A Ph A 2009 Poster
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This study evaluated patient satisfaction with pharmacy services provided through mail-order, independent, and chain pharmacies among 184 HIV patients. Patients were most satisfied with services from independent pharmacies and least satisfied with mail-order pharmacies. Higher dissatisfaction with mail-order was associated with extra medications left over when medications were stopped and delays receiving new prescriptions. Higher dissatisfaction with independent and chain pharmacies correlated with more unscheduled doctor's visits and emergency room visits, respectively, for medication-related issues.
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![HIV Patient Satisfaction With Pharmacy Services Provided in a Mail-Order vs. Community Pharmacy Setting To determine: 1) the satisfaction of HIV/AIDS patients with services provided in an independent vs. chain community vs. mail-order pharmacy setting. 2) the relationship between the study variables* and patient satisfaction with services provided in a mail-order, independent and chain community pharmacy setting.*Missed doses, extra medications left over, time taken to receive medications, unscheduled doctor’s visit, and emergency room visit. ,[object Object],[object Object],[object Object],[object Object],[object Object],Abhilasha Ramasamy, 1 * M.Sc Biological Sciences, B.Pharm; Sharrel Pinto, 2 * B.S Pharm, Ph.D.; Eric Sahloff, 3 * Pharm.D 1 MS Candidate; 2 Assistant Professor & Director, Pharmaceutical Care and Outcomes Research Laboratory, Pharmacy Health Care Administration; 3 Assistant Professor, Pharmacy Practice, * College of Pharmacy, The University of Toledo BACKGROUND OBJECTIVES METHODOLOGY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Table 1 : Demographic Results (n=184) Table 2 : Satisfaction score with each pharmacy setting Likert Scale: 1 = Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree Table 3 : Correlation Results * - Significant at 0.05 level ; ** - Significant at 0.01 level CONCLUSION REFERENCES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1. National Institute of Health. HIV/AIDS Fact Sheet. Available at www.nih.gov/about/researchresultsforthepublic/HIV-AIDS.pdf. Accessed Nov 10, 2008. 2. Kimmel PL, Patel SS. Quality of life in patients with chronic kidney disease: focus on end-stage renal disease treated with hemodialysis. Semin Nephrol . 2006; 26(1):68-79. 3. Bultman DC, Svarstad BL. Effects of pharmacist monitoring on patient satisfaction with antidepressant medication therapy. J Am Pharm Assoc . 2002; 42(1):36-43. 4. Ried LD, Wang F, Young H, Awiphan R. Patients' satisfaction and their perception of the pharmacist. J Am Pharm Assoc . 1999; 39(6):835-842. 5. Larson LN, Rovers JP, Mckeigan LD. Patient satisfaction with pharmaceutical care: Update of a validated instrument. J Am Pharm Assoc . 2002; 42:44-50. 6. Pinto SL, Sahloff EG, Ramasamy A (in press, 2008). Evaluating the Validity and Reliability of a Modified Survey to Assess Patient Satisfaction with Mail-Order and Community Pharmacy Settings. Journal of Pharmacy Practice. 7. Briesacher B, Corey R. Patient satisfaction with pharmaceutical services at independent and chain pharmacies. Am J Health Syst Pharm . 1997; 54(5): 531-536. RESULTS DISCUSSION #136 Presented at APhA Annual Meeting, San Antonio, Texas. April 3-6, 2009 Type of pharmacy Mean satisfaction score * (out of 5) Mail order pharmacy (n=87) Efficient functioning of pharmacy (Factor 1) 3.78 Managing therapy role of pharmacist (Factor 2) 2.90 Independent pharmacy (n=74) Factor 1 5 Factor 2 5 Chain pharmacy (n=114) Factor 1 3.80 Factor 2 3.10 Variable (N) Mail Order (n=87) Chain Community (n=114) Independent Community (n=74) Factor 1 Factor 2 Factor 1 Factor 2 Factor 1 Factor 2 Number of times of missed doses -0.367 * -0.268 -0.236 -0.199 -0.120 0.067 Number of times of missed doses due to out of medications? -0.729 ** -0.267 -0.354 -0.174 0.219 0.147 Extra medications left over because doctor told to stop taking medications -0.387 * -0.318 -0.173 -0.390 * 0.244 0.156 If doctor changes medications time taken to receive the medications -0.433 * -0.355 0.051 0.083 -0.451 -0.210 Unscheduled doctor’s visit due to a medication related issue -0.035 -0.156 -0.119 -0.006 -0.273 -0.690 ** Emergency room visit due to a medication related issue -0.051 -0.156 -0.577 ** -0.236 0.029 -0.296 Demographics Frequencies (%) Gender Male 125 (67.9%) Female 51 (27.7%) Age 30-39 48 (26.1%) 40-49 82 (44.6%) Ethnicity Caucasian 99 (53.8%) African American 60 (32.6%) Annual Household Income Less than $15,000 107 (58.2%)](https://image.slidesharecdn.com/apha2009hivprojectpostercorrelationfinal-12395076314-phpapp02/85/A-Ph-A-2009-Poster-1-320.jpg)
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Improving Healthcare Quality and Safety while Reducing Costs through Clinical...
Similar to A Ph A 2009 Poster
JAPhA Home Based MTM 2016
- Home-based medication therapy management (MTM) services were integrated into a large urban health system between September 2012 and December 2013. A pharmacist provided 74 home visits to 53 patients.
- Most referrals (66%) came from the internal medicine clinic, with about half from physicians and 23% from pharmacists. The top reasons for referral were nonadherence, transportation barriers, and the need for medication reconciliation with home care nurses.
- On average, patients had 3 medication-related problems identified during the home visits. The most common problem was non-compliance, affecting 40% of patients. Home-based MTM allowed for direct assessment of factors influencing medication use and improved care coordination.
Cross sectional-study-client-satisfaction-towards-services-nhc-17-104
Client satisfaction is a multidimensional construct that reflects the quality of service provided by healthcare providers. The objective of this study was to develop a client satisfaction scale that could be used to assess the quality of pharmacy services provided in Boru media hospital community and hospital pharmacy in respect of client perception of specific aspects of service performance.
The Nursing Care Journal invites all aspects related to the Nursing and Health Care Journal.
This is rapid peer review process which accepts high quality manuscripts.
Workshop 2: Benchmarking solutions showcase
The document summarizes three medication management programs:
1. The London Older Peoples Service Development Programme uses a specialist pharmacist assessment and care plan coordinated by a case manager to address older patients' medication access, compliance, and clinical issues.
2. Imperial College's My Medication Passport provides patients a consolidated list of their medications, allergies, and contacts to improve information sharing between care settings.
3. Optimize Adherence Service uses accredited community pharmacists to conduct adherence assessments, develop support plans, and provide ongoing reviews to both address unintentional non-compliance barriers and provide cognitive support to improve intentional medication taking.
Pharmacy practice.pdf
I am professionally pharmacist. These slides for clinical subject especially for pharmacy department students.
Medication Adherence.pptx
Medication adherence
Causes of medication non-adherence, pharmacist role in the medication adherence, and monitoring of patient medication adherence.
Poster-v9 (Steven Asbill, TOC)
This document describes a pilot study that evaluated the impact of including a pharmacist in the transitions of care process for patients discharged from an inpatient family medicine service. Key findings include:
- A pharmacist called patients within 2-7 days of discharge and documented any interventions in the electronic medical record. This reduced medication errors and delays in initiating new medications.
- A physician questionnaire found that including the pharmacist improved quality of care, reduced medication errors and prior authorization delays, and saved physician time with medication reconciliation.
- The readmission and emergency department visit rates during the 6 month pilot period were lower than the previous 6 months, suggesting the pharmacist interventions may have prevented readmissions.
Presentation1
This research paper summarizes a randomized controlled trial that studied the effect of pharmacist counseling on preventing adverse drug events (ADEs) after hospital discharge. 178 patients were randomly assigned to an intervention group that received pharmacist counseling at discharge and a follow-up phone call 3-5 days later, or a control group that received usual care. The intervention focused on clarifying medications, reviewing instructions and side effects. At 30 days post-discharge, preventable ADEs occurred in 1 patient in the intervention group versus 8 in the control group, showing pharmacist counseling can significantly reduce preventable ADEs and medication-related emergency visits or readmissions after hospitalization.
Preprint review article letter to all pharmacist 2016 pharmaceutical care la...
Preprint review article letter to all pharmacist 2016 pharmaceutical care la...M. Luisetto Pharm.D.Spec. Pharmacology
The document summarizes research on the benefits of clinical pharmacists participating as members of medical teams. Several studies found that including clinical pharmacists reduced mortality rates in hospitals and improved outcomes across disease states. Pharmacists improved medication management by addressing drug-related problems, which led to decreased mortality for conditions like heart attacks. Their interventions enhanced clinical outcomes for diabetes, cardiovascular disorders, and other conditions. Effective implementation of these pharmacy services requires support from healthcare organizations and infrastructure support within facilities.bretOral Chemo Poster 4.8.15
This study aims to assess the financial burden and psychosocial impact faced by patients prescribed oral cancer medications. It will evaluate medication adherence, costs associated with obtaining treatment, wait times for prescriptions, and the workload for healthcare professionals in assisting patients. The preliminary data shows patients experience significant worry while waiting for oral oncolytics and costs ranging from $0-10,000 monthly for healthcare. Increased costs and wait times may be linked to higher stress levels and influence medication adherence.
Consumer-Oriented Drug Information Service Needs Assessment
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
Role of pharmacist in Community pharmacy and public health practice in India:...
The knowledge, skills and expertise of a pharmacist enable them to support the public health care by promoting healthy lifestyles, preventing long-term illness and by guiding patients to better manage their medicines. A community pharmacist strengthens the public health system in a broad perspective. To improve health, patient care and medication-related outcomes through education, clinical practice and research. To ensure the safety and efficacy of medications which are prescribed by medical practitioner.
Med Rec And Terminology To Mcp 2008
The document discusses medication reconciliation, which is defined as a process to obtain and document a complete list of a patient's pre-admission medications and reference this list when writing admission, transfer, and discharge orders. It provides background on medical errors from medication issues and the importance of medication reconciliation. It then describes the medication reconciliation process, which involves verifying the patient's medication list with them and reconciling the list at discharge.
Study of medication appropriateness during hospital stay and revisits in medi...
IOSR Journal of Pharmacy and Biological Sciences(IOSR-JPBS) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of Pharmacy and Biological Science. The journal welcomes publications of high quality papers on theoretical developments and practical applications in Pharmacy and Biological Science. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
Measurement of medication adherence
This slides contains definition, epidemiology, assessment, ways to encourage and role of pharmacist in medication adherence.
ISPOR
This summarizes the outcomes of a 6-month pharmacist-provided diabetes management program for employees of the City of Toledo. The program showed improvements in clinical outcomes like A1c and blood pressure. It also improved humanistic outcomes such as patient satisfaction, knowledge, and adherence. Economic outcomes like healthcare utilization and costs improved as well, with a 62.69% reduction in total costs. The study demonstrates positive short-term outcomes across clinical, humanistic and economic domains from a pharmacist-led diabetes management program.
Opioid Refill Clinic
The document summarizes a study that reviewed charts of 86 patients discharged from an Opioid Renewal Clinic (ORC) over 22 months to examine outcomes two years after discharge. The most common reason for discharge was recurrent positive urine drug screens for illicit substances (47%). Only 17% received addiction treatment in the two years after discharge. 41% were prescribed opioids within two years of discharge, and those prescribed opioids tended to have longer stays in the ORC and more primary care visits after discharge. The outcomes reveal a need to improve addiction management for this patient population.
Evaluation of the Inpatient Hospital Experience while on Precautions
This study assessed patient satisfaction of those under contact/airborne isolation precautions versus those not under precautions at Yale-New Haven Hospital. 87 patients were interviewed using a survey measuring satisfaction with communication, treatment explanations, help from staff, pain control, and overall experience. Small variations were found between groups in nurse communication, timely help, pain control, and overall satisfaction. No significant difference was seen in doctor communication, but those under precautions expressed higher satisfaction with treatment explanations. The study aimed to understand differences to improve hospital processes and performance under new CMS reimbursement policies tied to patient satisfaction.
Genoa Pharmacy Med adherence & outcomes study
This study compared medication adherence rates, hospitalization rates, emergency department use, and costs between patients who filled prescriptions at pharmacies integrated within community mental health centers versus those who used outside community pharmacies. The study matched 1,378 patient-medication pairs from integrated pharmacies to controls based on demographic and clinical characteristics. Patients using integrated pharmacies had higher medication adherence rates as measured by medication possession ratios. They also had lower rates of hospitalization and emergency department use, resulting in estimated cost savings of $58 per member per month or approximately $700,000 annually for every 1,000 patients. The results suggest locating pharmacies within community mental health centers can improve medication adherence and reduce healthcare costs.
Prescription Audit PPT.pptx
This document discusses prescription auditing at a medical college and hospital. It defines prescription auditing and its objectives which include assessing irrational prescribing, detecting errors, and improving the quality of prescriptions. It outlines the audit process including forming a committee, setting criteria, collecting a sample of prescriptions, analyzing the data, generating a report, and creating an action plan. Key aspects of prescriptions that should be audited are completeness, legibility, rationality of medications prescribed, and adherence to treatment guidelines. The audit aims to promote rational drug use and reduce errors and costs to improve patient care.
How to recognize ADRs in patients.@ Clinical Pharmacy
This document discusses methods for detecting adverse drug reactions (ADRs) and summarizes four main approaches: case-control studies, cohort studies, spontaneous case reports, and vital statistics/record linkage studies. It provides details on how each method works, its advantages and limitations. The document also outlines steps for properly assessing possible ADRs in patients and stresses the importance of reporting any suspected reactions to help improve patient safety.
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Cross sectional-study-client-satisfaction-towards-services-nhc-17-104
Cross sectional-study-client-satisfaction-towards-services-nhc-17-104
Preprint review article letter to all pharmacist 2016 pharmaceutical care la...
Preprint review article letter to all pharmacist 2016 pharmaceutical care la...
Consumer-Oriented Drug Information Service Needs Assessment
Consumer-Oriented Drug Information Service Needs Assessment
Role of pharmacist in Community pharmacy and public health practice in India:...
Role of pharmacist in Community pharmacy and public health practice in India:...
Study of medication appropriateness during hospital stay and revisits in medi...
Study of medication appropriateness during hospital stay and revisits in medi...
Evaluation of the Inpatient Hospital Experience while on Precautions
Evaluation of the Inpatient Hospital Experience while on Precautions
How to recognize ADRs in patients.@ Clinical Pharmacy
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Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
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5. Enlist some common indications for obtaining an ECG
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9. Define mean electrical vector (axis) of the heart and give the normal range
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Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
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Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
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