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Hospital Pharmacy

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https://read.qxmd.com/read/30720019/retraction-notice-escaping-the-traditional-interview-approach-a-pilot-study-of-an-alternative-interview-process
#1
(no author information available yet)
[This retracts the article DOI: 10.1177/0018578718758970.].
February 2019: Hospital Pharmacy
https://read.qxmd.com/read/30718936/a-survey-of-opioid-medication-stewardship-practices-at-academic-medical-centers
#2
Pamela Phelps, Thomas S Achey, Katherine D Mieure, Lourdes Cuellar, Heidemarie MacMaster, Robert Pecho, Virginia Ghafoor
Purpose: The results of a survey of academic medical centers assessing the presence and description of opioid stewardship activities. Methods: Academic medical centers within the Vizient University Health System Consortium Pharmacy Network were asked to complete a survey related to opioid stewardship activities. The survey consisted of 30 questions aimed at identifying current opioid stewardship practices among hospitals and health systems. Results: There were 27 respondents to the survey. Only 42.3% of respondents have opioid stewardship activities in place...
February 2019: Hospital Pharmacy
https://read.qxmd.com/read/30718935/remote-antimicrobial-stewardship-a-solution-for-meeting-the-joint-commission-stewardship-standard
#3
C K Howell, Jesse Jacob, Steve Mok
Purpose: The purpose of this study was to determine the time required for antimicrobial stewardship (AS) activities at a small community hospital (SCH) as well as barriers to remote AS to satisfy The Joint Commission (TJC)'s AS standard. Methods: This was a prospective chart review and time study conducted in patients identified by a clinical decision support application as potential opportunities for antimicrobial therapy modification at a SCH between December 12, 2016, and March 31, 2017. Potential interventions were communicated electronically to the clinical pharmacy specialist, who would then communicate the recommendations to the patient's provider...
February 2019: Hospital Pharmacy
https://read.qxmd.com/read/30718934/the-effect-of-pharmacy-driven-education-on-the-amount-of-appropriately-administered-tetanus-vaccines-in-the-emergency-department
#4
Meghan Fletcher, Shannon Rankin, Preeyaporn Sarangarm
Background: Tetanus vaccinations for wound prophylaxis are routinely administered in emergency departments (ED). Current recommendations from the Centers for Disease Control and Prevention (CDC) and Advisory Committee on Immunization Practices (ACIP) regarding tetanus administration for wound prophylaxis differentiate between the tetanus and diphtheria (Td) and the tetanus, diphtheria, acellular pertussis (Tdap) formulations and when they should be administered. Lack of knowledge regarding these recommendations, different formulations, and techniques to locate patient immunization history can lend to increased duplicate and inappropriate vaccinations...
February 2019: Hospital Pharmacy
https://read.qxmd.com/read/30718933/the-effect-of-performance-transparency-on-adherence-to-barcode-scanning-during-order-preparation-in-an-adult-inpatient-satellite-pharmacy
#5
David Merola, John D Hill, Stephanie Olumba, Rosemary Duncan, Virna Almuete, Kenneth M Shermock
Purpose: The aim of this study was to investigate the effect of performance transparency and individualized feedback on pharmacy technician compliance with barcode verification technology during inpatient order preparation. Methods: Following the incorporation of barcode scanning technology into the workflow of pharmacy staff, a multiphasic intervention was employed to promote its use. The intervention included verbal feedback and publically posting performance metrics to increase accountability. An interrupted time-series analysis was conducted to ascertain trends and levels in the percent of orders that were dispensed using barcode verification, before and after the study intervention...
February 2019: Hospital Pharmacy
https://read.qxmd.com/read/30718932/physical-compatibility-and-chemical-stability-of-injectable-and-oral-ranitidine-solutions
#6
Kelly Fleming, Ronald F Donnelly
Objectives: The physical compatibility and chemical stability of ranitidine hydrochloride injectable solutions and oral syrup were studied to define beyond-use dates (BUDs). Methods: Ranitidine hydrochloride injectable solutions of 25 mg/mL packaged in glass vials and 5 mg/mL in polypropylene (PP) syringes were prepared in triplicate. Samples were refrigerated and protected from light (PFL) or stored at 25°C and either exposed to light (ETL) or PFL. Ranitidine hydrochloride oral syrup 15 mg/mL in unit-dose amber PP syringes were prepared in triplicate and then kept at 25°C...
February 2019: Hospital Pharmacy
https://read.qxmd.com/read/30718931/the-assessment-and-management-practices-of-acute-alcohol-withdrawal-results-of-a-nationwide-survey-of-critical-care-pharmacists
#7
Susanne Dyal, Robert MacLaren
Background: Alcohol withdrawal occurs commonly but diagnosis and therapies have not been described. Objective: To characterize practices regarding the assessment and treatment of acute severe alcohol withdrawal and describe perceived barriers to therapies. Methods: A random sample of 500 US-based critical care pharmacists received the pretested, electronically distributed questionnaire. Results: 94 (20%) of 471 eligible recipients responded with diverse representation. Manifestations of alcohol withdrawal that were commonly rated as severe were seizures (91...
February 2019: Hospital Pharmacy
https://read.qxmd.com/read/30718930/cognitive-computing-and-watson-implications-for-hospital-pharmacy
#8
Brent I Fox
This installment explores the domain of cognitive computing, using the well-known Watson as an example. The migration of computer manufacturers from a focus on hardware to a focus on services suggests the potential of these tools. Considerations for use of these tools in the health care system are provided.
February 2019: Hospital Pharmacy
https://read.qxmd.com/read/30718929/sodium-zirconium-cyclosilicate
#9
REVIEW
Terri L Levien, Danial E Baker
Each month, subscribers to The Formulary Monograph Service receive 5 to 6 well-documented monographs on drugs that are newly released or are in late phase 3 trials. The monographs are targeted to Pharmacy & Therapeutics Committees. Subscribers also receive monthly 1-page summary monographs on agents that are useful for agendas and pharmacy/nursing in-services. A comprehensive target drug utilization evaluation/medication use evaluation (DUE/MUE) is also provided each month. With a subscription, the monographs are available online to subscribers...
February 2019: Hospital Pharmacy
https://read.qxmd.com/read/30718928/critical-evaluation-of-pharmacy-automation-and-robotic-systems-a-call-to-action
#10
EDITORIAL
Anthony M Boyd, Bruce W Chaffee
No abstract text is available yet for this article.
February 2019: Hospital Pharmacy
https://read.qxmd.com/read/30559529/the-safety-of-intravenous-drug-delivery-systems-update-on-current-issues-since-the-2009-consensus-development-conference
#11
Ryan Rodriguez
This review was prepared in advance of the Third Consensus Development Conference on the Safety of Intravenous Drug Delivery Systems that was held at the W Hotel in Chicago, Illinois, from November 1 through 3, 2018. The purpose of this conference was to evaluate the safety of intravenous (IV) infusion systems used for medication administration. The expert panel of pharmacists, physicians, and nurses updated the findings of the Second Consensus Development Conference in 2009 that reviewed 5 IV drug delivery systems (manufacturer ready to use, outsourced ready to use, point-of-care activated, pharmacy compounded, and nonpharmacy compounded at point of care) with regard to applicability, ease of use, regulatory compliance, cost, safety, and implementation...
December 2018: Hospital Pharmacy
https://read.qxmd.com/read/30559528/avoiding-patient-harm-with-parenteral-nutrition-during-electrolyte-shortages
#12
Eric W Brown, Nicole H McClellan, Gayle Minard, George O Maish, Roland N Dickerson
Purpose: We report a case of a patient with gastrointestinal dysmotility and substantial drainage losses who required parenteral nutrition (PN) and developed a non-anion gap metabolic acidosis secondary to a shortage of concurrent potassium acetate and sodium acetate PN additives. We describe how severe PN-associated metabolic consequences were averted during this acetate shortage. Summary: The patient with inability to swallow and significant weight loss was admitted to the hospital and given PN after failure to tolerate either gastric or jejunal feeding due to dysmotility and severe abdominal distension and discomfort...
December 2018: Hospital Pharmacy
https://read.qxmd.com/read/30559527/implementation-of-the-procalcitonin-assay-in-a-rural-hospital
#13
Jennifer L Cole
Objective: Most positive studies in procalcitonin (PCT) utilization were done in large, tertiary medical centers. Furthermore, there is a paucity of data describing the implementation process. This article is the first to describe in detail the implementation process and initial outcomes after 6 months of PCT testing in a rural, 65-bed, primary hospital. Methods: Education before and during PCT implementation as well as facility rollout are described. Initial outcomes were assessed using a before and after quasi-experimental study design comparing 2 identical 6-month time periods: May to October 2016 and May to October 2017...
December 2018: Hospital Pharmacy
https://read.qxmd.com/read/30559526/a-case-of-ivermectin-induced-warfarin-toxicity-first-published-report
#14
Brian Wesley Gilbert, Joe Slechta
Here, we present the case of a patient who developed a large hematoma under his tongue while taking concomitant warfarin and ivermectin. Ivermectin has been shown to interfere with vitamin K-dependent clotting factors II, V, VII, and X. However, all the data to date have been from in vivo data with little to no reports on its effects on humans. To our knowledge, this is the first case report to present such a case.
December 2018: Hospital Pharmacy
https://read.qxmd.com/read/30559525/drug-compliance-and-its-associated-factors-among-hypertensive-patients-in-pakistan-a-cross-sectional-study
#15
Kashif Ali, Syed Omair Adil, Najeebullah Soomro, Ayisha Bibi, Sadaf Kalam
The drug compliance and its associated factors were investigated among hypertensive patients attending the outpatient department of National Institute of Cardiovascular Disease (NICVD), Karachi, from September 2014 to March 2015. Data were collected retrospectively from 300 hypertensive patients taken treatment for >1 year. Half of the patients (51%) were >55 years of age with the predominance of males (52.70%). Most respondents (47%) had had ischemic heart disease (IHD), 30% had diabetes, 47% had both IHD and diabetes, while only a small number of subjects (18%) reporting no comorbidity...
December 2018: Hospital Pharmacy
https://read.qxmd.com/read/30559524/summaries-of-safety-labeling-changes-approved-by-fda-boxed-warnings-highlights-april-june-2018
#16
(no author information available yet)
No abstract text is available yet for this article.
December 2018: Hospital Pharmacy
https://read.qxmd.com/read/30559523/rxlegal-pharmacist-gag-clauses
#17
Michael Gabay
Much publicity has surrounded the use of gag clauses in contracts between insurance companies or their pharmacy benefit managers (PBMs) and pharmacies. These clauses prohibit pharmacists from voluntarily informing patients that their prescription medication may cost less if paid for directly by them instead of through their insurance. By concealing the least expensive way to purchase a medication, critics state that gag clauses reduce transparency and medication affordability for patients and appear to be counterintuitive to one of the major activities of a PBM-negotiation of drug pricing...
December 2018: Hospital Pharmacy
https://read.qxmd.com/read/30559522/ismp-adverse-drug-reactions-lithium-induced-cardiomyopathy-fixed-drug-eruption-due-to-cetirizine-levocetirizine-and-hydroxyzine-nivolumab-induced-myasthenia-gravis-nivolumab-induced-cholangitic-liver-disease-torsade-de-pointes-caused-by-psychiatric-polypharmacy
#18
Michael A Mancano, Jacqueline Emily Von Bulow, Myungsun Ro
The purpose of this feature is to heighten awareness of specific adverse drug reactions (ADRs), discuss methods of prevention, and promote reporting of ADRs to the US Food and Drug Administration's (FDA) MedWatch program (800-FDA-1088). If you have reported an interesting, preventable ADR to MedWatch, please consider sharing the account with our readers. E-mail Dr. Mancano michael.mancano@temple.edu). Your report will be published anonymously unless otherwise requested. This feature is provided by the Institute for Safe Medication Practices (ISMP) in cooperation with the FDA's MedWatch program and Temple University School of Pharmacy...
December 2018: Hospital Pharmacy
https://read.qxmd.com/read/30559521/new-medications-in-the-treatment-of-peanut-allergy
#19
Scot Walker
In the general population, the prevalence of peanut allergy has remained stable at 1.3%. However, in children, the prevalence appears to be increasing. There are no approved treatments for peanut allergy so current treatment involves educating the patient on avoiding products that contain peanut protein. Two drugs that allow controlled desensitization with controlled amounts of peanut protein have reached late stages of development.
December 2018: Hospital Pharmacy
https://read.qxmd.com/read/30559520/erenumab-aooe
#20
REVIEW
Kalvin Stoker, Danial E Baker
Each month, subscribers to The Formulary Monograph Service receive 5 to 6 well-documented monographs on drugs that are newly released or are in late phase 3 trials. The monographs are targeted to Pharmacy & Therapeutics Committees. Subscribers also receive monthly 1-page summary monographs on agents that are useful for agendas and pharmacy/nursing in-services. A comprehensive target drug utilization evaluation/medication use evaluation (DUE/MUE) is also provided each month. With a subscription, the monographs are available online to subscribers...
December 2018: Hospital Pharmacy
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