that the aim of the 2DBPS is to reduce the workload of pharmacist in data processing. It will help pharmacists to expand their role beyond simple dispensing and data processing to providing pharmaceutical care services. PMID:18176063

  5. Investigation on the Basic Situation of Pharmaceutical Service in Chain Pharmacies in Chengdu City%成都市区连锁药店药学服务基本情况调查Δ

    Institute of Scientific and Technical Information of China (English)

    金朝辉; 顾锦建; 郑明琳; 赵淼

    2015-01-01

    目的:为促进连锁药店药学服务的进一步开展和相关部门实施监管提供参考。方法:通过实地调查和问卷调查相结合的方式对成都市区5家连锁药店分店开展药学服务的基本情况进行调查与分析。结果:核心服务方面,调查发现2家药店未悬挂药师证且药师不在岗;各药店药师提供用药指导频度的差异有统计学意义(P<0.05),超过50%的受访消费者在药店B、C和E购药时药师经常会提供用药指导。感知服务方面,存在违法广告和促销情况的药店各有3家;各药店药品分区情况均较好;服务存档材料情况药店C最好,药店D最差;服务咨询区设置上独立咨询区的设置情况较差。扩展服务方面,会员卡业务一项除会员日优惠外5家药店对会员的优惠方式各有不同;各药店药品拆零服务开展情况较差,无一家药店拆零品种数≥10。结论:成都市区连锁药店药学服务基本情况差强人意。除了采取药店加强对药师的考核和管理、完善药学服务项目,监管部门强化对药品广告和促销的监管等手段外,建议借助互联网信息技术手段,建立云监管平台,开展远程服务和云服务,加强互联网品牌服务营销,以提升连锁药店的药学服务水平。%OBJECTIVE:To provide reference for promoting the further development of pharmaceutical service in chain phar-macies and the regulation of related departments. METHODS:Field investigation and questionnaire survey were used to investigate the basic situation of pharmaceutical care in 5 chain pharmacies in Chengdu city and analyze the results. RESULTS:In terms of core service,it showed that 2 pharmacies had no suspension of pharmacists license and the pharmacist was not on-the-job;there was significant difference in the medication guidance frequency of pharmacists in those pharmacies(P<0.05);more than 50% sur-veyed consumers received

  6. [History of Polish pharmacy].

    Science.gov (United States)

    Okuda, J; Okuda, R

    1993-01-01

    Doctoral thesis (in French) by Monika Debska-Donnet, entitled "History of pharmacy and pharmaceutical art collections in Poland" which was presented to Paris XI University (Faculty of Pharmaceutical and Biological Sciences) in 1991, was translated into Japanese and summarized. In this report, histories of pharmacy education, pharmacists, community pharmacies, pharmacopoeiae, pharmaceutical industries in Poland were described, and four representative Polish museums of history of pharmacy were also explained. PMID:11639718

  7. 基于SERVQUAL模型的我国药店服务质量评价内容初步探讨%Preliminary study on the contents for the evaluation of pharmacy service quality based on SERVQUAL model

    Institute of Scientific and Technical Information of China (English)

    赵建芹; 吴幼萍; 陈永法

    2013-01-01

    ABSTRACT Based on the research of literatures, the specific meaning of the five service quality evaluation dimensions of Chinese pharmacy service in the SERVQUAL model was analyzed so as to provide a reference for pharmacy managers to improve their service quality and for further study.%  在文献研究的基础上,初步探讨SERVQUAL模型提出的5个服务质量评价维度在我国药店服务的具体内涵,为药店经营管理者如何提高药店服务质量提供参考,并且为药店服务质量评价的近一步研究提供借鉴。

  8. Improving Pharmacy Dispensing Performance Through Time Management

    OpenAIRE

    Shaat, Mohamed

    2011-01-01

    The aim of this project was to carry out a change model in one of Family Medicine Clinic’s Pharmacy in Abu Dhabi. While, the objectives of the project were to improve patient satisfaction through improving patient waiting time for medications collection, improving patient’s knowledge about the pharmacy services and then generalize the implemented change in all other six clinic’s pharmacies. The change was happened because of current system of dispensing patient’s prescription ‘in turn’, which...

  9. A decade of experience with a clinical pharmacokinetics service.

    Science.gov (United States)

    Ambrose, P J; Smith, W E; Palarea, E R

    1988-09-01

    The development, operation, and functions of the pharmacokinetics service at Memorial Medical Center of Long Beach (MMCLB) are described, and the data used to determine the quality and cost-effectiveness of the service are presented. Current functions of the pharmacokinetics service at MMCLB include making brief written comments about the interpretations of serum drug concentrations (SDCs) and oral recommendations to physicians on dosage adjustment; provision of written consultations with dosage recommendations; provision of drug information, education, and research; and development of drug dosing guidelines for the pharmacy and medical staff. During the 10-year existence of this service, costs have been justified on the basis of not only revenue generated by the service (in the form of "drug concentration scheduling" and "drug concentration evaluation" fees charged to patients) but also by cost savings resulting from the prevention of inappropriate, misleading, and potentially dangerous SDCs. An audit conducted in 1986 showed that the policy of having pharmacists schedule the sampling times for SDCs saves about $500,000 annually. Quality assurance has been documented by auditing compliance with and therapeutic effectiveness of dosing guidelines and by working with laboratory personnel to identify and prevent spurious SDC results and assay errors. The methods used by the pharmacokinetics service at MMCLB to document the benefits of the service have been vital in proving both its cost-effectiveness and its positive effect on patient care. PMID:3147596

  10. Current situation analysis of after-sales service in online pharmacies based on consumer psychology%基于消费者心理的网上药店售后服务现状分析

    Institute of Scientific and Technical Information of China (English)

    张璨; 昝旺; 许依省; 刘锦

    2014-01-01

    Objective To facilitate the purchase of medicines for consumers online and provide a reference for the development of the online pharmacies by investigating the public preferences and satisfaction about the after-sales service offered by online pharmacies. Methods A spot investigation about the current situation of after-sales service offered by online pharmacies and customers' expectation was carried out by questionnaires in a way of convenience sampling. Then the conclusion was reached by analyzing the statistics. Results The after-sales service offered by online pharmacies was far from customers' expectation, and customers' purchasing desire online was impacted by different modes of after-sales service to some extent. Conclusion It is right to improve the after-sales service of online pharmacies on the basis of customers' psychological preferences to promote the development of online pharmacies.%目的:通过调查公众对网上药店售后服务的心理偏好及满意度,得出迎合消费者心理的售后服务模式,从而为消费者网上购药提供便利,也为网上药店的发展提供参考。方法采用便利抽样的方式,针对网上药店售后服务现状及消费者对售后服务的期望对群众进行随机问卷调查,并对回收的问卷进行统计和分析,得出结论。结果消费者对于网上药店的售后服务现状满意度不高,不同网上药店的售后服务模式在一定程度上影响着消费者的购买意愿。结论网上药店的售后服务应根据消费者的心理偏好有所改进,完善网上药店售后服务,促进网上药店的发展。

  11. 我院门诊药房规范操作与人性化服务之契合浅析%Integration between Standard Operation and People-oriented Service in Outpatient Pharmacy of Our Hospital

    Institute of Scientific and Technical Information of China (English)

    潘宝娟

    2011-01-01

    目的:浅析我院门诊药房规范操作与人性化服务之契合的特点,供同行交流.方法:通过对我院门诊药房传统工作模式进行分析,以药师自查形式结合工作中常见问题以及患者建议,设计并建立门诊药房药师规范服务流程.结果:借鉴移动通讯服务行业成熟的服务礼仪规范,建立门诊药房规范服务流程,规范服务流程体系(分工明确化、操作标准化、用语规范化、观念更新化等)可实现规范操作与人性化服务之契合.结论:该流程体系提升了门诊药房服务质量,达到了减少医患不和谐关系事件的目的.%OBJECTIVE: To analyze the characteristics of integration between standard operation and people-oriented service in outpatient pharmacy of our hospital. METHODS: By analyzing traditional working model of outpatient pharmacy in our hospital, standard pharmacist service procedure of outpatient pharmacy was designed and established, basing on pharmacist self-inspection, common problems and patient's suggestions. RESULTS: Referring to mature service etiquette regulation of mobile communication service industry, standard service procedure of outpatient pharmacy is established, integration between standard operation and people-oriented service can be achieved by standardizing service procedure system (clear division of labor, standard operation, standard phraseology, conception updating, etc.). CONCLUSION: The system improves the service quality of outpatient pharmacy to attain the objective of reducing the occurrence of disharmonious doctor-patient relationship.

  12. Big Data: Implications for Health System Pharmacy.

    Science.gov (United States)

    Stokes, Laura B; Rogers, Joseph W; Hertig, John B; Weber, Robert J

    2016-07-01

    Big Data refers to datasets that are so large and complex that traditional methods and hardware for collecting, sharing, and analyzing them are not possible. Big Data that is accurate leads to more confident decision making, improved operational efficiency, and reduced costs. The rapid growth of health care information results in Big Data around health services, treatments, and outcomes, and Big Data can be used to analyze the benefit of health system pharmacy services. The goal of this article is to provide a perspective on how Big Data can be applied to health system pharmacy. It will define Big Data, describe the impact of Big Data on population health, review specific implications of Big Data in health system pharmacy, and describe an approach for pharmacy leaders to effectively use Big Data. A few strategies involved in managing Big Data in health system pharmacy include identifying potential opportunities for Big Data, prioritizing those opportunities, protecting privacy concerns, promoting data transparency, and communicating outcomes. As health care information expands in its content and becomes more integrated, Big Data can enhance the development of patient-centered pharmacy services. PMID:27559194

  13. 42 CFR 410.76 - Clinical nurse specialists' services.

    Science.gov (United States)

    2010-10-01

    ... Doctor of Nursing Practice (DNP) doctoral degree; and (3) Be certified as a clinical nurse specialist by... nurse specialist's services; (3) Although incidental, are an integral part of the professional service... immediately available). (e) Professional services. Clinical nurse specialists can be paid for...

  14. Assessment of service quality of public antiretroviral treatment (ART clinics in South Africa: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Kinkel Hans F

    2012-07-01

    Full Text Available Abstract Background In South Africa the ever increasing demand for antiretroviral treatment (ART runs the risk of leading to sub-optimal care in public sector ART clinics that are overburdened and under resourced. This study assessed the quality of ART services to identify service areas that require improvement. Methods A cross-sectional study was carried out at 16 of 17 public ART clinics in the target area in greater Pretoria, South Africa. Trained participant observers presented as ART qualifying HIV positive patients that required a visit to assess treatment readiness. They evaluated each facility on five different occasions between June and November 2009, assessing the time it took to get an appointment, the services available and accessed, service quality and the duration of the visit. Services (reception area, clinician’s consultation, HIV counselling, pharmacy, nutrition counselling and social worker’s assessment were assessed against performance standards that apply to all clinics. Service quality was expressed as scores for clinic performance (CPS and service performance (SPS, defined as the percentage of performance standards met per clinic and service area. Results In most of the clinics (62.5% participant observers were able to obtain an appointment within one week, although on the day of their visit essential services could not always be accessed. The median CPS of the assessed facilities was 68.5 with four clinics not meeting minimum standards (CPS > 60. The service areas that performed least well were the clinician’s consultation (SPS 67.3 and HIV counselling (SPS 70.7. Most notably, clinicians performed a physical examination in only 41.1% of the visits and rarely did a complete TB symptom screening. Counsellors frequently failed to address prevention of HIV transmission. Conclusions Overall public sector ART clinics in greater Pretoria were easily accessible and their services were of an acceptable quality. However

  15. 减少药品差错规范药房管理提高服务质量%Drugs Reduce Errors and Standardize Pharmacy Management to Improve Service Quality

    Institute of Scientific and Technical Information of China (English)

    苏丽丽

    2016-01-01

    目的:探讨医院药房内药品发生差错的种类和原因,分析管理中存在的问题,提出有针对性的对策,提高药学服务质量。方法通过文献调研并结合工作实践,分析药品出现差错的主要原因,发现药房管理中存在的问题,有针对性提出提高药房管理和药学服务质量的对策。结果医院药房差错包括医生处方差错、药品使用方法与用量差错、药品错发给患者、药品变质过期、退换药产生的差错,药品信息录入错误、新药层出不穷、工作负担重、专业知识欠缺、责任心不强、药房制度不健全是产生差错的主要原因。落后的基础设施设备,药品管理制度难以贯彻执行、较低的药剂人员素质和信息化水平等为医院药房管理存在的主要问题。结论医院应逐步购置和更新药房硬件设施,建立健全并切实贯彻执行药品管理制度,不断提高药剂人员的综合素质和医院的信息化水平,保障药品质量,避免和减少药品差错的发生机会,保证患者安全有效用药,提供优质的药学服务,使患者得到积极有效的治疗。%Objective To investigate the drug errors occurred in hospital pharmacy reason, analysis and management of the existing problems, propose improvement measures to improve the quality of pharmacy services. Methods Through literature research and work practice, mainly due to the drug analysis errors found in the pharmacy management problems targeted proposed to increase the quality of service pharmacy and pharmacy management measures. Results Hospital pharmacy pre-scription errors include errors, drug use and dosage errors, sent the wrong drugs in patients, the drug expired metamorphism, returned an error generated by the drug, drug supervision information input ineffective new drugs emerging, heavy workload, lack of professional knowledge, responsibility the heart is not strong, the pharmacy system is not

  16. Teaching Management in a Community Pharmacy

    OpenAIRE

    Calomo, Joseph M.

    2006-01-01

    Students need strong interpersonal skills to ensure application of their clinical skills and knowledge. Pharmacy schools across the nation must assess the quantity and quality of management skills instruction within their curriculums, including experiential education. The purpose of this article is to describe the importance of the development and utilization of business and people management skills within a community pharmacy, as well as how to incorporate these skills into a student's advan...

  17. 静脉药物配置中心退药原因分析%Analysis of the cause of drug withdrawal in Pharmacy intravenous admixture services

    Institute of Scientific and Technical Information of China (English)

    赵丰

    2013-01-01

    目的 分析医院静脉药物配置中心退药现状及原因,促进合理用药.方法 药师通过审查静脉药物配置中心处方,对退药处方进行整理分析.结果 退药原因主要有医生因素、护士因素、工作人员因素、患者因素、药物因素、处方信息因素等.结论 药师通过静脉药物配置中心对退药原因进行分析,降低成本,提高药师的工作效率,减少差错的发生,充分体现了药师的价值.%Objective To analyze the situation and the causes of drug withdrawal in Pharmacy intravenous admixture services(PIVAS) ,to promote the rational drug use in our hospital. Methods The prescriptions of drug withdrawal in PIV AS were collected and analyzed. Results The main reasons for drug withdrawal were the doctor factors, the nurse factors, staff factors, patient factors, drug factors, prescribing information factors. Conclusion Analysis on the reasons of drug withdrawal in PIV AS by pharmacist can reduce the cost, improve working efficiency of pharmacists, reduce the error rate,thus fully embody the value of pharmacist.

  18. Assessing the relationship between pharmacists' job satisfaction and over-the-counter counselling at community pharmacies.

    Science.gov (United States)

    Urbonas, Gvidas; Kubilienė, Loreta

    2016-04-01

    Background Community pharmacies have an increasing role in self-medication and community health is dependent on the quality of counselling services provided to patients. Some studies show that pharmacists' job satisfaction affects their work quality; other studies found that higher involvement in clinical services increases pharmacists' job satisfaction. Objective To test the relationship between job satisfaction and over-the-counter counselling practice at community pharmacies. Setting Community pharmacies in Lithuania. Method A convenience sample (n = 305) of community pharmacists participated in the cross-sectional survey where they expressed satisfaction with job and reported on their over-the-counter counselling behaviour on self-report scales. The Partial Least Squares Structural Equation Modelling approach was employed for data analysis. Main outcome measure The strength of the relationship between job satisfaction and over-the-counter counselling service. Results A bidirectional relationship between job satisfaction and over-the-counter counselling service was found. In addition, job satisfaction and over-the-counter counselling quality depended on pharmacists' age. Conclusion Organizations were recommended to create a counselling friendly environment that would increase pharmacists' job satisfaction and, in return, counselling quality. Also, additional motivation of the retired pharmacists, as well as development of counselling skills of the younger pharmacy workforce, were seen as a means to improve both organizational climate and counselling quality over the counter. PMID:26666908

  19. Improving Communication Skills of Pharmacy Students Through Effective Precepting

    OpenAIRE

    McDonough, Randy P.; Bennett, Marialice S

    2006-01-01

    Pharmacy students should be given opportunities to learn and practice interpersonal communication skills during their community advanced pharmacy practice experience (APPE). Preceptors have the responsibility of setting the stage for the pharmacy students during their initial encounter. During this orientation to the site, students should become familiar with the history of the practice, the types of services provided, and the staff members. Once the orientation is completed, preceptors can d...

  20. The role of commercial nuclear pharmacy in the future practice of nuclear medicine.

    Science.gov (United States)

    Callahan, R J

    1996-04-01

    It has been estimated that today 70% to 80% of all radiopharmaceutical doses are dispensed through commercial nuclear pharmacy channels. These services are provided by the approximately 250 facilities in the United States, with some multisite corporations dispensing in excess of 20,000 unit-dose prescriptions per day. As pressures mount within health care institutions to reduce manpower, increase cost-effectiveness, increase participation in managed care contracts, and to seek outside vendors for many services that were previously provided in-house, the future role of the commercial nuclear pharmacy in the practice of nuclear medicine will only continue to increase. The essence of nuclear pharmacy practice is the dispensing of a full range of high quality radiopharmaceuticals in patient-specific unit doses. These doses must be delivered in a timely and cost effective manner, without compromising quality or patient safety. Commercial nuclear pharmacies have expanded to provide such varied functions as radiation safety and waste management, as well as consultative and marketing activities directed towards clinicians within a nuclear medicine practitioners own facility. In-service continuing education programs directed towards physicians and technologists are frequently offered by many commercial nuclear pharmacies. Changes in health care economics, merging and down-sizing in the hospital industry, and the overall impact of managed care on the viability of hospitals in general has resulted in slow growth, or even a small decline in the number of institutionally based nuclear pharmacists. As a result, nuclear medicine practitioners will be looking to the commercial nuclear pharmacies to meet a larger portion of their radiopharmaceutical needs, as well as to value added services, such as education and research and development. Specialized practice settings, such as nuclear cardiology and free-standing nuclear medicine clinics, are especially well suited to the services

  1. An Educational Tool for Teaching Medication History Taking to Pharmacy Students

    OpenAIRE

    Sando, Karen R.; Elliott, Jennifer; Stanton, Melonie L.; Doty, Randell

    2013-01-01

    Objective. To implement and evaluate the use of a situated-learning experience to prepare second-year pharmacy students to conduct medication history interviews in preparation for introductory pharmacy practice experiences (IPPE) at ambulatory clinic sites.

  2. Management and operation effects of the outpatient and emergency department pharmacy intravenous admixture services%我院门急诊静脉药物配置中心的管理及运行效果

    Institute of Scientific and Technical Information of China (English)

    苏涣新; 黄灿炘

    2012-01-01

    Objective To explore the operation mechanism and effects of an outpatient and emergency department pharmacy intravenous admixture services ( PIVAS). Methods Many measures were taken,such as defining personal responsibilities,formulating reasonable management models,working processes,transfusion processes for outpatients and emergency patients, and quality control standards, implementing on - the -job training for nursing staff and layered quality control, and so on. Results It ensured the safety of clinical intravenous medication,reduced the occurrence of unreasonable drug use,drug wasting,and adverse drug events. Conclusion The PIVAS in outpatient and emergency department can improve the safety of clinical intravenous medication and increase patient satisfaction.%目的 探讨门急诊静脉药物配制中心管理机制及运行效果.方法 明确人员职责与排班,制订合理的管理模式、工作流程、门诊患者输液流程、急诊患者输液流程及质量管理规范,并对护理人员进行岗位培训,制订管理规范和工作流程,进行分层质量控制.结果 管理制度的运行保证了临床静脉用药安全,减少了不合理用药、药品浪费以及用药不良事件的发生.结论 门诊静脉药物配置中心在提高患者静脉用药安全和提高患者满意度方面发挥了积极的作用.

  3. Factors Associated with Presence of Pharmacies and Pharmacies that Sell Syringes Over-the-Counter in Los Angeles County

    OpenAIRE

    Stopka, Thomas J.; Geraghty, Estella M.; Azari, Rahman; Gold, Ellen B.; DeRiemer, Kathryn

    2013-01-01

    Community pharmacies serve as key locations for public health services including interventions to enhance the availability of syringes sold over-the-counter (OTC), an important strategy to prevent injection-mediated HIV transmission. Little is known about the community characteristics associated with the availability of pharmacies and pharmacies that sell syringes OTC. We conducted multivariable regression analyses to determine whether the sociodemographic characteristics of census tract resi...

  4. The effect of an active on-ward participation of hospital pharmacists in Internal Medicine teams on preventable Adverse Drug Events in elderly inpatients: protocol of the WINGS study (Ward-oriented pharmacy in newly admitted geriatric seniors)

    NARCIS (Netherlands)

    J.E. Klopotowska; P.C. Wierenga; S.E. de Rooij; C.C. Stuijt; L. Arisz; P.F. Kuks; M.G. Dijkgraaf; L. Lie-A-Huen; S.M. Smorenburg

    2011-01-01

    The potential of clinical interventions, aiming at reduction of preventable Adverse Drug Events (preventable ADEs) during hospital stay, have been studied extensively. Clinical Pharmacy is a well-established and effective service, usually consisting of full-time on-ward participation of clinical pha

  5. How to carry out pharmaceutical services of clinical pharmacists%临床药师如何开展药学服务

    Institute of Scientific and Technical Information of China (English)

    赵亚丽

    2016-01-01

    In this paper,the author discussed how to carry out pharmaceutical work in clinical pharmacists,and to make the clinical pharmacy services more effective.With the principles of safe,rational and economical in the use of drugs,we standardized the content and signiifcance of the speciifc work of clinical pharmacists in the clinical practice of pharmaceutical services.Clinical pharmacists should study the combination of clinical medicine and pharmacy,and enhance the ability of communication,to better serve the patients.%本文探讨临床药师如何开展药学工作,使临床药学服务更有效地服务患者。以患者安全、合理、经济用药为原则,规范临床药师在临床中开展药学服务的具体工作内容及意义,临床药师应学习临床医学知识,将其与药学结合,增强沟通能力。尽最大可能服务于患者。

  6. Who uses pharmacy for flu vaccinations? Population profiling through a UK pharmacy chain.

    Science.gov (United States)

    Anderson, Claire; Thornley, Tracey

    2016-04-01

    Background There is a need to increase influenza vaccination rates in England particularly among those who are under 65 years of age and at-risk because of other conditions and treatments. Objective To understand the profile of people accessing flu vaccination services within a large pharmacy chain. Method Pharmacists requested people who had been vaccinated in 2014/15 to complete a questionnaire. Data was captured electronically on vaccine delivery levels across 1201 pharmacies. Deprivation profiles were calculated using the Carstairs index. Results 1741 patients from a total of 55 pharmacies completed the survey. Convenience and accessibility remain the key reasons for attending pharmacy. Pharmacy services are accessed by people from all postcode areas, including some from the most deprived localities. Conclusion Pharmacy flu vaccination services complement those provided by general practitioners to help improve overall coverage and vaccination rates for patients in at-risk groups. These services are highly accessed by patients from all socio demographic areas, and seem to be particularly attractive to carers, frontline healthcare workers, and those of working age. PMID:26821372

  7. Pharmacists’ social authority to transform community pharmacy practice

    Directory of Open Access Journals (Sweden)

    Timothy McPherson, PhD, RPh

    2011-01-01

    Full Text Available Leaders in the profession of pharmacy have articulated a vision of pharmacists as providers of patient-centered care (PCC services and the Doctor of Pharmacy was established as the required practice degree to achieve this vision. Pharmacist-provided PCC services have been shown to reduce medication costs and improve patient compliance with therapies. While community pharmacists are capable of, and are ideally placed for, providing PCC services, in fact they devote most of their time to prescription dispensing rather than direct patient care. As professionals, community pharmacists are charged with protecting society by providing expert services to help consumers manage risks associated with drug therapies. Historically pharmacists fulfilled this responsibility by accurately dispensing prescription medications, verifying doses, and allergy checking. This limited view of pharmacy practice is insufficient in light of the modern view of pharmacists as providers of PCC. The consumers’ view of community pharmacy as a profession represents a barrier to transforming the basis of community pharmacy from product distribution to providing PCC services. Community pharmacists are conferred with social authority to dictate the manner in which their professional services are provided. Pharmacists can therefore facilitate the transition to PCC as the primary function of community pharmacy by exercising their social authority to engage consumers in their roles in the new patient-pharmacist relationship. Each pharmacist must decide to provide PCC services. Suggestions for initiating PCC services in community pharmacy are offered.

  8. Hospital nuclear pharmacy survey: preliminary aspects in Brazil.

    Science.gov (United States)

    Brasil, Marcelo Pau; de Barros, Marcio Paes; Antunes, Leila Jorge; Santos-Oliveira, Ralph

    2012-10-01

    Radiopharmaceuticals are special drugs that in the composition preserve one or more radionuclides which can be used as diagnostic or therapeutic tools in Nuclear Medicine Units. This study evaluated hospitals and clinics which have nuclear medicines services at the city of Rio de Janeiro from August to November 2010. The data were obtained through a longitudinal research. The results showed that most of the hospitals (>80%) did not have pharmacist and all them (100%) considered that a pharmacist in the nuclear pharmacy is not required. PMID:23493051

  9. 从用药分析的视角看临床药学的发展%To see the development of clinical pharmacy from the perspective of medication analysis

    Institute of Scientific and Technical Information of China (English)

    阮广新; 何淑妍

    2015-01-01

    From the perspective of doctor and clinical pharmacist respectively, medication analysis on the same prescription. Author explore and analysis on the quality of clinical pharmacist and present situation of Clinical pharmacy,and proceed with the prospect.%通过分别从医生和临床药师的角度对同一张处方进行用药分析,探讨临床药师应具备的素质,并对此进行展望。

  10. Managing Conflict: A Guide for the Pharmacy Manager.

    Science.gov (United States)

    Haumschild, Ryan J; Hertig, John B; Weber, Robert J

    2015-06-01

    Managing conflict among a variety of people and groups is a necessary part of creating a high performance pharmacy department. As new pharmacy managers enter the workforce, much of their success depends on how they manage conflict. The goal of this article is to provide a guide for the pharmacy director on conflict in the workplace. By evaluating each type of conflict, we can learn how to respond when it occurs. Resolving conflict requires a unique and individualized approach, and the strategy used may often be based on the situational context and the personality of the employee or manager. The more that pharmacy leaders can engage in conflict resolution with employees and external leaders, the more proactive they can be in achieving positive results. If pharmacy directors understand the source of conflicts and use management strategies to resolve them, they will ensure that conflicts result in a more effective patient-centered pharmacy service. PMID:26405347

  11. The Vision and Challenges of Hokkaido Pharmaceutical University's Affiliated Pharmacy.

    Science.gov (United States)

    Norose, Takahiko; Manabe, Tomohiro; Furuta, Seiichi; Watanabe, Kazuhiro

    2016-01-01

    Hokkaido Pharmaceutical University (HPU), according to its educational mission, seeks to "develop medical professionals who contribute to community medicine", and it has produced more than 6300 graduates since 1974. With recent medical advancements and a progressively aging society, the role of the pharmacist in community medicine has diversified and is increasing in importance. Therefore, in April 2012, the Hokkaido Pharmaceutical University Affiliated Pharmacy was established as a for-profit business of the Educational Foundation of the Hokkaido University of Science, the parent body of HPU. The pharmacy is located near the Sapporo station; it is operated by six pharmacists and four clerks, and supported by three faculty members who are engaged in providing HPU student education such as on-site clinical training, in addition to their pharmacy duties such as home care pharmaceutics. For the first two years it was open, the pharmacy focused on the establishment of pharmacy administration and fiscal consolidation. In April 2015, the Pharmacy Management Committee set the pharmacy's future vision, as well as its mid-term strategy, which consists of the four main components of pharmacy practices, education, research, and social contribution, in order for the pharmacy to serve as a model of community pharmacy. PMID:27150928

  12. Clinical impact of a pharmacist-led inpatient anticoagulation service: a review of the literature

    Directory of Open Access Journals (Sweden)

    Lee T

    2016-05-01

    Full Text Available Tiffany Lee, Erin Davis, Jason Kielly School of Pharmacy, Memorial University, St John's, NL, Canada Background: Anticoagulant therapies provide management options for potentially life-threatening thromboembolic conditions. They also carry significant safety risks, requiring careful consideration of medication dose, close monitoring, and follow-up. Inpatients are particularly at risk, considering the widespread use of anticoagulants in hospitals. This has prompted the introduction of safety goals for anticoagulants in Canada and the USA, which recommend increased pharmacist involvement to reduce patient harm. The goal of this review is to evaluate the efficacy and safety of pharmacist-led inpatient anticoagulation services compared to usual or physician-managed care. Methods: This narrative review includes articles identified through a literature search of PubMed, Embase, and International Pharmaceutical Abstracts databases, as well as hand searches of the references of relevant articles. Full publications of pharmacist-managed inpatient anticoagulation services were eligible if they were published in English and assessed clinical outcomes. Results: Twenty-six studies were included and further divided into two categories: 1 autonomous pharmacist-managed anticoagulation programs (PMAPs and 2 pharmacist recommendation. Pharmacist management of heparin and warfarin appears to result in improvements in some surrogate outcomes (international normalized ratio [INR] stability and time in INR goal range, while results for others are mixed (time to therapeutic INR, length of stay, and activated partial thromboplastin time [aPTT] measures. There is also some indication that PMAPs may be associated with reduced patient mortality. When direct thrombin inhibitors are managed by pharmacists, there seems to be a shorter time to therapeutic aPTT and a greater percentage of time in the therapeutic range, as well as a decrease in the frequency of medication

  13. Factors influencing pharmacy students’ attitudes towards pharmacy practice research and strategies for promoting research interest in pharmacy practice

    Directory of Open Access Journals (Sweden)

    Kritikos VS

    2015-09-01

    Full Text Available Objectives: To (1 investigate the relationships between students’ characteristics and their (a perceptions of research in general and (b attitudes towards pharmacy practice research; (2 identify strategies that could be used by pharmacy educators to promote research interest in pharmacy practice; and (3 identify perceived barriers to the pursuit or completion of a pharmacy practice research degree. Methods: A survey was administered to all students enrolled in each year of the four-year pharmacy undergraduate program, University of Sydney, Australia. Perceptions of research in general were measured using 4 items on a five-point semantic-differential scale and attitudes towards pharmacy practice research were measured using 16 items on a five-point Likert scale. Student characteristics were also collected as were responses to open-ended questions which were analysed using content analysis. Results: In total 853 students participated and completed the survey (83% response rate. Participants’ characteristics were associated with some but not all aspects of research and pharmacy practice research. It appeared that positive attitudes and perspectives were influenced strongly by exposure to the ‘research’ process through projects, friends or mentors, previous degrees or having future intentions to pursue a research degree. Results from both the quantitative and qualitative analyses suggest positive attitudes and perceptions of research can be nurtured through the formal inclusion in research processes, particularly the utility of practice research in clinical practice across the four years of study. Participants indicated there was a lack of awareness of the needs, benefits and career opportunities associated with pharmacy practice research and voiced clear impediments in their career path with respect to the choice of practice research-related careers. Conclusions: Future research should investigate changes in perceptions and attitudes in a

  14. Future-proofing the pharmacy profession in a hypercompetitive market.

    Science.gov (United States)

    Singleton, Judith A; Nissen, Lisa M

    2014-01-01

    This paper highlights the hypercompetitive nature of the current pharmacy landscape in Australia and to suggest either a superior level of differentiation strategy or a focused differentiation strategy targeting a niche market as two viable, alternative business models to cost leadership for small, independent community pharmacies. A description of the Australian health care system is provided as well as background information on the current community pharmacy environment in Australia. The authors propose a differentiation or focused differentiation strategy based on cognitive professional services (CPS) which must be executed well and of a superior quality to competitors' services. Market research to determine the services valued by target customers and that they are willing to pay for is vital. To achieve the superior level of quality that will engender high patient satisfaction levels and loyalty, pharmacy owners and managers need to develop, maintain and clearly communicate service quality specifications to the staff delivering these services. Otherwise, there will be a proliferation of pharmacies offering the same professional services with no evident service differential. However, to sustain competitive advantage over the long-term, these smaller, independent community pharmacies will need to exploit a broad core competency base in order to be able to continuously introduce new sources of competitive advantage. With the right expertise, the authors argue that smaller, independent community pharmacies can successfully deliver CPS and sustain profitability in a hypercompetitive market. PMID:23820045

  15. 42 CFR 440.20 - Outpatient hospital services and rural health clinic services.

    Science.gov (United States)

    2010-10-01

    ... profession under State law, if the physician performs the services in the clinic or the services are... residence” does not include a hospital or a skilled nursing facility. (c) Other ambulatory...

  16. The effect of a clinical pharmacist discharge service on medication discrepancies in patients with heart failure

    NARCIS (Netherlands)

    R.N. Eggink; A.W. Lenderink (Albert); J.W. Widdershoven (Jos); P.M.L.A. van den Bemt (Patricia)

    2010-01-01

    textabstractObjective: Heart failure patients are regularly admitted to hospital and frequently use multiple medication. Besides intentional changes in pharmacotherapy, unintentional changes may occur during hospitalisation. The aim of this study was to investigate the effect of a clinical pharmacis

  17. Comparison of Family Clinic Community Health Service Model with State-owned Community Health Service Model

    Institute of Scientific and Technical Information of China (English)

    万方荣; 卢祖洵; 张金隆

    2002-01-01

    Summary: Based on a survey of community health service organization in several cities, communi-ty health service model based on the family clinic was compared with state-owned communityhealth service model, and status quo, advantages and problems of family community health serviceorganization were analyzed. Furthermore, policies for the management of community health ser-vice organization based on the family clinic were put forward.

  18. 持续质量改进措施在优化临床药剂工作中的应用价值分析%Application Value Analysis of Continuous Quality Improvement Measures in Optimizing Clinical Pharmacy Work

    Institute of Scientific and Technical Information of China (English)

    李祥

    2015-01-01

    Objective To investigate the value of the continuous quality improvement measures for clinical pharmacy work. Methods The pharmacy department in our hospital from 2013 began to implement continuous quality improvement measures, comparative analysis before and after the implementation of the effect. Results The qualified rate, the rate of drug release and the satisfaction rate of the patients were significantly better than before the implementation (P<0.05). Conclusion In the clinical pharmacy work carried out the continuous quality improvement measure, the application value is high.%目的:探讨临床药剂工作应用持续质量改进措施的价值。方法我院药剂科从2013年开始实施持续质量改进措施,对比分析实施前后效果。结果实施后药剂人员工作合格率、药品发放差错率及患者满意率均优于实施前(P <0.05)。结论在临床药剂工作中开展持续质量改进措施,应用价值高。

  19. Management of children’s acute diarrhea by community pharmacies in five towns of Ethiopia: simulated client case study

    OpenAIRE

    Abegaz TM; Belachew SA; Abebe TB; Gebresilassie BM; Teni FS; Woldie HG

    2016-01-01

    Tadesse Melaku Abegaz,1 Sewunet Admasu Belachew,1 Tamrat Befekadu Abebe,1 Begashaw Melaku Gebresilassie,1 Fitsum Sebsibe Teni,2 Habtamu Gebremeskel Woldie3 1Department of Clinical Pharmacy, School of Pharmacy, Gondar University, Gondar, 2Department of Pharmaceutics and Social Pharmacy, School of Pharmacy, College of Health Sciences, Addis Ababa University, Addis Ababa, 3Department of Hospital Pharmacy, Debremarkos Teaching and Referral Hospital, Debremarkos, Ethiopia Background: Acute diarr...

  20. Effect of a Pharmaceutical Care Program on quality of life and satisfaction with pharmacy services in patients with type 2 diabetes mellitus

    OpenAIRE

    Cassyano Januário Correr; Roberto Pontarolo; Rodrigo Augusto de Paula e Souza; Rafael Venson; Ana Carolina Melchiors; Astrid Wiens

    2009-01-01

    The aim is to evaluate the humanistic outcomes in type 2 diabetic patients by the adoption of pharmacotherapy follow-up in community pharmacies. Controlled, non-randomized, 12-months trial; n=161 patients distributed into control and intervention groups; 6 community pharmacies involved, all in the Curitiba city region, in the state of Paraná were used. The health-related quality of life (HRQoL) and the satisfaction index were determined using both the DQOL assessment tool, which measures HRQo...

  1. To Investigate the Effect of the Quality of the West Pharmacy on the Clinical Curative Effect%探讨住院药房调剂质量对临床疗效的影响

    Institute of Scientific and Technical Information of China (English)

    沙春慧; 赵玲

    2016-01-01

    目的:探讨住院药房调剂质量对临床疗效的影响,以对住院药房进行规范化管理。方法探讨住院药房药品调剂工作中存在的问题,结合本院实际情况提出防范对策。结果药品调剂工作易出差错,应提高药师专业素质,增强责任心和使命感,改善工作质量。结论对住院药房调剂质量规范化管理能够对疾病的预防及治疗起到至关重要的作用,可显著降低不良事件事件的发生,保证患者的安全用药,值得我们在临床上的借鉴与推广。%Objective Explore the quality of hospital pharmacy dispensing influence on clinical curative effect, with standardized management on hospital pharmacy. Methods This paper probes into the problems in hospital pharmacy drug dispensing work, in combination with the practical situation of our hospital prevention countermeasures are put forward.Results Drug dispensing work is easy to make mistakes, we should improve pharmacists professional quality, enhance the sense of responsibility and mission, improve the quality of work.Conclusion Standardization management quality of hospital pharmacy dispensing to prevention and treatment of the disease play a crucial role, can significantly reduce the occurrences of adverse events to ensure the safety of the patients with medication, worthy of our reference and popularization in clinic.

  2. An investigation of non-prescription medicine supply in community pharmacies in Hanoi, Vietnam

    OpenAIRE

    Do, Xuan Thang

    2013-01-01

    Supplying safe, appropriate and effective non-prescription medicines for customers in community pharmacies is a key role of pharmacists and pharmacy assistants in every country. However, in low and middle-income countries, including Vietnam, the quality of professional services from pharmacies is limited, unclear and has often been questioned. There is limited research about the real situation surrounding non-prescription medicine supply in community pharmacies in Vietnam. The factors that in...

  3. Education for arthritis patients: a community pharmacy based pilot project.

    Directory of Open Access Journals (Sweden)

    Petkova VB

    2009-06-01

    Full Text Available There are different kinds of arthritis, widely spread among the population, that make them a clinical problem with social, psychological and economic burden. Different education programs have been developed in order to improve patients’ disease management, medication compliance and from there patients’ quality of life.Objective: To develop and implement a community pharmacy-based educational program for patients with arthritis. Improvements in pain, medication compliance, decrease in general practitioner’s visits and hospitalizations are expected.Methods: Prospective, randomized, controlled trial. The sample consisted of 43 individuals, with different stages of arthritis (aged 15 - 71, attending pharmacies – intervention group; and 43 individuals – control group. A 4-month education was conducted on the following topics: what causes arthritis and what are the factors that can intensify it; pain management and physical activities; self-management and prevention; pharmacotherapy and possible adverse drug reactions. Patient's health-related quality of life was assessed in the beginning and at the end of the survey. Results: Parameters assessed during the four stages of the program were: frequency of severe pain, frequency of general practitioner’s visits, frequency of urgent medical aid calls, compliance with therapy, satisfaction with pharmacy services. Improvement in patients’ health-related quality of life was observed and also: decrease in the severity of patients’ pain, decrease in the physician’s visits, and increase in satisfaction overall care.Conclusions: Positive results from the educational approach in pharmacy conditions were demonstrated. These consequences have a potential to increase arthritis patient’s quality of life.

  4. Question: in a service including a radio pharmacy, a TEP scan unit and five classical examination rooms, what is the most irradiating post?

    International Nuclear Information System (INIS)

    The first results give the radio pharmacy as the most irradiating post with a non negligible dosimetry at extremities and not the PET one as it was first supposed. These dosimetry studies allow to optimize the daily practices and lead to a more rigorous follow up of the personnel dosimetry. (N.C.)

  5. Refer-To-Pharmacy: Pharmacy for the Next Generation Now! A Short Communication for Pharmacy

    OpenAIRE

    Alistair Gray

    2015-01-01

    Refer-to-Pharmacy is the first fully integrated hospital to community pharmacy referral system. This article explains the importance of these referrals for patients and health economies to improve medicines optimisation, and how Refer-to-Pharmacy works in both hospital and community pharmacies.

  6. Refer-To-Pharmacy: Pharmacy for the Next Generation Now! A Short Communication for Pharmacy

    Directory of Open Access Journals (Sweden)

    Alistair Gray

    2015-12-01

    Full Text Available Refer-to-Pharmacy is the first fully integrated hospital to community pharmacy referral system. This article explains the importance of these referrals for patients and health economies to improve medicines optimisation, and how Refer-to-Pharmacy works in both hospital and community pharmacies.

  7. 精细化管理在静脉药物配置中心作业中的应用%Application of Delicacy Management in Pharmacy Intravenous Admixture Services

    Institute of Scientific and Technical Information of China (English)

    王丽华; 范军

    2014-01-01

    Pharmacy intravenous admixture services (PIVAS) aims at improving infusion quality and efficiency. Delicacy management is conducive to improving PIVAS effects by specifying critical PIVAS steps with targeted management.%静脉药物配置中心作业的目的在于提高输液质量,提高输液配制效率,在PIVAS引入精细化管理,将其中关键步骤进行细分,实现针对性的管理,可以有效提升PIVAS作业的效果。

  8. 集束化管理在静脉用药调配中心预防医院感染的应用%Application of Cluster Management in Nosocomial Infection Prevention for Pharmacy Intravenous Admixture Services

    Institute of Scientific and Technical Information of China (English)

    王雅蘋; 苏素红; 戈霓云; 张琼; 朱光辉

    2016-01-01

    Objective To avoid nosocomial infection in the pharmacy intravenous admixture services (PIVAS), our hospital took cluster management strategy on PIVAS, nosocomial infection control department, logistic engineering department and specialized company.Method The combination of self-examination, random check by nosocomial infection control department with equipment maintenance and purification environment by specialized company were adopted to find out the problems, after which cause analysis and quality improvement were conducted.ResultPIVAS infection control measures were made, which helped the inspection and monitoring indicators meet the standard.Conclusion PIVAS nosocomial infection control was improved by cluster management strategy, which ensured patients' intravenous medication safety.

  9. Pharmacy in medieval Bulgaria.

    Science.gov (United States)

    Antonova, J

    2007-06-01

    A survey of the state of pharmacy in medieval Bulgaria is done, analyzing written records of various origin and content. Written documents are reviewed separately in chronological order. They all seem to lend support to the conclusion that realism is a characteristic feature of pharmacy in medieval Bulgaria. Mysticism and superstition are relatively rarely resorted to, precedence is given to real treatment with suitable and not so suitable medical plants, minerals and animal products. Relatively weak is the impact of West-European medicine and pharmacy because of the different influence of the Eastern and the Western Orthodox religion, and partly because of the territorial remoteness. During the High Middle Ages Bulgarian pharmacy developed under the influence of Hellenic ancient culture. Later, after the 15 century, the influence of the Arabian culture and medicine is also felt as a result of the complex compilation between the Bulgarian and Ottoman culture during the 500-year Turkish yoke. PMID:17663197

  10. Prototype of a Questionnaire and Quiz System for Supporting Increase of Health Awareness During Wait Time in Dispensing Pharmacy

    Science.gov (United States)

    Toda, Takeshi; Chen, Poa-Min; Ozaki, Shinya; Ideguchi, Naoko; Miyaki, Tomoko; Nanbu, Keiko; Ikeda, Keiko

    For quit-smoking clinic and its campaign, there was a need for pharmacists to investigate pediatric patient's parent consciousness to tobacco harm utilizing wait time in a pediatric dispensing pharmacy. In this research, we developed the questionnaire and quiz total system using the tablet for user interface, in which people can easily answer the questionnaire/quiz and quickly see the total results on the spot in order to enhance their consciousness to the tobacco harm. The system also provides their tobacco dependence level based on the questionnaire results and some advice for their health and dietary habits due to the tobacco dependence level. From a field trial with one hundred four examinees in the pediatric dispensing pharmacy, the user interface was useful compared to conventional questionnaire form. The system could enhance their consciousness to tobacco harm and make their beneficial use of waiting time in dispensing pharmacy. Some interesting suggestions for improvement and new services were also obtained.

  11. The re-emergence of clinical service line management.

    Science.gov (United States)

    Litch, Bonnie K

    2007-01-01

    As healthcare leaders are positioning their organizations for a more competitive environment characterized by expanding consumer choice models, they are renewing their attention on organizing along clinical service lines. Bringing together clinical services in ways meaningful to patients can improve quality b better integrating care, while at the same time strengthening an organization's market position and creating new opportunities for increased physician collaboration--from collaborative planning to management to economic participation. PMID:17608077

  12. Life in a fishbowl: accountability and integrity in pharmacy leadership.

    Science.gov (United States)

    Haumschild, Ryan J; Weber, Robert J

    2014-07-01

    The Director's Forum is designed to guide pharmacy leaders in establishing patient-centered services in hospitals and health systems by providing practical information on various leadership topics. Pharmacists are bound to practice in the best interest of the patient and are obligated to act with integrity and in an ethical manner. Pharmacy directors and their leadership staff are additionally bound to manage their department with integrity. Staff often scrutinize the pharmacy director's actions, giving the director a feeling of "life in a fishbowl." Every action of the leader is judged in the context of personal integrity or their individual commitment to moral, spiritual, and ethical values. The objective of this article is to describe how a pharmacy leader manages this responsibility. This article addresses the pharmacy leader's obligations to act with integrity, reviews key integrity concerns in pharmacy leadership, and provides guidance for leading and managing in the context of ethics and integrity. Pharmacy directors must always be aware that they are open to both department and public scrutiny if they do not conduct themselves in a professional manner. Being accountable for their actions and maintaining a high standard of integrity, leaders can keep the focus of their departments on the goal of patient-centered pharmacy services. PMID:25477587

  13. Singapore 2010 Youth Olympic Games: pharmacy handbook

    OpenAIRE

    2014-01-01

    Le guide pharmaceutique des Jeux Olympiques de la Jeunesse Singapour 2010 doit être lu conjointement avec le guide des services médicaux des Jeux Olympiques de la Jeunesse Singapour 2010. Ce guide, approuvé par la commission médicale du CIO, contient la liste définitive des médicaments disponibles à la pharmacie de la clinique médicale du village olympique de la jeunesse. The Singapore 2010 Youth Olympic Games pharmacy handbook is to be read in conjunction with the Singapore 2010 Youth Oly...

  14. Prescription Drug Plan Formulary, Pharmacy Network, and P...

    Data.gov (United States)

    U.S. Department of Health & Human Services — These public use files contain formulary, pharmacy network, and pricing data for Medicare Prescription Drug Plans and Medicare Advantage Prescription Drug Plans...

  15. A Guide to Clinical Services in Speech Pathology and Audiology.

    Science.gov (United States)

    Rehabilitation Services Administration (DHEW), Washington, DC.

    A listing of speech pathology and audiology services in the United States, the guide includes the names of 910 clinics and of 216 members of the American Speech and Hearing Association who are engaged in full time private practice. Arranged geographically, by state and city, the guide specifies the following for each clinic: official name,…

  16. Working Mode and Practice of Clinical Pharmacists Involved in Management of Inpatient Pharmacy%临床药师纳入病房药房管理的工作模式及实践

    Institute of Scientific and Technical Information of China (English)

    齐晓涟; 唐静; 刘宁; 褚燕琦; 王淑洁; 程红勤; 闫素英; 林晓兰; 王育琴

    2011-01-01

    目的:探索临床药师的工作模式.方法:结合我院工作实际,采用实证案例研究的方法,从临床药师与病房药房药师相互配合的角度,总结临床药师切实可行的工作模式.结果与结论:将临床药师的编制纳入病房药房中,临床药师采用每天在责任科室参与临床实践、积累临床用药经验的同时,对需要会诊的其他科室的病例给予用药监护和回访的工作方式,为医师、护士和患者提供全程化的药学服务,并将临床实践延伸到临床药学的教学和科研工作中,由此形成的临床药师工作模式有利于保证患者用药安全、有效,实现药师自身的工作价值.%OBJECTIVE: To explore the working mode of clinical pharmacists. METHODS: Based on the practice of our hospital, feasible working mode of clinical pharmacists was summarized in the view of cooperation between clinical pharmacists and pharmacists of wards and pharmacy by means of case study. RESULTS & CONCLUSIONS: The personnel posts of clinical pharmacists should be included in the management of inpatient pharmacy. Clinical pharmacists provide whole course pharmaceutical care for doctors, nurses and patients by means of participating in clinical practice of responsibility department, accumulating experience of clinical drug use, providing pharmaceutical care and returning visit for cases of other departments requiring consultations. Clinical practice is extended to teaching and research of clinical pharmacy. Established working mode of clinical pharmacists contributes to safe and effective drug use and the achievement of work value of clinical pharmacists.

  17. Analysis of Patient Service Time in Ambulatory Clinics: Patient Tracking

    OpenAIRE

    Zerbe, Tony R.; Zerbe, Shirleen D.

    1990-01-01

    Historically, analysis of patient service time (patient tracking) in ambulatory clinics has been performed manually. A case study of Eye and Ear Clinic in Pittsburgh, PA, revealed that this approach to patient data collection was prone to clerical error and did not satisfy the clinic's information-processing needs. Initial attempts at automation identified the features required of a successful computerized scheduling and patient tracking system.

  18. Contextual cloud-based service oriented architecture for clinical workflow.

    Science.gov (United States)

    Moreno-Conde, Jesús; Moreno-Conde, Alberto; Núñez-Benjumea, Francisco J; Parra-Calderón, Carlos

    2015-01-01

    Given that acceptance of systems within the healthcare domain multiple papers highlighted the importance of integrating tools with the clinical workflow. This paper analyse how clinical context management could be deployed in order to promote the adoption of cloud advanced services and within the clinical workflow. This deployment will be able to be integrated with the eHealth European Interoperability Framework promoted specifications. Throughout this paper, it is proposed a cloud-based service-oriented architecture. This architecture will implement a context management system aligned with the HL7 standard known as CCOW. PMID:25991217

  19. Documentation of pharmacotherapeutic interventions of pharmacy students

    Directory of Open Access Journals (Sweden)

    King ED

    2007-06-01

    Full Text Available During patient care rounds with the medical team, pharmacy students have made positive contributions for the benefit of the patient. However, very little has been documented regarding the impact these future healthcare professionals are making while on clinical rotations.The objective of this study was to assess the impact that clinical interventions made by 6th year pharmacy students had on overall patient outcome. Using a special program for a personal digital assistant (PDA, the students daily recorded the pharmacotherapeutic interventions they made. The interventions ranged from dosage adjustments to providing drug information. Data was collected over a 12-week period from various hospitals and clinics in the Jacksonville, Florida area.In total, there were 89 pharmaceutical interventions performed and recorded by the students. Fifty interventions involved drug modification and fifty-four interventions were in regards to drug information and consulting. Of the drug information and consulting interventions, 15 were drug modification.This study shows the impact pharmacy students make in identifying, recommending, and documenting clinical pharmacotherapeutic interventions. Similar to pharmacists, pharmacy students can also have a positive contribution towards patient care.

  20. 临床药学纳入医院“质控”体系的实践与体会%Practice and Experience of Incorporating Clinical Pharmacy into Hospital Quality Control System

    Institute of Scientific and Technical Information of China (English)

    丁建强; 朱军; 祁小乐; 程晶晶

    2013-01-01

    目的:探索将临床药学纳入医院综合质量目标责任管理(简称“质控”)体系的工作模式.方法:介绍我院的“质控”体系及将临床药学纳入“质控”体系的方法,并分析从2012年初起实践半年后的效果,总结体会.结果:我院“质控”体系包括组织机构及管理制度、考评结果汇总分析及奖惩三部分;我院将临床药师合理化建议评价管理、临床药师参与科室会诊及意见、医院药品不良反应监测和报告制度、抗菌药物合理应用情况纳入“质控”体系.经过半年实践,全院会诊病例临床药师参与率已达100%,临床药师用药合理化建议被采纳率达90%,5名临床药师2012年撰写药学专业论文20篇.结论:临床药师自身综合素质的提高是临床药学开展的基础,恰当合理的行政干预方式是临床药学发展的保障,将临床药学纳入医院“质控”体系可有力推动临床药学规范、快速地发展.%OBJECTIVE:To explore a new work mode of incorporating clinical pharmacy into hospital comprehensive quality objective responsibility management (called quality control in short) system. METHODS: The quality control system of our hospital was introduced, as well as the method of incorporating clinical pharmacy into quality control system. Experience and practice effect of the system were analyzed and summarized after half year of practice since early 2012. RESULTS: The quality control system of our hospital included 3 parts: i.e. organization and institution, summary and analysis of evaluation results, encouragements and penalties. Quality control system of our hospital included reasonable suggestion and evaluation management, participation of clinical pharmacist in consultation of department, ADR monitoring and reporting system and rational use of antibiotics. After half year, the ratio of clinical pharmacists attending consultations reached 100%. The ratio of clinical pharmacists' reasonable

  1. Adopting an Advanced Community Pharmacy Practice Experiential Educational Model Across Colleges of Pharmacy

    Directory of Open Access Journals (Sweden)

    Jennifer L. Rodis, Pharm.D., BCPS

    2011-01-01

    Full Text Available Objective: To discuss the experience of sharing an experiential model of education and practice development between two colleges of pharmacy and to provide a framework to guide faculty in this type of collaboration.Case Study: The Ohio State University College of Pharmacy (OSU COP Partner for Promotion (PFP program was developed in response to the need for advancing practice in the community pharmacy setting. After successful implementation of this program, the PFP program design and materials were shared, adapted, and implemented at the University of Utah College of Pharmacy (Utah COP. Collaborating faculty developed a framework based on lessons learned through this experience which proposes key guiding strategies as considerations to address prior to embarking on sharing any aspect of an educational program or model between institutions. Each step of the framework is described and applied to the process followed by The OSU COP and Utah COP in sharing the PFP program. Additional considerations related to transfer of educational models are discussed.Results/Conclusion: Sharing the education model and materials associated with the PFP program between institutions has enhanced experiential opportunities for students and helped develop residency training sites in the community setting. In addition, the relationship between the two colleges has contributed to faculty development, as well as an increase in community pharmacy service development with community pharmacy partners at each institution. It is hoped this experience will help guide collaborations between other colleges of pharmacy to enhance education of future pharmacists while positively impacting pharmacy practice, teaching, and research by faculty.

  2. Changes in information behavior in clinical teams after introduction of a clinical librarian service

    OpenAIRE

    Urquhart, Christine; Turner, Janet; Durbin, Jane; Ryan, Jean

    2007-01-01

    Objectives: The eighteen-month evaluation of a clinical librarian project (October 2003–March 2005) conducted in North Wales, United Kingdom (UK) assessed the benefits of clinical librarian support to clinical teams, the impact of mediated searching services, and the effectiveness of information skills training, including journal club support.

  3. [Maternal and infant health services and the public health clinic].

    Science.gov (United States)

    Urasaki, S

    1986-11-01

    The public health clinic under the jurisdiction of prefectural government should continue to play a major role in maternal-child health services. Ministry of Health's revision plan for Maternal-child Health Law, according to which maternal-child health services are to be transferred totally to municipal (city-town-village) government, is strongly opposed by public health nurses and others. The plan goes against the current movement and effort to revitalize public health clinics, where more 50% of services rendered are maternal-child health related. Secondly, municipal health centers would have much more difficulty providing quality services than prefectural public health clinics which receive annual federal aid for their operation. Federal funding for maternal-child health care, regardless of jurisdictions, is currently 1/3 of standard unit cost. Extreme financial strain on municipal governments would result in regional differences in the quality of services and/or eventual financial burden on the patients. While the national government is trying to emphasize administrative aspects of the public health clinic, it is ordinary citizens' day to day health problems that people expect the clinic to deal with, individually, via check-ups, health counseling, home visits, public health education and telephone health hot line. PMID:3642046

  4. Home Medication Reviews in a Patient Care Experience for Undergraduate Pharmacy Students

    OpenAIRE

    Basheti, Iman A.; Qunaibi, Eyad A.; Aburuz, Salah; Samara, Sundos; Bulatova, Nailya R.

    2013-01-01

    Objectives. To evaluate the effectiveness of conducting medication management reviews (MMRs) and home medication reviews (HMRs) on improving undergraduate pharmacy students' pharmaceutical care skills and clinical knowledge.

  5. Parenteral nutrition in hospital pharmacies.

    Science.gov (United States)

    Katoue, Maram Gamal; Al-Taweel, Dalal; Matar, Kamal Mohamed; Kombian, Samuel B

    2016-07-11

    Purpose - The purpose of this paper is to explore parenteral nutrition (PN) practices in hospital pharmacies of Kuwait and identify potential avenues for quality improvement in this service. Design/methodology/approach - A descriptive, qualitative study about PN practices was conducted from June 2012 to February 2013 in Kuwait. Data were collected via in-depth semi-structured interviews with the head total parenteral nutrition (TPN) pharmacists at seven hospitals using a developed questionnaire. The questionnaire obtained information about the PN service at each hospital including the existence of nutritional support teams (NSTs), PN preparation practices, quality controls and guidelines/protocols. The interviews were audio-recorded, transcribed verbatim and analyzed for content. Findings - Seven hospitals in Kuwait provided PN preparation service through TPN units within hospital pharmacies. Functional NSTs did not exist in any of these hospitals. All TPN units used paper-based standard PN order forms for requesting PN. The content of PN order forms and PN formulas labeling information were inconsistent across hospitals. Most of the prepared PN formulas were tailor-made and packed in single compartment bags. Quality controls used included gravimetric analysis and visual inspection of PN formulations, and less consistently reported periodic evaluation of the aseptic techniques. Six TPN units independently developed PN guidelines/protocols. Originality/value - This study revealed variations in many aspects of PN practices among the hospitals in Kuwait and provided recommendations to improve this service. Standardization of PN practices would enhance the quality of care provided to patients receiving PN and facilitate national monitoring. This can be accomplished through the involvement of healthcare professionals with expertise in nutrition support working within proactive NSTs. PMID:27298063

  6. Pharmaceutical Compounding in Portuguese Community Pharmacies: CHARACTERIZATION AND FUTURE PERSPECTIVES.

    Science.gov (United States)

    Palmeira-de-Oliveira, Rita; Macedo, Marina; Machado, Rita M; Pacheco, Ana Filipa; Palmeira-de-Oliveira, Ana; Martinez-de-Oliveira, José; Duarte, Paulo

    2016-01-01

    A study of compounding practices among Portuguese community pharmacies from 2008 to 2011 and pharmacists' perspectives concerning compounding was conducted. The retrospective study was based on an online questionnaire developed to gather information on pharmacies characteristics frequency, and type of compounded preparations. Additionally, difficulties, motivations, and pharmacist's perspectives regarding compounding were assessed. Up to 1,450 Portuguese pharmacies were contacted, and 250 completed questionnaires obtained. Statistical analysis was performed using SPSS Version 21. Frequency and cross-tab analysis was used to describe data. Chi-square test was used to assess statistical significant differences between compounding and non-compounding pharmacies' characteristics. Among all pharmacies, 75.2% reported compounding practices, although the majority prepared less than 50 preparations per year, corresponding to less than 10 different formulations. Those pharmacies' with a higher lifetime activity, number of customers, and team members were associated to compounding practices. Dermatological preparations were the most frequently prepared formulations, followed by oral solutions, and otorhinolaryngological preparations. Dermatologists and pediatricians were the most frequent prescribers of compounded medicines. Regarding future perspectives, 51.4% of pharmacists believed that compounding will decrease. However, 79.1% indicated that they will continue to compound, and 70.7% considered that compounded prescriptions should be encouraged. Patient satisfaction (66.1%) and improvement of the pharmacy image (63.8%) were considered the main advantages of compounding services. Compounded medicines are still prepared in the community pharmacy setting to fulfill special patients' therapeutic needs, especially following dermatologists' and pediatricians' prescriptions. Offering compounding services is perceived by pharmacists as an important factor for high

  7. Pharmacy-based care for perimenopausal and postmenopausal women.

    Science.gov (United States)

    Shepherd, Janet E; Bopp, Janice

    2002-01-01

    Perimenopause and menopause represent a major physiologic and, often, psychosocial transition in the lives of women. During this time, women often experience disturbing new symptoms and develop an increased awareness of their risks for major chronic illnesses. Women in this stage of life are often highly motivated to improve their health and can benefit greatly from pharmacy-based preventive health care services. Although perimenopausal and menopausal women represent an important target market, some pharmacists may wish to offer more focused services within the broader arena of women's health. For example, a number of community pharmacies have developed niche services for these patients, such as osteoporosis screening, (46) breast cancer risk assessment, (50) or bioidentical HRT consulting and compounding. (59) Other pharmacy care services that may be targeted to women in midlife include smoking cessation, weight management, and dietary supplement consulting. Based on the experiences of the Mar-Main Pharmacy staff, a practical approach is to implement new services gradually, while focusing on providing high-quality, individualized service to a small number of patients. Using this strategy, Mar-Main Pharmacy has experienced tremendous growth in its bioidentical HRT services. This increase in demand for pharmacy services has arisen from word-of-mouth referrals from patients and physicians rather than formal marketing. Perimenopausal and menopausal women represent a growing and increasingly knowledgeable group of patients. Many of these women are seeking care that is individualized, responsive to their health beliefs, and designed to help them maintain a high quality of life. Providing pharmacy-based consulting services for these patients can be extremely rewarding, both professionally and personally. PMID:12269705

  8. Competitive bidding for Medicare Part B clinical laboratory services.

    Science.gov (United States)

    Kautter, John; Pope, Gregory C

    2014-06-01

    The traditional Medicare fee-for-service program may be able to purchase clinical laboratory test services at a lower cost through competitive bidding. Demonstrations of competitive bidding for clinical laboratory tests have been twice mandated or authorized by Congress but never implemented. This article provides a summary and review of the final design of the laboratory competitive bidding demonstration mandated by the Medicare Modernization Act of 2003. The design was analogous to a sealed bid (first price), clearing price auction. Design elements presented include covered laboratory tests and beneficiaries, laboratory bidding and payment status under the demonstration, composite bids, determining bidding winners and the demonstration fee schedule, and quality under the demonstration. Expanded use of competitive bidding in Medicare, including specifically for clinical laboratory tests, has been recommended in some proposals for Medicare reform. The presented design may be a useful point of departure if Medicare clinical laboratory competitive bidding is revived in the future. PMID:24366366

  9. Collaborative pharmacy practice: an update

    Directory of Open Access Journals (Sweden)

    Law AV

    2013-06-01

    Full Text Available Anandi V Law, Eric K Gupta, Micah Hata, Karl M Hess, Roger S Klotz, Quang A Le, Emmanuelle Schwartzman, Bik-Wai Bilvick Tai Department of Pharmacy Practice and Administration, College of Pharmacy, Western University of Health Sciences, Pomona, CA, USA Abstract: Collaborative practice among health professionals is slowly coming of age, given the global focus on efficiency and effectiveness of care to achieve positive patient outcomes and to reduce the economic burden of fragmented care. Collaborative pharmacy practice (CPP is accordingly evolving within different models including: disease management, medication therapy management, patient centered medical home, and accountable care organizations. Pharmacist roles in these models relate to drug therapy management and include therapy introduction, adjustment, or discontinuation, patient counseling and education, and identification, resolution, and prevention of problems leading to drug interactions and adverse reactions. Most forms of CPP occur with physicians in various settings. Collaborative practice agreements exist in many states in the US and are mentioned in the International Pharmaceutical Federation policy statement. Impetus for CPP comes from health system and economic concerns, as well as from a regulatory push. There are positive examples in community, ambulatory care, and inpatient settings that have well documented protocols, indicators of care, and measurement and reporting of clinical, economic, and patient reported outcomes; however, implementation of the practice is still not widespread. Conceptual and implementation challenges include health professional training, attitudes, confidence and comfort levels, power and communication issues, logistic barriers of time, workload, proximity, resistance to establish and adopt regulations, and importantly, payment models. Some of the attitudinal and perceptual challenges can be mitigated by incorporation of interprofessional concepts and

  10. Does self-reflection and peer-assessment improve Saudi pharmacy students’ academic performance and metacognitive skills?

    OpenAIRE

    Yusuff, Kazeem B.

    2014-01-01

    Background: The patient-centered focus of clinical pharmacy practice which demands nuanced application of specialized knowledge and skills targeted to meeting patient-specific therapeutic needs warrant that the training strategy used for PharmD graduates must empower with the ability to use the higher level cognitive processes and critical thinking effectively in service delivery. However, the historical disposition to learning in the Middle East and among Saudi students appeared heavily focu...

  11. Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)/TRICARE: inclusion of TRICARE Retail Pharmacy Program in federal procurement of pharmaceuticals.

    Science.gov (United States)

    2010-10-15

    Section 703 of the National Defense Authorization Act for Fiscal Year 2008 (NDAA-08) states with respect to any prescription filled on or after the date of enactment, the TRICARE Retail Pharmacy Program shall be treated as an element of the DoD for purposes of procurement of drugs by Federal agencies under section 8126 of title 38, United States Code (U.S.C.), to the extent necessary to ensure pharmaceuticals paid for by the DoD that are provided by network retail pharmacies under the program to eligible covered beneficiaries are subject to the pricing standards in such section 8126. DoD issued a final rule on March 17, 2009, implementing the law. On November 30, 2009, the U.S. District Court for the District of Columbia remanded the final rule to DoD (without vacating the rule) for DoD to consider in its discretion whether to readopt the current iteration of the rule or adopt another approach. This final rule is the product of that reconsideration. DoD is readopting the 2009 final rule, with some revision. PMID:20960975

  12. Pharmacy cases in Second Life: an elective course.

    Science.gov (United States)

    Veronin, Michael A; Daniels, Lacy; Demps, Elaine

    2012-01-01

    Interactive pharmacy case studies are an essential component of the pharmacy curriculum. We recently developed an elective course at the Rangel College of Pharmacy in pharmacy case studies for second- and third-year Doctor of Pharmacy students using Second Life® (SL), an interactive three-dimensional virtual environment that simulates the real world. This course explored the use of SL for education and training in pharmacy, emphasizing a case-based approach. Virtual worlds such as SL promote inquiry-based learning and conceptual understanding, and can potentially develop problem-solving skills in pharmacy students. Students were presented ten case scenarios that primarily focused on drug safety and effective communication with patients. Avatars, representing instructors and students, reviewed case scenarios during sessions in a virtual classroom. Individually and in teams, students participated in active-learning activities modeling both the pharmacist's and patient's roles. Student performance and learning were assessed based on SL class participation, activities, assignments, and two formal, essay-type online exams in Blackboard 9. Student course-evaluation results indicated favorable perceptions of content and delivery. Student comments included an enhanced appreciation of practical issues in pharmacy practice, flexibility of attendance, and an increased ability to focus on course content. Excellent student participation and performance in weekly active-learning activities translated into positive performance on subsequent formal assessments. Students were actively engaged and exposed to topics pertinent to pharmacy practice that were not covered in the required pharmacy curriculum. The multiple active-learning assignments were successful in increasing students' knowledge, and provided additional practice in building the communication skills beneficial for students preparing for experiential clinical rotations. PMID:23762008

  13. Introducing Advanced Clinical Reasoning to an Adult Learning Disability Service

    Science.gov (United States)

    Stansfield, Jois; Matthews, Alison

    2014-01-01

    The advanced clinical reasoning approach is widely adopted in speech and language therapy practice. This article reports on the introduction of the approach across a multidisciplinary adult learning disability service and staff reports on the impact of this initiative. Staff and team managers reported that the training had a positive impact on…

  14. Linking audit and clinical effectiveness in the lung tumour service

    LENUS (Irish Health Repository)

    Gorman, Sharon

    2009-05-28

    Clinical Audit plays an important role in the evaluation of care and clinical outcomes for all patients. In conjunction with the respiratory nurse specialist a retrospective chart audit of the regional lung cancer service was undertaken at the Midlands Regional Hospital Mullingar (MRHM). The lung cancer service has been established for four years and has set its standards in line with NICE guidelines and Irish guidelines for the clinical management of lung cancer. An audit tool was developed by the audit facilitator in conjunction with the respiratory nurse specialist and key department personnel. The tool aimed to measure length of time taken for key steps in the patients care pathway. A pilot audit was carried out and the tool was evaluated. The audit tool provided accurate recording of information at key points in the patient’s care which allows for a thorough service evaluation. The data collected and analysed gives vital information on the quality of service, and showed where there are deficits in service provision that need to be addressed.

  15. Running a postmortem service - a business case and clinical experience

    Energy Technology Data Exchange (ETDEWEB)

    Cohen, Marta C.; Whitby, Elspeth; Fink, Michelle A.; Collett, Jacquelene M.; Offiah, Amaka C. [Western Bank, Academic Unit of Child Health, Sheffield Children' s NHS Foundation Trust, University of Sheffield, Sheffield (United Kingdom)

    2015-04-01

    The purpose of the postmortem examination is to offer answers to explain the cause and manner of death. In the case of perinatal, infant and paediatric postmortem examinations, the goal is to identify unsuspected associated features, to describe pathogenic mechanisms and new conditions, and to evaluate the clinical management and diagnosis. Additionally, the postmortem examination is useful to counsel families regarding the probability of recurrence in future pregnancies and to inform family planning. Worldwide the rate of paediatric autopsy examinations has significantly declined during the last few decades. Religious objections to postmortem dissection and organ retention scandals in the United Kingdom provided some of the impetus for a search for non-invasive alternatives to the traditional autopsy; however, until recently, imaging studies remained an adjunct to, rather than a replacement for, the traditional autopsy. In 2012, Sheffield Children's Hospital National Health Service Foundation Trust set up the service provision of minimally invasive fetal, perinatal and neonatal autopsy, while a postmortem imaging service has been running in Melbourne, Australia, since 2008. Here we summarise the essentials of a business case and practical British and Australian experiences in terms of the pathological and radiologic aspects of setting up a minimally invasive clinical service in the United Kingdom and of developing a clinical postmortem imaging service as a complementary tool to the traditional autopsy in Australia. (orig.)

  16. Running a postmortem service - a business case and clinical experience

    International Nuclear Information System (INIS)

    The purpose of the postmortem examination is to offer answers to explain the cause and manner of death. In the case of perinatal, infant and paediatric postmortem examinations, the goal is to identify unsuspected associated features, to describe pathogenic mechanisms and new conditions, and to evaluate the clinical management and diagnosis. Additionally, the postmortem examination is useful to counsel families regarding the probability of recurrence in future pregnancies and to inform family planning. Worldwide the rate of paediatric autopsy examinations has significantly declined during the last few decades. Religious objections to postmortem dissection and organ retention scandals in the United Kingdom provided some of the impetus for a search for non-invasive alternatives to the traditional autopsy; however, until recently, imaging studies remained an adjunct to, rather than a replacement for, the traditional autopsy. In 2012, Sheffield Children's Hospital National Health Service Foundation Trust set up the service provision of minimally invasive fetal, perinatal and neonatal autopsy, while a postmortem imaging service has been running in Melbourne, Australia, since 2008. Here we summarise the essentials of a business case and practical British and Australian experiences in terms of the pathological and radiologic aspects of setting up a minimally invasive clinical service in the United Kingdom and of developing a clinical postmortem imaging service as a complementary tool to the traditional autopsy in Australia. (orig.)

  17. Question: in a service including a radio pharmacy, a TEP scan unit and five classical examination rooms, what is the most irradiating post?; Question: dans un service comprenant une radio pharmacie, une unite tep scan et 5 salles d'examens classiques, quel est le poste le plus irradiant?

    Energy Technology Data Exchange (ETDEWEB)

    Costes, M.; Madrid, A.; Rasp, N. [Centre Hospitalier Universitaire de Bordeaux, Medecine Nucleaire, Hopital du Haut Leveque Bordeaux, 33 (France)

    2007-09-15

    The first results give the radio pharmacy as the most irradiating post with a non negligible dosimetry at extremities and not the PET one as it was first supposed. These dosimetry studies allow to optimize the daily practices and lead to a more rigorous follow up of the personnel dosimetry. (N.C.)

  18. Pharmaceutical services in the Department of Veterans Affairs.

    Science.gov (United States)

    Ogden, J E; Muniz, A; Patterson, A A; Ramirez, D J; Kizer, K W

    1997-04-01

    The status of pharmaceutical services in the Department of Veterans Affairs (VA) is described. The VA health care system is transforming itself from a hospital-based organization into 22 health care networks that emphasize primary and ambulatory care. The impact on VA pharmacy has been substantial. Roles of VA pharmacists and technicians have been enhanced, and a clinical career ladder for pharmacists was created. VA pharmacy officials and leaders from the University of Tennessee College of Pharmacy have been partnering since 1988 in strategic planning to determine how VA pharmacy can do business and serve patients better. Areas targeted for implementation or improvement include staff development, prescribing authority for pharmacists, automation, the physical design of VA pharmacies, residency programs, and a pharmacy benefit management (PBM) product line. The VA PBM is working to enhance the appropriate use of pharmaceuticals in the veteran population, reduce overall health care expenditures, and provide a more consistent quality of care. Specific PBM programs involve the implementation of drug treatment guidelines, a national formulary, and national contracts. There are plans for pharmacoepidemiologic and pharmacoeconomic research in the geriatric veteran population. The VA health care system and its pharmacy service are changing in ways intended to bring about easier access to care, higher quality, and increased responsiveness to patients' needs. PMID:9099341

  19. Pharmacy Leader’s Role in Hospital Emergency Preparedness Planning

    OpenAIRE

    Bell, Christopher,; Daniel, Sarah

    2014-01-01

    The Director’s Forum column is designed to guide pharmacy leaders in establishing patient-centered services in hospitals and health systems. Environmental disasters and terrorist attacks demonstrate that it is imperative for both a hospital and community to have an emergency preparedness plan. The goal of this article is to provide health-system pharmacy leaders with a practical approach in developing an emergency operations plan (EOP) that can be activated in the event of a disaster. Pharmac...

  20. Quality of pharmaceutical care at the pharmacy counter: patients’ experiences versus video observation

    Directory of Open Access Journals (Sweden)

    Koster ES

    2016-03-01

    Full Text Available Ellen S Koster,1 Lyda Blom,1 Marloes R Overbeeke,1 Daphne Philbert,1 Marcia Vervloet,2 Laura Koopman,2,3 Liset van Dijk2 1Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht University, the Netherlands; 2Netherlands Institute of Health Services Research (NIVEL, Utrecht, the Netherlands; 3National Health Care Institute, Diemen, the Netherlands Introduction: Consumer Quality Index questionnaires are used to assess quality of care from patients’ experiences.Objective: To provide insight into the agreement about quality of pharmaceutical care, measured both by a patient questionnaire and video observations.Methods: Pharmaceutical encounters in four pharmacies were video-recorded. Patients completed a questionnaire based upon the Consumer Quality Index Pharmaceutical Care after the encounter containing questions about patients’ experiences regarding information provision, medication counseling, and pharmacy staff’s communication style. An observation protocol was used to code the recorded encounters. Agreement between video observation and patients’ experiences was calculated.Results: In total, 109 encounters were included for analysis. For the domains “medication counseling” and “communication style”, agreement between patients’ experiences and observations was very high (>90%. Less agreement (45% was found for “information provision”, which was rated more positive by patients compared to the observations, especially for the topic, encouragement of patients’ questioning behavior.Conclusion: A questionnaire is useful to assess the quality of medication counseling and pharmacy staff’s communication style, but might be less suitable to evaluate information provision and pharmacy staff’s encouragement of patients’ questioning behavior. Although patients may believe that they have received all necessary information to use their new medicine, some information on specific instructions was not addressed during

  1. [Services portfolio of a department of endocrinology and clinical nutrition].

    Science.gov (United States)

    Vicente Delgado, Almudena; Gómez Enterría, Pilar; Tinahones Madueño, Francisco

    2011-03-01

    Endocrinology and Clinical Nutrition are branches of Medicine that deal with the study of physiology of body glands and hormones and their disorders, intermediate metabolism of nutrients, enteral and parenteral nutrition, promotion of health by prevention of diet-related diseases, and appropriate use of the diagnostic, therapeutic, and preventive tools related to these disciplines. Development of Endocrinology and Clinical Nutrition support services requires accurate definition and management of a number of complex resources, both human and material, as well as adequate planning of the care provided. It is therefore essential to know the services portfolio of an ideal Department of Endocrinology and Clinical Nutrition because this is a useful, valid and necessary tool to optimize the available resources, to increase efficiency, and to improve the quality of care. PMID:21382754

  2. Pharmaceutical Care Practice of Pharmacy Intravenous Admixture Services in Our Hospital%我院静脉药物配置中心的药学服务实践

    Institute of Scientific and Technical Information of China (English)

    许晓东

    2013-01-01

    我院静脉药物配置中心(PIVAS)成立以来,药师借助医院提供的医药信息服务软件、电子审方系统、出仓核对、轨道小车、例会学习等平台开展符合我院实际的药学服务工作。在医嘱审核、药品核对、输液配送等环节为医师、护士、患者提供更加专业的药学服务,保障临床合理用药,提升了自我价值。%Since the establishment of the pharmacy intravenous admixture services ( PIVAS ) , pharmaceutical ser-vices have been carried out by pharmacists in accordance with the actual situation of our hospital by means of the sup-portive platform provided by the hospital such as the medical information service software , electronic prescription sys-tem , warehouse release check and regular meetings , and so on . More professional pharmaceutical services were pro-vided to physicians , nurses and patients in the audit of doctor orders , medicine check and infusion distribution , etc . so as to guarantee the rational drug use and upgrade the self-value of pharmacist .

  3. Community pharmacy: Going beyond dispensing pharmaceuticals

    OpenAIRE

    Monge, Ana Catarina

    2016-01-01

    The aim of this study is to understand if it is possible to predict health crisis based on biochemical and physiological measurements made at the pharmacy, and, if needed, refer patients to the doctor. This would avoid emergency services and increase pharmacies’ income. Three pharmaceutical consultations were made, where these parameters were measured and the therapeutics registered. The short duration of the study (three months) and the small sample (57 patients) did not allow...

  4. Frequency and consequences of violence in community pharmacies in Ireland.

    LENUS (Irish Health Repository)

    Fitzgerald, D

    2012-09-11

    BackgroundViolence in community pharmacies in Ireland is thought to be common but underreported. The frequency and consequences of violence has not been studied previously.AimsTo establish the frequency and nature of violence in community pharmacies over 12 months, and to investigate the impact of violence on employees and possible consequence for the industry.MethodsA two-part survey was distributed to community pharmacies in Ireland in 2011 (n = 200). The first part related to pharmacy demographics, the frequency of various violent events (verbal abuse, threats etc.), the respondents\\' worry regarding violence and its impact on their co-workers. The second part concerned individual employees\\' subjective response to a violent event, using the Impact of Event Scale-Revised (IES-R).ResultsFifty-seven per cent of the pharmacies responded, with 77% reporting some violent event (verbal or physical), over the past year. Eighteen per cent reported physical assault, and 63% were worried about workplace violence. There was no association between late night opening hours or pharmacy size and violence frequency. Positive statistically significant correlations were present between all types of violence and absenteeism and employee fear levels. An IES-R score could be calculated for 75 respondents; the median IES-R score was 8 with 19% reporting clinically significant scores.ConclusionsViolence is common in Irish community pharmacies and impacts on employees and the industry.

  5. The pharmacy leadership competency gap: diagnosis and prescription.

    Science.gov (United States)

    Filerman, Gary L; Komaridis, Kathryn L

    2007-01-01

    The purpose of this paper is to inform the health administration community and its educators about the importance of pharmacy leadership, the competencies associated with the role, and a suggested path to achieve a greater number of pharmacy leaders. The role of the pharmacy leader is often unrecognized or undervalued, yet it has significant implications for many facets of the healthcare delivery organization, including the cost of care, patient safety and quality, the influence and potential involvement of the pharmacist in the hospital or health system. Hospitals and health systems should recognize the power of an effective pharmacy leader, and strive to fill those positions. Unfortunately, should care leaders demand high performing pharmacy leaders, they will find that such individuals are in short supply, and will become more rare with time because of an aging pharmacy workforce. The health administration education community must respond to the demand by marrying pharmacy management education with the Master's in Health Administration degree (MHA). This article proposes the creation of a PharmD/MHA dual degree program, giving clinically trained pharmacists the skills they need to be effective managers and leaders in hospitals and health systems. PMID:18214075

  6. National survey of pain clinics in Croatia: Organization and services

    Directory of Open Access Journals (Sweden)

    Mahir Fidahić

    2015-05-01

    Full Text Available Objective. To analyze organization and therapeutic procedures administered in tertiary outpatient pain clinics in Croatia. Methods. Data about organization of pain clinics, its personnel, equipment, continuing medical education, therapeutic procedures, research activities and relations with pharmaceutical industry were collected using questionnaires. Results. Twenty-two Croatian pain clinics were included in the study. Most of the pain clinics employ exclusively anesthesiologists and nurses. The most frequently prescribed therapeutic procedures in pain clinics were pharmacotherapy, transcutaneous electrical nerve stimulation, acupuncture and trigger point injections. Almost all pain clinics provide educational material for patients. Most of the pain clinics have regular interactions with pharmaceutical companies. Prescribing decisions were based mostly on information from scientific meetings, research articles and consultations with colleagues. Information sources which are considered to be the gold standard – the systematic reviews of The Cochrane Collaboration – were used less frequently (n=12; 57% than advertising materials from pharmaceutical companies (n=16; 76%. Few physicians and other pain clinics staff had scientific degrees or academic titles or were involved in a research project. Conclusion. The national study about pain clinics in Croatia pointed out that there is room for improvement of their organization and services. Pain clinics should employ health-care professionals with diverse backgrounds. They should offer treatments backed by the highest-level of scientific evidence. Since pain is a major public health issue, pain clinic staff should engage more in research to contribute to the growing field of pain research, to enhance capacities for pain research in Croatia, to incorporate scientific evidence into their daily decision-making and to enable evidence-based practice.

  7. Prodiver数据挖掘系统下临床药学工作的实践应用%Practice and Application of Clinical Pharmacy Work in the Prodiver Data Mining System

    Institute of Scientific and Technical Information of China (English)

    黎颖然; 郭少青; 杜生; 曹国威

    2015-01-01

    Prodiver system is a part of the hospital business intelligence analysis and decision support system, which developed for clinical pharmacy research. This data mining system is designed to collect, analyze and apply of medicine related data, that we can find out and solve problems, provide scientific basis for hospital decision-makers, and provide useful information for clinical pharmacy. System through the acquisition of data, analysis of information and finally transfer knowledge to end users. The user terminal includes a portal system and a custom system. Portal system is mainly used to monitor indicators and show the results, provide scientific basis for hospital decision-makers. Custom system is mainly used for extraction of medicine related data, provide useful information for clinical pharmacy. In the future we still need to speed up the data update process.%Prodiver系统是在中山市人民医院商业智能分析与决策支持系统下,针对临床药学工作开展研发的数据挖掘系统,旨在通过开发、运用以及分析与药品使用相关的数据,从中发现问题、解决问题,为医院决策层提供科学依据,为临床药学工作提供有用的药学信息。系统通过获取数据,分析信息并最终实现知识展现,用户终端包括门户系统和自定义系统。门户系统主要用于医院用药指标的监控和直观展现,为医院决策提供依据;自定义系统主要用于药物分析相关数据的提取,为临床工作提供药学信息。加快数据更新频率是产品未来的发展方向。

  8. Pharmacy cases in Second Life: an elective course

    Directory of Open Access Journals (Sweden)

    Veronin MA

    2012-10-01

    active-learning assignments were successful in increasing students’ knowledge, and provided additional practice in building the communication skills beneficial for students preparing for experiential clinical rotations.Keywords: Second Life, virtual worlds, pharmacy case studies, computer simulation, health education, pharmacy education

  9. Hospital diversification: how to involve the pharmacy.

    Science.gov (United States)

    Smith, J E; Black, B L

    1987-05-01

    Participation by hospital pharmacy departments in planning and development of diversified services is described. Diversification requires market planning. Seven basic marketing steps are identification of mission, goals, and objectives; identification of growth strategies (market penetration, market development, product development, and diversification); market analysis of external factors (size, growth, and logistics; reimbursement and financial considerations; competition; regulatory issues; and legal issues); market analysis of internal factors (departmental organization and reporting lines, demographics of the institution, and costs and productivity associated with the new service); program development and design; implementation; and evaluation. Hospitals can diversify by expanding acute-care services through management contracts and mergers; developing new services to include long-term-care, ambulatory-care, occupational-health, and wellness programs; starting other health-care ventures, such as consulting, continuing medical education, and continuing education for nurses; and expanding into non-health-care businesses. Vertical diversification is finding new markets for existing services; horizontal diversification is development of new services for new markets. To diversify, an institution may need to change its corporate structure; it may form a family of corporations that includes a university, nonprofit hospitals, holding companies, for-profit corporations, joint ventures, and service organizations. Through diversification, institutions and pharmacy departments can create alternative sources of funding and offer more comprehensive services to patients. PMID:3605115

  10. Importance of social pharmacy education in Libyan pharmacy schools: perspectives from pharmacy practitioners

    Directory of Open Access Journals (Sweden)

    Omar Saad Saleh Abrika

    2012-03-01

    Full Text Available The present study aims to explore the perceptions among pharmacy practitioners in Libya on the importance of social pharmacy education. A qualitative methodology was employed to conduct this study. Using a purposive sampling technique, a total of ten Libyan registered pharmacists were interviewed. Based on the content analysis of the interviews, two major themes emerged, namely the understanding of social pharmacy education and the need for incorporating social pharmacy courses into the pharmacy education curriculum. The majority of the respondents knew about the concept. Of those that had no prior knowledge of this term, half of them expressed interest in knowing more about it. There was a positive perception of introducing social pharmacy into the undergraduate curricula among the respondents, and they believed that it is necessary for future pharmacists to know about social pharmacy components. The findings from the pharmacy practitioners??evaluation suggest the need to incorporate social pharmacy courses into the curricula of all pharmacy schools in Libya.

  11. Impact of an Elective Course in Community and Ambulatory Care Pharmacy Practices on Student Perception of Patient Care.

    Science.gov (United States)

    Barnes, Kelli D; Maguire, Michelle; Bennett, Marialice S

    2015-09-25

    Objective. To determine the impact of an elective course on students' perception of opportunities and of their preparedness for patient care in community and ambulatory pharmacy settings. Design. Each course meeting included a lecture and discussion to introduce concepts and active-learning activities to apply concepts to patient care or practice development in a community or ambulatory pharmacy setting. Assessment. A survey was administered to students before and after the course. Descriptive statistics were used to assess student responses to survey questions, and Wilcoxon signed rank tests were used to analyze the improvement in student responses with an alpha level set at 0.05. Students felt more prepared to provide patient care, develop or improve a clinical service, and effectively communicate recommendations to other health care providers after course completion. Conclusion. This elective course equipped students with the skills necessary to increase their confidence in providing patient care services in community and ambulatory settings. PMID:27168617

  12. Education of Doctor of Pharmacy Candidates as Mental Health Professionals.

    Science.gov (United States)

    Hayes, Peggy A.; Rosenbluth, Sidney A.

    1980-01-01

    The University of Tennessee offers an educational program to prepare Doctor of Pharmacy candidates for clinical roles in mental health care. The program consists of two core curricular elements: a didactic module and a clinical clerkship that devotes equal time to inpatient and outpatient care. Clinical guidelines and pharmacist goals are…

  13. 42 CFR 414.510 - Laboratory date of service for clinical laboratory and pathology specimens.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Laboratory date of service for clinical laboratory... AND OTHER HEALTH SERVICES Payment for New Clinical Diagnostic Laboratory Tests § 414.510 Laboratory date of service for clinical laboratory and pathology specimens. The date of service for either...

  14. Patient responses to inhaler advice given by community pharmacies

    DEFF Research Database (Denmark)

    Kaae, Susanne; Aarup, Kristine Hallberg Friis; Sporrong, Sofia Kälvemark

    2016-01-01

    BACKGROUND: The value of counseling in community pharmacy depends on its ability to help patients improve their use of medicine and thereby health status, by their adherence to recommendations. Studies showing how patients respond to daily pharmacy counseling are, however, scarce. The aim...... of this study was therefore to investigate how patients respond to medical advice given by pharmacy staff. METHODS: A heterogeneous sample of patients who received the 'Inhaler Technique Assessment Service' (ITAS) in Denmark were interviewed, using a semi-structured schedule. Meaning condensation...... proposed by pharmacy staff. CONCLUSIONS: ITAS recommendations seemed important to adhere with for patients despite experiencing difficulties when doing so and secondly not feeling an immediate improvement of health. Reasons for this appear to be connected with the concept of meaningfulness. Hence...

  15. Cyberdrugs: a cross-sectional study of online pharmacies characteristics.

    Science.gov (United States)

    Orizio, Grazia; Schulz, Peter; Domenighini, Serena; Caimi, Luigi; Rosati, Cristina; Rubinelli, Sara; Gelatti, Umberto

    2009-08-01

    As e-commerce and online pharmacies (OPs) arose, the potential impact of the Internet on the world of health shifted from merely the spread of information to a real opportunity to acquire health services directly. Aim of the study was to investigate the offer of prescription drugs in OPs, analysing their characteristics, using the content analysis method. The research performed using the Google search engine led to an analysis of 118 online pharmacies. Only 51 (43.2%) of them stated their precise location. Ninety-six (81.4%) online pharmacies did not require a medical prescription from the customer's physician. Online pharmacies rise complex issues in terms of patient-doctor relationship, consumer empowerment, drug quality, regulation and public health implications. PMID:19151103

  16. Revitalization of Community Pharmacy Practice

    OpenAIRE

    Wiryanto; Harahap, Urip; Karsono; Mawengkang, Herman

    2016-01-01

    Majority of community pharmacy practice in Indonesia was described as practices that have not been standard fulfilling. This research have an aim to design a model of community pharmacy practice as instrument for fulfilling standard. Design of model of community pharmacy practice comprised practice standard, model of determining practice criteria, and model of improving practice criteria. Model of improving practice criteria used Nolan model, consisting of Plan, Do, Check, and ...

  17. Providing nuclear pharmacy education via the internet

    International Nuclear Information System (INIS)

    Aim: (1) Increase the nuclear pharmacy education opportunities across the United States and the around the world. (2) Establish collaborative educational agreements between colleges of pharmacy and local nuclear pharmacy preceptors. (3) Decrease the shortage of radio pharmacists. 4) Provide nuclear education courses to supplement existing educational programs. Materials and Methods: Nuclear Education Online (www.nuclearonline.org) is an educational consortium between the University of Arkansas for Medical Sciences and the University of New Mexico. The faculty members from each institution have collaborated to design an online didactic curriculum and experiential training materials. The didactic portion is delivered via WebCT (www.webct.com) and involves interactive studies with faculty from UNM and UAMS. The student-centered curriculum is based on the APhA Syllabus for Nuclear Pharmacy Training and includes interactive web-based course materials, discussion groups, preceptor-led activities and problem-based learning (PBL) case studies based upon actual clinical studies and real-life pharmacy situations. Individual units of study include Nuclear Physics, Radiation Biology, Radiation Safety, Instrumentation, and Radiochemistry/Radiopharmacology. Students can begin the program at anytime. Once a cohort of students is established, the students proceed through the PBL cases, working interactively as a group. Results: Since June 2001, over 26 students have completed the 10-week certificate program. These students have been located across the U.S. and in Saudi Arabia. Fifteen students have completed individual courses in nuclear physics and instrumentation through colleges of pharmacy course offerings using the NEO faculty as instructors. Student evaluations revealed that 78% of the students thought that the NEO program was a 'great way to learn' (highest rating). When comparing PBL to a traditional classroom setting, two thirds of students preferred problem

  18. 42 CFR 410.71 - Clinical psychologist services and services and supplies incident to clinical psychologist services.

    Science.gov (United States)

    2010-10-01

    ... employee of either the clinical psychologist or the legal entity that employs the supervising clinical psychologist, under the common law control test of the Act as more fully set forth in 20 CFR 404.1007. (b... psychology; and (2) Is licensed or certified, on the basis of the doctoral degree in psychology, by the...

  19. Effect of a Pharmaceutical Care Program on quality of life and satisfaction with pharmacy services in patients with type 2 diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Cassyano Januário Correr

    2009-12-01

    Full Text Available The aim is to evaluate the humanistic outcomes in type 2 diabetic patients by the adoption of pharmacotherapy follow-up in community pharmacies. Controlled, non-randomized, 12-months trial; n=161 patients distributed into control and intervention groups; 6 community pharmacies involved, all in the Curitiba city region, in the state of Paraná were used. The health-related quality of life (HRQoL and the satisfaction index were determined using both the DQOL assessment tool, which measures HRQoL, and the satisfaction evaluation tool (QSSF. Interventions on 119 negative therapeutic outcomes were done (2.3/patient [SD=1.6]; the most commonly found problems were related to ineffectiveness of pharmacotherapy (68.1%. The Intervention-Group showed a significant improvement in HRQoL compared with the Control Group (0.08 vs -0.01, respectively; p=0.036. Satisfaction and impact domains presented the most significant improvement (0.13 vs 0.00 [p=0.030] and 0.07 vs -0.04 [p=0.033], respectively. After adjusting for baseline variables, the difference in improvement scores between groups on the QSSF was attributed to the allocation of patients in the intervention group. Pharmacotherapy follow-up of type 2 diabetic patients in community pharmacies can improve the HRQoL and satisfaction of patients.O objetivo foi avaliar os resultados humanísticos de pacientes com diabetes tipo 2, por meio da adoção de acompanhamento farmacoterapêutico nas farmácias comunitárias. Utilizaram-se: ensaio controlado, não-randomizado, de 12 meses; n=161 pacientes, distribuídos entre Grupo Controle e de Intervenção, e 6 farmácias comunitárias, todas na região da cidade de Curitiba, Estado do Paraná. A qualidade de vida relacionada à saúde (HRQoL e o índice de satisfação foram determinados utilizando a ferramenta de avaliação DQOL, que mede a HRQoL, e a ferramenta de avaliação da satisfação (QSSF. Intervenções em 119 resultados terapêuticos foram efetuadas

  20. Beauty Clinic Services and Using of Cosmetic for Beauty Clinic Attendees at Jakarta, Indonesia

    OpenAIRE

    raharni budiarto

    2014-01-01

    Cosmetic is one of pharmaceuticals preparation, with the vigorous cosmetic advertising in print media, electronic media or internet, communities are faced with cosmetics advertising, in which mostly are offering for skin care, especially women to get the skin whiter and brighter. Cosmetic advertising based on Ministry of Health regulation no. 386/Menkes/SK/1994. The objective of this study was to know the beauty clinic services and using of cosmetic for beauty clinic attendees and affecting f...

  1. Patient satisfaction with pharmaceutical care delivery in community pharmacies

    Directory of Open Access Journals (Sweden)

    Kassam R

    2012-04-01

    Full Text Available Rosemin Kassam1, John B Collins2, Jonathan Berkowitz31School of Population and Public Health, Faculty of Medicine, 2Department of Educational Studies, Faculty of Education, 3Sauder School of Business, University of British Columbia, Vancouver, British Columbia, CanadaBackground: The purpose of this study was to validate previously published satisfaction scales in larger and more diversified patient populations; to expand the number of community pharmacies represented; to test the robustness of satisfaction measures across a broader demographic spectrum and a variety of health conditions; to confirm the three-factor scale structure; to test the relationships between satisfaction and consultation practices involving pharmacists and pharmacy students; and to examine service gaps and establish plausible norms.Methods: Patients completed a 15-question survey about their expectations regarding pharmaceutical care-related activities while shopping in any pharmacy and a parallel 15 questions about their experiences while shopping in this particular pharmacy. The survey also collected information regarding pharmaceutical care consultation received by the patients and brief demographic data.Results: A total of 628 patients from 55 pharmacies completed the survey. The pilot study’s three-factor satisfaction structure was confirmed. Overall, satisfaction measures did not differ by demographics or medical condition, but there were strong and significant store-to-store differences and consultation practice advantages when pharmacists or pharmacists-plus-students participated, but not for consultations with students alone.Conclusion: Patient satisfaction can be reliably measured by surveys structured around pharmaceutical care activities. The introduction of pharmaceutical care in pharmacies improves patient satisfaction. Service gap details indicated that pharmacy managers need to pay closer attention to various consultative activities involving patients

  2. Analysis of Family Clinical, vision of service nurses

    Directory of Open Access Journals (Sweden)

    Daniele Merisio Raimundi

    2016-06-01

    Full Text Available Objective to know the practice of the Family Clinic in Cuiaba and its relationship with the precepts of the expanded clinic, from the perspective of the service nurses. Method qualitative descriptive research, data collection with semi-structured interviews and results analyzed according to the method of thematic content analysis. Results for nurses working in the service, this assumes a differentiated and innovative proposal, which seeks to correlate with shared management in its three spheres. Although most do not know the Enlarged Clinic term in his speech cited its main principles and its tools. The greatest potential described were related to the Support Center for Health and popular participation, and as challenges, the lack of community health worker, the national health establishment registration and the difficulty of operation due to the profile of the professionals technical level arising from secondary care. Conclusions The clinic has positive aspects that can contribute to the advancement of the profession, to train health professionals and an innovative primary care model. Therefore, it emphasizes the need for implementation of continuing education in order to realize its proposal, and further studies on site.

  3. The global pharmacy workforce: a systematic review of the literature

    Directory of Open Access Journals (Sweden)

    Anderson Claire

    2009-06-01

    Full Text Available Abstract The importance of health workforce provision has gained significance and is now considered one of the most pressing issues worldwide, across all health professions. Against this background, the objectives of the work presented here were to systematically explore and identify contemporary issues surrounding expansion of the global pharmacy workforce in order to assist the International Pharmaceutical Federation working group on the workforce. International peer and non-peer-reviewed literature published between January 1998 and February 2008 was analysed. Articles were collated by performing searches of appropriate databases and reference lists of relevant articles; in addition, key informants were contacted. Information that met specific quality standards and pertained to the pharmacy workforce was extracted to matrices and assigned an evidence grade. Sixty-nine papers were identified for inclusion (48 peer reviewed and 21 non-peer-reviewed. Evaluation of evidence revealed the global pharmacy workforce to be composed of increasing numbers of females who were working fewer hours; this decreased their overall full-time equivalent contribution to the workforce, compared to male pharmacists. Distribution of pharmacists was uneven with respect to location (urban/rural, less-developed/more-developed countries and work sector (private/public. Graduates showed a preference for completing pre-registration training near where they studied as an undergraduate; this was of considerable importance to rural areas. Increases in the number of pharmacy student enrolments and pharmacy schools occurred alongside an expansion in the number and roles of pharmacy technicians. Increased international awareness and support existed for the certification, registration and regulation of pharmacy technicians and accreditation of training courses. The most common factors adding to the demand for pharmacists were increased feminization, clinical governance measures

  4. The effects of introducing a clinical pharmacist on orthopaedic wards in Denmark

    DEFF Research Database (Denmark)

    Buck, Thomas Croft; Brandstrup, Lene; Brandslund, Ivan;

    2007-01-01

    OBJECTIVE: To assess the effects and cost effects of introducing clinical pharmacists on hospital wards. METHODS: Comparative prospective study on four orthopaedic surgical wards in two hospitals. The primary effect variables were 10 target areas widely considered to be indicators of good...... sub-optimal prescriptions were changed, 43% resulted in cost reductions. The reductions achieved could cover 47% of the costs of clinical pharmacy service. CONCLUSION: Clinical pharmacy services offered to four orthopaedic surgical wards resulted in reduction of sub-optimal prescriptions. Every time...... the pharmacist screened seven patients one sub-optimal prescription was found and adjusted. The reduction in medicine costs due to adjusted sub-optimal prescriptions could not cover the whole cost of clinical pharmacy service....

  5. Specialty Pharmacy at a Crossroad

    OpenAIRE

    ADAMS, KATHERINE T.

    2005-01-01

    At the dawn of the biologics age, specialty pharmacy is a business in transition. Consolidation is in full swing as the industry matures, but what is the endgame? Will specialty pharmacy play a tactical role – thus being reduced to commodity status – or a strategic role?

  6. Analysis of Clinical Pharmacists in Clinical Pharmacy Intervention of Irrational Drug Use%临床药师对临床不合理用药的药学干预分析

    Institute of Scientific and Technical Information of China (English)

    柯秋林

    2015-01-01

    目的:探讨临床药师对临床不合理用药的药学干预前后两年的用药改善情况。方法选取1000份医嘱,比较医嘱中不合理用药、重复给药、无适应证给药、抗菌药物使用情况,追踪对应患者的药物费用、抗菌药费用、住院时间、服药依从性和不良反应发生率,并进一步探讨最优干预办法,并选取干预后的1000份医嘱对以上情况进行观察。结果实施药学干预后,不合理医嘱、重复给药、无适应证给药等情况明显减少;抗菌药使用量大大减少;患者医疗费用减少,病程缩短;患者服药依从性和不良反应发生率,与干预前比较,差异有统计学意义(P<0.05)。结论临床药师干预临床用药,可明显降低用药不合理现象的发生,有效改善了患者的用药情况,降低药物不良反应的发生率及患者的病死率,同时提高治疗效果。%Objective To investigate the clinical pharmacist interventions on clinical pharmacy irrational drug use before and after two years of treatment to improve the situation.Methods Select 1 000 copies of orders,orders in comparison of irrational use of drugs, repeated administration,no indications to medicine,the use of antibacterial drugs, drug costs,patient tracking corresponding antibacterial drug cos,time,medication compliance and the incidence of adverse reactions among inpatients,and to further explore the optimal intervention measures.Then choose 1 000 copies of orders to observation the drug costs,antibacterial drug cost,hospitalization time,medication compliance and adverse reaction rate after intervention.Results After the implementation of pharmaceutical intervention,irrational prescriptions,repeated doses,significantly reducing administration and so no indications;antibiotic use is greatly reduced;reduce patient medical costs,shorten the course;patient medication compliance and adverse reaction rates changed significantly

  7. Points to consider for prioritizing clinical genetic testing services

    DEFF Research Database (Denmark)

    Severin, Franziska; Borry, Pascal; Cornel, Martina C;

    2015-01-01

    testing services available in the next decade. Ethically and economically reflected prioritization criteria are needed. Prioritization should be based on considerations of medical benefit, health need and costs. Medical benefit includes evidence of benefit in terms of clinical benefit, benefit...... at the time of testing. Further discussion and better evidence is needed before clearly defined recommendations can be made or a prioritization algorithm proposed. To our knowledge, this is the first time a clinical society has initiated a decision process about health-care prioritization on a European level......, following the principles of accountability for reasonableness. We provide points to consider to stimulate this debate across the EU and to serve as a reference for improving patient management.European Journal of Human Genetics advance online publication, 24 September 2014; doi:10.1038/ejhg.2014.190....

  8. Challenges to counseling customers at the pharmacy counter - why do they exist?

    DEFF Research Database (Denmark)

    Kaae, Susanne; Traulsen, Janine Morgall; Nørgaard, Lotte Stig

    2012-01-01

    Challenges to engage pharmacy customers in medicine dialogues at the counter have been identified comprising a new and extended clinical role for pharmacists in the health care system. This article seeks to expand understanding of factors involved in successful interaction at the pharmacy counter...... between customers and pharmacy staff to develop their relationship further. Practical challenges to customer encounters experienced by community pharmacists are discussed using theory from the field of mainly inter-relational communication and particular studies on pharmacy communication. Preconceived...... expectation of customers, the type of question asked by pharmacy staff, and differences in perception of illness and medicines between staff and customers are discussed. Both staff and customer influence the outcome of attempts by pharmacy staff to engage customers in dialogue about their medicine use through...

  9. 42 CFR 405.515 - Reimbursement for clinical laboratory services billed by physicians.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Reimbursement for clinical laboratory services... Criteria for Determining Reasonable Charges § 405.515 Reimbursement for clinical laboratory services billed... limitation on reimbursement for markups on clinical laboratory services billed by physicians. If a...

  10. 42 CFR 447.321 - Outpatient hospital and clinic services: Application of upper payment limits.

    Science.gov (United States)

    2010-10-01

    ... SERVICES Payment Methods for Other Institutional and Noninstitutional Services Outpatient Hospital and Clinic Services § 447.321 Outpatient hospital and clinic services: Application of upper payment limits...: Application of upper payment limits. 447.321 Section 447.321 Public Health CENTERS FOR MEDICARE &...

  11. Managing Minor Ailments; The Public's Preferences for Attributes of Community Pharmacies. A Discrete Choice Experiment.

    Directory of Open Access Journals (Sweden)

    Terry Porteous

    Full Text Available Demand for health services continues to rise. Greater use of community pharmacy services instead of medical services for minor ailments could help relieve pressure on healthcare providers in high-cost settings. Community pharmacies are recognised sources of treatment and advice for people wishing to manage these ailments. However, increasing the public's use of pharmacy services may depend on attributes of pharmacies and their staff. This study aimed to determine the general public's relative preferences for community pharmacy attributes using a discrete choice experiment (DCE.A UK-wide DCE survey of the general public was conducted using face-to-face computer-assisted personal interviews. Attributes and levels for the DCE were informed by a literature review and a cohort study of community pharmacy customers. The context for the experiment was a minor ailment scenario describing flu-like symptoms. The DCE choice sets described two hypothetical community pharmacy services; respondents were asked to choose which (if either of the two pharmacies they would prefer to help them manage symptoms. Data from 1,049 interviews were analysed using an error components logit model. Willingness to pay (WTP, a monetary measure of benefit, was estimated for the different attribute levels.When seeking help or treatment for flu-like symptoms, respondents most valued a pharmacy service that would improve their understanding and management of symptoms (WTP = £6.28, provided by staff who are trained (WTP (pharmacist = £2.63: WTP(trained assistant = £3.22, friendly and approachable (WTP = £3.38. Waiting time, pharmacy location and availability of parking also contributed to respondents' preferences. WTP for a service comprising the best possible combination of attributes and levels was calculated as £55.43.Attributes of a community pharmacy and its staff may influence people's decisions about which pharmacy they would visit to access treatment and advice for

  12. Obtaining accreditation by the pharmacy compounding accreditation board, part 3: developing a program of qualtity assurance and continuous qualtiy improvement.

    Science.gov (United States)

    Cabaleiro, Joe

    2008-01-01

    Before a compounding pharmacy can receive accreditation from the Pharmacy Compounding Accreditation Board, the pharmacy must show evidence of both quality assurance activities and continuous quality improvement activities. Although quality assurance data gathering and monitoring can be integrated into pharmacy activities fairly easily, the coninuous quality improvement program may take a little more time and effort to implement . Before integrating these programs, compounding pharmacists must have a complete understanding of the differences between these two programs. Even if accreditation with the Pharmacy Compounding Accreditation Board is not being considered, it is important that compounding pharmacies have these two programs implemented. In the long run, it will pay off in higher quality services, error prevention, and perhaps greater efficiency of pharmacy operations. PMID:23969712

  13. Clinical Cancer Registries - Are They Up for Health Services Research?

    Science.gov (United States)

    Pobiruchin, Monika; Bochum, Sylvia; Martens, Uwe M; Schramm, Wendelin

    2016-01-01

    Clinical cancer registries are a valuable data source for health services research (HSR). HSR is in need of high quality routine care data for its evaluations. However, the secondary use of routine data - such as documented cancer cases in a disease registry - poses new challenges in terms of data quality, IT-management, documentation processes and data privacy. In the clinical cancer registry Heilbronn-Franken, real-world data from the Giessen Tumor Documentation System (GTDS) was utilized for analyses of patients' disease processes and guideline adherence in follow-up care. A process was developed to map disease state definitions to fields of the GTDS database and extract patients' disease progress information. Thus, the disease process of sub-cohorts could be compared to each other, e.g., comparison of disease free survival of HER2 (human epidermal growth factor receptor 2)-positive and -negative women who were treated with Trastuzumab, a targeted therapy applied in breast cancer. In principle, such comparisons are feasible and of great value for HSR as they depict a routine care setting of a diverse patient cohort. Yet, local documentation practice, missing flow of information from external health care providers or small sub-cohorts impede the analyses of clinical cancer registries data bases and usage for HSR. PMID:27577380

  14. Experience of Improving the Workflow in Pharmacy Intravenous Admixture Services%改进静脉药物调配中心工作流程的实践和体会

    Institute of Scientific and Technical Information of China (English)

    高文超

    2015-01-01

    目的:持续改进我院静脉药物调配中心的工作流程,提高效率,减少差错。方法:对比我院静脉药物调配中心流程改进前后的不同点,分析其利弊。结果:改进后的流程更符合实际操作,节约成本,提高工作效率,保证合理用药。结论:静脉药物配置中心流程是需要根据实际情况,进行持续质量改进。我院的流程改进是卓有成效的。%OBJECTIVE:Improving the Workflow in Pharmacy Intravenous Admixture Services,to improve efficiency and reduce errors.METHODS:Comparison of process improvement,analyse its advantages and disadvantages.RESULTS:The improved process is more consistent with the actual operation, save cost,improve work efficiency,ensure the rational use of drugs.CONCLUSIONS:PIVAS according to the practical situation,continuous quality improve-ment.Our process improvement is very fruitful.

  15. Experience of Improving the Workflow in Pharmacy Intravenous Admixture Services%改进静脉药物调配中心工作流程的实践和体会

    Institute of Scientific and Technical Information of China (English)

    高文超

    2015-01-01

    Objective Improving the Workflow in Pharmacy Intravenous Admixture Services,to improve ef iciency and reduce er ors. Methods Comparison of process improvement, analyse its advantages and disadvantages. Results The improved process is more consistent with the actual operation, save cost, improve work ef iciency, ensure the rational use of drugs. Conclusion PIVAS according to the practical situation, continuous quality improvement. Our process improvement is very fruitful.%目的:持续改进我院静脉药物调配中心的工作流程,提高效率,减少差错。方法对比我院静脉药物调配中心流程改进前后的不同点,分析其利弊。结果改进后的流程更符合实际操作,节<成本,提高工作效率,保证合理用药。结论静脉药物配置中心流程是需要根据实际情况,进行持续质量改进。我院的流程改进是卓有成效的。

  16. 基于排队理论优化门诊药房窗口服务的探讨%Optimizing of the Window Services in Outpatient Pharmacy Based on Queuing Theory

    Institute of Scientific and Technical Information of China (English)

    刘阳; 梅丹; 王兰; 李嘉; 邓鹏翔

    2009-01-01

    目的:了解患者的卫生服务需求,为门诊药房优化窗口服务提供参考依据.方法:随机调查200名患者对排队取药的评价,并进行单因素方差分析;利用排队法比较单列多窗口与多列多窗口患者的平均等待时间,从中优选排队规则.结果:对排队的正面评价,在顺畅性和关切性方面女性患者评价显著低于男性患者(P<0.05);在关切性方面,年轻患者评价显著低于年长患者(P<0.05);顺畅性、关切性、沟通性、便利性的Cronbach Alpha信度分别为0.927、0.993、0.928、0.958;单列多窗口为优选排队规则.结论:优化的门诊药房窗口服务包括采用单列多窗口的排队规则,增加与女性和年轻患者的沟通,改善排队人性化服务设施,适时调节窗口工作人员的工作强度等.%OBJECTIVE: To probe into patients' demands on medical services for reference of optimizing the window services in outpatient pharmacy. METHODS: 200 outpatients were randomly sampled for investigation about their evaluation on the queuing for medicine, and the results were given single-factor analysis of variance. Queuing method was employed to compare patients' mean waiting time between single-row multiwindow and multi-row multiwindow so as to optimize the queuing rule. RESULTS: With regard to the positive evaluation on queuing for medicine, females held a markedly lower e-valuation toward the smooth flow and concern than did males (P<0.05); in terms of concern, the younger patients held a markedly lower evaluation than did elder patients (P<0.05) . The Cronbach Alpha reliabilities of smooth flow, concern, communication and convenience were 0.927, 0.993, 0.928, and 0.958, respectively. Mono-row multiwindow was the optimal queuing rule. CONCLUSIONS: The optimization of the window service in outpatient pharmacy can be achieved by adopting mono-row multiwindow queuing rule, enhancing communication with female and younger patients, improving the humane service

  17. Use of clinical practice as a motivating tool of radioprotection teaching and radiopharmacology in early semesters of pharmacy course; Uso da pratica clinica como ferramenta motivadora de ensino de radioprotecao e radiofarmacologia em semestres iniciais em cursos de farmacia

    Energy Technology Data Exchange (ETDEWEB)

    Andrighetto, Daniela; Lüdke, Everton, E-mail: daniela.andrighetto@hotmail.com, E-mail: evertonludke@gmail.com [Universidade Federal de Santa Maria (CCNE/DEFIS/UFSM), RS (Brazil). Departamento de Fisica

    2014-07-01

    The research teaching methods aimed at the success of the higher education student in pharmacology and medicine courses in technical expertise in the fields of radiological protection, radiopharmacology and interventional radiology is extremely important in view of the progress of these sectors. The objective of this work is to propose a methodological sequence of teaching work with first-year students of pharmacy and medicine courses within a biophysical discipline where the integrated knowledge to clinical practice can be used for this purpose. The methodology was to assess individual learning of a group of N = 49 students of the first half in the age group of 17-19 years through conceptual acquisition by the traditional method of 'blackboard and chalk' and developed method that includes four pedagogical moments focused on the area health. An analysis of the evaluation student performance through Variance Analysis of a pathway showed improved scores with respect to the performance of application issues of knowledge concerning radiation protection and biological mechanisms of radiation with respect to the method of 'blackboard and chalk' with p < 0.05. Therefore, work with students with respect to the content in the form of six steps of clinical interest are a promising technique for radiation protection education in the early grades of college courses with experimental effectiveness.

  18. Internet Pharmacies: Regulatory Problems and Potential Solutions

    OpenAIRE

    Teng, Cheryl M.

    2002-01-01

    This paper will analyze the growing problem “rogue†Internet pharmacies—Internet pharmacies that conduct illegal or unsafe prescribing and dispensing practices that endanger the health of the customers they serve. SECTION I will describe the different categories of Internet pharmacies and distinguish the practice of legitimate Internet pharmacies from those of rogue Internet pharmacies. SECTION II will discuss the dangers customers face by ord...

  19. What is known about community pharmacy supply of naloxone? A scoping review.

    Science.gov (United States)

    Nielsen, Suzanne; Van Hout, Marie Claire

    2016-06-01

    There is growing evidence that expanded supply of take-home naloxone to prevent opioid overdose deaths is needed. Potential routes for expansion of naloxone provision include through community pharmacies. The aim of this scoping review is to establish what is known about community pharmacy supply of naloxone, in light of unique challenges and opportunities present in pharmacy settings. A scoping review methodology was employed using the six stage iterative process advocated by Arksey and O'Malley (2005) and Levac et al. (2010). Searches used key words and terms such as 'naloxone'; 'overdose prevention/drug overdose/opiate overdose'; 'community/retail pharmacy'; 'pharmacist/pharmacy/community pharmacy/pharmaceutical services'; 'professional practice/role'; 'community care'; attitude of health personnel'; 'training/supply/cost'. Appropriate search terms were selected for each database. After initial exploratory searches, comprehensive searches were conducted with Cochrane Database of Systematic Reviews, Medline, Medline in Process, Embase, PsycINFO and CINAHL. Eligibility criteria centered on whether studies broadly described supply of naloxone in community pharmacy or had content relating to community pharmacy supply. The search identified 95 articles, of which 16 were related to pharmacy supply of naloxone. Five themes were presented after initial review of the data and consultation with the project Expert Group, and are; 'Pharmacists Perceptions of Naloxone: Facilitators and Barriers', 'Patient Populations: Identification and Recruitment', 'Supply Systems and Cost', 'Legal Issues', and 'Training of Pharmacists and Community Pharmacy Naloxone Recipients'. Findings from this scoping review suggest that community pharmacy based supply of take-home naloxone warrants the community pharmacy based route for distribution of take home naloxone provision warrants further consideration and development. Existing strengths include a range of established supply models, and

  20. Pharmacy Students' Self-Identified Interests in a Hospital Pharmacy Internship Course in Iran

    Directory of Open Access Journals (Sweden)

    Fatemeh Ranjbar

    2012-12-01

    Full Text Available Introduction: After revision of pharmacy curriculum by, Iranian Health and Education Ministry reviewed in 2005, it was decided that pharmacy students need extra internship courses such as hospital internship course. Hospital internship course could provide students with the opportunity to acquire the knowledge and master the skills required for current pharmacy practices in community and hospital setting. The aim of this study was to identify and analyze pharmacy students’ experiences during hospital internship. Methods: Each student attended in 3 wards and provided a logbook for each ward. Students were asked to document at least one topic interesting for them on each day. The collected information was divided into sections and analyzed using SPSS ver 14. Results: Seventeen students enrolled in the course. Endocrinology and nephrology wards had the highest and neurology the lowest number of attended students. Seven hundred and one reported learning subjects were divided into 24 areas. The highest numbers of reported topics were the drugs indications, adverse drug reactions and diagnosis of diseases while the lowest number was pretreatment laboratory tests, pharmacoeconomy, counseling medical staffs and off label use of medications. Gastroenterology and endocrinology wards with 210 reports had the highest and neurology ward with 12 had the lowest number of reports. Conclusion: Completing the logbooks was an encouragement for students to seek and document and learn new topics and also a major feature of the clinical assessment scheme of the course. The majority of the reported topics were learning objectives but not the interventional ones. The present study showed us some areas of pharmacy education which need further attention.

  1. Clinical and economic effectiveness of an inpatient anticoagulation service.

    Science.gov (United States)

    Mamdani, M M; Racine, E; McCreadie, S; Zimmerman, C; O'Sullivan, T L; Jensen, G; Ragatzki, P; Stevenson, J G

    1999-09-01

    We conducted a prospective cohort study to evaluate clinical and economic end points achieved by a pharmacist-managed anticoagulation service compared with usual care (50 patients/group). The primary therapeutic end point was the time between starting heparin therapy and surpassing the activated partial thromboplastin time therapeutic threshold. The primary economic end point was the direct variable cost of hospitalization from admission to discharge. No significant differences between groups were noted for the primary therapeutic end point. Total hospital costs were significantly lower for patients receiving pharmacist-managed care than for those receiving usual care ($1594 and $2014, respectively, 1997 dollars, p=0.04). Earlier start of warfarin (p=0.05) and shorter hospital stay (5 and 7 days, p=0.05) were associated with the pharmacist-managed group. PMID:10610013

  2. Evaluation of a community pharmacy-based intervention for improving patient adherence to antihypertensives: a randomised controlled trial

    Directory of Open Access Journals (Sweden)

    McDowell Jenny

    2010-02-01

    adherence and/or persistence with antihypertensive medications. The unique features of the HAPPY trial include the use of MedeMine CVD to identify patients who could potentially benefit from the service, control for the 'Hawthorne effect' in the UCG and the offer of the intervention package at the end of six months to patients in the UCG, a strategy that is expected to improve retention. Trial Registration Australian New Zealand Clinical Trial Registry ACTRN12609000705280

  3. Effect of staff attitudes on quality in clinical microbiology services.

    Science.gov (United States)

    Pitt, Sarah J; Sands, Richard L

    2002-01-01

    Technical quality of the work of clinical pathology laboratories is monitored regularly by both internal and external sources. Among the factors that might affect quality, laboratory staff attitudes are rarely considered. In this study, the psychological concepts of 'job satisfaction' and 'climate' are measured among microbiology biomedical scientists in the United Kingdom. A self-report questionnaire was developed and distributed (between November 1998 and February 1999) to biomedical scientists in 161 microbiology laboratories throughout the UK From 2415 questionnaires distributed, 931 replies were received--a response rate of 39%. A separate set of questions covering customer service and participation in internal and external quality assurance schemes was sent to laboratory managers. Biomedical scientists reported lower job satisfaction than did medical technologists in a previous study in the USA. Perception of climate was influenced by several demographic factors, the most important of which being the size of the laboratory. Optimal number of staff in a department was found to be less than 30. Aggregation of climate scores from members of the same department showed that a positive laboratory climate was important for good performance in internal and external measures of technical quality. For the best service, laboratory climate must be supported by a staff perception that the department is committed to enhancing quality--a climate for laboratory quality. PMID:12113406

  4. The asheville project: factors associated with outcomes of a community pharmacy diabetes care program.

    Science.gov (United States)

    Cranor, Carole W; Christensen, Dale B

    2003-03-01

    OBJECTIVE To assess the importance of environment, patient characteristics, and health behavior in explaining differences in clinical, economic, and humanistic outcomes of pharmaceutical care services (PCS) for patients with diabetes. DESIGN Quasi-experimental, pre-post cohort-with-comparison group study using multivariate logistic regression. SETTING Twelve community pharmacies in Asheville, N.C. PATIENTS AND OTHER PARTICIPANTS Eighty-five patients with diabetes who were employees, dependents, or retirees from two self-insured employers; community pharmacists who completed a diabetes certificate program and received reimbursement for PCS. INTERVENTIONS Scheduled consultations with pharmacists involving education and training, assessment, monitoring, follow-up, and referral. MAIN OUTCOME MEASURES Change in glycosylated hemoglobin (A1c) value, diabetes diagnosis and all-diagnosis utilization and cost of medical care, quality of life, and satisfaction with pharmacy services. RESULTS The strongest predictors of improvement in A1c following PCS were the patient characteristics baseline glycémie control and type 1 diabetes. All patients with type 1 diabetes had reduced their A1c concentrations at follow-up. Patients in one employer group (an environmental characteristic) were significantly more likely to have a 10% reduction in diabetes diagnosis costs, compared with employees in the other group. They were also more likely to report improved satisfaction with pharmacy services. No other statistically significant relationships were found. CONCLUSION The greatest improvement in A1c occurred among patients with type 1 diabetes and/or higher baseline A1c concentrations. When controlling for other factors, PCS did not emerge as a significant factor in lowering A1c, but it was imprecisely measured, and our proxy measure did not capture the full complement of PCS provided to patients. Success in terms of cost savings and patient satisfaction differed by employer group. PMID

  5. Progress Examinations in Pharmacy Education

    OpenAIRE

    Plaza, Cecilia M.

    2007-01-01

    Interest in the use of the progress examination has grown in the current culture of accountability in higher education. The Accreditation Council for Pharmacy Education's (ACPE's) Standards 2007 calls for comprehensive, knowledge- and performance-based examinations as part of a school or college of pharmacy's evaluation and assessment of student learning. Progress examinations have been used primarily in medical education. The purpose of this paper is to provide a brief overview of the litera...

  6. The development of a hospital pharmacy policy and procedure manual.

    Science.gov (United States)

    Steinberg, S K

    1980-01-01

    The value of a complete and comprehensive departmental manual for a hospital pharmacy is well recognized as an important factor in establishing written acceptable policies and procedures by which the department operates. Other purposes include its use as an orientation guide for new employees and its fulfillment as a guide to the department's scope of service for hospital accreditation. The Department of Pharmacy at Sunnybrook Medical Centre formed a Policy and Procedure Committee with members representing each departmental division to develop such a manual. This paper outlines the establishment of the format, organization and writing style of the manual and the actual writing and review of chapters. PMID:10249577

  7. Quality-control: from record keeping to key performance indicators: manging quality in compounding pharmacies.

    Science.gov (United States)

    Braga, Glaucia Karime; Fonseca, Maria Jose Viera

    2010-01-01

    Record keeping is fundamental in any quality-management system. Compounding pharmacies use a quality-management system that is based on the Good Compounding Practices, which emphasizes the necessity and therefore the importance of maintaining records. However, the activity of recording without conducting further data analysis does not assure continuous improvement of the preparations, services, and of the system itself. The purpose of this article is to suggest some nonfinancial key performance indicators that can be easily implemented by compounding pharmacies to assist in the development of an organizational procedure for measuring the quality of products and services. This is a new paradigm for managing quality in compounding pharmacies. PMID:23965425

  8. The essential research curriculum for doctor of pharmacy degree programs.

    Science.gov (United States)

    Lee, Mary W; Clay, Patrick G; Kennedy, W Klugh; Kennedy, Mary Jayne; Sifontis, Nicole M; Simonson, Dana; Sowinski, Kevin M; Taylor, William J; Teply, Robyn M; Vardeny, Orly; Welty, Timothy E

    2010-09-01

    In 2008, the American College of Clinical Pharmacy appointed the Task Force on Research in the Professional Curriculum to review and make recommendations on the essential research curriculum that should be part of doctor of pharmacy (Pharm.D.) degree programs. The essential research curriculum provides all students with critical and analytical thinking and lifelong learning skills, which will apply to current and future practice and stimulate some students to pursue a career in this field. Eight key curricular competencies are as follows: identifying relevant problems and gaps in pharmacotherapeutic knowledge; generating a research hypothesis; designing a study to test the hypothesis; analyzing data results using appropriate statistical tests; interpreting and applying the results of a research study to practice; effectively communicating research and clinical findings to pharmacy, medical, and basic science audiences; interpreting and effectively communicating research and clinical findings to patients and caregivers; and applying regulatory and ethical principles when conducting research or using research results. Faculty are encouraged to use research-related examples across the curriculum in nonresearch courses and to employ interactive teaching methods to promote student engagement. Examples of successful strategies used by Pharm.D. degree programs to integrate research content into the curriculum are provided. Current pharmacy school curricula allow variable amounts of time for instructional content in research, which may or may not include hands-on experiences for students to develop research-related skills. Therefore, an important opportunity exists for schools to incorporate the essential research curriculum. Despite the challenges of implementing these recommendations, the essential research curriculum will position pharmacy school graduates to understand the importance of research and its applications to practice. This perspective is provided as an aid

  9. Fracture liaison service in a non-regional orthopaedic clinic--a cost-effective service.

    LENUS (Irish Health Repository)

    Ahmed, M

    2012-01-01

    Fracture liaison services (FLS) aim to provide cost-effective targeting of secondary fracture prevention. It is proposed that a dedicated FLS be available in any hospital to which a patient presents with a fracture. An existing orthopaedic clinic nurse was retrained to deliver a FLS. Proformas were used so that different nurses could assume the fracture liaison nurse (FLN) role, as required. Screening consisted of fracture risk estimation, phlebotomy and DXA scanning. 124 (11%) of all patients attending the orthopaedic fracture clinic were reviewed in the FLS. Upper limb fractures accounted for the majority of fragility fractures screened n=69 (55.6%). Two-thirds of patients (n=69) had reduced bone mineral density (BMD). An evidence based approach to both non-pharmacological and pharmacotherapy was used and most patients (76.6%) receiving pharmacotherapy received an oral bisphosphonate (n=46). The FLS has proven to be an effective way of delivering secondary prevention for osteoporotic fracture in a non-regional fracture clinic, without increasing staff costs.

  10. Swiss Community Pharmacies' on the Web and Pharmacists' Experiences with E-commerce: Longitudinal study and Internet-based questionnaire survey

    Science.gov (United States)

    Bruppacher, Rudolf; Ruppanner, Hans; Hersberger, Kurt E

    2004-01-01

    Background There are multiple ways in which community pharmacies can present themselves on the Internet, e.g., as a platform for drug information or as an advertising platform for their services. Objective To estimate the number of Swiss community pharmacies on the Internet over the period of 32 months (2000-2003), to describe their current e-commerce services, and to explore the experiences and plans these pharmacies have with regard to their Internet presence. Methods A longitudinal study was performed to determine the number of Swiss German pharmacies on the Internet by conducting Internet searches in 2000, 2001, and 2003. In April 2002, a cross-sectional Internet-based survey was administered to explore the pharmacies' experiences and plans regarding their Web sites. Results As of April 2003, 373 (44%) of 852 community pharmacies from the German speaking part of Switzerland were on the Internet. One hundred eighty four listed an e-mail address and were asked to complete a questionnaire. Of the 107 pharmacies answering the survey questions (58% response rate): 46% had been on the Internet for 1 to 2 years; 33% of the Web sites are part of a pharmacy group's Web portal; 31% of the pharmacies plan to expand their Internet appearance in the future; 74% provide e-commerce services, with 81% of those pharmacies filling five or less orders per month; and 12% plan on expanding their e-commerce services in the future. Conclusions The number of community pharmacies offering Internet services steadily increased over 32 months. Given the importance of the Internet as a tool for information, communication, and advertising for pharmacy products and services, it can be expected that the increase will continue. Pharmacy-group portals are important promoters of pharmacies on the Internet. For many community pharmacies, Internet portals that provide an Internet presence for the pharmacies and provide regularly-updated content (e.g., health news, tips, drug information) seem to

  11. Educational Games as a Teaching Tool in Pharmacy Curriculum.

    Science.gov (United States)

    Aburahma, Mona Hassan; Mohamed, Heba Moustafa

    2015-05-25

    The shift in the pharmacist's role from simply dispensing medications to effective delivery of pharmaceutical care interventions and drug therapy management has influenced pharmacy education.(1-3) The educational focus has shifted from basic sciences to clinical and integrated courses that require incorporating active-learning strategies to provide pharmacy graduates with higher levels of competencies and specialized skills. As opposed to passive didactic lectures, active-learning strategies address the educational content in an interactive learning environment to develop interpersonal, communication, and problem-solving skills needed by pharmacists to function effectively in their new roles.(4-6) One such strategy is using educational games. The aim of this paper is to review educational games adopted in different pharmacy schools and to aid educators in replicating the successfully implemented games and overcoming deficiencies in educational games. This review also highlights the main pitfalls within this research area. PMID:26089568

  12. 持续质量改进在静脉用药调配中心的应用%Application of Continuous Quality Improvement in Pharmacy Intravenous Admixture Services

    Institute of Scientific and Technical Information of China (English)

    王雅蘋; 苏素红; 朱光辉; 温润姑; 张琼; 张丽萍

    2013-01-01

    In response to the weaknesses in the original management of Pharmacy Intravenous Admixture Services (PIVAS), our hospital has introduced Continuous Quality Control (CQI) as well as manifold reforms and improvements since 2011. The results showed that CQI not only improved PIVAS pharmacists and nurses' risk awareness and admixture capabilities, but also significantly reduced admixture errors. Internal errors made by pharmacists were lowered to 0.01%, a reduction of 36.6%, while external errors by nurses to 0.02‰, a reduction of 28.5%. The conduct ensured patient's safe use of intravenous drugs and promoted patient's satisfaction and healthcare quality.%针对PIVAS静脉药物配置中原有管理方法的不足,我院自2011年以来通过引入持续质量改进管理理念及多方面多环节的改革及完善,结果表明实施持续质量改进后不仅增强了PIVAS药师与配置护士风险意识与安全配置能力,而且静脉药物配置差错发生率明显降低,药师摆药内差为0.01%,降低了36.6%,护士配置外差为0.02‰,降低了28.5%。从而保障了患者静脉用药安全,提高了服务患者满意度和医疗护理质量。

  13. Evaluation of an Injection Training and Certification Program for Pharmacy Students

    OpenAIRE

    Banh, Hoan Linh; Cor, Ken

    2014-01-01

    Objective. To evaluate an injection training and certification program for third-year (P3) pharmacy students, and to measure the impact of students’ administration of immunizations at an influenza clinic on their knowledge, skills, and competence in immunization.

  14. Pharmaceutical care for asthma patients: a community pharmacy-based pilot project.

    Science.gov (United States)

    Petkova, Valentina B

    2008-01-01

    Asthma is a clinical problem with social, psychological, and economic burdens. To improve patient disease management and quality of life (QOL), different education programs have been developed. The purpose of this study is to adapt and implement a community-based educational program for patients with asthma. A prospective, randomized, controlled trial was performed. Fifty individuals with mild asthma (aged 18-40 years) that have been attending pharmacies were included in the sample. The duration of the disease was 9 +/- 4.21 years. A 4-month study was conducted on essence of asthma and factors that can intensify it; nourishing facts, allergens, and physical activities; self-management and use of tobacco; and pharmacotherapy, inhalation technique, and possible adverse drug reactions. Patient's health-related QOL was assessed in the beginning and at the end of the survey. Parameters assessed during the four stages of the program were patients' peak expiratory flow (PEF); inhaler technique; severe asthma symptoms, including breathlessness, hospitalization rates, frequency of urgent medical aid calls, and frequency of general practitioner visits; compliance with therapy; and satisfaction with pharmacy services. Health-related QOL of the intervention patients was improved at 4 months and there was improvement in the PEF rate, decrease in patients' breathlessness and wheezing rate, decrease in the reported hospitalizations rate because of the disease, decrease in the physician's visits, and increase in satisfaction with pharmacist-provided information. The positive results from the educational approach show a potential to decrease asthma disease complications and show a positive impact on patients' inhaler technique, patients' opinions about the pharmacy services, and information obtained. PMID:18302840

  15. Financial perspective of private pharmacies in Tehran (Iran; is it a lucrative business?

    Directory of Open Access Journals (Sweden)

    Keshavarz Khosro

    2012-10-01

    Full Text Available Abstract Background and purpose of the study Pharmacies as direct providers of medicine and pharmaceutical services to patients have an important role in the health status of a society. The assessment of their financial situations by healthcare policy makers is necessary to prevent any negative effects on population's health. In this study we aim to analyze the financial status of pharmacies in Tehran, Iran. Methods This study is a cross-sectional study based on a survey. Two-hundred and eighty-eight private community daytime pharmacies in Tehran were selected by random sampling. We used two questionnaires to collect data regarding cost, expense and income factors of private pharmacies and the significance of each of them from these selected pharmacies. The data was collected in 2011 from Tehran pharmacies. Profitability of pharmacies in Tehran, Iran was calculated in its current situation and then estimated for three defined scenarios: 1. The dispensing fee is omitted (ceteris paribus, 2. Pharmacies are prohibited from selling hygienic & cosmetic products (ceteris paribus, 3. Scenarios 1 and 2 together (ceteris paribus. These data were analyzed by using SPSS and descriptive-analytic statistics. Results About 68% of interviewees responded to our questionnaires. Our analysis indicated that the average annual costs (and expenses, income and profits of pharmacies are 73,181; 106,301; and 33,120 United States Dollar (USD, respectively. The analysis indicated that omission of dispensing fee (scenario 1 and prohibition of pharmacies from selling hygienic & cosmetic products (scenario 2 would decrease income of pharmacies to 18438 and 14034 USD/year, respectively. According to respondents, the cost (or expense of properties and buildings, energy, taxes, delays in reimbursement by insurance companies, and renting the place of pharmacy could be considered as cost factors and prescription medicines, OTC medicines, dispensing fees, hygienic & cosmetic

  16. How do Danish community pharmacies vary in engaging customers in medicine dialogues at the counter – an observational study

    Directory of Open Access Journals (Sweden)

    Kaae S

    2014-09-01

    Full Text Available Background: Counter counseling is an important part of community pharmacies service delivery. Difficulties arise because customers appear less interested than the staff in discussing their medicine. It is unclear how individual pharmacies differ with regard to overcoming these obstacles. Objective: This study explores differences in the communication practices of pharmacies with regard to engaging customers in medicine dialogues. Methods: The work of Stevenson et al. describing five types of interaction scenarios at the counter was used for structured overt non-participant observations of 100 encounters in each of five Danish pharmacies. Variation in pharmacies success in engaging customers in medicine dialogues were calculated using descriptive statistics, and the statistical significance of observed differences across pharmacies was analyzed using odds ratios (OR. Results: Considerable differences between the pharmacies were identified. Differences exist in how often pharmacy staff attempts to encourage customers to participate in medication dialogues and how often they succeed. The pharmacies serving the most customers per day were the most successful. A possible link between a low number of refill customers offered counseling and ‘success rate’ was identified. Conclusions: The pharmacies showed considerable variation in attempts to engage customers in medication dialogues at the counter and success in doing so. The reasons for the identified patterns are unclear.

  17. Development and implementation of a multitiered health informatics curriculum in a college of pharmacy.

    Science.gov (United States)

    Breeden, Elizabeth A; Clauson, Kevin A

    2016-07-01

    Standards requiring education in informatics in pharmacy curricula were introduced in the last 10 years by the Accreditation Council for Pharmacy Education. Mirroring difficulties faced by other health professions educators, implementation of these requirements remains fragmented and somewhat limited across colleges of pharmacy in the US. Clinical practice and workforce metrics underline a pronounced need for clinicians with varying competencies in health informatics. In response to these challenges, a multitiered health informatics curriculum was developed and implemented at a college of pharmacy in the Southeast. The multitiered approach is structured to ensure that graduating pharmacists possess core competencies in health informatics, while providing specialized and advanced training opportunities for pharmacy students, health professions students, and working professionals interested in a career path in informatics. The approach described herein offers institutions, administrators, faculty, residents, and students an adaptable model for selected or comprehensive adoption and integration of a multitiered health informatics curriculum. PMID:27121611

  18. Analysis of irrational medical order in pharmacy intravenous admixture services%静脉用药调配中心不合理医嘱分析

    Institute of Scientific and Technical Information of China (English)

    杨亚鹏; 雷伟

    2015-01-01

    Objective:To analyze the irrationality prescription, to provide reference for promoting clinical rational drug use.Meth-ods:Collected in our hospital from January 2014 to August 2014 in the center of the trial with the static record of irrational prescribing pharmacists side, inductive analysis.Results:Solvent improper selection, concentration problems, frequency and joint improper of drug use, wrong copy of medical order were included in unreasonable medical order.Conclution:The safety and rationality of intravenous thera-py were improved by the pharmacist review of prescription through the platform of PIVAS, Which provided references for clinical rational drug use.%目的:分析静脉用药调配中心常见审方实例,促进临床合理用药。方法:收集我院2014年1月~2014年8月静配中心审方药师记录的不合理处方,归纳分析。结果:不合理医嘱存在问题主要有存在配伍禁忌、溶媒选择不当、给药剂量药浓度不当、给药频次不适宜等问题。结论:通过对静脉用药调配中心处方医嘱的审核、分析与干预,提高了我院静脉药物治疗的安全性、有效性、合理性,促进了临床合理用药,提高了患者满意度。

  19. Pharmaceutical policy and the pharmacy profession

    DEFF Research Database (Denmark)

    Traulsen, Janine Marie; Almarsdóttir, Anna Birna

    2005-01-01

    In this article, the authors look at the relationship between pharmaceutical policy and the pharmacy profession with focus on pharmacy practice and pharmacists in the health care sector. Pharmaceutical policy encompasses three major policy inputs: public health policy, health care policy...... and industrial policy. In order to analyse and understand pharmaceutical policy, it is important to know how policymakers view pharmacy and pharmacists. The authors look at the issues that arise when policy regulates pharmacy as a business, and what this means for the profession. The perspective of pharmacy...... in managerialism, and how the division of labour with other health professionals such as physicians and pharmacy assistants is affecting the pharmacy profession's position in the labour market. Next the authors look at ways in which the pharmacy profession has affected policy. Pharmacists have been instrumental...

  20. Can the profession of pharmacy serve as a model for health informationist professionals?

    OpenAIRE

    Byrd, Gary D.

    2002-01-01

    Pharmacy could serve as a model for the health informationist profession proposed by Davidoff and Florance in their 2000 editorial in the Annals of Internal Medicine. The current training and practice roles for pharmacists suggest a way to prepare health sciences librarians for work with clinical health care teams. The influences that spurred the transformation of pharmacy parallel in many respects those suggesting the need for more information professionals prepared to practice in clinical h...

  1. An Innovative Approach to Pharmacy Law Education Utilizing a Mock Board of Pharmacy Meeting

    Science.gov (United States)

    Bess, D. Todd; Taylor, Jade; Schwab, Carol A.; Wang, Junling; Carter, Jason A.

    2016-01-01

    A thorough understanding of pharmacy law by students is important in the molding of future pharmacy practitioners but a standardized template for the best way to educate students in this area has not been created. A mock Board of Pharmacy meeting was designed and incorporated into the Pharmacy Law course to meet the ACPE accreditation standards at the University of Tennessee College of Pharmacy. Students acted as Board of Pharmacy members and utilized technology to decide outcomes of cases and requests addressed in a typical 2 day Tennessee Board of Pharmacy meeting. The actual responses to those cases, as well as similar cases and requests addressed over a 5 year period, were revealed to students after they made motions on mock scenarios. Student participation in this interactive learning experience resulted in good understanding of the rules and regulations of pharmacy practice and the consequences associated with violating regulations. Such mock Board of Pharmacy meeting is recommended for future pharmacy law education.

  2. The impact of 90-day prescriptions on adherence at workplace pharmacies compared to traditional mail order.

    Science.gov (United States)

    Patwardhan, Avinash; Davis, Jeffery; Murphy, Patricia; Khandelwal, Nikhil; Sherman, Bruce; Manfred, James

    2011-12-01

    This study evaluated adherence to medications used to treat chronic conditions for patients with 90-day prescriptions, comparing patients with access to workplace pharmacy services versus patients using mail order services. De-identified pharmacy claims data were used to compute medication possession ratio and gaps in therapy. Results were compared for patients who filled 90-day prescriptions at workplace pharmacies versus patients who filled 90-day prescriptions using mail order pharmacy services in a 1-year period. Statistical tests to assess between group differences were performed controlling for differences because of age, sex, number of select chronic conditions, number of unique medication therapeutic classes, and patient out-of-pocket cost per therapy day. Statistically significant differences were found between patients who filled their maintenance medications at the worksite compared to those who used mail-order pharmacy services. Patients filling prescriptions at a workplace pharmacy were 22% less likely to have a gap in therapy of over 30 days compared to similar patients using mail order services. Workplace pharmacy utilizers also had overall adherence rates 3.68% higher than patients who utilized mail order pharmacy services. Our analysis suggests that it may not be just the quantity of medication dispensed that impacts patients' adherence to their prescription medication, but a variety of other factors including pharmacist-patient interaction. Having a pharmacist on-site and available to patients with chronic considerations could provide added value. These results can aid employers and other stakeholders to decide which prescription benefits to offer their employees and members. PMID:22092153

  3. 医院静脉用药调配中心的临床意义%Clinical significance of hospital pharmacy intravenous admixture center

    Institute of Scientific and Technical Information of China (English)

    邓永忠

    2015-01-01

    本文对静脉用药调配中心的临床作用进行总结,从提高临床护理工作效率、预防职业暴露,加强职业防护、安全用药、提升医院药师综合素质、搭建药护协作平台、经济社会效益等方面进行阐述。%Summary the clinical effect of intravenous drug allocation center, in order to improve the clinical nursing work efficiency, prevent the occupation exposure, strengthening occupation protection, safety, enhance the comprehensive quality of hospital pharmacists, build of medicine and nursing cooperation platform, economic and social benefit are expounded.

  4. Qualitative methods in pharmacy practice research

    DEFF Research Database (Denmark)

    Kaae, Susanne; Traulsen, Janine Marie

    2015-01-01

    Qualitative research within pharmacy practice is concerned with understanding the behavior of actors such as pharmacy staff, pharmacy owners, patients, other healthcare professionals, and politicians to explore various types of existing practices and beliefs in order to improve them. As qualitative...

  5. The role of community pharmacy-based vaccination in the USA: current practice and future directions

    Directory of Open Access Journals (Sweden)

    Bach AT

    2015-07-01

    Full Text Available Albert T Bach, Jeffery A Goad School of Pharmacy, Chapman University, Irvine, California, USA Abstract: Community pharmacy-based provision of immunizations in the USA has become commonplace in the last few decades, with success in increasing rates of immunizations. Community pharmacy-based vaccination services are provided by pharmacists educated in the practice of immunization delivery and provide a convenient and accessible option for receiving immunizations. The pharmacist's role in immunization practice has been described as serving in the roles of educator, facilitator, and immunizer. With a majority of pharmacist-provided vaccinations occurring in the community pharmacy setting, there are many examples of community pharmacists serving in these immunization roles with successful outcomes. Different community pharmacies employ a number of different models and workflow practices that usually consist of a year-round in-house service staffed by their own immunizing pharmacist. Challenges that currently exist in this setting are variability in scopes of immunization practice for pharmacists across states, inconsistent reimbursement mechanisms, and barriers in technology. Many of these challenges can be alleviated by continual education; working with legislators, state boards of pharmacy, stakeholders, and payers to standardize laws; and reimbursement design. Other challenges that may need to be addressed are improvements in communication and continuity of care between community pharmacists and the patient centered medical home. Keywords: immunization, pharmacy practice, pharmacists, continuity of care 

  6. Customer satisfaction survey with clinical laboratory and phlebotomy services at a tertiary care unit level.

    Science.gov (United States)

    Koh, Young Rae; Kim, Shine Young; Kim, In Suk; Chang, Chulhun L; Lee, Eun Yup; Son, Han Chul; Kim, Hyung Hoi

    2014-09-01

    We performed customer satisfaction surveys for physicians and nurses regarding clinical laboratory services, and for outpatients who used phlebotomy services at a tertiary care unit level to evaluate our clinical laboratory and phlebotomy services. Thus, we wish to share our experiences with the customer satisfaction survey for clinical laboratory and phlebotomy services. Board members of our laboratory designed a study procedure and study population, and developed two types of questionnaire. A satisfaction survey for clinical laboratory services was conducted with 370 physicians and 125 nurses by using an online or paper questionnaire. The satisfaction survey for phlebotomy services was performed with 347 outpatients who received phlebotomy services by using computer-aided interviews. Mean satisfaction scores of physicians and nurses was 58.1, while outpatients' satisfaction score was 70.5. We identified several dissatisfactions with our clinical laboratory and phlebotomy services. First, physicians and nurses were most dissatisfied with the specimen collection and delivery process. Second, physicians and nurses were dissatisfied with phlebotomy services. Third, molecular genetic and cytogenetic tests were found more expensive than other tests. This study is significant in that it describes the first reference survey that offers a survey procedure and questionnaire to assess customer satisfaction with clinical laboratory and phlebotomy services at a tertiary care unit level. PMID:25187892

  7. A service oriented approach for guidelines-based clinical decision support using BPMN.

    Science.gov (United States)

    Rodriguez-Loya, Salvador; Aziz, Ayesha; Chatwin, Chris

    2014-01-01

    Evidence-based medical practice requires that clinical guidelines need to be documented in such a way that they represent a clinical workflow in its most accessible form. In order to optimize clinical processes to improve clinical outcomes, we propose a Service Oriented Architecture (SOA) based approach for implementing clinical guidelines that can be accessed from an Electronic Health Record (EHR) application with a Web Services enabled communication mechanism with the Enterprise Service Bus. We have used Business Process Modelling Notation (BPMN) for modelling and presenting the clinical pathway in the form of a workflow. The aim of this study is to produce spontaneous alerts in the healthcare workflow in the diagnosis of Chronic Obstructive Pulmonary Disease (COPD). The use of BPMN as a tool to automate clinical guidelines has not been previously employed for providing Clinical Decision Support (CDS). PMID:25160142

  8. The prevalence and experience of Australian naturopaths and Western herbalists working within community pharmacies

    Directory of Open Access Journals (Sweden)

    Bailey Michael

    2011-05-01

    Full Text Available Abstract Background Naturopaths and Western herbal medicine (WHM practitioners were surveyed to identify their extent, experience and roles within the community pharmacy setting and to explore their attitudes to integration of complementary medicine (CM practitioners within the pharmacy setting. Method Practising naturopaths and WHM practitioners were invited to participate in an anonymous, self-administered, on-line survey. Participants were recruited using the mailing lists and websites of CM manufacturers and professional associations. Results 479 practitioners participated. 24% of respondents (n = 111 reported they had worked in community pharmacy, three-quarters for less than 5 years. Whilst in this role 74% conducted specialist CMs sales, 62% short customer consultations, 52% long consultations in a private room and 51% staff education. This was generally described as a positive learning experience and many appreciated the opportunity to utilise their specialist knowledge in the service of both customers and pharmacy staff. 14% (n = 15 did not enjoy the experience of working in pharmacy at all and suggested pharmacist attitude largely influenced whether the experience was positive or not. Few practitioners were satisfied with the remuneration received. 44% of the total sample provided comment on the issue of integration into pharmacy, with the main concern being the perceived incommensurate paradigms of practice between pharmacy and naturopathy. Of the total sample, 38% reported that they would consider working as a practitioner in retail pharmacy in future. Conclusions The level of integration of CM into pharmacy is extending beyond the mere stocking of supplements. Naturopaths and Western Herbalists are becoming utilised in pharmacies

  9. 75 FR 13550 - Office of Clinical and Preventive Services: National HIV Program

    Science.gov (United States)

    2010-03-22

    ... HUMAN SERVICES Indian Health Service Office of Clinical and Preventive Services: National HIV Program Announcement Type: Cooperative Agreement. Funding Opportunity Number: HHS-2010-IHS-OCPS-HIV-0001. Catalog of... Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/ AIDS) Program. This program is authorized under...

  10. 42 CFR 414.62 - Fee schedule for clinical psychologist services.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Fee schedule for clinical psychologist services. 414.62 Section 414.62 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM PAYMENT FOR PART B MEDICAL AND OTHER HEALTH...

  11. 42 CFR 414.56 - Payment for nurse practitioners' and clinical nurse specialists' services.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Payment for nurse practitioners' and clinical nurse specialists' services. 414.56 Section 414.56 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM PAYMENT FOR PART B MEDICAL AND...

  12. Managing Minor Ailments; The Public’s Preferences for Attributes of Community Pharmacies. A Discrete Choice Experiment

    Science.gov (United States)

    Ryan, Mandy; Bond, Christine; Watson, Margaret

    2016-01-01

    Background Demand for health services continues to rise. Greater use of community pharmacy services instead of medical services for minor ailments could help relieve pressure on healthcare providers in high-cost settings. Community pharmacies are recognised sources of treatment and advice for people wishing to manage these ailments. However, increasing the public’s use of pharmacy services may depend on attributes of pharmacies and their staff. This study aimed to determine the general public’s relative preferences for community pharmacy attributes using a discrete choice experiment (DCE). Method A UK-wide DCE survey of the general public was conducted using face-to-face computer-assisted personal interviews. Attributes and levels for the DCE were informed by a literature review and a cohort study of community pharmacy customers. The context for the experiment was a minor ailment scenario describing flu-like symptoms. The DCE choice sets described two hypothetical community pharmacy services; respondents were asked to choose which (if either) of the two pharmacies they would prefer to help them manage symptoms. Data from 1,049 interviews were analysed using an error components logit model. Willingness to pay (WTP), a monetary measure of benefit, was estimated for the different attribute levels. Results When seeking help or treatment for flu-like symptoms, respondents most valued a pharmacy service that would improve their understanding and management of symptoms (WTP = £6.28), provided by staff who are trained (WTP (pharmacist) = £2.63: WTP(trained assistant) = £3.22), friendly and approachable (WTP = £3.38). Waiting time, pharmacy location and availability of parking also contributed to respondents’ preferences. WTP for a service comprising the best possible combination of attributes and levels was calculated as £55.43. Conclusion Attributes of a community pharmacy and its staff may influence people’s decisions about which pharmacy they would visit to

  13. Incorporating a Weight Management Skills Workshop in Pharmacy Curricula in Australia.

    Science.gov (United States)

    Um, Irene S; Krass, Ines; Armour, Carol; Gill, Timothy; Chaar, Betty B

    2016-05-25

    Objective. To develop, implement, and evaluate a competency-based weight management skills workshop for undergraduate pharmacy students in an Australian university. Design. A 3-hour workshop titled "Weight Management in Pharmacy" was implemented with a cohort of fourth-year undergraduate pharmacy students (n=180). Learning activities used included case-based learning, hands-on experience, role-play, and group discussion. Assessment. A 22-item attitudinal survey instrument and the validated Obesity Risk Knowledge (ORK-10) scale were administered at baseline and postworkshop to evaluate the impact of this educational workshop. There was significant improvement in the students' ORK scores and students' perceived level of self-confidence in performing weight management skills. Conclusion. An educational workshop designed to enhance professional competencies in weight management ensured graduates were "service-ready" and had the appropriate knowledge, skills, and attributes to deliver patient-centered pharmacy-based weight management services. PMID:27293236

  14. Action research in pharmacy practice

    DEFF Research Database (Denmark)

    Nørgaard, Lotte Stig; Sørensen, Ellen Westh

    2015-01-01

    -based study. Concepts related to AR are described; in addition, the multifaceted role of the action researcher is described, along with a set of data quality criteria for evaluating the quality of an AR-based study. Then follows a thorough description of a Danish AR-based pharmacy practice study. The chapter...

  15. Community pharmacy practice in Pakistan

    Directory of Open Access Journals (Sweden)

    Nousheen Aslam

    2012-01-01

    Conclusion: This study concludes that the current status of community pharmacy practice is below par. There is a need to involve more pharmacists at community level and develop awareness programs to counter patients′ routine drug issues and reducing the burden of disease from society.

  16. Analysis of Practice and Results of Quality Control Circle in Pharmacy Intravenous Admixture Services%品管圈在静脉用药调配中心的实践与结果分析

    Institute of Scientific and Technical Information of China (English)

    薛进; 罗建华; 张先明

    2013-01-01

    Objective:Through carrying out quality control circle (QCC) in pharmacy intravenous admixture services (PIVAS),to reduce medicine configuration errors,ensure patients' medication safety and improve the level of pharmaceutical affairs management in hospital.Methods:Introduce concept of quality management,use a variety of statistical methods,and solve problems in practice work by seven QC gimmick.Results:Configuration errors in the process of PIVAS fell by an average of 34.00 per month to an average of 17.17 per month after implementation of QCC.Conclusions:Operating QCC on the management of medicine configuration and quality in PIVAS,can greatly exert the team cooperation ability of whole department,reduce the medicine configuration errors,improve the quality of the medicine,and reduce the risk in the process of practice.%目的:通过在静脉用药调配中心(PIVAS)推行品管圈活动,减少药物调配差错,保障患者用药安全,提高医院药事管理水平.方法:引入品质管理概念,运用多种统计方法,按照品管七大手法来解决实际工作中的问题.结果:PIVAS药物调配过程的差错由改善前的平均每月34.00例降低至改善后的平均每月17.17例.结论:将品管圈的改善方法运用于PIVAS的药物调配质量管理中,可以极大发挥整个科室团队协作能力,减少药物调配差错,提高药物调配质量,降低工作过程中的风险.

  17. Implementing Clinical Governance in a Private Wellness Service

    OpenAIRE

    Owens, Dara

    2015-01-01

    Context: Clinical governance describes a systematic approach to ensuring the quality and safety of healthcare which has become accepted as one of the foundations of effective healthcare. This project describes the implementation of a clinical governance system in a private healthcare setting over a nine month period, in which lack of clinical governance and oversight had been identified as a significant risk. Aim: The aim of the project was to design and implement an effective, sustainable...

  18. The needs of community service nurses with regard to supervision and clinical accompaniment / Busisiwe Eunice Shezi

    OpenAIRE

    Shezi, Busisiwe Eunice

    2014-01-01

    A new category of community-service nursing practitioner who was the equivalent of a newly qualified nurse emerged in the years 1998–2007. Community service was introduced by the national Department of Health in an attempt to retain professional nurses. The community service nurse is registered with the South African Nursing Council in the category “community service”. Community service nurses need to obtain clinical experience under the supervision of experienced professional nurses in a pub...

  19. 42 CFR 483.60 - Pharmacy services.

    Science.gov (United States)

    2010-10-01

    ...) STANDARDS AND CERTIFICATION REQUIREMENTS FOR STATES AND LONG TERM CARE FACILITIES Requirements for Long Term... facility may permit unlicensed personnel to administer drugs if State law permits, but only under the... under proper temperature controls, and permit only authorized personnel to have access to the keys....

  20. Redesigning pharmacy delivery processes of a health care complex.

    Science.gov (United States)

    Augusto, Vincent; Xie, Xiaolan

    2009-06-01

    This paper addresses a pharmacy delivery design problem with two types of human resources: pharmacy assistants and transporters within a hospital. Each medical unit of the hospital has a mobile medicine closet which is conveyed each week by transporters to the central pharmacy for inventory assessment and refill by assistants. Transportation is carried out by foot, by tractor or by truck depending on the location. The problem consists in creating a transportation and supply planning for each day of the week in order to balance workloads for both transporters and assistants while ensuring the availability of medicine to each medical service. A two-step approach using mixed-integer linear programming formulation is proposed to determine a near optimal schedule. Numerical results are given to assess its efficiency. The proposed approach is then combined with a simulation model to redesign the delivery process of the pharmacy department of a French university teaching hospital. Methodology of this real-life reengineering study is presented and discussed. PMID:19469456

  1. Psychosocial service needs of pediatric transport accident survivors: Using clinical data-mining to establish demographic and service usage characteristics.

    Science.gov (United States)

    Manguy, Alys-Marie; Joubert, Lynette; Bansemer, Leah

    2016-09-01

    The objectives in this article are the exploration of demographic and service usage data gained through clinical data mining audit and suggesting recommendations for social work service delivery model and future research. The method is clinical data-mining audit of 100 sequentially sampled cases gathering quantitative demographic and service usage data. Descriptive analysis of file audit data raised interesting trends with potential to inform service delivery and usage; the key areas of the results included patient demographics, family involvement and impact, and child safety and risk issues. Transport accidents involving children often include other family members. Care planning must take into account psychosocial issues including patient and family emotional responses, availability of primary carers, and other practical needs that may impact on recovery and discharge planning. This study provides evidence to plan for further research and development of more integrated models of care. PMID:27586428

  2. The Effect of Reflective Activities on Reflective Thinking Ability in an Undergraduate Pharmacy Curriculum

    Science.gov (United States)

    Bosnic-Anticevich, Sinthia; Schneider, Carl R.; Smith, Lorraine

    2016-01-01

    Objective. To determine the effectiveness of integrating reflective practice activities into a second-year undergraduate pharmacy curriculum and their impact on reflective thinking ability. Design. A cross-over design with repeated measures was employed. Newly developed reflective modules based on real hospital and community pharmacy cases were integrated into the second-year pharmacy practice curriculum. A novel strategy, the Reflective Ability Clinical Assessment (RACA), was introduced to enhance self- and peer reflection. Assessment. Student responses (n=214) to the adapted Kember et al1 Reflective Thinking Questionnaire (RTQ) were compared before and after reflective activities were undertaken. Significant improvement in three indicators of reflective thinking was shown after students engaged in reflective activities. Conclusion. Integration of reflective activities into a pharmacy curriculum increased the reflective thinking capacity of students. Enhancing reflective thinking ability may help students make better informed decisions and clinical judgments, thus improving future practice. PMID:27293232

  3. The Effect of Reflective Activities on Reflective Thinking Ability in an Undergraduate Pharmacy Curriculum.

    Science.gov (United States)

    Tsingos-Lucas, Cherie; Bosnic-Anticevich, Sinthia; Schneider, Carl R; Smith, Lorraine

    2016-05-25

    Objective. To determine the effectiveness of integrating reflective practice activities into a second-year undergraduate pharmacy curriculum and their impact on reflective thinking ability. Design. A cross-over design with repeated measures was employed. Newly developed reflective modules based on real hospital and community pharmacy cases were integrated into the second-year pharmacy practice curriculum. A novel strategy, the Reflective Ability Clinical Assessment (RACA), was introduced to enhance self- and peer reflection. Assessment. Student responses (n=214) to the adapted Kember et al(1) Reflective Thinking Questionnaire (RTQ) were compared before and after reflective activities were undertaken. Significant improvement in three indicators of reflective thinking was shown after students engaged in reflective activities. Conclusion. Integration of reflective activities into a pharmacy curriculum increased the reflective thinking capacity of students. Enhancing reflective thinking ability may help students make better informed decisions and clinical judgments, thus improving future practice. PMID:27293232

  4. Drug utilization and cost in a Medicaid population: A simulation study of community vs. mail order pharmacy

    Directory of Open Access Journals (Sweden)

    Seoane-Vazquez Enrique

    2007-07-01

    Full Text Available Abstract Background Outpatient drugs are dispensed through both community and mail order pharmacies. There is no empirical evidence that substitution of community pharmacy with mail order reduces overall drug expenditures. The need for evaluating the potential effects on utilization and costs of the possible extension of mail order services in Medicaid provides the rationale for conducting this study. This study compares drug utilization and drug product cost in community vs. mail order pharmacy dispensing services in a Medicaid population. Methods This study is a retrospective cohort study comparing utilization and cost patterns in community vs. mail order pharmacy. A simulation model was employed to assess drug utilization and cost in mail order pharmacy using community pharmacy claim data. The model assumed that courses of drug therapy (CDT in mail order pharmacy would have utilization patterns similar to those found in community pharmacy. A 95% confidence interval surrounding changes in average utilization and average cost were estimated using bootstrap analysis. A sensitivity analysis was performed by varying drug selection criteria and supply, fill point, and medication possession ratio (MPR. Sub-analyses were performed to address differences between mail order and community pharmacy related to therapeutic class and dual-eligible patients. Data for the study derived from pharmacy claims database of Ohio Medicaid State program for the period January 2000-September 2004. Drug claims were aggregated to obtain a set of CDTs representing unique patient IDs and unique drug products. Drug product cost estimates excluded dispensing fees and were used to estimate the cost reduction required in mail order to become cost neutral in comparison with community pharmacy. Results The baseline model revealed that the use of mail order vs. community pharmacy would result in a 5.5% increase in drug utilization and a 5.4% cost reduction required in mail order

  5. Impacts of Clinic-based Informed Choice Program on Quality of Individualized Counseling Service in China

    Institute of Scientific and Technical Information of China (English)

    Jun-qing WU; Xi-kuan CHEN; Er-sheng GAO

    2003-01-01

    Objective To evaluate the impacts of clinic-based informed choice program on quality of individualized service in family planning clinics in ChinaMethods During the program, family planning service staff in intervention clinics were trained on counseling skills and key points of individualized counseling service. Questionnaire surveys were conducted pre- and post-informed choice program to evaluate the impacts of the program.Results Informed choice program had significantly improved the quality of individualized counseling service. The multivariate regression analysis showed that clients of the clinic were more likely to give the better evaluation of the service, the OR of evaluation score of individualized service is 1.712 (95% CI is 1.146 to 2.564) in Experiment Group of post-program in contrast with pre-program. The program also could satisfy individual needs of clients and increase the satisfaction degree of the service.Conclusions Informed choice program is helpful for the improvement of the quality of individualized counseling service. It is necessary and imperative to improve the skills of counseling service provided in family planning clinics.

  6. Formative evaluation of a telemedicine model for delivering clinical neurophysiology services part I: Utility, technical performance and service provider perspective

    Directory of Open Access Journals (Sweden)

    Breen Patricia

    2010-09-01

    Full Text Available Abstract Background Formative evaluation is conducted in the early stages of system implementation to assess how it works in practice and to identify opportunities for improving technical and process performance. A formative evaluation of a teleneurophysiology service was conducted to examine its technical and sociological dimensions. Methods A teleneurophysiology service providing routine EEG investigation was established. Service use, technical performance and satisfaction of clinical neurophysiology personnel were assessed qualitatively and quantitatively. These were contrasted with a previously reported analysis of the need for teleneurophysiology, and examination of expectation and satisfaction with clinical neurophysiology services in Ireland. A preliminary cost-benefit analysis was also conducted. Results Over the course of 40 clinical sessions during 20 weeks, 142 EEG investigations were recorded and stored on a file server at a satellite centre which was 130 miles away from the host clinical neurophysiology department. Using a virtual private network, the EEGs were accessed by a consultant neurophysiologist at the host centre for interpretation. The model resulted in a 5-fold increase in access to EEG services as well as reducing average waiting times for investigation by a half. Technically the model worked well, although a temporary loss of virtual private network connectivity highlighted the need for clarity in terms of responsibility for troubleshooting and repair of equipment problems. Referral quality, communication between host and satellite centres, quality of EEG recordings, and ease of EEG review and reporting indicated that appropriate organisational processes were adopted by the service. Compared to traditional CN service delivery, the teleneurophysiology model resulted in a comparable unit cost per EEG. Conclusion Observations suggest that when traditional organisational boundaries are crossed challenges associated with the

  7. 芜湖市公立医院医药分开改革中药剂科与医院先剥离后回归的作用%Detachment and return of pharmacies of public hospitals in Wuhu amid the drug and medical service separation reform and the outcomes

    Institute of Scientific and Technical Information of China (English)

    冯英

    2013-01-01

    The separation of drug and medical service is key to alleviating the social problem of high medical expenses,and the top thing to do is to cut off the profit link found in the drugs purchase and sales interests chain.Pharmacies of the hospital are found to play a crucial role in this chain,as they not only take part in the decision-making of drug purchase but also directly purchase and dispense drugs.Wuhu has established the Medicine and Medical Consumables Management Center,which directly regulates the pharmacies and detach them from this chain,weakening their rent-seeking power.Practices of this reform found the pharmacies no longer playing a dominant role in drug purchase/dispensation on one hand,and yet less incentives of the pharmacies due to management by the Center on the other,resulting in poorer pharmaceutical management of the hospital as a result.In this consideration,pharmacies have experienced a detachment and return process from their hospital in the reform of drug and medical service separation in Wuhu.Experiences prove the correct way out is to guide the pharmacies to upgrade from logistics in drug supply to innovated services,thus better serving hospital management.%实现医药分开,缓解看病贵,首要任务是切断药品购销环节中的“促销”利益链.医院药剂科在利益链上起着关键作用,既参与药品采购决策,又执行药品采购与销售.芜湖市成立市药管中心,将药剂科从利益链上剥离,划归市药管中心管理,削弱药剂科在医院利用药品寻租权力.实践发现,斩断利益链后,药剂科在医院药品购销中不再起主导作用,由市药管中心继续管理,不利于药剂科各项职能充分发挥,导致医院药事管理弱化.因此,芜湖市医药分开改革中药剂科与医院经历了先剥离后回归的过程.正确引导药剂科职能从供应事务型向科技服务型转变,正是药剂科回归医院管理的重要作用所在.

  8. Impact of genetic polymorphisms on clinical response to antithrombotics

    Directory of Open Access Journals (Sweden)

    Kena J Lanham

    2010-06-01

    Full Text Available Kena J Lanham1,2, Julie H Oestreich3, Steven P Dunn1,2, Steven R Steinhubl41Pharmacy Services, UK HealthCare, University of Kentucky, Lexington, Kentucky, USA; 2Department of Pharmacy Practice and Science, College of Pharmacy, University of Kentucky, Lexington, Kentucky, USA; 3Department of Pharmacy Practice, College of Pharmacy, University of Nebraska, Omaha, Nebraska, USA; 4The Medicines Company, Zurich, Switzerland and The Geisinger Clinic, Danville, Pennsylvania, USAAbstract: Antithrombotic therapy, including anticoagulants as well as antiplatelet drugs, is an important component in the treatment of cardiovascular disease. Variability in response to such medications, of which pharmacogenetic response is a major source, can decrease or enhance the benefits expected. This review is a comprehensive assessment of the literature published to date on the effects of genetic polymorphisms on the actions of a variety of antithrombotic medications, including warfarin, clopidogrel, prasugrel, and aspirin. Literature evaluating surrogate markers in addition to the impact of pharmacogenetics on clinical outcomes has been reviewed. The results of the studies are conflicting as to what degree pharmacogenetics will affect medication management in cardiovascular disease. Additional research is necessary to discover, characterize, and prospectively evaluate genetic and non-genetic factors that impact antithrombotic treatment in order to maximize the effectiveness and limit the harmful effects of these valuable agents.Keywords: aspirin, warfarin, clopidogrel, prasugrel, pharmacogenetic, antithrombotic, antiplatelet

  9. Financial Perspective of Private Pharmacies in Tehran (Iran; Is It a Lucrative Business?

    Directory of Open Access Journals (Sweden)

    Khosro Keshavarz

    2012-10-01

    Full Text Available Background and purpose of the study:Pharmacies as direct providers of medicine and pharmaceutical services to patients have animportant role in the health status of a society. The assessment of their financial situations by healthcare policy makers is necessary to prevent any negative effects on population’s health.In this study we aim to analyze the financial status of pharmacies in Tehran, Iran.Methods:This study is a cross-sectional study based on a survey. Two-hundred and eighty-eight private community daytime pharmacies in Tehran were selected by random sampling. We used two questionnaires to collect data regarding cost, expense and income factors of private pharmacies and the significance of each of them from these selected pharmacies. The data was collected in 2011 from Tehran pharmacies. Profitability of pharmacies in Tehran, Iran was calculated in its current situation and then estimated for three defined scenarios: 1. The dispensing fee is omitted (ceteris paribus, 2. Pharmacies are prohibited from selling hygienic& cosmetic products (ceteris paribus, 3. Scenarios 1 and 2 together (ceteris paribus. These data were analyzed by using SPSS and descriptive-analytic statistics.Results:About 68% of interviewees responded to our questionnaires. Our analysis indicated that the average annual costs (and expenses, income and profits of pharmacies are 73,181; 106,301;and 33,120 United States Dollar (USD, respectively. The analysis indicated that omission of dispensing fee (scenario 1 and prohibition of pharmacies from selling hygienic & cosmetic products (scenario 2 would decrease income of pharmacies to 18438 and 14034 USD/year,respectively. According to respondents, the cost (or expense of properties and buildings,energy, taxes, delays in reimbursement by insurance companies, and renting the place of pharmacy could be considered as cost factors and prescription medicines, OTC medicines,dispensing fees, hygienic & cosmetic products, and long

  10. Defining and implementing a model for pharmacy resident research projects

    Directory of Open Access Journals (Sweden)

    Dick TB

    2015-09-01

    Full Text Available Objective: To describe a standard approach to provide a support structure for pharmacy resident research that emphasizes self-identification of a residency research project. Methods: A subcommittee of the residency advisory committee was formed at our institution. The committee was initially comprised of 2 clinical pharmacy specialists, 1 drug information pharmacist, and 2 pharmacy administrators. The committee developed research guidelines that are distributed to residents prior to the residency start that detail the research process, important deadlines, and available resources. Instructions for institutional review board (IRB training and deadlines for various assignments and presentations throughout the residency year are clearly defined. Residents conceive their own research project and emphasis is placed on completing assignments early in the residency year. Results: In the 4 years this research process has been in place, 15 of 16 (94% residents successfully identified their own research question. All 15 residents submitted a complete research protocol to the IRB by the August deadline. Four residents have presented the results of their research at multi-disciplinary national professional meetings and 1 has published a manuscript. Feedback from outgoing residents has been positive overall and their perceptions of their research projects and the process are positive. Conclusion: Pharmacy residents selecting their own research projects for their residency year is a feasible alternative to assigning or providing lists of research projects from which to select a project.

  11. The Impact of Nationally Coordinated Pharmacy-Based Asthma Education Intervention

    OpenAIRE

    Shelley Anne Diamond; Kenneth Ross Chapman

    2001-01-01

    OBJECTIVE: To assess the impact of a nationally coordinated pharmacy-based educational intervention on self-management behaviour and markers of asthma control in self-referred patients with asthma.DESIGN: An asthma clinic day was set up by a national chain of community pharmacies whereby pharmacists used a structured questionnaire to assess asthma control and self-care among self-referred patients with doctor-diagnosed asthma. In a one-on-one counselling session, each patient's educational ne...

  12. Project reconversion Service Hospital Radiation Oncology Clinics-Medical School

    International Nuclear Information System (INIS)

    Introduction: The Health Sector operates within the framework of Social Policy and it is therefore one of the ways of distribution of public benefit, like Housing, Education and Social Security. While public spending on health has grown in recent years, its distribution has been uneven and the sector faces funding and management problems. The Service Hospital Radiation Oncology has reduced its health care liavility , lack technological development and unsufficient human resources and training. Aim: developing an inclusive reform bill Service Hospital Radiation Oncology .Material and Methods: This project tends to form a network institutional, introducing concepts of evidence-based medicine, risk models, cost analysis, coding systems, system implementation of quality management (ISO-9000 Standards). Proposes redefining radiotherapy centers and their potential participation in training resource development goals humanos.Promueve scientific research of national interest. Separate strictly administrative function, management and teaching. The project takes into account the characteristics of demand, the need to order it and organize around her, institutional network system and within the Hospital das Clinicas own related services related to Service Hospital Radiation Oncology , Encourages freedom of choice, and confers greater equity in care. The project would managed by the Hospital Clínicas. Conclusions: We believe this proposal identifies problems and opportunities, Service Hospital Radiation Oncology proposes the development of institutional network under one management model

  13. The effect of an active on-ward participation of hospital pharmacists in Internal Medicine teams on preventable Adverse Drug Events in elderly inpatients: protocol of the WINGS study (Ward-oriented pharmacy in newly admitted geriatric seniors

    Directory of Open Access Journals (Sweden)

    Dijkgraaf Marcel G

    2011-05-01

    Full Text Available Abstract Background The potential of clinical interventions, aiming at reduction of preventable Adverse Drug Events (preventable ADEs during hospital stay, have been studied extensively. Clinical Pharmacy is a well-established and effective service, usually consisting of full-time on-ward participation of clinical pharmacists in medical teams. Within the current Hospital Pharmacy organisation in the Netherlands, such on-ward service is less feasible and therefore not yet established. However, given the substantial incidence of preventable ADEs in Dutch hospitals found in recent studies, appears warranted. Therefore, "Ward-Oriented Pharmacy", an on-ward service tailored to the Dutch hospital setting, will be developed. This service will consist of multifaceted interventions implemented in the Internal Medicine wards by hospital pharmacists. The effect of this service on preventable ADEs in elderly inpatients will be measured. Elderly patients are at high risk for ADEs due to multi-morbidity, concomitant disabilities and polypharmacy. Most studies on the incidence and preventability of ADEs in elderly patients have been conducted in the outpatient setting or on admission to a hospital, and fewer in the inpatient setting. Moreover, recognition of ADEs by the treating physicians is challenging in elderly patients because their disease presentation is often atypical and complex. Detailed information about the performance of the treating physicians in ADE recognition is scarce. Methods/Design The design is a multi-centre, interrupted time series study. Patients of 65 years or older, consecutively admitted to Internal Medicine wards will be included. After a pre-measurement, a Ward-Oriented Pharmacy service will be introduced and the effect of this service will be assessed during a post-measurement. The primary outcome measures are the ADE prevalence on admission and ADE incidence during hospital stay. These outcomes will be assessed using structured

  14. Application of Integrated Pharmacy in the Management of Hospital Pharmacy%整合思维在医院药事管理中的应用研究

    Institute of Scientific and Technical Information of China (English)

    章建华; 杨春琳; 王红波

    2015-01-01

    Objective:To change the original enclosed internal management mode and apply integral thinking to the management of hospital pharmacy in our country, so as to improve the level of hospital pharmacy management and ensure the safety of patients.Methods:Based on the integration of knowledge, human resources and material resources, the goal of controlling whole staff, whole regions and whole process in pharmacy management was achieved. The integrated pharmacy was developed by actively carrying out hospital pharmacy research.Results and Conclusion: The application of integrated pharmacy to hospital pharmacy management has achieved satisfactory results, and has improved the level of rational drug use and the quality of pharmacy service, which is worthy to be promoted.%目的:改变原有封闭式的内部管理模式,将整合思维应用于医院药事管理,提高医院药事管理工作水平,保障患者用药安全。方法:以知识整合、人力整合、物力整合为基础,实现医院药品的全员、全域、全程管理,同时积极开展医院药学科研,开创整合药学管理模式。结果与结论:整合药学应用于医院药事管理取得了较满意的成效,促进了医院合理用药和药学服务质量的提高,值得推广应用。

  15. Routine outcome monitoring in clinical practice : service and non-service costs of psychiatric patients attending a community mental health centre in Italy

    OpenAIRE

    Percudani, Mauro; Barbui, Corrado; Beecham, Jennifer; Knapp, Martin

    2004-01-01

    BACKGROUND : There is a paucity of economic studies carried out in the routine clinical practice of psychiatric services. This study estimated service and non-service costs in a random sample of patients attending a community psychiatric mental health centre in Italy. Costs of different diagnostic subgroups and variables associated with service and non-service costs were calculated. METHODS : A randomly selected sample of patients identified during one week of routine clinical activity was en...

  16. Factors influencing the establishment and maintenance of a clinical PET imaging service

    International Nuclear Information System (INIS)

    Full text: Interest in PET (Positron Emission Tomography) Imaging has increased and many Imaging Units will be confronted by the prospect of introducing a PET service. Using our experience of setting up and maintaining a Clinical PET imaging service, we will demonstrate the issues to be considered in establishing a safe and effective service Areas to be covered include: instrumentation and Quality Control for imaging and accessory equipment radiopharmaceutical availability; utilisation of time and space for planning and scheduling, radiation safety for staff, patients and visitors, adequate staffing levels to maintain service and low doses, training for clinical and technical staff, and the costs associated with the running of a unit. We hope to show some of the various aspects to consider when providing a Clinical PET Imaging service and how we have tackled it without compromising quality or safety. Copyright (2002) The Australian and New Zealand Society of Nuclear Medicine Inc

  17. Behavioural aspects surrounding medicine purchases from pharmacies in Australia

    Directory of Open Access Journals (Sweden)

    Emmerton L

    2008-09-01

    Full Text Available Objective: This study aimed to produce current data regarding behavioural aspects of non-prescription (over-the-counter medicine purchases, in light of changes in the pharmaceutical market and increasing provision of professional services in pharmacies.Methods: Data were collected in 15 community pharmacies in South-East Queensland, Australia, over 540 hours in five days in August, 2006. The method, previously validated, involved documentation of both observational and interview data. Fifteen trained researchers were stationed in a selected pharmacy each to unobtrusively observe all eligible sales of non-prescription medicines, and, where possible, interview the purchasers post-sale. Non-response was supplemented by observational data and recall by the salesperson. The data included details of the purchase and purchasing behaviour, while new questions addressed issues of topical importance, including customers’ privacy concerns. A selection of the analyses is reported here.Results: In total, 3470 purchases were documented (135-479 per pharmacy, with customers of 67.5% of purchases (74.7% excluding an outlier pharmacy participating in the survey. Customers averaged 1.2 non-prescription medicines per transaction. Two-thirds (67.2% of customers were female, and 38.8% of the customers were aged 31-45 years. Analgesics and respiratory medicines accounted for two-thirds of the sales data (33.4% and 32.4%, respectively. Intended-brand purchases comprised 71% of purchases (2004/2824; in-store substitution then occurred in 8.8% of these cases, mainly following recommendations by pharmacy staff. Medicines intended for self-use comprised 62.9% of purchases (1752/2785. First-time purchases (30.8%, 799/2594 were more commonly influenced by pharmacy staff than by advertising.Conclusions: This study used validated methods adapted to a changing marketplace, thus providing data that both confirm and add to knowledge surrounding medicine purchases. Despite the

  18. Regulating clinic: do UK clinics need to become alternative business structures under the Legal Services Act 2007?

    OpenAIRE

    Campbell, Elaine

    2014-01-01

    In clinical legal education circles we tend to focus on the pedagogical aspects of our work. We enjoy lively debate on topics such as assessment, skills, ethics, student self-efficacy, the role of reflection and balancing the needs of the student with the needs of the client. Rarely do we speak or write about the legal framework regulating the work that occurs in clinics. However, the regulatory landscape is changing, and rapidly. The Legal Services Act 2007 allows organisations that are...

  19. The 2011 PHARMINE report on pharmacy and pharmacy education in the European Union

    OpenAIRE

    Atkinson J; Rombaut B

    2011-01-01

    The PHARMINE consortium consists of 50 universities from European Union member states or other European countries that are members of the European Association of Faculties of Pharmacy (EAFP). EU partner associations representing community (PGEU), hospital (EAHP) and industrial pharmacy (EIPG), together with the European Pharmacy Students’ Association (EPSA) are also part of the consortium. The consortium surveyed pharmacies and pharmacists in different settings: community, hospital, industry ...

  20. Quality indicators to compare accredited independent pharmacies and accredited chain pharmacies in Thailand.

    Science.gov (United States)

    Arkaravichien, Wiwat; Wongpratat, Apichaya; Lertsinudom, Sunee

    2016-08-01

    Background Quality indicators determine the quality of actual practice in reference to standard criteria. The Community Pharmacy Association (Thailand), with technical support from the International Pharmaceutical Federation, developed a tool for quality assessment and quality improvement at community pharmacies. This tool has passed validity and reliability tests, but has not yet had feasibility testing. Objective (1) To test whether this quality tool could be used in routine settings. (2) To compare quality scores between accredited independent and accredited chain pharmacies. Setting Accredited independent pharmacies and accredited chain pharmacies in the north eastern region of Thailand. Methods A cross sectional study was conducted in 34 accredited independent pharmacies and accredited chain pharmacies. Quality scores were assessed by observation and by interviewing the responsible pharmacists. Data were collected and analyzed by independent t-test and Mann-Whitney U test as appropriate. Results were plotted by histogram and spider chart. Main outcome measure Domain's assessable scores, possible maximum scores, mean and median of measured scores. Results Domain's assessable scores were close to domain's possible maximum scores. This meant that most indicators could be assessed in most pharmacies. The spider chart revealed that measured scores in the personnel, drug inventory and stocking, and patient satisfaction and health promotion domains of chain pharmacies were significantly higher than those of independent pharmacies (p pharmacies and chain pharmacies in the premise and facility or dispensing and patient care domains. Conclusion Quality indicators developed by the Community Pharmacy Association (Thailand) could be used to assess quality of practice in pharmacies in routine settings. It is revealed that the quality scores of chain pharmacies were higher than those of independent pharmacies. PMID:27118461

  1. Education for arthritis patients: a community pharmacy based pilot project

    OpenAIRE

    Petkova VB

    2009-01-01

    There are different kinds of arthritis, widely spread among the population, that make them a clinical problem with social, psychological and economic burden. Different education programs have been developed in order to improve patients’ disease management, medication compliance and from there patients’ quality of life. Objective: To develop and implement a community pharmacy-based educational program for patients with arthritis. Improvements in pain, medication compliance, decrease in general...

  2. Application of Quality Assurance Strategies in Diagnostics and Clinical Support Services in Iranian Hospitals

    OpenAIRE

    Asgar Aghaei Hashjin; Dionne Kringos; Hamid Ravaghi; Jila Manoochehri; Hassan Abolghasem Gorji; Niek Klazinga

    2015-01-01

    Background Iran has a widespread diagnostics and clinical support services (DCSS) network that plays a crucial role in providing diagnostic and clinical support services to both inpatient and outpatient care. However, very little is known on the application of quality assurance (QA) policies in DCSS units. This study explores the extent of application of eleven QA strategies in DCSS units within Iranian hospitals and its association with hospital characteristics. Methods A d...

  3. A Roadmap for Educational Research in Pharmacy

    OpenAIRE

    McLaughlin, Jacqueline E.; Dean, Meredith J.; Mumper, Russell J.; Blouin, Robert A.; Roth, Mary T.

    2013-01-01

    Educational research must play a critical role in informing practice and policy within pharmacy education. Understanding the educational environment and its impact on students, faculty members, and other stakeholders is imperative for improving outcomes and preparing pharmacy students to meet the needs of 21st century health care. To aid in the design and implementation of meaningful educational research within colleges and schools of pharmacy, this roadmap addresses philosophy and educationa...

  4. Medicinal Chemistry and the Pharmacy Curriculum

    OpenAIRE

    Faruk Khan, M.O.; Deimling, Michael J.; Philip, Ashok

    2011-01-01

    The origins and advancements of pharmacy, medicinal chemistry, and drug discovery are interwoven in nature. Medicinal chemistry provides pharmacy students with a thorough understanding of drug mechanisms of action, structure-activity relationships (SAR), acid-base and physicochemical properties, and absorption, distribution, metabolism, excretion, and toxicity (ADMET) profiles. A comprehensive understanding of the chemical basis of drug action equips pharmacy students with the ability to answ...

  5. TEXTBOOK OF FORENSIC PHARMACY: PHARMACEUTICAL JURISPRUDENCE

    OpenAIRE

    B Chourasia; R Chaurasia

    2013-01-01

    This book provides a systematic and comprehensive coverage of the theory as well as the application there of in the field of forensic pharmacy. Every chapter gives the definitions, objectives, and offences under the respective Act. The systematic structure of the book is assigned to cover the major syllabi of forensic pharmacy in 25 chapters and includes all topics of syllabus proposed by AICTE. Largely, it covers the syllabi of diploma, undergraduate and postgraduate courses in pharmacy unde...

  6. Developing patient education in community pharmacy

    OpenAIRE

    Blom, A.T.G.

    2001-01-01

    This thesis deals with the development of patient education in the community pharmacy. The research questions concentrate on the determinants of technicians’ patient education behavior and the effects of a one-year lasting intervention program on the patient education activities in the pharmacy. This summary reports about the research methodology and the results. Research methodology The studied patient education behavior concerned the provision of verbal drug information to pharmacy visitors...

  7. Communication Capacity Building through Pharmacy Practice Simulation

    OpenAIRE

    Fejzic, Jasmina; Barker, Michelle; Hills, Ruth; Priddle, Alannah

    2016-01-01

    Objective. To examine the effectiveness of simulated learning modules (SLMs) encompassing EXcellence in Cultural Experiential Learning and Leadership (EXCELL) core competencies in enhancing pharmacy students’ professional communication skills.

  8. The future of pain pharmacy: driven by need

    Directory of Open Access Journals (Sweden)

    Atkinson TJ

    2016-04-01

    Full Text Available Timothy J Atkinson, Alev H Gulum, William G Forkum Veteran Affairs Tennessee Valley Healthcare System, Murfreesboro, TN, USA Background: Opioid prescribing has increased by ~400% over the past 20 years in the US and has been correlated with dramatic increases in accidental overdose-related deaths. Emerging evidence of serious dose-dependent side effects of opioid analgesics has led to recommendations from multinational pain societies and governments to decrease opioid doses and increase referrals to pain specialists. Demand for pain specialists of all types has increased; however, training programs for health care professionals struggle to satisfy this need. Objective: The purpose of this article is to highlight the role of clinical pharmacy specialists in pain management and to discuss available residency training programs and subspecialties within each program. Methods: We surveyed all eleven accredited pharmacy postgraduate year two (PGY-2 Pain and Palliative Care Residency programs in the US. Program information was derived from interviews with residency directors, current residents, program brochures, and residency Web sites. Data collected included core, elective, and longitudinal rotations, with the time frame dedicated to each experience. Primary practice areas, as well as inpatient vs outpatient focus, were also documented. Additionally, a review of the available literature was completed to determine the areas in greatest need for future pain specialists. Results: Pharmacy pain specialists have been referenced as highly effective additions to interdisciplinary pain management teams. Pharmacists provide expertise in complex pain medication management, which remains the primary focus of most chronic pain encounters. The PGY-2 programs surveyed differ considerably, with the majority providing significant emphasis to either acute pain management or palliative care with brief or limited exposure to chronic pain management. Four of the eleven

  9. Quality evaluation of controlled clinical information service trials.

    OpenAIRE

    Balas, E A; Austin, S. M.; Brown, G.D.; Mitchell, J. A.

    1993-01-01

    Randomized controlled clinical trials are increasingly accepted as tools of computer technology assessment and, therefore, quality evaluation of trials has great theoretical and practical significance. The purpose of this study was to assist the design of evaluation studies and synthesis of published results by developing and validating an easy-to-use quality scoring method. The development of the new scoring system was based on the available quality evaluation methods and the analysis of 19 ...

  10. Decision-Making and Problem-Solving Approaches in Pharmacy Education.

    Science.gov (United States)

    Martin, Lindsay C; Donohoe, Krista L; Holdford, David A

    2016-04-25

    Domain 3 of the Center for the Advancement of Pharmacy Education (CAPE) 2013 Educational Outcomes recommends that pharmacy school curricula prepare students to be better problem solvers, but are silent on the type of problems they should be prepared to solve. We identified five basic approaches to problem solving in the curriculum at a pharmacy school: clinical, ethical, managerial, economic, and legal. These approaches were compared to determine a generic process that could be applied to all pharmacy decisions. Although there were similarities in the approaches, generic problem solving processes may not work for all problems. Successful problem solving requires identification of the problems faced and application of the right approach to the situation. We also advocate that the CAPE Outcomes make explicit the importance of different approaches to problem solving. Future pharmacists will need multiple approaches to problem solving to adapt to the complexity of health care. PMID:27170823

  11. Financial performance of the teaching pharmacies in Isfahan: an economic evaluation

    Science.gov (United States)

    Sabzghabaee, A.M.; Etebari, M.; Sajjadi, H.; Badri, Sh.; Hosseini-Biuki, S.M.; Sheikhaboumasoudi, R.

    2009-01-01

    Teaching pharmacies are amongst the important cornerstones of a healthcare system for drug supplying, pharmacy education and pharmacy practice research. Assessment of the Iranian healthcare system costs shows that after personnel charges, drug outlay is the second expensive factor. This great financial mass requires integral audit and management in order to provide costumers satisfaction in addition to financial viability. Teaching pharmacies are required to realize financial viability as well as providing several educational and drug servicing goals, which makes microeconomic analysis important. The aim of this study was to evaluate the financial performance of the teaching pharmacies affiliated with the Isfahan University of Medical Sciences (with the abrreviated names as: SHM, ISJ, AZH for the confidentialiy of the financial data). This is a descriptive and cross-sectional study done in 2008. The target pharmacies of this study were all the 3 teaching pharmacies affiliated with the Isfahan University of Medical Sciences. The data collecting template was prepared using the standard scientific methods according to the goals of this research The goals also nominated necessary items needed in economic profit evaluation. The data collection template was completed by reference to the teaching pharmacies financial documents and reports, used as a base for calculating the total income and the total costs in 2007-2008 financial year. The difference between these two balances showed the value of profits or loss. The profit/cost ratio was also calculated, using the proportion of the total income to the total costs. The collected data was statistically analyzed using the Excel software (Microsoft 2007). For the financial year 2007-2008, the difference between the total income and the total costs was -831.6 million Rials (excess costs to income) for the SHM pharmacy, + 25.4 billion Rials for the ISJ pharmacy and -429.5 million Rials for the AZH pharmacy. According to our

  12. Factors affecting bargaining outcomes between pharmacies and insurers.

    OpenAIRE

    Brooks, J. M.; Doucette, W; Sorofman, B

    1999-01-01

    OBJECTIVE: To model the bargaining power of pharmacies and insurers in price negotiations and test whether it varies with characteristics of the pharmacy, insurer, and pharmacy market. DATA SOURCES/STUDY SETTING: Data from four sources. Pharmacy/insurer transactions were taken from Medstat's universe of 6.8 million pharmacy claims in their 1994 Marketscan database. Sources Informatics, Inc. supplied a three-digit zip code-level summary database containing pharmacy payments and self-reported c...

  13. Knowledge, Skills, and Resources for Pharmacy Informatics Education

    OpenAIRE

    Fox, Brent I.; Flynn, Allen J.; Fortier, Christopher R.; Clauson, Kevin A.

    2011-01-01

    Pharmacy has an established history of technology use to support business processes. Pharmacy informatics education within doctor of pharmacy programs, however, is inconsistent, despite its inclusion as a requirement in the 2007 Accreditation Council for Pharmacy Education Standards and Guidelines. This manuscript describes pharmacy informatics knowledge and skills that all graduating pharmacy students should possess, conceptualized within the framework of the medication use process. Addition...

  14. Evaluation of radiological service of Dental Clinic, Uberlandia Federal University (MG-Brazil)

    International Nuclear Information System (INIS)

    The management related problems and the quality of dental radiographs of the Radiographic Service of the Dental Clinic, Uberlandia Federal University (MG-Brazil) are evaluated. The results are based on the examinations of 404 dental files from patients atending the Dental Clinic in 1983. Frequency distribution, mean and percentages were computed for the variables studied. (M.A.C.)

  15. Nurse-led sexually transmitted disease clinics: staff perceptions concerning the quality of the service.

    Science.gov (United States)

    Mindel, A; Fennema, J S A; Christie, E; van Leent, E

    2009-11-01

    The aim of this study was to evaluate staff perception of a nurse-led sexually transmitted infection (STI) clinical service. The staff at the Amsterdam STI clinic were interviewed using a standardized questionnaire. A series of eight questions was designed to determine the perceived advantages or disadvantages of nurse-led clinics, based on personal experience, using a Likert scale. After completion of the structured interview, the staff were offered the opportunity of providing comments. All 36 members of staff completed the survey. Twenty-seven (75%) agreed or strongly agreed that nurse-led clinics provided more time with patients. Sixty-four percent agreed or strongly agreed that such a service provided greater confidentiality and 94% agreed or strongly agreed that 'nurse-led clinics provided a high level of job satisfaction for nurses.' In contrast, only 64% agreed or strongly agreed that nurse-led clinics provided a high level of job satisfaction for doctors. When staff comments were evaluated, four common themes emerged. First, that this was an efficient way of providing services; second, that the clinic was a pleasant environment, there was excellent teamwork and greater job satisfaction; third, that a good deal of rivalry existed between doctors and nurses and finally, that there was a need for and importance of protocols, rules and staff training and development. In conclusion, there was a high level of staff satisfaction with the service. Nurse-led STI clinics may be a useful adjunct to existing STI facilities. PMID:19854883

  16. A Comparison of Patient-Centered Care in Pharmacy Curricula in the United States and Europe

    Science.gov (United States)

    Nunes-da-Cunha, Ines; Arguello, Blanca; Martinez, Fernando Martinez

    2016-01-01

    Objective. To compare United States and European Higher Education Area (EHEA) undergraduate pharmacy curricula in terms of patient-centered care courses. Methods. Websites from all pharmacy colleges or schools in the United States and the 41 countries in the EHEA were retrieved from the FIP Official World List of Pharmacy Schools and investigated. A random sample of schools was selected and, based on analyses of course descriptions from syllabi, each course was classified into the following categories: social/behavioral/administrative pharmacy sciences, clinical sciences, experiential, or other/basic sciences. Results. Of 147 schools of pharmacy, 59 were included (23 in US and 36 in the EHEA). Differences existed in the percentages of credits/hours in all of the four subject area categories. Conclusion. Institutions in EHEA countries maintain a greater focus on basic sciences and a lower load of clinical sciences in pharmacy curricula compared to the United States. These differences may not be in accordance with international recommendations to educate future pharmacists focused on patient care. PMID:27402986

  17. Pharmacy Students’ Perceptions of Cultural Competence Encounters During Practice Experiences

    OpenAIRE

    Cooper, Loren-Ashley; Vellurattil, Rosalyn Padiyara; Quiñones-Boex, Ana

    2014-01-01

    Objective. To determine pharmacy students’ perceptions regarding cultural competence training, cross-cultural experiences during advanced pharmacy practice experiences (APPEs), and perceived comfort levels with various cultural encounters.

  18. Professional Organizations for Pharmacy Students on Satellite Campuses.

    Science.gov (United States)

    Scott, Mollie Ashe; McLaughlin, Jacqueline; Shepherd, Greene; Williams, Charlene; Zeeman, Jackie; Joyner, Pamela

    2016-06-25

    Objective. To evaluate the structure and impact of student organizations on pharmacy school satellite campuses. Methods. Primary administrators from satellite campuses received a 20-question electronic survey. Quantitative data analysis was conducted on survey responses. Results. The most common student organizations on satellite campuses were the American Pharmacists Association (APhA) (93.1%), American Society of Health-System Pharmacists (ASHP) (89.7%), Christian Pharmacists Fellowship International (CPFI) (60.0%), state organizations (51.7%), and local organizations (58.6%). Perceived benefits of satellite campus organizations included opportunities for professional development, student engagement, and service. Barriers to success included small enrollment, communication between campuses, finances, and travel. Conclusion. Student organizations were an important component of the educational experience on pharmacy satellite campuses and allowed students to develop professionally and engage with communities. Challenges included campus size, distance between campuses, and communication. PMID:27402981

  19. Business evolution or revolution? Mail-order pharmacies in Germany.

    Science.gov (United States)

    Gersch, Martin

    2004-01-01

    It is an interesting detail of the present reform of national public health service in Germany that mail-order and internet pharmacies will be founded in future as new (e-commerce) business models. Main points of conceivable business systems can be characterised as well as critical success factors. No potential participant can ever have all the necessary resources and competences to implement a competitive business system without external support. This is why cooperation seems to be a useful tool for competence management. The Resource-based View will serve as theoretical background for analysis. The required and available competences of conceivable players can be identified. Features of resources can be described that recommend special types of cooperation with the intention of establishing and operate a business system. Especially German and international pharmaceutical wholesalers can be identified as conceivable "parents" of mail-order pharmacies in the future. PMID:18048201

  20. Clinical and economic outcomes from the UK pilot psychiatric services for personality-disordered offenders.

    Science.gov (United States)

    Fortune, Zoë; Barrett, Barbara; Armstrong, David; Coid, Jeremy; Crawford, Mike; Mudd, David; Rose, Diana; Slade, Mike; Spence, Ruth; Tyrer, Peter; Moran, Paul

    2011-01-01

    Personality-disordered offenders are difficult individuals to manage, and knowledge about effective treatment is sparse. In the UK, novel forensic psychiatric services were recently established for the treatment of offenders with personality disorder. In this paper we report the clinical and economic findings from a 2-year follow-up of a cohort of service users recruited from these services. Baseline information on developmental, clinical and offending histories was obtained from case records. Case records were checked at 6 and 24 months for new episodes of self-harm, violence, alcohol and substance use, and offending behaviour. Ratings of social functioning and therapeutic alliance were obtained from service users at baseline, 6 and 24 months. Fifty-six percent of service users were still engaged with the services at 24-month follow-up. Service users involved in the greatest number of behavioural incidents had greater impairment in baseline social functioning and lower IQ scores. There was no significant change in either therapeutic alliance or social functioning at 6 or 24 months. The economic analysis showed that although the services were predominantly run by the Health Service, there were considerable economic burdens shared by other service providers. Treatment costs at six-month follow-up were also significantly higher. Implications are discussed. PMID:21338300

  1. 英国药学教育制度对我国药学教育发展的启示%Inspiration of UK Pharmacy Education System on the Development of Pharmacy Education in China

    Institute of Scientific and Technical Information of China (English)

    冯荣楷; 孟丽荣; 张晓岚; 张栩恩; 徐嘉豪; 杨嘉淇; 罗嘉琳; 王志敏; 黄倩华; 雷慧

    2012-01-01

    OBJECTIVE: To investigate the inspiration of the UK pharmacy education system on the development of pharmacy education in China. METHODS: The successes and deficiencies of UK pharmacy education system were reviewed and discussed to provide recommendations for the future of pharmacy education in China. RESULTS & CONCLUSIONS: Schools of pharmacy in the UK mainly provide the Master of Pharmacy course approved by the General Pharmaceutical Council, which ensures all pharmacy courses implement the national indicative pharmacy syllabus, mainly using clinical simulation teaching method and objective structured clinical examination. These effectively standardize the high quality pharmacy education to improve the quality of course and student's abilities within the UK. These systems can have positive impact on the Chinese pharmacy education and have high implementation possibility in China.%目的:探讨英国药学教育制度对我国药学教育发展的启示.方法:分析英国药学教育制度的成功之处及其缺点,提出对我国药学教育未来发展的建议.结果与结论:英国药学教育以培训药学硕士为主,其教学内容需遵从英国药物政务局的全国统一指示性药学教学大纲,教学及考试方式以案例教学法和临床能力测验为主,有效地规范了全国的药学教育,使课程的质量和学生能力达到较高水平.这些制度对我国药学教育有正面的参考价值,也有实施的可能性.

  2. The changing face of pharmacy practice and the need for a new model of pharmacy education

    Science.gov (United States)

    Toklu, Hale Zerrin; Hussain, Azhar

    2013-01-01

    Pharmacy profession has evolved from its conventional and traditional drug focused basis to an advanced patient focused basis over the years. In the past century the pharmacists were more involved in compounding and manufacturing of medicines, but this role has significantly reduced over time. This advancement in the role of pharmacist calls for them to be the part of the broader health care team working for providing better health care for the patients, thus contributing in achieving the global millennium development goals. To match up, the role of today's pharmacists needs to be expanded to include pharmaceutical care concepts, making the pharmacist a health care professional rather than a drug seller in a commercial enterprise. Therefore, pharmacy schools should prepare a program that has competence with the changing role of the pharmacist. The education should provide ability for critical thinking, improve problem-solving skills and decision making during pharmacotherapy. The student should be trained to create, transmit, and apply new knowledge based on cutting-edge research in the pharmaceutical, social, and clinical sciences; collaborate with other health professionals and learn to enhance the quality of life through improved health for the people of local society and as well as the global community. PMID:24023452

  3. Drugs: From prescription only to pharmacy only

    OpenAIRE

    Barber, N

    1993-01-01

    The range of medicines available over the pharmacy counter is set to increase. The Medicines Control Agency has revised its procedures to speed up the reclassification from prescription only medicine (POM) status to pharmacy only (P) status. In addition, the Medicines Act has recently been revised to ensure, by five yearly review, that the prescription only status of a medicine continues to be justified.

  4. Online pharmacies: safety and regulatory considerations.

    Science.gov (United States)

    Montoya, Isaac D; Jano, Elda

    2007-01-01

    Sales of consumer products over the Internet have grown rapidly, including sales of pharmaceutical products. Online pharmacies mimic mail order pharmacies. To operate legally online, pharmacies must be licensed in every state in which sales occur. Although online pharmacies provide benefits to consumers, when compared with traditional pharmacies patients' safety may be compromised. Purchasing prescription drugs online may pose a risk to consumers because they cannot tell whether the site is offering drugs of the same quality offered by a retail pharmacy. There is also a possibility that prescription drugs purchased online may be counterfeit, illegal, or unapproved. A U.S. General Accounting Office study conducted in June 2004 showed that most counterfeit and unapproved drugs sold online are from non-U.S. pharmacies. The Food and Drug Administration and other government agencies have worked to enforce laws on drug sales over the Internet. The biggest challenge in regulating non-U.S. pharmacies is due to their off-shore location. Unfortunately, given the widespread anonymous and ever-changing nature of the Internet, it is very difficult to close down illegal websites. PMID:17665724

  5. 21 CFR 1311.200 - Pharmacy responsibilities.

    Science.gov (United States)

    2010-04-01

    ... must determine that the third-party auditor or certification organization has found that the pharmacy... signature, as provided in § 1311.210(c), where applicable. (b) If the third-party auditor or certification... prescription as void. (i) Nothing in this part relieves a pharmacy and pharmacist of the responsibility...

  6. Clinical value of thallium 201 in a cardiology service

    International Nuclear Information System (INIS)

    At present the most widely used element in isotopic cardiology is undoubtedly 201Tl. In the few years since its appearance many publication testify to its growing use in the external detection of coronary thrombosis, the discovery of ischemia exertion, the non-traumatic observation of patients after an aortocoronary bridging operation, the diagnosis of coronary deficiency associated with another heart disease (aorta narrowing, mitral prolapsus, obstructive cardiomyopathy) and in combination with two other radioisotopic methods. The present work is intended as a modest contribution, still very recent, to the critical study of this new technique in all its present aspects. Part one presents the various characteristics responsible for the advantages and limits of 201Tl, then describes the techniques and apparatus used. The production, dosimetry, toxicity and biological behaviour of 201Tl are also discussed. A hundred and twenty-five examinations were performed in the Nuclear Medicine Service of the Limoges UHC between May 1977 and October 1978. The results are analysed in part two. This is followed by a discussion which attempts, in the light of our experience, to situate the place occupied by 201Tl in the range of complementary examinations useful in declared or assumed coronary cases. We then propose an examination procedure and precise indications we believe to be justified, accounting for economic problems before considering the future prospects of myocardium scintigraphy

  7. The impact on nurses and nurse managers of introducing PEPFAR clinical services in urban government clinics in Uganda

    Directory of Open Access Journals (Sweden)

    Kyegombe Nambusi

    2011-03-01

    Full Text Available Abstract Background Improving provider performance is central to strengthening health services in developing countries. Because of critical shortages of physicians, many clinics in sub-Saharan Africa are led by nurses. In addition to clinical skills, nurse managers need practical managerial skills and adequate resources to ensure procurement of essential supplies, quality assurance implementation, and productive work environment. Giving nurses more autonomy in their work empowers them in the workplace and has shown to create positive influence on work attitudes and behaviors. The Infectious Disease Institute, an affiliate of Makerere University College of Health Science, in an effort to expand the needed HIV services in the Ugandan capital, established a community-university partnership with the Ministry of Health to implement an innovative model to build capacity in HIV service delivery. This paper evaluates the impact on the nurses from this innovative program to provide more health care in six nurse managed Kampala City Council (KCC Clinics. Methods A mixed method approach was used. The descriptive study collected key informant interviews from the six nurse managers, and administered a questionnaire to 20 staff nurses between September and December 2009. Key themes were manually identified from the interviews, and the questionnaire data were analyzed using SPSS. Results Introducing new HIV services into six KCC clinics was positive for the nurses. They identified the project as successful because of perceived improved environment, increase in useful in-service training, new competence to manage patients and staff, improved physical infrastructure, provision of more direct patient care, motivation to improve the clinic because the project acted on their suggestions, and involvement in role expansion. All of these helped empower the nurses, improving quality of care and increasing job satisfaction. Conclusions This community-university HIV

  8. Characteristics of ambulatory care clinics and pharmacists in Veterans Affairs medical centers. IMPROVE investigators. Impact of Managed Pharmaceutical Care on Resource Utilization and Outcomes in Veterans Affairs Medical Centers.

    Science.gov (United States)

    Alsuwaidan, S; Malone, D C; Billups, S J; Carter, B L

    1998-01-01

    The type and extent of ambulatory care clinical pharmaceutical services in selected Veterans Affairs medical centers (VAMCs) were studied as part of a larger project. Questionnaires were sent to the 174 VAMCs to determine the extent of clinical pharmacy activity in ambulatory care clinics, characteristics of outpatient pharmacies and clinics, and characteristics of ambulatory care pharmacists in VAMCs and to identify sites for the IMPROVE (Impact of Managed Pharmaceutical Care on Resource Utilization and Outcomes in Veterans Affairs Medical Centers) project. Fifty VAMCs responded to the survey. There were 512 ambulatory care clinics within these VAMCs. There was some pharmacist coverage in 75% of the clinics. The highest pharmacist coverage was in walk-in refill, therapeutic drug monitoring, and anticoagulation clinics. Clinical pharmacists at 68% of the VAMCs had prescribing privileges in ambulatory care clinics. Clinical pharmacists managed 29.9% of the clinics. The types of clinics most commonly managed by pharmacists were therapeutic drug monitoring, anticoagulation, walk-in refill, and lipid clinics. Nurse practitioners or physician assistants also were providing primary care in 41% of the clinics. There were 242 ambulatory care clinical pharmacy specialists practicing in the 50 VAMCs. Of these, 41.3% had three years or less of ambulatory care experience. Most pharmacists were in the clinic five days per week. A Pharm.D. degree was the highest degree obtained for 76.9%. Ambulatory care pharmaceutical services are common in VAMCs and are being provided by numerous clinical pharmacists. PMID:9437478

  9. The Team Education and Adherence Monitoring (TEAM) trial: pharmacy interventions to improve hypertension control in blacks.

    Science.gov (United States)

    Svarstad, Bonnie L; Kotchen, Jane Morley; Shireman, Theresa I; Crawford, Stephanie Y; Palmer, Pamela A; Vivian, Eva M; Brown, Roger L

    2009-05-01

    Recent studies suggest that involving pharmacists is an effective strategy for improving patient adherence and blood pressure (BP) control. To date, few controlled studies have tested the cost-effectiveness of specific models for improving patient adherence and BP control in community pharmacies, where most Americans obtain prescriptions. We hypothesized that a team model of adherence monitoring and intervention in corporately owned community pharmacies can improve patient adherence, prescribing, and BP control among hypertensive black patients. The Team Education and Adherence Monitoring (TEAM) Trial is a randomized controlled trial testing a multistep intervention for improving adherence monitoring and intervention in 28 corporately owned community pharmacies. Patients in the 14 control pharmacies received "usual care," and patients in the 14 intervention pharmacies received TEAM Care by trained pharmacists and pharmacy technicians working with patients and physicians. Data collectors screened 1250 patients and enrolled 597 hypertensive black patients. The primary end points were the proportion of patients achieving BP control and reductions in systolic and diastolic BP measured after 6 and 12 months. Secondary end points were changes in adherence monitoring and intervention, patient adherence and barriers to adherence, prescribing, and cost-effectiveness. Researchers also will examine potential covariates and barriers to change. Involving pharmacists is a potentially powerful means of improving BP control in blacks. Pharmacists are in an excellent position to monitor patients between clinic visits and to provide useful information to patients and physicians. PMID:20031847

  10. Causes and consequences of e-prescribing errors in community pharmacies

    Directory of Open Access Journals (Sweden)

    Abramson EL

    2015-05-01

    Full Text Available Erika L Abramson Departments of Pediatrics and Healthcare Policy and Research, Weill Cornell Medical College, New York, NY, USA Abstract: Major national policy forces are promoting the adoption and use of health information technology (health IT to improve the quality, safety, and efficiency of health care delivery. One such health IT is electronic prescribing (e-prescribing, which is the direct transmission of prescription information from a provider to a pharmacy. Given research showing that handwritten prescriptions are unsafe and associated errors can lead to tremendous inefficiency for patients and pharmacists, e-prescribing has many potential benefits. However, as with the introduction of any new technology, unintended, adverse consequences may result. The purpose of this review is to explore the causes and consequences of e-prescribing errors in community pharmacies, which are pharmacies not affiliated with a hospital or clinic. Many new types of errors – including provider order entry errors, transcription errors, and dispensing errors – appear to result from e-prescribing. These lead to important consequences for pharmacies, including safety threats to patients, reduced efficiency for pharmacists, processing delays, and increased pharmacy cost. Increased attention to system design and pharmacist training, as well as additional research in this area, will be critical to realize the full benefits of e-prescribing. Keywords: electronic prescribing, medication errors, community pharmacies 

  11. Clinical information system services and capabilities desired for scalable, standards-based, service-oriented decision support: consensus assessment of the Health Level 7 clinical decision support Work Group.

    Science.gov (United States)

    Kawamoto, Kensaku; Jacobs, Jason; Welch, Brandon M; Huser, Vojtech; Paterno, Marilyn D; Del Fiol, Guilherme; Shields, David; Strasberg, Howard R; Haug, Peter J; Liu, Zhijing; Jenders, Robert A; Rowed, David W; Chertcoff, Daryl; Fehre, Karsten; Adlassnig, Klaus-Peter; Curtis, A Clayton

    2012-01-01

    A standards-based, service-oriented architecture for clinical decision support (CDS) has the potential to significantly enhance CDS scalability and robustness. To enable such a CDS architecture, the Health Level 7 CDS Work Group reviewed the literature, hosted multi-stakeholder discussions, and consulted domain experts to identify and prioritize the services and capabilities required from clinical information systems (CISs) to enable service-oriented CDS. In addition, relevant available standards were identified. Through this process, ten CIS services and eight CIS capabilities were identified as being important for enabling scalable, service-oriented CDS. In particular, through a survey of 46 domain experts, five services and capabilities were identified as being especially critical: 1) the use of standard information models and terminologies; 2) the ability to leverage a Decision Support Service (DSS); 3) support for a clinical data query service; 4) support for an event subscription and notification service; and 5) support for a user communication service. PMID:23304315

  12. Formalize clinical processes into electronic health information systems: Modelling a screening service for diabetic retinopathy.

    Science.gov (United States)

    Eguzkiza, Aitor; Trigo, Jesús Daniel; Martínez-Espronceda, Miguel; Serrano, Luis; Andonegui, José

    2015-08-01

    Most healthcare services use information and communication technologies to reduce and redistribute the workload associated with follow-up of chronic conditions. However, the lack of normalization of the information handled in and exchanged between such services hinders the scalability and extendibility. The use of medical standards for modelling and exchanging information, especially dual-model based approaches, can enhance the features of screening services. Hence, the approach of this paper is twofold. First, this article presents a generic methodology to model patient-centered clinical processes. Second, a proof of concept of the proposed methodology was conducted within the diabetic retinopathy (DR) screening service of the Health Service of Navarre (Spain) in compliance with a specific dual-model norm (openEHR). As a result, a set of elements required for deploying a model-driven DR screening service has been established, namely: clinical concepts, archetypes, termsets, templates, guideline definition rules, and user interface definitions. This model fosters reusability, because those elements are available to be downloaded and integrated in any healthcare service, and interoperability, since from then on such services can share information seamlessly. PMID:26049092

  13. Evaluation of a Clinical Service Model for Dysphagia Assessment via Telerehabilitation

    Directory of Open Access Journals (Sweden)

    Elizabeth C. Ward

    2013-01-01

    employed to examine the outcomes of a weekly dysphagia assessment clinic conducted via telerehabilitation and examine issues relating to service delivery and user perceptions. Data was collected across a total of 100 patient assessments. Information relating to primary patient outcomes, session statistics, patient perceptions, and clinician perceptions was examined. Results revealed that session durations averaged 45 minutes, there was minimal technical difficulty experienced, and clinical decisions made regarding primary patient outcomes were comparable between the online and face to face clinicians. Patient satisfaction was high and clinicians felt that they developed good rapport, found the system easy to use, and were satisfied with the service in over 90% of the assessments conducted. Key factors relating to screening patient suitability, having good general organization, and skilled staff were identified as facilitators for the service. This trial has highlighted important issues for consideration when planning or implementing a telerehabilitation service for dysphagia management.

  14. The need for redesigned pharmacy practice courses in Pakistan: the perspectives of senior pharmacy students

    Directory of Open Access Journals (Sweden)

    Muhammad Umair Khan

    2015-06-01

    Full Text Available Purpose: In Pakistan, courses in pharmacy practice, which are an essential component of the PharmD curriculum, were launched with the aim of strengthening pharmacy practice overall and enabling pharmacy students to cope with the challenges involved in meeting real-world healthcare needs. Since very little research has assessed the efficacy of such courses, we aimed to evaluate students’ perceptions of pharmacy practice courses and their opinions about whether their current knowledge of the topics covered in pharmacy practice courses is adequate for future practice. Methods: A cross-sectional study was conducted over two months among the senior pharmacy students of two pharmacy colleges. A content- and face-validated questionnaire was used to collect data, which were then analysed using SPSS version 20. Descriptive analysis and logistic regression were performed. Results: Research in pharmacy practice (30.2%, applied drug information (34.4%, health policy (38.1%, public health and epidemiology (39.5%, pharmacovigilance (45.6%, and pharmacoeconomics (47.9% were the major courses that were covered to the least extent in the PharmD curriculum. However, hospital pharmacy practice (94.4%, pharmacotherapeutics (88.8%, and community pharmacy practice (82.8% were covered well. Although 94% of students considered these courses important, only 37.2% considered themselves to be competent in the corresponding topics. Of the participants, 87.9% agreed that the pharmacy courses in the present curriculum should be redesigned. Conclusion: Our results showed that the pharmacy practice courses in the current PharmD curriculum do not encompass some important core subjects. A nationwide study is warranted to further establish the necessity for remodelling pharmacy practice courses in Pakistan.

  15. Integrating Viral Hepatitis Prevention Services into an Urban STD Clinic: Denver, Colorado

    OpenAIRE

    Subiadur, Julie; Harris, Jennie L.; Rietmeijer, Cornelis A.

    2007-01-01

    The Centers for Disease Control and Prevention recommends integrating viral hepatitis prevention services with services for adults evaluated for sexually transmitted diseases (STDs). The Denver Public Health STD clinic began hepatitis B vaccination in 1999, hepatitis C virus (HCV) antibody (anti-HCV) testing in 2000, and hepatitis A vaccination in 2002. Rapid human immunodeficiency virus (HIV) testing began in late 2004. Hepatitis B vaccinations peaked in 2003 (31/100 client visits) when a fu...

  16. Determination of the acceptable MPEG-4 quality for clinical real-time tele-echocardiography services

    OpenAIRE

    Andrea Giordano; Fabio Comazzi; Francesco Scapellato; Ermanno Eleuteri; Pantaleo Giannuzzi; Giuseppe Minuco

    2009-01-01

    The characteristics of Moving Picture experts Group (MPEG-4) video compression, in particular its adaptability to narrowband channels and the elevated degree of compression obtainable, make it of interest for services of telemedicine that require instantaneous video transmission and interpretation. In this study we faced the problem of the minimum quality of service (QoS) in specific applications of tele-echocardiography (T-E). In the specifics we evaluated the clinical adequacy of MpEG-4 com...

  17. 基于六西格玛理论优化我院静脉用药调配中心的工作流程%Optimization of the workflow of pharmacy intravenous admixture service center based on the six Sigma theory

    Institute of Scientific and Technical Information of China (English)

    郝春凤; 杨跃辉; 菅凌燕

    2012-01-01

    Objective Based on the six Sigma theory, to optimize the workflow of pharmacy intravenous admixture service center and improve the work efficiency. Method According to the five-step method of six Sigma theory ( DMAIC ) , we determine the non-effective factors and implement the improved measures. Result During the whole processes, we finally determined and revised three kinds of no-effective factors, including how to arrange personnel, distribute the different work and adjust the hospital electronic information system. Conclusion The six Sigma theory significantly improves the work efficiency of pharmacy intravenous admixture service center, and the whole workflow is tended to be standardized and normalized.%目的 基于六西格玛理论,优化静脉用药调配中心工作流程,提高工作效率.方法 依据六西格玛五步法(DMAIC),界定并测量非增效因素,制定有针对性的改进措施并严格执行.结果 在整个优化工作流程过程中,共界定并改进了3种主要的非增效因素,包括人员的安排、工作的分配、医院电子信息化系统的设置.结论 采用六西格玛管理方法,可极大地提高静脉用药调配中心的工作效率,使工作流程更趋于标准化和规范化.

  18. 21 CFR 1301.19 - Special requirements for online pharmacies.

    Science.gov (United States)

    2010-04-01

    ... by means of the Internet as an online pharmacy (but continue its business activity as a non-online... 21 Food and Drugs 9 2010-04-01 2010-04-01 false Special requirements for online pharmacies. 1301... Special requirements for online pharmacies. (a) A pharmacy that has been issued a registration...

  19. Planning a pharmacy-led medical mission trip, part 2: servant leadership and team dynamics.

    Science.gov (United States)

    Brown, Dana A; Brown, Daniel L; Yocum, Christine K

    2012-06-01

    While pharmacy curricula can prepare students for the cognitive domains of pharmacy practice, mastery of the affective aspects can prove to be more challenging. At the Gregory School of Pharmacy, medical mission trips have been highly effective means of impacting student attitudes and beliefs. Specifically, these trips have led to transformational changes in student leadership capacity, turning an act of service into an act of influence. Additionally, building team unity is invaluable to the overall effectiveness of the trip. Pre-trip preparation for teams includes activities such as routine team meetings, team-building activities, and implementation of committees, as a means of promoting positive team dynamics. While in the field, team dynamics can be fostered through activities such as daily debriefing sessions, team disclosure times, and provision of medical services. PMID:22619473

  20. Health literacy in the pharmacy setting: defining pharmacotherapy literacy

    Directory of Open Access Journals (Sweden)

    King SR

    2011-12-01

    Full Text Available Objective: All currently available definitions of health literacy may be considered quite general. Given the complex nature of the patient-pharmacy encounter and the varying tasks required to properly and successfully consume or administer medication or to adhere to a pharmaceutical care regimen, these available definitions may describe inadequately a patient’s health literacy for the purpose of pharmacotherapy and pharmacist intervention. Therefore, the objective of this research was to conceptualize the Pharmacotherapy Literacy construct.Methods: Licensed pharmacists (n=2,368 were mailed a questionnaire providing them with the Healthy People 2010 definition of health literacy and asked, “Given this definition, how would you define Pharmacotherapy Literacy?” A total of 420 usable surveys were returned of which 176 (42% included responses to the open-ended question concerning pharmacotherapy literacy. Responses were reviewed independently and collectively by the authors. Common themes were identified, compared and discussed until consensus was reached. An initial definition was formulated and distributed to six doctoral-trained academicians and practicing pharmacists who were asked to offer their opinions of the definition as well as suggestions for its improvement. The definition was modified and subjected to further review from 15 additional doctoral-trained academicians and practicing pharmacists who provided feedback concerning its improvement.Results: Based on the recommendations received from the academicians and pharmacists, the following, definition was formulated by the authors: Pharmacotherapy Literacy – An individual’s capacity to obtain, evaluate, calculate, and comprehend basic information about pharmacotherapy and pharmacy related services necessary to make appropriate medication-related decisions, regardless of the mode of content delivery (e.g. written, oral, visual images and symbols.Conclusions: As the ever

  1. Role of community pharmacies in relation to HIV prevention and drug misuse: findings from the 1995 national survey in England and Wales.

    OpenAIRE

    Sheridan, J.; Strang, J.; Barber, N; Glanz, A

    1996-01-01

    Objectives: To establish activity levels of community (high street) pharmacies in the provision of HIV prevention services to drug misusers and to compare these findings with the levels identified in 1988. Design: Self completion questionnaire (four mailings) to a random 1 in 4 sample of all community pharmacies, stratified by family health services authority. Setting: England and Wales. Subjects: Data provided by pharmacist in charge of the dispensary, on service provision at the...

  2. Academic Success and Initial Labor Market Outcomes for Pharmacy Graduates

    Directory of Open Access Journals (Sweden)

    Sean Murphy, Ph.D.

    2011-01-01

    Full Text Available Purpose: This study examines the relationship between academic success and labor market outcomes among graduating pharmacy students. Unlike previous studies, this paper characterizes labor market outcome not only as an individual’s starting salary, but also whether or not the student had a position secured at the time of graduation, whether or not a signing bonus was received, and the setting in which (she will practice. Methods: A standard exit survey was administered to graduating Doctor of Pharmacy students at a Midwestern, public university within two weeks of graduation. The relationship between academic success and initial labor market outcome was assessed using cross-tabulations, chi-square and Fisher exact tests. Results: There were no significant relationships between grade point averages and signing bonuses, starting salaries or employment offers. Students with higher grade point averages were less likely to work in chain community pharmacies, and more likely to work in a hospital or other health-system setting. Conclusions: The relationships between academic and direct measures of labor market outcomes (salary and bonuses were not necessarily positive, as standard economic theory predicts. Rather, the relationship is indirect, as it appears that students with greater academic success obtained employment in more clinical settings, which carry a different mix of pecuniary and non-pecuniary benefits. Keywords: grade point average, exit survey, labor market outcome

  3. Nuclear pharmacy certificate program: distance learning

    International Nuclear Information System (INIS)

    The Nuclear Pharmacy Certificate Program (NPCP) was developed to meet the need for licensed pharmacists wishing to change career paths and enter the practice of nuclear pharmacy. Additionally, the NPCP benefits employers that wish to employ a nuclear pharmacist in lieu of waiting for graduates that are available only at one time yearly from a college of pharmacy. The NPCP is not intended to replace traditional nuclear pharmacy education in academic institutions, but to offer an another option to pharmacists and potential employers. The NPCP is divided into two components. One component involves over 130 hours of instruction through videotapes and accompanying workbooks. This component is completed while working in a nuclear pharmacy and with the assistance of a nuclear pharmacist serving as a supervisor. The nuclear pharmacist is available to answer questions and to administer examinations over the videotape material. Examinations are prepared by Purdue faculty and returned for grading. Scores on exams must reflect learning to the same degree as in an academic environment. In the second component of the NPCP, the trainee attends a two-week session in the School of Pharmacy at Purdue University. the trainee must complete a significant portion of the videotape material before the on-campus session. In the on-campus component, videotape material is reinforced and expanded by laboratory exercises and lectures in dedicated, fully-equipped laboratories employed in the School of Pharmacy undergraduate program in nuclear pharmacy. Nuclear pharmacy faculty and consultants provide individualized instruction to each trainee. Assimilation of lecture and laboratory material is determined through several examinations. A comprehensive examination is administered which includes content from the videotape-workbook component of the NPCP. Certification is awarded to trainees who have completed the program and demonstrated their knowledge and competence by examination. Almost 200

  4. Pharmacy student driven detection of adverse drug reactions in the community pharmacy setting

    DEFF Research Database (Denmark)

    Christensen, Søren Troels; Søndergaard, Birthe; Honoré, Per Hartvig;

    2011-01-01

    of pharmacists in ADR reporting, although varies significantly among countries. Pharmacists in community pharmacies are in a unique position for detection of experienced ADRs by the drug users. The study reports from a study on community pharmacy internship students' proactive role in ADR detection through...... direct encountering and questioning with drug users. METHOD: Pharmacy students undertaking internship in a community pharmacy were approached. Thirteen students from nine community pharmacies participated in the project as data collectors. Prior to the study students attended an educational seminar...... focusing on ADR detection and reporting in general. Ibuprofen was chosen as the drug of study. Pharmacy students approached recurrent drug users purchasing the drug. Participating users were asked about experienced ADRs linked to ibuprofen use. Reported ADRs were collected and analysed. RESULTS: Hundred...

  5. A Graduate Program in Institutional Pharmacy Management Leading to an MS in Hospital Pharmacy, MBA and Residency.

    Science.gov (United States)

    Blair, Jan N.; Lipman, Arthur G.

    1981-01-01

    A combined program leading to the MS in Hospital Pharmacy, MBA, and Certificate of Residency in Hospital Pharmacy established at the University of Utah in 1978 is described. The program provides coursework in both hospital pharmacy and management plus practical experience in hospital pharmacy practice management. (Author/MLW)

  6. Role of Leadership and Employee Engagement towards Individual Performance of Pharmacy Employees

    Directory of Open Access Journals (Sweden)

    Susi A. Rahayu

    2012-09-01

    Full Text Available Employees dissatisfaction to the head of the hospital pharmacy will decrease employees performance and unsatisfied customers. To solve the problems, employees should be based on performance as customer expectations in providing services. One of the ways to improve the performance of the employees, they must feel engage to the work. One of the factors to improve employee engagement is the leadership factor. Therefore, it is necessary to study the impact of leadership on individual performance employee in hospital pharmacy and also the influence of employee engagement as a mediator. A total of 79 employees from the pharmacy in two private hospitals in Bandung became the participants. This study used the technique of partial least squares to test the hypothesized relationships. The results showed that there were significant between leadership to employee engagement (t value (12,84 > t-table (1.64, the significance of employee engagement on individual performance (t value (3.83 > t-table (1.64. In contrast, there was no influence and significance in leadership on individual performance (t value (0.45 < t-table (1.64. Employee engagement fully mediated the relationship between leadership and individual performance. Therefore, improving pharmacy services is a set of actions and involvement of pharmacy employees who are consistent, sustainable and clear.

  7. 从门诊药房咨询投诉记录探讨如何提高门诊药房服务质量%From the Outpatient Pharmacy Counseling Complaints Record, the Discussion on How to Improve the Quality of Outpatient Pharmacy Service

    Institute of Scientific and Technical Information of China (English)

    陈熙慧

    2013-01-01

    Objective To improve the hospital outpatient pharmacy service quality, reduce the error, reduce the complaint, avoid disputes, do patients satisfaction, satisfy the crowd. Methods The outpatient pharmacy counseling window 1 years of consulting complaints registration content, classified the same classification for frequency statistics, calculation of each consulting complaints 1 year overall record percentage, analysis, and find out the reason for complaint consulting solutions, to reduce error and improve the service quality of outpatient pharmacy. Results The content of consulting the share of the top is the health care keeping in good health class accounted for 41%, followed by chronic disease choose drug class accounts for 37.9%, other medical related class accounted for 21.1%. The complaint content, service attitude class accounts for 77.8%, error class accounts for 16.7%, 5.5%. Conclusion Strengthen the pharmacy drug management, pay attention to outpatient pharmacy counseling window, improve service attitude, optimize the service process, and improve the pharmacy personnel quality is effectively reduce error and improve the service quality, set up the hospital image of the effective measures.%  目的 提升医院门诊药房服务质量,减少差错,降低投诉,避免纠纷,做到患者满意,群众满意。方法 对门诊药房咨询窗口1年的咨询投诉登记内容进行分类归纳,对相同分类进行次数统计,计算每类咨询投诉占1年整体记录的百分比,分析咨询投诉原因,找出解决措施,以降低差错,提高门诊药房的服务质量。结果 咨询内容占有率排名最前的是保健养生类占41%,其次是

  8. Impact of Utilizing Pharmacy Students as Workforce for Hawai‘i Asthma Friendly Pharmacy Project

    OpenAIRE

    Ma, Carolyn S; Nett, Blythe; Kishaba, Gregg; Gomez, Lara

    2015-01-01

    A partnership was formed between the University of Hawai‘i at Hilo Daniel K. Inouye College of Pharmacy (DKICP) and the Department of Health to carry out the Hawai‘i Asthma Friendly Pharmacy Project (HAFPP), which utilizes pharmacy students as a workforce to administer Asthma Control Tests™ (ACT), and provide Asthma Action Plans (AAP) and inhaler technique education. Evaluation of data from a pilot project in 2008 with first and second year students prompted more intensive training in therape...

  9. A STUDY TO EVALUATE THE PERCEPTION OF PHARMACY STUDENT’S TOWARDS THE PHARMACY PROFESSION

    OpenAIRE

    Yogesh Joshi

    2011-01-01

    The quality of education offered by Pharmacy institutions in the country varies widely. There are only a few institutions which maintain internationally recognized standard. A survey was conducted on the one hundred and twenty four (124) undergraduate Pharmacy students to determine their awareness and inclination towards Pharmacy as a career choice. Students were evaluated for the perception on their education and to share ideas for its improvement. A questionnaire survey that explored their ...

  10. Exploring the intentions of pharmacy students towards pharmacy ownership by using theory of planned behaviour

    OpenAIRE

    KHAN, Muhammad Umair; Ahmad, Akram; Fayyaz, Muhammad; Ashraf, Nida; Bhagavathula, Akshaya

    2016-01-01

    Objective The objective of this study was to assess the association of the constructs of theory of planned behaviour (behavioural beliefs, normative beliefs, control beliefs) and demographic variables with the intentions of pharmacy students to become pharmacy owner. Methods A cross sectional study was conducted between October and November, 2014, using a pretested, self-administered questionnaire delivered to a sample of 350 pharmacy students at a private university of Pakistan. Behavioural ...

  11. Consumer behaviour of pharmacy customers : Choice of pharmacy and over-the-counter medicines

    OpenAIRE

    Boström, Katarina

    2011-01-01

    With this research the author aims to explore factors influencing the behaviour of pharmacy customers. The research strives to answer how consumers choose in which pharmacy to run their errands and how they choose between similarly priced generic over-the-counter (OTC) medicines. The focus is on OTC medicines since they are available without prescription and are subject to public advertising. The quantitative research was conducted during fall 2011, mainly in four pharmacies in the Helsinki r...

  12. A STUDY TO EVALUATE THE PERCEPTION OF PHARMACY STUDENT’S TOWARDS THE PHARMACY PROFESSION

    Directory of Open Access Journals (Sweden)

    Yogesh Joshi

    2011-12-01

    Full Text Available The quality of education offered by Pharmacy institutions in the country varies widely. There are only a few institutions which maintain internationally recognized standard. A survey was conducted on the one hundred and twenty four (124 undergraduate Pharmacy students to determine their awareness and inclination towards Pharmacy as a career choice. Students were evaluated for the perception on their education and to share ideas for its improvement. A questionnaire survey that explored their attitudes and views towards the Pharmacy profession was chosen for this study. Based on the evaluated data from questionnaire, the student’s perception towards Pharmacy education was seems to be very poor and survey also revealed poor inclination towards pharmacy as a profession. Student’s perception on scope and contribution was found to be unsatisfactory. Student’s learning tools, teaching methods and evaluation system were found unexpressive to the pharmacy students. Therefore, there is a need to change such a wrong perception and poor inclination from the minds of pharmacy students by providing professionalism through some educative seminars or programmes, or by including some education promotive, scope oriented and professional communicating subjects in course curriculum of Pharmacy education.

  13. Psychiatric Diagnoses and Clinical Characteristics of Asian American Youth in Children's Services

    Science.gov (United States)

    Nguyen, Ly; Arganza, Girlyn F.; Huang, Larke N.; Liao, Qinghong; Nguyen, Hoang T.; Santiago, Rolando

    2004-01-01

    This study examined the psychiatric diagnoses and clinical characteristics of the 981 Asian American children enrolled in the first phase of the Comprehensive Community Mental Health Services for Children and Their Families Program. Asian Americans were less likely than non-Asian Americans to receive diagnoses of depression and ADHD and more…

  14. Improving patient access to videofluoroscopy services: Role of the practitioner-led clinic

    Energy Technology Data Exchange (ETDEWEB)

    Newman, Roger D., E-mail: Roger.Newman@lthtr.nhs.uk [Dept. of Speech and Language Therapy, Lancashire Teaching Hospitals, Sharoe Green lane, Fulwood, Preston PR2 9HT (United Kingdom); University of Salford (United Kingdom); Nightingale, Julie [University of Salford (United Kingdom)

    2011-11-15

    Quality Issue: Although costly and time consuming, videofluoroscopic swallowing (VFS) examinations are the gold standard for imaging of oro-pharyngeal dysphagia, and demand is likely to increase with an ageing population. Traditional radiologist-led VFS services in the UK are gradually being replaced by practitioner-led clinics undertaken jointly by speech and language therapists and radiographers. This article explores the impact on patient access of a practitioner-led VFS clinic at a large teaching hospital. Initial Assessment: Specific information pertaining to VFS patient waiting times and service quality was collected for a twelve month period both pre- and post-clinic formation. Choice of Solution: Additional capacity was achieved with the introduction of the practitioner-led clinic, with overall patient access improving by 111%. Mean waiting times for in-patients reduced by 75%, many of whom had the procedure on the same day as referral, with out-patients waiting times reducing by 62.5%. Evaluation: The data demonstrates that patient access and report turnaround times are significantly improved, with no adverse effects as measured by inadequate studies, incorrect reports, complaints and documented radiation dose levels. Lessons Learnt: Practitioner-led VFS services can be recommended as a safe and efficient method of improving service provision.

  15. Improving patient access to videofluoroscopy services: Role of the practitioner-led clinic

    International Nuclear Information System (INIS)

    Quality Issue: Although costly and time consuming, videofluoroscopic swallowing (VFS) examinations are the gold standard for imaging of oro-pharyngeal dysphagia, and demand is likely to increase with an ageing population. Traditional radiologist-led VFS services in the UK are gradually being replaced by practitioner-led clinics undertaken jointly by speech and language therapists and radiographers. This article explores the impact on patient access of a practitioner-led VFS clinic at a large teaching hospital. Initial Assessment: Specific information pertaining to VFS patient waiting times and service quality was collected for a twelve month period both pre- and post-clinic formation. Choice of Solution: Additional capacity was achieved with the introduction of the practitioner-led clinic, with overall patient access improving by 111%. Mean waiting times for in-patients reduced by 75%, many of whom had the procedure on the same day as referral, with out-patients waiting times reducing by 62.5%. Evaluation: The data demonstrates that patient access and report turnaround times are significantly improved, with no adverse effects as measured by inadequate studies, incorrect reports, complaints and documented radiation dose levels. Lessons Learnt: Practitioner-led VFS services can be recommended as a safe and efficient method of improving service provision.

  16. Clinical decision support for whole genome sequence information leveraging a service-oriented architecture: a prototype.

    Science.gov (United States)

    Welch, Brandon M; Rodriguez-Loya, Salvador; Eilbeck, Karen; Kawamoto, Kensaku

    2014-01-01

    Whole genome sequence (WGS) information could soon be routinely available to clinicians to support the personalized care of their patients. At such time, clinical decision support (CDS) integrated into the clinical workflow will likely be necessary to support genome-guided clinical care. Nevertheless, developing CDS capabilities for WGS information presents many unique challenges that need to be overcome for such approaches to be effective. In this manuscript, we describe the development of a prototype CDS system that is capable of providing genome-guided CDS at the point of care and within the clinical workflow. To demonstrate the functionality of this prototype, we implemented a clinical scenario of a hypothetical patient at high risk for Lynch Syndrome based on his genomic information. We demonstrate that this system can effectively use service-oriented architecture principles and standards-based components to deliver point of care CDS for WGS information in real-time. PMID:25954430

  17. Improving patient experience in a pediatric ambulatory clinic: a mixed method appraisal of service delivery

    Directory of Open Access Journals (Sweden)

    Soeteman M

    2015-03-01

    Full Text Available Marijn Soeteman,1 Vera Peters,2 Jamiu O Busari1,3 1Department of Pediatrics, Atrium Medical Center, Heerlen, 2Faculty of Health, Medicine and Life Sciences, 3Department of Educational Development and Research, Faculty of Health, Medicine and Life Sciences, University of Maastricht, Maastricht, the Netherlands Objective: In 2013, customer satisfaction surveys showed that patients were unhappy with the services provided at our ambulatory clinic. In response, we performed an appraisal of our services, which resulted in the development of a strategy to reduce waiting time and improve quality of service. Infrastructural changes to our clinic’s waiting room, consultation rooms, and back offices were performed, and schedules were redesigned to reduce wait time to 10 minutes and increase consultation time to 20 minutes. Our objective was to identify if this would improve 1 accessibility to caregivers and 2 quality of service and available amenities. Design: We conducted a multi-method survey using 1 a patient flow analysis to analyze the flow of service and understand the impact of our interventions on patient flow and 2 specially designed questionnaires to investigate patients’ perceptions of our wait time and how to improve our services. Results: The results showed that 79% of our respondents were called in to see a doctor within 20 minutes upon arrival. More patients (55% felt that 10–20 minutes was an acceptable wait time. We also observed a perceived increase in satisfaction with wait time (94%. Finally, a large number of patients (97% were satisfied with the quality of service and with the accessibility to caregivers (94%. Conclusion: The majority of our patients were satisfied with the accessibility to our ambulatory clinics and with the quality of services provided. The appraisal of our operational processes using a patient flow analysis also demonstrated how this strategy could effectively be applied to investigate and improve quality of

  18. Reregulation of the Swedish pharmacy sector

    DEFF Research Database (Denmark)

    Wisell, Kristin; Winblad, Ulrika; Sporrong, Sofia Kälvemark

    2015-01-01

    In 2009, a reregulation of the Swedish pharmacy sector took place, and a fundamental change in ownership and structure followed. The reregulation provides an opportunity to reveal the politicians' views on pharmacies. The aim of this study was to explore and analyze the political arguments...... for the reregulation of the Swedish pharmacy sector in 2009. The method used was a qualitative content analysis of written political documents regarding the reregulation. The primary rationales for the reregulation were better availability, efficiency, price pressure, and safe usage of medicines. During...... are better equipped to perform public activities. The results point to that the reform was done almost solely in order to introduce private ownership in the pharmacy sector, and was not initiated in order to solve any general problems, or to enhance patient outcomes of medicine use....

  19. Communication Capacity Building through Pharmacy Practice Simulation.

    Science.gov (United States)

    Fejzic, Jasmina; Barker, Michelle; Hills, Ruth; Priddle, Alannah

    2016-03-25

    Objective. To examine the effectiveness of simulated learning modules (SLMs) encompassing EXcellence in Cultural Experiential Learning and Leadership (EXCELL) core competencies in enhancing pharmacy students' professional communication skills. Methods. Students completed three hours of preparatory lectures and eight hours of workshops comprising six SLMs themed around pharmacy practice and pharmacy placements. Each SLM comprised role-plays with actors, facilitation using EXCELL Social Interaction Maps (SIMs), and debriefing. Evaluations of SLMs included quantitative and qualitative survey responses collected before, during and after workshops, and after placements. Facilitators reflected on SLMs as a pedagogic modality. Results. Student feedback was positive about SLMs as an effective learning tool. The majority indicated areas of new learning and found SLMs enhanced their professional skills and confidence. Facilitator feedback was positive, and suggested SLM optimization strategies. Conclusion. Student and teaching team recommendations will inform future curriculum development including the optimization of SLMs in pharmacy education. PMID:27073281

  20. Future methods in pharmacy practice research.

    Science.gov (United States)

    Almarsdottir, A B; Babar, Z U D

    2016-06-01

    This article describes the current and future practice of pharmacy scenario underpinning and guiding this research and then suggests future directions and strategies for such research. First, it sets the scene by discussing the key drivers which could influence the change in pharmacy practice research. These are demographics, technology and professional standards. Second, deriving from this, it seeks to predict and forecast the future shifts in use of methodologies. Third, new research areas and availability of data impacting on future methods are discussed. These include the impact of aging information technology users on healthcare, understanding and responding to cultural and social disparities, implementing multidisciplinary initiatives to improve health care, medicines optimization and predictive risk analysis, and pharmacy as business and health care institution. Finally, implications of the trends for pharmacy practice research methods are discussed. PMID:27209486

  1. Pharmacoeconomic Education in Egyptian Schools of Pharmacy

    OpenAIRE

    Soliman, Ahmed M.; Hussein, Mustafa; Abdulhalim, Abdulla M.

    2013-01-01

    Objective. To investigate the status of pharmacoeconomics education in Egyptian schools of pharmacy and compile and construct recommendations on how Egypt and similar countries could improve their educational infrastructure in pharmacoeconomics.

  2. Physician satisfaction with hospital clinical laboratory services in Aden Governorate, Yemen, 2009.

    Science.gov (United States)

    Adulkader, N Mujahed; Triana, B E Garcia

    2013-06-01

    To evaluate the level of physicians' satisfaction with hospital clinical laboratory services and related factors in Aden Governorate, we carried out this cross-sectional study during September 2008-September 2009. Satisfaction with laboratory services of 3 public and 3 private hospitals was assessed. The overall physician satisfaction was 3.30 out of 5.00. The highest mean score (3.40) was observed for phlebotomy services, while the lowest mean score (1.95) was for esoteric test turnaround time. The most important laboratory service category forthe physicians was quality and reliability of the results (54.4%). An association was observed between physician satisfaction and institution type in 11 categories, with lower satisfaction for public compared to private institutions for all services. No statistically significant association was observed between physician satisfaction and experience in the field. Lower satisfaction was observed among those with more than 20 years experience. Our findings may help to improve the quality of clinical laboratory services. PMID:24975185

  3. Succession Planning in US Pharmacy Schools

    OpenAIRE

    Van Amburgh, Jenny; Surratt, Christopher K.; Green, James S; Gallucci, Randle M; Colbert, James; Zatopek, Shara L.; Blouin, Robert A.

    2010-01-01

    The deans, associate and assistant deans, and department chairs of a college or school of pharmacy retain historic memories of the institution and share the responsibility for day-to-day operation, sustainability, and future planning. Between the anticipated retirement of baby boomers who are senior administrative faculty members and the steady increase in number of colleges and schools of pharmacy, the academy is facing a shortage of qualified successors. Succession planning involves plannin...

  4. Pharmaceutical Consultation in UAE Community Pharmacies

    OpenAIRE

    Hamoudi, N. M.; Shirwaikar, A. A.; Ali, H. S.; Al Ayoubi, E. I.

    2011-01-01

    In recent years, the focus of pharmacists as traditional drug dispensers has shifted to more active and participative role in risk assessment, risk management, and other medication related consultation activities. Pharmacy profession is evolving steadily in the United Arab Emirates (UAE). Pharmacists in UAE are so much occupied in their administrative and managerial duties that dispensing is mostly attended to by pharmacy technicians. Pharmacist-led patient counseling is limited to the dosage...

  5. The Evolving Regulation of Internet Pharmacies

    OpenAIRE

    Gorlach, Igor

    2014-01-01

    This paper follows the rise of the Internet drug sale industry and the response to the trend by regulators, policymakers, and private companies. After discussing the existing laws and their enforcement to police rogue Internet pharmacies, the paper outlines in detail the 2008 Ryan Haight Act and its effect. Finally, the paper analyzes two of the ongoing efforts to tighten the regulation of Internet pharmacies further.

  6. Wellness: Pharmacy Education's Role and Responsibility

    OpenAIRE

    Smith, Robert E.; Olin, Bernie R.

    2010-01-01

    The root cause of most chronic diseases in America is self-inflicted through an unhealthy lifestyle including poor diet, insufficient exercise, inability to maintain a healthy weight, tobacco use, and excessive alcohol consumption. Americans' ability to adhere to healthy lifestyles appears to be declining.1,2 The pharmacy profession, while positioned to provide an answer to this problem, has done little. In addition, academic pharmacy's primary focus is on drugs and diseases with limited inst...

  7. Accreditation status of hospital pharmacies and their challenges of medication management: A case of south Iranian largest university

    Directory of Open Access Journals (Sweden)

    Omid Barati

    2016-01-01

    Full Text Available Considering the importance of accreditation for hospital pharmacies, this study was to determine the challenges of medication management in hospital pharmacies affiliated with Shiraz University of Medical Sciences, Iran. The study was a mix-method research conducted in two qualitative and quantitative phases during the years 2014–2015 in Shiraz, Iran. National Accreditation Standard checklist for hospitals was used for data collection in the first phase, and Delphi method was applied in three rounds to achieve the most challenges of medication management and the related solutions. Results indicated a medium status of accreditation for all three dimensions in the above hospital pharmacies (3.53, 42.15 and 7, respectively. Lack of clinical pharmacists, nonparticipation of the pharmacy director in annual budgeting, lack of access to patient information, discontinuity of pharmaceutical care for patients discharged, defects in pharmacy staff training, lack of legislation in support of pharmacists and lack of adequate access to physicians' prescriptions, shortages in reporting medication errors, and lack of evidence related to microbial contamination are the most challenges extracted from the second phase. It seems that the studied hospital pharmacies encounter numerous problems regarding accreditation, pharmaceutical care as well as appropriate medication management and supply chain. Attempts to solve these problems can play an important role in improving the efficiency and effectiveness of pharmacies in Iran.

  8. Accreditation status of hospital pharmacies and their challenges of medication management: A case of south Iranian largest university.

    Science.gov (United States)

    Barati, Omid; Dorosti, Hesam; Talebzadeh, Alireza; Bastani, Peivand

    2016-01-01

    Considering the importance of accreditation for hospital pharmacies, this study was to determine the challenges of medication management in hospital pharmacies affiliated with Shiraz University of Medical Sciences, Iran. The study was a mix-method research conducted in two qualitative and quantitative phases during the years 2014-2015 in Shiraz, Iran. National Accreditation Standard checklist for hospitals was used for data collection in the first phase, and Delphi method was applied in three rounds to achieve the most challenges of medication management and the related solutions. Results indicated a medium status of accreditation for all three dimensions in the above hospital pharmacies (3.53, 42.15 and 7, respectively). Lack of clinical pharmacists, nonparticipation of the pharmacy director in annual budgeting, lack of access to patient information, discontinuity of pharmaceutical care for patients discharged, defects in pharmacy staff training, lack of legislation in support of pharmacists and lack of adequate access to physicians' prescriptions, shortages in reporting medication errors, and lack of evidence related to microbial contamination are the most challenges extracted from the second phase. It seems that the studied hospital pharmacies encounter numerous problems regarding accreditation, pharmaceutical care as well as appropriate medication management and supply chain. Attempts to solve these problems can play an important role in improving the efficiency and effectiveness of pharmacies in Iran. PMID:27429924

  9. Current Status of Community Pharmacies: Expectations as a Health Information Hub, the Enforcement of Revised Pharmaceutical and Medical Device Act, and a New Role as Stakeholders.

    Science.gov (United States)

    Saito, Mitsuo

    2016-01-01

      According to the "Japan Revitalization Strategy" established in June 2013, "the government will promote better contributions of local pharmacies and pharmacists in encouraging self-medication of citizens by making pharmacies the community-based hub for providing information, giving advice on the proper use of non-prescription drugs, etc. and offering consultation and information service concerning health". In addition, the "Demanded Function and Ideal Form of Pharmacy," published in January 2014, requested a change, from pharmacies that specialized in dispensing medicines to pharmacies that serve as whole healthcare stations, providing pharmaceutical care based on patients' medical history, including the intake of dietary supplements. The medication fee was revised in April 2014 to enhance family pharmacy services and the management of pharmaceutical care. At that time, blood testing at a registered pharmacy was officially allowed under strict regulation. Revision of the "Pharmacist Law" in June 2014 included a request to pharmacists to provide pharmaceutical advice in addition to information. For the mitigation of drug-induced tragedies, the "Pharmaceutical Affairs Law" was amended to the "Pharmaceutical and Medical Device Act (PMD Act)" in November 2014, and proper use of medicines was imposed on healthcare professionals and other stakeholders. Patients were also requested to learn and understand the safety and harmful effects of medicines, and were requested to use medicines appropriately. As mentioned above, the status of pharmacies and pharmacists has dramatically changed in the past 2 years, and such changes over time are required. PMID:26831801

  10. 重归因-认知-药物模式治疗肠易激综合征的临床疗效研究%Clinical study of reattribution-cognitive-pharmacy model in the treatment for irritable bowel syndrome

    Institute of Scientific and Technical Information of China (English)

    曹建新; 王玉兰; 任雪霞; 朱国燕

    2010-01-01

    目的 探讨重归因-认知-药物整体治疗模式在治疗肠易激综合征中的临床效果.方法 125例肠易激综合征(IBS-D)患者分为A、B2组.A组为非重归因-认知-药物模式治疗组,62例,口服帕罗西汀10mg/d,1周后加至20mg/d.不用其他药物,不做心理治疗.B组63例,采用重归因-认知-药物模式(RCPM)治疗.每周会谈1次,第1次会谈≥30min,以后每次≥15min.共6次.第1次会谈后给予帕罗西汀10mg/d,1周后加至20mg/d.结果 4周末A组29例腹痛明显减轻,28例便次减少,B组48例腹痛明显减轻,42例便次减少;12周末A组36例腹痛明显减轻,30例便次减少,B组54例腹痛明显减轻,45例便次减少.2组比较差异有统计学意义(P<0.05).A组4周末12例停用帕罗西汀,12周末14例停用帕罗西汀;B组4周末3例停用帕罗西汀,12周末5例停用帕罗西汀;2组比较差异有统计学意义(P<0.05).结论 RCPM能有效减轻肠易激综合征的症状,比单用帕罗西汀效果更明显RCPM能明显提高IBS患者对抗抑郁药物的依从性.%Objective To investigate clinical effect of reattribution-cognitive-pharmacy model (RCPM) in the treatment for irritable bowel syndrome(IBS). Methods 125 subjects with diarrhea predominant irritable bowel syndrome (IBS-D) were divided into two groups randomly. 62 patients in group A were treated with 10 ~ 20 mg of paroxetine without any other medication or psychological interview and 63 patients in group B received RCPM with interviewing once a week for 6 sessions and took 10 ~ 20 mg of paroxetine in the same way as group A after a week. The effect was evaluated at the end of 4 weeks and 12 weeks by a questionnaire. Results At the end of 4 weeks,29 patients in group A reported a reduction in abdominal pain,and 28 reported a reduction in stool frequency ,and 12 patients stopped taking paroxetine because of worrying about those side effect . In group B 48 reported a reduction in abdominal pain ,and 42 reported a

  11. Service oriented architecture for clinical decision support: a systematic review and future directions.

    Science.gov (United States)

    Loya, Salvador Rodriguez; Kawamoto, Kensaku; Chatwin, Chris; Huser, Vojtech

    2014-12-01

    The use of a service-oriented architecture (SOA) has been identified as a promising approach for improving health care by facilitating reliable clinical decision support (CDS). A review of the literature through October 2013 identified 44 articles on this topic. The review suggests that SOA related technologies such as Business Process Model and Notation (BPMN) and Service Component Architecture (SCA) have not been generally adopted to impact health IT systems' performance for better care solutions. Additionally, technologies such as Enterprise Service Bus (ESB) and architectural approaches like Service Choreography have not been generally exploited among researchers and developers. Based on the experience of other industries and our observation of the evolution of SOA, we found that the greater use of these approaches have the potential to significantly impact SOA implementations for CDS. PMID:25325996

  12. A pharmacy led program to review anti-psychotic prescribing for people with dementia

    Directory of Open Access Journals (Sweden)

    Child Anne

    2012-09-01

    Full Text Available Abstract Background Anti-psychotics, prescribed to people with dementia, are associated with approximately 1,800 excess annual deaths in the UK. A key public health objective is to limit such prescribing of anti-psychotics. Methods This project was conducted within primary care in Medway Primary Care Trust (PCT in the UK. There were 2 stages for the intervention. First, primary care information systems including the dementia register were searched by a pharmacy technician to identify people with dementia prescribed anti-psychotics. Second, a trained specialist pharmacist conducted targeted clinical medication reviews in people with dementia initiated on anti-psychotics by primary care, identified by the data search. Results Data were collected from 59 practices. One hundred and sixty-one (15.3% of 1051 people on the dementia register were receiving low-dose anti-psychotics. People with dementia living in residential homes were nearly 3.5 times more likely to receive an anti-psychotic [25.5% of care home residents (118/462 vs. 7.3% of people living at home (43/589] than people living in their own homes (p  Of the 161 people with dementia prescribed low-dose anti-psychotics, 91 were receiving on-going treatment from local secondary care mental health services or Learning Disability Teams. Of the remaining 70 patients the anti-psychotic was either withdrawn, or the dosage was reduced, in 43 instances (61.4% following the pharmacy-led medication review. Conclusions In total 15.3% of people on the dementia register were receiving a low-dose anti-psychotic. However, such data, including the recent national audit may under-estimate the usage of anti-psychotics in people with dementia. Anti-psychotics were used more commonly within care home settings. The pharmacist-led medication review successfully limited the prescribing of anti-psychotics to people with dementia.

  13. SANDS: a service-oriented architecture for clinical decision support in a National Health Information Network.

    Science.gov (United States)

    Wright, Adam; Sittig, Dean F

    2008-12-01

    In this paper, we describe and evaluate a new distributed architecture for clinical decision support called SANDS (Service-oriented Architecture for NHIN Decision Support), which leverages current health information exchange efforts and is based on the principles of a service-oriented architecture. The architecture allows disparate clinical information systems and clinical decision support systems to be seamlessly integrated over a network according to a set of interfaces and protocols described in this paper. The architecture described is fully defined and developed, and six use cases have been developed and tested using a prototype electronic health record which links to one of the existing prototype National Health Information Networks (NHIN): drug interaction checking, syndromic surveillance, diagnostic decision support, inappropriate prescribing in older adults, information at the point of care and a simple personal health record. Some of these use cases utilize existing decision support systems, which are either commercially or freely available at present, and developed outside of the SANDS project, while other use cases are based on decision support systems developed specifically for the project. Open source code for many of these components is available, and an open source reference parser is also available for comparison and testing of other clinical information systems and clinical decision support systems that wish to implement the SANDS architecture. The SANDS architecture for decision support has several significant advantages over other architectures for clinical decision support. The most salient of these are: PMID:18434256

  14. Mental health service provision for adults with intellectual disability: sources of referrals, clinical characteristics and pathways to care

    OpenAIRE

    Tsakanikos, Elias

    2006-01-01

    There is a certain amount of ambiguity and confusion over the provision of mental health services for people with intellectual disabilities (ID) referred by both primary care services (Primary Care (PC) / Social Services (SS)) and secondary care services (Generic Mental Health Services (GMHS)). Psychosocial and clinical characteristics of new referrals (N = 791) were compared with regard to their source of referral. GMHS referrals were more likely to have schizophrenia spectrum disorder, pers...

  15. Reasons patients leave their nearest healthcare service to attend Karen Park Clinic, Pretoria North

    Directory of Open Access Journals (Sweden)

    Agnes T. Masango- Makgobela

    2013-01-01

    Full Text Available Background: Many patients move from one healthcare provider or facility to another, disturbing the continuity that enhances holistic patient care.Objectives: To investigate the reasons given by patients for attending Karen Park Clinic rather than the clinic nearest to their homes.Methods: A cross-sectional descriptive study was conducted during 2010. Three hundred and fifty patients attending Karen Park Clinic were given questionnaires to complete, with the following variables: place of residence; previous attendance at the clinic nearest their home; services available at their nearest clinic; and their willingness to attend their nearest clinic in future.Results: Respondents were from Soshanguve (153; 43.7%, Mabopane (92; 26.3%, Garankuwa (29; 8.3% and Hebron (20; 5.7% and most were women (271; 77.4% aged 26–45 (177; 50.6%. Eighty per cent (281 of the patients had visited their nearest clinic previously and 54 of these (19.2% said they would not return. The reasons for this were: long waiting time (88; 25.1%; long queues (84; 24%; rude staff (60; 17%; and no medication (39; 11.1%.Conclusion: The majority of patients who had attended their nearest clinic were adamant that they would not return. It is necessary to reduce waiting times, thus reducing long queues. This can be achieved by having adequate, satisfied healthcare providers to render a quality service and by organising training for management. Patients can thus be redirected to their nearest clinic and the health centre’s capacity can be increased by procuring adequate drugs. There is a need to follow up on patients’ complaints about staff attitudes.

  16. Pharmacy clerks' prescribing practices for STD patients in Porto Alegre, Brazil: missed opportunities for improving STD control.

    Science.gov (United States)

    Ramos, Mauro Cunha; da Silva, Rodrigo D Correa; Gobbato, Ricardo O; da Rocha, Felipe Civeira; de Lucca Júnior, Giusepe; Vissoky, Jacques; Cestari, Tania; Filgueiras, Absalom

    2004-05-01

    STDs are a significant public health problem in Brazil. A primary control strategy is the immediate treatment of symptomatic individuals. When services are unavailable, STD patients seek care in alternative settings. Probably the most frequently used settings are commercial pharmacies, where pharmacy clerks provide treatment, although Brazilian law prohibits selling antibiotics without prescription. Our objective was to evaluate prescribing practices by pharmacy clerks for STDs. We performed a cross-sectional study. Trained medical students visited 62 pharmacies in the city of Porto Alegre during March 2002. These were randomly chosen from a list of 863 registered pharmacies. The students presented to the pharmacy complaining of dysuria and urethral discharge. After obtaining a prescription, or not, they asked for additional instructions to be followed. Immediately after leaving the premises, the instructions were anonymously recorded. Of the 62 pharmacies visited, a clerk in 56 (90.3%, 95% confidence interval [CI]: 80.1%-96.4%) provided a prescription. Most frequently prescribed drugs were ampicillin with probenecide (29/51.8%) and rosoxacin (11/19.6%). Ministry of Health-recommended treatment was not suggested by any of the clerks. Forty-six additional recommendations were given. The use of condoms was the most frequent additional advice (42/46). Prescribing by pharmacy clerks is very prevalent in Porto Alegre. This may represent a lost opportunity for more comprehensive prevention effort (counselling, partner management, and diagnosing other STDs). Additionally, the most frequently prescribed drugs are not recommended by international or national health authorities for treatment of STDs, and none of these drugs covers chlamydia. We conclude that pharmacy clerks are a potentially important source of STD treatment and control but that their practices are in need of vast improvement. PMID:15117504

  17. Does the presence of a pharmacist in primary care clinics improve diabetes medication adherence?

    Directory of Open Access Journals (Sweden)

    Kocarnik Beverly Mielke

    2012-11-01

    Full Text Available Abstract Background Although oral hypoglycemic agents (OHAs are an essential element of therapy for the management of type 2 diabetes, OHA adherence is often suboptimal. Pharmacists are increasingly being integrated into primary care as part of the move towards a patient-centered medical home and may have a positive influence on medication use. We examined whether the presence of pharmacists in primary care clinics was associated with higher OHA adherence. Methods This retrospective cohort study analyzed 280,603 diabetes patients in 196 primary care clinics within the Veterans Affairs healthcare system. Pharmacists presence, number of pharmacist full-time equivalents (FTEs, and the degree to which pharmacy services are perceived as a bottleneck in each clinic were obtained from the 2007 VA Clinical Practice Organizational Survey—Primary Care Director Module. Patient-level adherence to OHAs using medication possession ratios (MPRs were constructed using refill data from administrative pharmacy databases after adjusting for patient characteristics. Clinic-level OHA adherence was measured as the proportion of patients with MPR >= 80%. We analyzed associations between pharmacy measures and clinic-level adherence using linear regression. Results We found no significant association between pharmacist presence and clinic-level OHA adherence. However, adherence was lower in clinics where pharmacy services were perceived as a bottleneck. Conclusions Pharmacist presence, regardless of the amount of FTE, was not associated with OHA medication adherence in primary care clinics. The exact role of pharmacists in clinics needs closer examination in order to determine how to most effectively use these resources to improve patient-centered outcomes including medication adherence.

  18. 77 FR 39655 - Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)/TRICARE: TRICARE Retail...

    Science.gov (United States)

    2012-07-05

    ... rule for the CHAMPUS/TRICARE: TRICARE Retail Pharmacy Program on Tuesday, June 26, 2012 (77 FR 38019... Services (CHAMPUS)/TRICARE: TRICARE Retail Pharmacy Program AGENCY: Office of the Secretary, Department...

  19. Serving transgender people: clinical care considerations and service delivery models in transgender health.

    Science.gov (United States)

    Wylie, Kevan; Knudson, Gail; Khan, Sharful Islam; Bonierbale, Mireille; Watanyusakul, Suporn; Baral, Stefan

    2016-07-23

    The World Professional Association for Transgender Health (WPATH) standards of care for transsexual, transgender, and gender non-conforming people (version 7) represent international normative standards for clinical care for these populations. Standards for optimal individual clinical care are consistent around the world, although the implementation of services for transgender populations will depend on health system infrastructure and sociocultural contexts. Some clinical services for transgender people, including gender-affirming surgery, are best delivered in the context of more specialised facilities; however, the majority of health-care needs can be delivered by a primary care practitioner. Across high-income and low-income settings alike, there often remains a dearth of educational programming for health-care professionals in transgender health, although the best evidence supports introducing modules on transgender health early during clinical education of clinicians and allied health professionals. While these challenges remain, we review the increasing evidence and examples of the defined roles of the mental health professional in transgender health-care decisions, effective models of health service provision, and available surgical interventions for transgender people. PMID:27323926

  20. Impact of Robotic Dispensing Machines in German Pharmacies on Business Performance Indicators

    Directory of Open Access Journals (Sweden)

    Ruhle F

    2009-01-01

    Full Text Available Aims and objectives: To assess the impact of robotic dispensing machines in community pharmacies on staff efficiency and sales of over-the-counter drugs. Setting: The study was done on 253 community pharmacies in Germany that use a robotic dispensing machine manufactured by ROWA during 2008. Method: Data concerning the financial and economic impact of using a robotic dispensing machine in community pharmacies was gathered using a structured questionnaire and analysed in terms of its financial implications. Key findings: The response rate was 29%. In most pharmacies (79% the robotic dispensing machine was retrofitted. In 59% of the pharmacies additional space was gained for self-service and behind-the-counter display. As a result of using a robotic dispensing machine, personnel costs were reduced by an average of 4.6% during the first 12 months after start-up. Over-the-counter sales increased in the same period by an average of 6.8%. Despite average initial costs of 118,000 euros, total costs within the first 12 months fell in 50% of cases and at least remained the same in 44%. Conclusions: On average, robotic dispensing machines lead to modest savings in personnel costs and slight increases in sales of over-the-counter drugs. Substantial savings can be achieved only if the staffing level is adapted to the changed personnel requirements.

  1. A Description of the European Pharmacy Education and Training Quality Assurance Project

    Directory of Open Access Journals (Sweden)

    Jeffrey Atkinson

    2013-05-01

    Full Text Available The European Union directive on sectoral professions emphasizes the fact that pharmacists working in member states should possess the competences required for their professional practice; the directive does not, however, describe such competences in detail. The “Quality Assurance in European Pharmacy Education and Training—PHAR-QA” consortium, funded by the European Union, will define such competences and establish a quality assurance system based on them. This will facilitate the tuning of the pharmacy education and training required to produce competent pharmacists in the different member states. PHAR-QA will (1 establish a network of participating pharmacy departments, (2 survey existing quality assurance systems used, and (3 develop competences through iterative interaction with partners. The European Association of Faculties of Pharmacy will use the harmonized competences produced as a basis for the creation of a quality assurance agency for European pharmacy education and training. PHAR-QA will impact on staff and students of European departments; the final stake-holder will be the European patient who will benefit from better pharmaceutical services and better medications.

  2. Differences in clinical features and mental health service use in bipolar disorder across the lifespan

    OpenAIRE

    Depp, Colin A.; Lindamer, L A; Folsom, D P; Gilmer, T; Hough, R L; Garcia, P.; Jeste, D V

    2005-01-01

    Objective: Because of the scarcity of research in geriatric bipolar disorder, the authors examined the prevalence, clinical features, and service use of persons with bipolar disorder among older adults treated in a large public mental health system. Methods: From San Diego County's Adult and Older-Adult Mental Health Services database (N=34,970, fiscal year 2002-2003), the authors selected patients with bipolar disorder, divided them into three age-groups (young: age 18-39, middle-aged: age 4...

  3. Teaching Pediatric Infectious Diseases to Medical, Pharmacy, and Nursing Students During Monthly Rotations.

    Science.gov (United States)

    Nahata, Milap C.; And Others

    1982-01-01

    Medical, pharmacy, and nursing students participated in a course on pathophysiology and pharmacotherapeutics of common pediatric bacterial and viral diseases during their rotation in infectious diseases. Student attitudes were highly positive, and substantial knowledge gain resulted. This interdisciplinary clinical approach is recommended to…

  4. 42 CFR 482.25 - Condition of participation: Pharmaceutical services.

    Science.gov (United States)

    2010-10-01

    ... the hospital's organized pharmaceutical service. (a) Standard: Pharmacy management and administration... Hospital Functions § 482.25 Condition of participation: Pharmaceutical services. The hospital must have pharmaceutical services that meet the needs of the patients. The institution must have a pharmacy directed by...

  5. [Ancient history of Indian pharmacy].

    Science.gov (United States)

    Okuda, Jun; Natsume, Yohko

    2010-01-01

    The study of the ancient history of Indian medicine has recently been revived due to the publication of polyglot translations. However, little is known of ancient Indian pharmacy. Archaeological evidence suggests the Indus people lived a settled life approximately in 2500 B.C. Their cities were enjoying the cleanest and most hygienic daily life with elaborate civic sanitation systems. The whole conception shows a remarkable concern for health. Then, the early Aryans invaded India about 1500 B.C. and the Vedic age started. The Rgveda texts contain the hymns for Soma and those for herbs. The term Ayurveda (i.e., science of life) is found in some old versions of both Ramāyana and Mahābhārata and in the Atharvaveda. Suśruta had the credit of making a breakthrough in the field of surgery. The Ayurveda, a work on internal medicine, gives the following transmission of sages: Brahmā-->Daksa-->Prajāpati-->Aśivinau-->Indra-->Caraka. On the other hand, the Suśruta-samhitā, which deals mainly with surgical medicine, explains it as follows; Indra-->Dhanvantari-->Suśruta Both Caraka and Suśruta were medical doctors as well as pharmacists, so they studied more than 1000 herbs thoroughly. The Ayurveda had been used by his devotees for medical purposes. It eventually spread over Asia with the advanced evolution of Buddhism. PMID:21032887

  6. Patient Satisfaction with Health Care Services Provided at HIV Clinics at Amana and Muhimbili Hospitals in Dar es Salaam.

    OpenAIRE

    Kagashe, G A B; Rwebangila, F

    2011-01-01

    Since the establishment of free HIV/AIDS care and treatment services in Tanzania a lot of research has been done to assess how health care providers discharge their duties in these clinics. Little research however has been done regarding satisfaction of HIV patients with free health care services provided. To determine satisfaction of HIV patients with health care services provided at the HIV clinics and specifically, to determine patients' satisfaction with the general physical environment o...

  7. Medication reconciliation and prescribing reviews by pharmacy technicians in a geriatric ward

    DEFF Research Database (Denmark)

    Buck, Thomas Croft; Gronkjaer, Louise Smed; Duckert, Marie-Louise;

    2013-01-01

    OBJECTIVE: Incomplete medication histories obtained on hospital admission are responsible for more than 25% of prescribing errors. This study aimed to evaluate whether pharmacy technicians can assist hospital physicians' in obtaining medication histories by performing medication reconciliation...... and prescribing reviews. A secondary aim was to evaluate whether the interventions made by pharmacy technicians could reduce the time spent by the nurses on administration of medications to the patients. METHODS: This observational study was conducted over a 7 week period in the geriatric ward at Odense...... University Hospital, Denmark. Two pharmacy technicians conducted medication reconciliation and prescribing reviews at the time of patients' admission to the ward. The reviews were conducted according to standard operating procedures developed by a clinical pharmacist and approved by the Head of the Geriatric...

  8. Teaching Communication Skills to Medical and Pharmacy Students Through a Blended Learning Course.

    Science.gov (United States)

    Hess, Rick; Hagemeier, Nicholas E; Blackwelder, Reid; Rose, Daniel; Ansari, Nasar; Branham, Tandy

    2016-05-25

    Objective. To evaluate the impact of an interprofessional blended learning course on medical and pharmacy students' patient-centered interpersonal communication skills and to compare precourse and postcourse communication skills across first-year medical and second-year pharmacy student cohorts. Methods. Students completed ten 1-hour online modules and participated in five 3-hour group sessions over one semester. Objective structured clinical examinations (OSCEs) were administered before and after the course and were evaluated using the validated Common Ground Instrument. Nonparametric statistical tests were used to examine pre/postcourse domain scores within and across professions. Results. Performance in all communication skill domains increased significantly for all students. No additional significant pre/postcourse differences were noted across disciplines. Conclusion. Students' patient-centered interpersonal communication skills improved across multiple domains using a blended learning educational platform. Interview abilities were embodied similarly between medical and pharmacy students postcourse, suggesting both groups respond well to this form of instruction. PMID:27293231

  9. Teaching Communication Skills to Medical and Pharmacy Students Through a Blended Learning Course

    Science.gov (United States)

    Hagemeier, Nicholas E.; Blackwelder, Reid; Rose, Daniel; Ansari, Nasar; Branham, Tandy

    2016-01-01

    Objective. To evaluate the impact of an interprofessional blended learning course on medical and pharmacy students’ patient-centered interpersonal communication skills and to compare precourse and postcourse communication skills across first-year medical and second-year pharmacy student cohorts. Methods. Students completed ten 1-hour online modules and participated in five 3-hour group sessions over one semester. Objective structured clinical examinations (OSCEs) were administered before and after the course and were evaluated using the validated Common Ground Instrument. Nonparametric statistical tests were used to examine pre/postcourse domain scores within and across professions. Results. Performance in all communication skill domains increased significantly for all students. No additional significant pre/postcourse differences were noted across disciplines. Conclusion. Students’ patient-centered interpersonal communication skills improved across multiple domains using a blended learning educational platform. Interview abilities were embodied similarly between medical and pharmacy students postcourse, suggesting both groups respond well to this form of instruction. PMID:27293231

  10. The effect of a clinical pharmacist discharge service on medication discrepancies in patients with heart failure

    OpenAIRE

    Eggink, R.N.; Lenderink, Albert; Widdershoven, Jos; Bemt, Patricia

    2010-01-01

    textabstractObjective: Heart failure patients are regularly admitted to hospital and frequently use multiple medication. Besides intentional changes in pharmacotherapy, unintentional changes may occur during hospitalisation. The aim of this study was to investigate the effect of a clinical pharmacist discharge service on medication discrepancies and prescription errors in patients with heart failure. Setting: A general teaching hospital in Tilburg, the Netherlands. Method: An open randomized ...

  11. Study regarding Customer Perception of Healthcare Service Quality in Romanian Clinics, Based on their Profile

    OpenAIRE

    Cornelia Prejmerean; Simona Vasilache

    2009-01-01

    The paper presents the differences in patient perception on healthcare services quality, on a sample of ten Romanian clinics. The global satisfaction evaluation was based on three analyzed variables, namely the perceived competence of physicians, the perceived competence of nurses, and the empathy of the hospital personnel. In a quality-oriented perspective and, at the same time, in a relationship-oriented perspective, these elements were regarded as essential for the way in which the patient...

  12. Augmentation and reduction mammaplasty: demographic and obstetric differences in women attending a National Health Service clinic.

    OpenAIRE

    Birtchnell, S.; Lacey, J H

    1988-01-01

    Women presenting for breast augmentation and breast reduction to a National Health Service plastic surgery/psychiatry liaison clinic appear to differ beyond the anatomical. Those requesting breast reduction tend to be younger, unmarried and not to have been pregnant and may be uncomfortable with adult sexuality. Those requesting breast augmentation are presenting for surgery in their mid-thirties although many have always had small breasts. This is at a time of fading attractiveness, marital ...

  13. 门诊药房工作模式的探讨%Discussion on outpatient pharmacy working mode

    Institute of Scientific and Technical Information of China (English)

    孙健姿; 吴诚; 高文静

    2011-01-01

    Based on characters of the 2nd Artillery General Hospital of PL A and combined with excellence experience of pharmacy management in China, hospital outpatient pharmacy service process and management mode is improved. In service process optimization, prescription scan, print, picking route improving and open dispensing count are carried out. In management, pharmacy consultation service and performance assessment are also carried out. Outpatient pharmacy service quality and efficiency is improved and medical quality, pharmacy safety management and patient satisfaction are also promoted.%根据二炮总医院自身特点、参照国内一流药房的管理经验,对医院门诊药房的工作流程和管理模式进行了改进.在工作流程上实行了处方扫描,打印调配,优化拣选路径和开放式发药柜台;开展药物咨询服务,实施了绩效考评.通过不断改进,门诊药房在提升服务层次、提高工作效率方面效果显著,保证了医疗质量,提高了患者用药的安全度和满意度.

  14. Implementation of a PACS for radiography training and clinical service in a university setting through a multinational effort

    Science.gov (United States)

    Tang, Fuk-hay; Law, Yuen Y.; Zhang, Jianguo; Liu, Hai L.; Chang, Tony; Matsuda, Koyo; Cao, Fei

    2001-08-01

    The Hong Kong Polytechnic University has a Radiography Division under the Development of Optometry and Radiography. The Division trains both diagnostic and therapeutic radiographers with 60 students/year and offers a B.Sc. degree. In addition the Division together with the University Health Service operates a radiography clinic with radiology consultation from radiologists from other hospitals and clinics. This paper describers the implementation of a PACS in the Division for radiography training, and for clinical service.

  15. Patient survey of a pharmacist-managed anticoagulation clinic.

    Science.gov (United States)

    Lewis, S M; Kroner, B A

    1997-11-01

    The literature describing pharmacy involvement with anticoagulation services primarily does not include information about patients' perceptions of this involvement. A 22-question survey was developed and administered to 296 patients enrolled in the anticoagulation clinic at the VA Pittsburgh Health Care System. Excluded patients had fewer than four clinic visits or were followed outside of the anticoagulation clinic. The study period was nine weeks and any missed patients were telephoned. The median response to each question was determined. Similar questions were analyzed for acquiescent trends. Results indicate that, overall, patients are comfortable with pharmacists providing warfarin monitoring and dose adjustments. PMID:10174757

  16. Prime costs of clinical laboratory services in Tehran Valiasr Hospital in 2009.

    Science.gov (United States)

    Nouroozi, T; Salehi, A

    2014-01-01

    Prime cost determinations can increase managerial effectiveness in budget allocation and strategic planning. This study was designed to calculate the prime cost of clinical laboratory services in Tehran Valiasr Hospital using the activity-based costing (ABC) model. The highest costs were for human recourses (44%) and the lowest for energy (5%). The largest proportion of activities (97%) was by specialists, reflecting the importance of human recourses in prime costs. The highest prime cost was for urinalysis (11% of tests) and the lowest for sodium determination (21% of tests), which demonstrates that prime cost decreases as service frequency increases. The average estimated prime cost was 63% higher than the fees established by the Ministry of Health and Medical Education. The results show that the Tehran Valiasr Hospital laboratory faces a budgetary deficit. The prime cost of services can be reduced by improving human recourse management and standardization of resource consumption. PMID:24995740

  17. Balancing medicine prices and business sustainability: analyses of pharmacy costs, revenues and profit shed light on retail medicine mark-ups in rural Kyrgyzstan

    Directory of Open Access Journals (Sweden)

    Maddix Jason

    2010-07-01

    Full Text Available Abstract Background Numerous not-for-profit pharmacies have been created to improve access to medicines for the poor, but many have failed due to insufficient financial planning and management. These pharmacies are not well described in health services literature despite strong demand from policy makers, implementers, and researchers. Surveys reporting unaffordable medicine prices and high mark-ups have spurred efforts to reduce medicine prices, but price reduction goals are arbitrary in the absence of information on pharmacy costs, revenues, and profit structures. Health services research is needed to develop sustainable and "reasonable" medicine price goals and strategic initiatives to reach them. Methods We utilized cost accounting methods on inventory and financial information obtained from a not-for-profit rural pharmacy network in mountainous Kyrgyzstan to quantify costs, revenues, profits and medicine mark-ups during establishment and maintenance periods (October 2004-December 2007. Results Twelve pharmacies and one warehouse were established in remote Kyrgyzstan with 100%, respectively. Annual mark-ups increased dramatically each year to cover increasing recurrent costs, and by 2007, only 19% and 46% of products revealed mark-ups of 100%. 2007 medicine mark-ups varied substantially across these products, ranging from 32% to 244%. Mark-ups needed to sustain private pharmacies would be even higher in the absence of government subsidies. Conclusion Pharmacy networks can be established in hard-to-reach regions with little funding using public-private partnership, resource-sharing models. Medicine prices and mark-ups must be interpreted with consideration for regional costs of business. Mark-ups vary dramatically across medicines. Some mark-ups appear "excessive" but are likely necessary for pharmacy viability. Pharmacy financial data is available in remote settings and can be used towards determination of "reasonable" medicine price goals

  18. Improving information availability in vascular surgical clinics. A service evaluation and improvement project.

    Science.gov (United States)

    Hurst, Katherine; Kreckler, Simon; Handa, Ashok; Handa, Ashok

    2016-01-01

    This prospective service evaluation was designed to assess the availability of critical information required in vascular surgical clinics. All the data was collected via a repeated questionnaire, and the outcomes from each cycle were used to highlight where intervention was required to improve the surgical clinic experience. The first audit identified outpatient clinic deficiencies and allowed for problem analysis. Two Plan-Do-Check-Act (PDCA) cycles then were undertaken. Interventions following each cycle included consultant access to online duplex scans and secretarial access to referral letters. Results from the first cycle showed that approximately 20% of clinic appointments were missing information and only 30% of these issues were resolved during the clinic using a work around. Following the first intervention; the numbers of missing patient notes reduced to 4.3% (10.5%), and referral letters to 3.6% (4.6%). Although the numbers of missing duplex scan results increased to 6.5% (3.3%), the new system of online scan results allowed for all scans to be accessed during the clinic. Following results of a second PDCA cycle, vascular surgical secretaries were given access to 'choose and book', a database of GP referral letters. Post intervention, all missing referral letters (2%) could be accessed immediately within the clinic setting. Data driven interventions and repeated PDCA cycles can improve hospital systems for minimal cost. With an annual clinic turnaround of 2500 patients, these interventions can reduce clinic delays and potential harm caused by unavailable records for up to 500 patients a year. PMID:26893887

  19. Bridging the Gap between the Basic Sciences and Clinical Practice: Teaching, Research and Service. The Importance of Defining Institutional Goals.

    Science.gov (United States)

    Swintosky, Joseph V.; And Others

    1981-01-01

    Appropriate goals for a college of pharmacy are delineated and related to the goals of a medical center and other administrative units with which it interfaces. The methods through which faculty can contribute their distinctive talents to accomplish the mission of a college of pharmacy are described. (Author/MLW)

  20. Assessment of Hospital Pharmacy Preparedness for Mass Casualty Events

    OpenAIRE

    Awad, Nadia I.; Cocchio, Craig

    2015-01-01

    A cross-sectional survey of hospital pharmacies in New Jersey demonstrates a lack of general consensus regarding hospital pharmacy preparedness for mass casualty scenarios despite individualized institutional protocols for disaster preparedness.

  1. Evaluating an online pharmaceutical education system for pharmacy interns in critical care settings.

    Science.gov (United States)

    Yeh, Yu-Ting; Chen, Hsiang-Yin; Cheng, Kuei-Ju; Hou, Ssu-An; Yen, Yu-Hsuan; Liu, Chien-Tsai

    2014-02-01

    Incorporating electronic learning (eLearning) system into professional experimental programs such as pharmacy internships is a challenge. However, none of the current systems can fully support the unique needs of clinical pharmacy internship. In this study we enhanced a commercial eLearning system for clinical pharmacy internship (The Clinical Pharmacy Internship eLearning System, CPIES). The KAP questionnaire was used to evaluate the performance of group A with the traditional teaching model and group B with the CPIES teaching model. The CPIES teaching model showed significant improvement in interns' knowledge and practice (p = 0.002 and 0.031, respectively). The traditional teaching model only demonstrated significant improvement in practice (p = 0.011). Moreover, professionalism, such as attitudes on cooperating with other health professionals, is developed by learning from a good mentor. The on-line teaching and traditional teaching methods should undoubtedly be blended in a complete teaching model in order to improve learners' professional knowledge, facilitate correct attitude, and influence good practice. PMID:24315478

  2. Comprehensive Healthcare module: medical and pharmacy students’ shared learning experiences

    Directory of Open Access Journals (Sweden)

    Chai-Eng Tan

    2014-10-01

    Full Text Available Introduction: The Comprehensive Healthcare (CHC module was developed to introduce pre-clinical medical and pharmacy students to the concept of comprehensive healthcare. This study aims to explore their shared learning experiences within this module. Methodology: During this module, medical and pharmacy students conducted visits to patients’ homes and to related community-based organisations in small groups. They were required to write a reflective journal on their experiences regarding working with other professions as part of their module assessment. Highly scored reflective journals written by students from the 2011/2012 academic session were selected for analysis. Their shared learning experiences were identified via thematic analysis. We also analysed students’ feedback regarding the module. Results: Analysis of 25 selected reflective journals revealed several important themes: ‘Understanding of impact of illness and its relation to holistic care’, ‘Awareness of the role of various healthcare professions’ and ‘Generic or soft skills for inter-professional collaboration’. Although the primary objective of the module was to expose students to comprehensive healthcare, the students learnt skills required for future collaborative practice from their experiences. Discussion: The CHC module provided early clinical exposure to community-based health issues and incorporated some elements of inter-professional education. The students learnt about the roles of other healthcare professions and acquired soft skills required for future collaborative practice during this module.

  3. Internet pharmacy: Need to be implemented in India

    Directory of Open Access Journals (Sweden)

    Ankit Anand

    2010-01-01

    Full Text Available In this era of science and technology, computer plays an important role in community. Today, computer is so ubiq-uitous in pharmaceutical research and development. The advent of the internet has had a significant impact on the formation of an information-driven, rapid-paced society. The number of internet users reached 150 million in only five years compared to 13 years for television and 38 years for radio. Consumer expectation for access, conven-ience, and speed has made the cyberspace superhighway a medium for knowledge exchange and for e-commerce. The internet offers a wide variety of health services and products to healthcare professionals as well as to the pub-lic. Online pharmaceutical sales have reached more than nearly $50 billion. This is a dramatic increase when com-pared to the $1.9 billion in 1999. At the click of the mouse, medications can be ordered and delivered conveniently to your door. Internet has evolved into a self-organizing media, capable of multiple interactions within. A large number of consumer products including drugs are being advertised and sold over the Internet. Though the market-ing of drugs over the Internet is an inevitable outcome of the booming e-economy, it poses unique ethical, legal and quality challenges- the prime cause being the anarchic structure of the Internet. These challenges are important from the consumer, physician and regulator perspectives. This paper begins with a summary of historical considera-tions and the shifting organization of internet pharmacy. The advantages and disadvantages of internet pharmacy practice are listed. Internet pharmacy is not only affordable but also can be source of easy availability of medicine.

  4. Internet Pharmacy: Need to be implemented in India

    Directory of Open Access Journals (Sweden)

    Rajendra Songara

    2010-01-01

    Full Text Available

    In this era of science and technology, computer plays an important role in community. Today, computer is so ubiquitous in pharmaceutical research and development. The advent of the internet has had a significant impact on the formation of an information-driven, rapid-paced society. The number of internet users reached 150 million in only five years compared to 13 years for television and 38 years for radio. Consumer expectation for access, convenience, and speed has made the cyberspace superhighway a medium for knowledge exchange and for e-commerce. The internet offers a wide variety of health services and products to healthcare professionals as well as to the public. Online pharmaceutical sales have reached more than nearly $50 billion. This is a dramatic increase when compared to the $1.9 billion in 1999. At the click of the mouse, medications can be ordered and delivered conveniently to your door. Internet has evolved into a self-organizing media, capable of multiple interactions within. A large number of consumer products including drugs are being advertised and sold over the Internet. Though the marketing of drugs over the Internet is an inevitable outcome of the booming e-economy, it poses unique ethical, legal and quality challenges- the prime cause being the anarchic structure of the Internet. These challenges are important from the consumer, physician and regulator perspectives.This paper begins with a summary of historical considerations and the shifting organization of internet pharmacy. The advantages and disadvantages of internet pharmacy practice are listed. Internet pharmacy is not only affordable but also can be source of easy availability of medicine.

  5. Creating a senior-friendly pharmacy.

    Science.gov (United States)

    Cameron, Kathleen; Morris, Anne

    2008-12-01

    This article describes components of a model senior-friendly pharmacy intended to provide information, expert advice, and products in an accessible environment that will allow older adults to remain as independent as possible. Creating a senior-friendly pharmacy is increasingly important because older adults have, and will continue to seek, more and better information and assistance concerning their prescription benefits and other products designed to help them "age in place." Many opportunities exist for pharmacists with an entrepreneurial spirit and a passion to serve a population in significant need of pharmacists' expertise. Collaboration with others in the aging network is a critical component of a successful senior-friendly pharmacy. PMID:19275465

  6. The clinical effect of reactive lactobacillus pharmacy combined with clotrimazole in curing vulvovaginal candidiasis occurring during pregnancy%克霉唑联合乳酸杆菌活性制剂治疗妊娠期外阴阴道假丝酵母菌病疗效观察

    Institute of Scientific and Technical Information of China (English)

    张丽娟; 宁玉梅; 朱玲

    2014-01-01

    Objective To understand the clinical effect of reactive lactobacillus pharmacy combined with clotrimazole in curing vulvovaginal candidiasis during pregnancy.Method 127 patients with the disease were randomly divided into an experimental group and a control group.The experimental group were given reactive lactobacillus pharmacy combined with clotrimazole,while the control group were given clotrimazole only.The clinical effects of the medicines on the two groups one week after treatment and recurrence rate within one month and two months were recorded and analyzed.Findings One week after treatment,the total clinical efficacy of the designated medicine on the experimental group was 95.38%.The efficacy of clotrimazole on the control group was 93.55%.The difference was not statistically significance(P>0.05).One month and two months after treatment,the recurrence rates of the experimental group were 2.17%and 6.52%respectively, while the recurrence rates of the control group were 15.38% and 25.64% respectively.The differences between the two groups in recurrence rate were statistically significant (P<0.05).Conclusion The clinical effect of reactive lactobacillus pharmacy combined with clotrimazole in curing vulvovaginal candidiasis during pregnancy was found to bear no prominent difference than that of the clotrimazole.However, it has great advantage in preventing the recurrence of the disease.%目的:探讨克霉唑联合乳酸杆菌活性制剂治疗妊娠期外阴阴道假丝酵母菌病( vulvovaginal candidiasis ,VVC)的临床疗效。方法将127例妊娠期VVC患者随机分成观察组和对照组,观察组采用克霉唑联合乳酸杆菌活性制剂治疗,对照组单用克霉唑治疗,观察治疗结束后1周的临床疗效和1个月、2个月的复发率。结果治疗结束后1周,观察组的总有效率为95.38%,对照组为93.55%,差异无统计学意义( P>0.05)。观察组1个月、2个月复发率分别为2.17

  7. Clinical preventive services in Guatemala: a cross-sectional survey of internal medicine physicians.

    Directory of Open Access Journals (Sweden)

    Juan E Corral

    Full Text Available BACKGROUND: Guatemala is currently undergoing an epidemiologic transition. Preventive services are key to reducing the burden of non-communicable diseases, and smoking counseling and cessation are among the most cost-effective and wide-reaching strategies. Internal medicine physicians are fundamental to providing such services, and their knowledge is a cornerstone of non-communicable disease control. METHODS: A national cross-sectional survey was conducted in 2011 to evaluate knowledge of clinical preventive services for non-communicable diseases. Interns, residents, and attending physicians of the internal medicine departments of all teaching hospitals in Guatemala completed a self-administered questionnaire. Participants' responses were contrasted with the Guatemalan Ministry of Health (MoH prevention guidelines and the US Preventive Services Task Force (USPSTF recommendations. Analysis compared knowledge of recommendations within and between hospitals. RESULTS: In response to simulated patient scenarios, all services were recommended by more than half of physicians regardless of MoH or USPSTF recommendations. Prioritization was adequate according to the MoH guidelines but not including other potentially effective services (e.g. colorectal cancer and lipid disorder screenings. With the exception of colorectal and prostate cancer screening, less frequently recommended by interns, there was no difference in recommendation rates by level. CONCLUSION: Guatemalan internal medicine physicians' knowledge on preventive services recommendations for non-communicable diseases is limited, and prioritization did not reflect cost-effectiveness. Based on these data we recommend that preventive medicine training be strengthened and development of evidence-based guidelines for low-middle income countries be a priority.

  8. Comparison of factors influencing patient choice of community pharmacy in Poland and in the UK, and identification of components of pharmaceutical care

    Directory of Open Access Journals (Sweden)

    Merks P

    2014-05-01

    Full Text Available Piotr Merks,1 Justyna Kazmierczak,2 Aleksandra Elzbieta Olszewska,3 Maria Koltowska-Häggström4 1Department of Pharmaceutical Care, Medical University of Warsaw, Poland; 2Department of Hygiene, Bioanalysis and Environmental Studies, Medical University of Silesia, Katowice, Poland; 3Department of Pharmacy, Ashford and St Peter’s Hospitals National Health Service Trust, Guildford Road, Chertsey, Surrey, United Kingdom; 4Department of Women’s and Children’s Health, Uppsala University, Uppsala, SwedenBackground: Several factors, which are components of pharmaceutical care, can influence a patient’s choice of a community pharmacy store and contribute to frequent visits to the same pharmacy.Objectives: To compare factors that influence a patient’s choice of pharmacy in Poland and in the UK, to identify which of them are components of pharmaceutical care, and to relate them to patient loyalty to the same pharmacy.Methods: A self-administered, anonymous questionnaire was distributed to clients visiting pharmacies in Poland and the UK January–August 2011. Comparisons were performed using chi-square tests and logistic regression. All statistical analyses were performed using SPSS 20.0.Results: The response rate was 55.6% (n=417/750; 36 pharmacies and 54.0% (n=405/750; 56 pharmacies in Poland and in the UK, respectively. The most frequently reported factors, as defined by a percentage of responders, were in Poland: 1 location (84%; 2 professional and high-quality of service (82%; 3 good price of medicines (78%; and 4 promotions on medicines (66%. In the UK, the most commonly reported factors were: 1 professional and high quality of service (90%; 2 location (89%; 3 good advice received from the pharmacist (86%; and 4 option of discussing and consulting all health issues in a consultation room (80%. Good advice and an option of discussing personal concerns with a pharmacist are components of pharmaceutical care. Thirty

  9. Making a success of providing NHS Health Checks in community pharmacies across the Tees Valley: a qualitative study

    Directory of Open Access Journals (Sweden)

    Heywood Peter J

    2011-09-01

    Full Text Available Abstract Background In England and Wales, the Department of Health introduced a primary prevention programme, NHS Health Checks, to provide screening for cardiovascular risk amongst people aged 40-74. The aim of this programme is to offer treatment and advice to those identified with an increased risk of cardiovascular diseases (CVD. The North East of England has some of the highest rates of CVD in the UK and prevention is therefore a priority. NHS Tees funded this programme of work under the local branding of Healthy Heart Checks (HHC. These were initially implemented principally through GP practices from October 2008 but, in order to mitigate the possibility that some hard to reach communities would be reluctant to engage with some primary care settings, plans were also developed to deliver the programme through workplace settings and through community pharmacies. This paper reports specifically on the findings from the evaluation in respect of the setting up of HHCs in community pharmacies and aims to offer some lessons for other service settings where this option is seen as a way of providing low threshold services which will minimise inequalities in intervention uptake. Methods In assessing the community pharmacy component of HHCs, a selection of staff having direct involvement in the process was invited to take part in the evaluation. Interviews were carried out with representatives from community pharmacy, staff members from the commissioning Primary Care Trusts and with Local Pharmaceutical Committee members. Results Evaluation and analysis identified challenges which should be anticipated and addressed in initiating HHC in community pharmacies. These have been categorised into four main themes for discussion in this paper: (1 establishing and maintaining pharmacy Healthy Heart Checks, (2 overcoming IT barriers, (3 developing confident, competent staff and (4 ensuring volume and through flow in pharmacy. Conclusions Delivering NHS health

  10. Access to Interpreter Services at U.S. Dental School Clinics.

    Science.gov (United States)

    Simon, Lisa; Hum, Lauren; Nalliah, Romesh

    2016-01-01

    The number of Americans with limited English proficiency (LEP) is growing, and legal protections mandate that LEP individuals have equal access to health care services. The aim of this study was to determine the availability of interpretation services in U.S. dental school clinics and the kinds of instruction dental students are given regarding treatment of LEP patients. A survey was distributed to the academic deans of all U.S. dental schools; 35 completed the survey for a response rate of 58%. Respondents were asked to report on the number of LEP patients treated in their student clinics, the resources available to students working with LEP patients, and the extent of instruction offered. Descriptive statistics were calculated. The results indicated that the proportion of LEP patients treated at U.S. dental schools was perceived to be higher than that of the general population. The availability of interpreter services and the extent of student education about LEP individuals varied widely. Among the responding schools, the most common language spoken by LEP patients was Spanish, followed by Chinese (Mandarin and Cantonese) and Russian. Most of the responding dental schools reported offering fewer than two hours of instruction to their predoctoral students on treating LEP patients. Although almost 90% of the respondents indicated believing LEP patients received care equal in quality to that of non-LEP patients in their clinics, only 61.9% indicated that their students were adequately prepared to manage LEP patients following graduation. These findings suggest that dental schools should consider curricular innovations that will prepare students to work with LEP populations and improve the ability of LEP patients to receive care in the teaching clinic setting. PMID:26729684

  11. The general pharmacy work explored in The Netherlands

    NARCIS (Netherlands)

    Mark, M. P.

    2008-01-01

    Objective To determine the frequency and nature of general pharmacy work at three Dutch community pharmacies. Methods In a purposive and convenience sample of three Dutch community pharmacies the general work was investigated. Multi-dimensional work sampling (MDWS) was used. The study took six weeks

  12. Pharmacy Student Attitudes and Willingness to Engage in Care with People Living with HIV/AIDS.

    Science.gov (United States)

    Rickles, Nathaniel M; Furtek, Kari J; Malladi, Ruthvik; Ng, Eric; Zhou, Maria

    2016-04-25

    Objective. To describe the extent to which pharmacy students hold negative attitudes toward people living with HIV/AIDS (PLWHA) and to determine whether background variables, student knowledge, and professional attitudes may affect willingness to care for PLWHA. Methods. An online survey tool was developed and administered to 150 pharmacy students in their third professional year. Descriptive and stepwise multivariate regressions were performed. Results. While descriptive results showed a majority of respondents had favorable professional attitudes towards caring for PLWHA, most pharmacy students expressed discomfort with specific attitudes about being in close physical contact and receiving selected services from PLWHA. Multivariate results revealed that: (1) being a minority predicted greater knowledge; (2) having received prior HIV instruction and greater HIV knowledge predicted more positive professional attitudes caring for PLWHA; (3) being more socially liberal, having more positive professional attitudes caring for PLWHA, and having greater empathy towards PLWHA predicted student willingness to provide services. Conclusion. Future educational interventions specifically targeted toward socially conservative whites may impact greater student willingness to care for PLWHA. Additional research should also explore the generalizability of the present findings and modeling to pharmacy students in other regions of the country. PMID:27170816

  13. Study on the Survival and Development of Community Pharmacy in Medical Reform%社会药房在医改中生存和发展的探讨

    Institute of Scientific and Technical Information of China (English)

    巢勤华; 巢柳荫; 巢凌云

    2014-01-01

    The main significance of “separation of clinic from pharmacy”in medical reform is to make benefit to the people in medical services and promote the healthy development of community pharmacy. The analysis was made in this article on the current survival status of community pharmacy , and opinions were put forward for the survival and development of community pharmacy in medical reform so as to attract more attention of departments concerned and to promote further studies.%真正意义上“医药分开”的医疗卫生体制改革,是让百姓得到医药服务的实惠,促进社会药房健康发展。本文分析了社会药房的生存现状,并提出了社会药房在医疗改革中的生存和发展的看法,以引起有关方面的高度重视和进一步研讨。

  14. Review of nuclear pharmacy practice in hospitals

    International Nuclear Information System (INIS)

    An operational profile for nuclear pharmacy practice is presented, and the technical and professional role of nuclear pharmacists is reviewed. Key aspects of nuclear pharmacy practice in hospitals discussed are the basic facilities and equipment for the preparation, quality control, and distribution of radioactive drug products. Standards for receiving, storing, and processing radioactive material are described. The elements of a radiopharmaceutical quality assurance program, including the working procedures, documentation systems, data analysis, and specific control tests, are presented. Details of dose preparation and administration and systems of inventory control for radioactive products are outlined

  15. REFLECTIONS ON THE ROLE OF THE PHARMACY REGULATORY AUTHORITY IN ENHANCING QUALITY RELATED EVENT REPORTING IN COMMUNITY PHARMACIESi

    Science.gov (United States)

    Boyle, Todd A.; Bishop, Andrea C.; Mahaffey, Thomas; MacKinnon, Neil J.; Ashcroft, Darren; Zwicker, Bev; Reid, Carolyn

    2016-01-01

    Background Given the demanding nature of providing pharmacy services, coupled with the expanded scope of practice of the professions in jurisdictions around the world, greater commitment to continuous quality improvement through adoption of quality related event (QRE) reporting is necessary to ensure patient safety. Pharmacy regulatory authorities (PRAs) are in a unique position to enhance QRE reporting and learning through the standardization of expected practice Objective This study aims to better understand the perceived roles of PRAs in enhancing QRE reporting and learning in community pharmacies and identifying regulatory best practices to execute such roles. Methods A purposive case sampling approach was used to identify PRA staff members from two groups (deputy registrars and pharmacy inspectors) in 10 Canadian jurisdictions to participate in focus groups in the fall of 2011. Focus groups were used to explore perceptions of the role of PRAs in enhancing and promoting QRE reporting and learning, and perceived barriers to effective implementation in practice. Thematic analysis was used to analyze the qualitative data. Results Two focus groups were conducted, one with seven deputy registrars/practice managers and one with nine pharmacy inspectors. Five themes were identified, including (1) defining QRE reporting and compliance, (2) navigating role conflict, (3) educating for enhanced QRE reporting and learning, (4) promoting the positive/removing the fear of QREs, and (5) tailoring QRE reporting and learning consistency. Conclusions Overall, participants perceived a strong role for PRAs in enhancing QRE reporting and learning and providing education for pharmacies to support their compliance with reporting standards. However, PRAs must navigate the conflict inherent in both educating and promoting a process for achieving a standard while simultaneously inspecting compliance to that standard. Ensuring pharmacies have autonomy in operationalizing standards may

  16. An evaluation of clinical laboratory services in sub-Saharan Africa. Ex africa semper aliquid novi?

    Science.gov (United States)

    Gray, I P; Carter, J Y

    1997-11-01

    Pathology services represent the rational, scientific basis of the practice of clinical care. It does not represent deus ex machina, an implausible solution to a complex plot, but rather the way in which clinical care can be audited, controlled, guided and kept appropriate to the funds and the skills available. Arguments are presented to support this statement as well as to analyse what is wrong with health care, from the point of view of laboratory medicine, in sub-Saharan Africa. In most African countries 'first world' technology has to be imported by economies barely able to sustain the basic requirements of human life. Badly needed foreign exchange is obtained by growing export crops at the cost of traditional lifestyle, disenfranchising communities, urbanisation, and even at the cost not being able to grow food. War, corruption, lack of accountability even in the Western sense of being able to go to the polls every so often, lack of empowerment, low literacy rate etc all debase the communities, with minimal exceptions, of Africa. Health care is under the same capricious rule as all other public services: investment in laboratories is poor and most have no access to a professional laboratory at all. More investment, not less; expansion of pathology services not restricting them, is needed throughout the continent. PMID:9469247

  17. Patterns and predictors of health service utilization in adolescents with pain: comparison between a community and a clinical pain sample

    OpenAIRE

    Toliver-Sokol, Marisol; Murray, Caitlin B.; Wilson, Anna C.; Lewandowski, Amy; Palermo, Tonya M.

    2011-01-01

    There is limited research describing the patterns of healthcare utilization in adolescents with chronic pain. This study describes healthcare utilization in a clinical chronic pain sample, and compares the patterns of service use of this group to a community sample with intermittent pain complaints. We also investigated demographic and clinical factors that predicted healthcare visits and medication use in the clinical sample. Data on 117 adolescents (aged 12-18; n=59 clinical pain sample, n=...

  18. Student Pharmacist Service-Learning in Western Kenya: The Implementation of Electronic Prescription Entry

    OpenAIRE

    Wnek, Aubrie; Schmitt, Gabrielle; Miller, Jennifer; Reiter, Jessica; Rife, Jeremy

    2015-01-01

    Purdue pharmacy students implemented a project incorporating electronic prescription entry in a rural HIV clinic pharmacy in Kitale, Kenya. Students evaluated the impact of electronic pharmacy inventory management as well as the effects on patient wait time for prescriptions. Primary outcomes included accuracy and efficiency of Kenyan pharmacy staff prescription entry. At the end of the project, students found a decrease in prescription errors as well as an increase in the speed of entry. The...

  19. Reproductive health services for populations at high risk of HIV: Performance of a night clinic in Tete province, Mozambique

    Directory of Open Access Journals (Sweden)

    Delva Wim

    2010-05-01

    Full Text Available Abstract Background Different models exist to provide HIV/STI services for most-at-risk populations (MARP. Along the Tete traffic corridor in Mozambique, linking Malawi and Zimbabwe, a night clinic opening between 4 and 10 PM was established targeting female sex workers (FSW and long-distance truck drivers (LDD. The clinic offers free individual education and counselling, condoms, STI care, HIV testing, contraceptive services and outreach peer education. To evaluate this clinic model, we assessed relevance, service utilisation, efficiency and sustainability. Methods In 2007-2009, mapping and enumeration of FSW and LDD was conducted; 28 key informants were interviewed; 6 focus group discussions (FGD were held with FSW from Mozambique and Zimbabwe, and LDD from Mozambique and Malawi. Clinic outputs and costs were analysed. Results An estimated 4,415 FSW work in the area, or 9% of women aged 15-49, and on average 66 trucks stay overnight near the clinic. Currently on average, 475 clients/month visit the clinic (43% for contraception, 24% for counselling and testing and 23% for STI care. The average clinic running cost is US$ 1408/month, mostly for human resources. All informants endorsed this clinic concept and the need to expand the services. FGD participants reported high satisfaction with the services and mentioned good reception by the health staff, short waiting times, proximity and free services as most important. Participants were in favour of expanding the range of services, the geographical coverage and the opening times. Conclusions Size of the target population, satisfaction of clients and endorsement by health policy makers justify maintaining a separate clinic for MARP. Cost-effectiveness may be enhanced by broadening the range of SRHR-HIV/AIDS services, adapting opening times, expanding geographical coverage and targeting additional MARP. Long-term sustainability remains challenging and requires private-public partnerships or

  20. A Review on Different Virtual Learning Methods in Pharmacy Education

    Directory of Open Access Journals (Sweden)

    Amin Noori

    2015-10-01

    Full Text Available Virtual learning is a type of electronic learning system based on the web. It models traditional in- person learning by providing virtual access to classes, tests, homework, feedbacks and etc. Students and teachers can interact through chat rooms or other virtual environments. Web 2.0 services are usually used for this method. Internet audio-visual tools, multimedia systems, a disco CD-ROMs, videotapes, animation, video conferencing, and interactive phones can all be used to deliver data to the students. E-learning can occur in or out of the classroom. It is time saving with lower costs compared to traditional methods. It can be self-paced, it is suitable for distance learning and it is flexible. It is a great learning style for continuing education and students can independently solve their problems but it has its disadvantages too. Thereby, blended learning (combination of conventional and virtual education is being used worldwide and has improved knowledge, skills and confidence of pharmacy students.The aim of this study is to review, discuss and introduce different methods of virtual learning for pharmacy students.Google scholar, Pubmed and Scupus databases were searched for topics related to virtual, electronic and blended learning and different styles like computer simulators, virtual practice environment technology, virtual mentor, virtual patient, 3D simulators, etc. are discussed in this article.Our review on different studies on these areas shows that the students are highly satisfied withvirtual and blended types of learning.