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Long-Term Pharmacotherapy for Obesity in Elderly Patients A Retrospective Evaluation of Medical Records from a Specialized Obesity Outpatient Clinic

HORIE, Nidia Celeste; CERCATO, Cintia; MANCINI, Marcio C.; HALPERN, Alfredo
Fonte: ADIS INT LTD Publicador: ADIS INT LTD
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
36.05%
Background: Obesity is a serious chronic disease and the prevalence of this condition is increasing among the elderly. Although the benefits of weight loss to improve control of associated diseases are well known in young adults, they are not in older patients. The use of anti-obesity drugs to promote weight loss is widespread in Brazil and other countries, and obesity specialists frequently prescribe medicines in doses and for durations previously unreported in the literature. Sibutramine, orlistat and amfepramone (diethylpropion) have been evaluated in clinical trials of more than 2 years` duration in adults, demonstrating safety and efficacy, but long-term studies in obesity treatment are absent for other drugs. The efficacy and safety of obesity pharmacotherapy among the elderly is unknown. Objective: To describe the experience of obesity pharmacotherapy in the elderly in a specialized obesity care setting in Brazil, with a focus on efficacy and safety. Methods: A retrospective evaluation was conducted on medical charts from an outpatient clinic of a specialized tertiary centre for the treatment of obesity. We included patients who had had at least one consultation between January and December 2007, were aged >= 60 years at the beginning of the treatment...

Measuring Adherence to Antiretroviral Treatment: The Role of Pharmacy Records of Drug Withdrawals

Gutierrez, Eliana Battaggia; Christovam Sartori, Ana Marli; Schmidt, Ana Lucia; Piloto, Bruna Mamprim; Franca, Bruna Biagi; de Oliveira, Adriana Santos; Pouza, Adriana Rodrigues; Moreno, Roberta Vilela; Picone, Camila de Melo; Sampaio de Almeida Ribeiro,
Fonte: SPRINGER/PLENUM PUBLISHERS; NEW YORK Publicador: SPRINGER/PLENUM PUBLISHERS; NEW YORK
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
46.41%
This study aimed to evaluate adherence to anti-retroviral treatment (ART) among HIV + adults, assess its association with HIV viral load (VL) and identify factors associated to adherence. A survey involving a random sample of adults followed at a HIV/AIDS reference center in Sao Paulo city, Brazil, from 2007 to 2009 was done. A questionnaire was applied and data were retrieved from the pharmacy and medical records. The study involved 292 subjects: 70.2% men; median age: 43 years; median duration of ART: 8 years. 89.3% self-reported taken all prescribed pills in the last 3 days but only 39.3% picked up >= 95% of the prescribed ART from the pharmacy in the last 12 months. At the multivariate analysis having symptoms prior to ART, taking fewer ART pills, and not missing medical appointments were independently associated to higher adherence. Adherence was strongly associated with undetectable HIV VL. Rates of undetectable HIV VL did not differ from 80 to >= 95% of adherence.

Evaluation of patients adherence to HIV medication based on pharmacy records

Elias, C; Fernandes, J; Almeida, P
Fonte: European Society of Clinical Pharmacy Publicador: European Society of Clinical Pharmacy
Tipo: Conferência ou Objeto de Conferência
Publicado em //2004 ENG
Relevância na Pesquisa
36.1%

CONGRUENCE OF MEDICATION INFORMATION FROM A BROWN BAG DATA COLLECTION AND PHARMACY RECORDS: FINDINGS FROM THE SEATTLE LONGITUDINAL STUDY

Caskie, Grace I. L.; Willis K, Sherry L.; Schaie, Warner; Zanjani, Faika A. K.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em //2006 EN
Relevância na Pesquisa
46.54%
The validity of health information obtained through participants’ reports of current medications (e.g., the brown bag method) is an important, but under-studied, area. In the current study, we examined the congruence of medication reports from a brown bag data collection with the pharmacy prescription records for 1430 participants (ages 23 to 97 years) of the seventh wave of the Seattle Longitudinal Study. Overall, the congruence of the brown bag data and pharmacy records was high. Congruence was better for younger participants, healthier participants, and for medications taken for serious conditions or on a regular basis. When the focus is on assessing participants’ medications at a specific point in time (e.g., on the day of testing), brown bag data may provide more complete information than pharmacy records. Age and health status of the participants as well as the type of medications of interest should be considered when determining the validity of medication information reported by participants.

PHAMIS Pharmacy System

Gurtel, Arthur L.; Gleser, Malcolm A.; Fallavollita, Alfred; Woods, David R.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em 17/10/1979 EN
Relevância na Pesquisa
36.3%
An automated outpatient pharmacy system is designed to serve the multifacility health care system of the U.S. Public Health Service. This system allows entry and retrieval of prescription information, maintains patient medication profiles, produces a variety of workload and drug utilization reports, and maintains the inventory. It utilizes computerized patient, prescriber and drug product information to simplify prescription processing. The system saves pharmacy, patient, and prescriber time and enhances accuracy and patient safety. The benefits expected of system wide implementation with integrated patient records include: better, more efficient care for highly mobile PHS beneficiaries, more effective centralized management of pharmacy resources, and a large, uniquely complete database for drug utilization and epidemiological studies.

Using automated pharmacy records to assess the management of tuberculosis.

Subramanyan, G. S.; Yokoe, D. S.; Sharnprapai, S.; Nardell, E.; McCray, E.; Platt, R.
Fonte: Centers for Disease Control Publicador: Centers for Disease Control
Tipo: Artigo de Revista Científica
Publicado em //1999 EN
Relevância na Pesquisa
46.35%
We used automated pharmacy dispensing data to characterize tuberculosis (TB) management for 45 health maintenance organization (HMO) members. Pharmacy records distinguished patients treated in HMOs from those treated elsewhere. For cases treated in HMOs, they provided useful information about appropriateness of prescribed regimens and adherence to therapy.

Utilizing Pharmacy Records to Assess Antibiotic Prescribing Patterns on the Incidence of Community-Acquired Methicillin-Resistant Staphylococcus aureus Infections in Children

Johnson, Peter N.; Rapp, Robert P.; Nelson, Christopher T.; Butler, J.S.; Overman, Sue; Kuhn, Robert J.
Fonte: Pediatric Pharmacy Advocacy Group Publicador: Pediatric Pharmacy Advocacy Group
Tipo: Artigo de Revista Científica
Publicado em //2007 EN
Relevância na Pesquisa
36.1%

THE DRUG TAKING PATTERNS OF NURSING, MEDICAL, AND PHARMACY STUDENTS IN BRISBANE, AUSTRALIA; Determining the reliability of the Queensland Alcohol and Drug instrument

Engs, Ruth C.
Fonte: Universidade de Indiana Publicador: Universidade de Indiana
Tipo: Conferência ou Objeto de Conferência
EN_US
Relevância na Pesquisa
36.26%
Other research papers on university students drinking can be found at:: https://scholarworks.iu.edu/dspace/handle/2022/17130/browse?type=dateissued; https://scholarworks.iu.edu/dspace/handle/2022/17127/browse?type=dateissued and https://scholarworks.iu.edu/dspace/handle/2022/17124/browse?type=dateissued. Further information about the questionnaire, calculations used for the study, and the original data base can be found in the following item records within IUScholarworks repository. Details about the reliability and validity of the SAQ are found at: http://hdl.handle.net/2022/17154; http://hdl.handle.net/2022/17181. The SAQ used in this study is found at: ht http://hdl.handle.net/2022/17200. The classic1975 copy of the SAQ is found at http://hdl.handle.net/2022/17153. ALL QUESTIONNAIRES developed by Engs are found in the repository at: https://scholarworks.iu.edu/dspace/handle/2022/17141/browse?type=dateissued; Medical, nursing and pharmacy students work with drugs on a daily basis. However, little information as to their substance use in known in Australia. A survey of 791 first- and final-year medical, nursing, and pharmacy students to determine their alcohol and drugs use patterns was carried out during February to April, 1980 at Queensland University. This sample was part of a larger study of alcohol and drug-taking behaviors and attitudes towards alcoholics and alcoholism of pre-professional students in many helping professional fields. Another purpose of the overall study was to test the reliability of the instrument. The results indicated that about 89% currently (at least once during past year) drank and 70% were light drinkers. Currently around 88% drank coffee or tea...

Nonsteroidal Anti-inflammatory Drugs and Change in Mammographic Density: A Cohort Study Using Pharmacy Records on Over 29,000 Postmenopausal Women

Terry, M. B.; Buist, D. S.M.; Trentham-Dietz, A.; James-Todd, Tamarra; Liao, Yancy Yu
Fonte: American Association for Cancer Research (AACR) Publicador: American Association for Cancer Research (AACR)
Tipo: Artigo de Revista Científica
EN_US
Relevância na Pesquisa
46.25%
Background: Use of nonsteroidal anti-inflammatory drugs (NSAID) has been associated with a decrease in breast cancer risk, but it is unknown if they also reduce mammographic density, a strong intermediate marker of breast cancer risk. Methods: We investigated NSAID use and mammographic density in 29,284 postmenopausal women who had two screening mammograms at Group Health in Seattle. We used pharmacy records to classify women as NSAID nonusers, continuers, initiators, or discontinuers based on use between the two mammograms and nine separate prescription and nonprescription NSAID classes. Using unordered polytomous logistic regression methods, we modeled the odds ratio (OR) of staying not dense, decreasing density, or increasing density relative to remaining dense based on Breast Imaging Reporting Data System classification of density. Results: There was no association with density change from initiation or continuation of NSAIDs. However, both initiators and continuers of any NSAIDs were more likely to stay not dense than stay dense [OR, 1.12; 95% confidence interval (95% CI), 1.04-1.20; OR, 1.25; 95% CI, 1.05-1.49, respectively]. This association with staying not dense for initiators and continuers of any NSAID use was observed primarily among women ages <65 years at first mammogram (OR...

Medical records and issues in negligence

Thomas, Joseph
Fonte: Medknow Publications Publicador: Medknow Publications
Tipo: Artigo de Revista Científica
Publicado em //2009 EN
Relevância na Pesquisa
36.32%
It is very important for the treating doctor to properly document the management of a patient under his care. Medical record keeping has evolved into a science of itself. This will be the only way for the doctor to prove that the treatment was carried out properly. Moreover, it will also be of immense help in the scientific evaluation and review of patient management issues. Medical records form an important part of the management of a patient. It is important for the doctors and medical establishments to properly maintain the records of patients for two important reasons. The first one is that it will help them in the scientific evaluation of their patient profile, helping in analyzing the treatment results, and to plan treatment protocols. It also helps in planning governmental strategies for future medical care. But of equal importance in the present setting is in the issue of alleged medical negligence. The legal system relies mainly on documentary evidence in a situation where medical negligence is alleged by the patient or the relatives. In an accusation of negligence, this is very often the most important evidence deciding on the sentencing or acquittal of the doctor. With the increasing use of medical insurance for treatment...

Correspondence between Pharmacy and Medical Records in a Family Medical Centre

Evers, Susan; Hawkins, Marie
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /04/1987 EN
Relevância na Pesquisa
36.61%
The purpose of this study was to evaluate the completeness of medical records in documenting long-term medications prescribed by physicians at a family medical centre. Previous studies have found that medical records relating to prescribed medications are frequently incomplete. Pharmacy files and medical records of 101 patients with hypertension, chronic obstructive pulmonary disease, diabetes mellitus and/or asthma were reviewed for information on long-term medications. In only one-half the medical records had accurate information on drug name and dosage been recorded on the front sheet. Drug information was less likely to be recorded for patients taking more than one medication than for patients taking only one medication. The solution to the problem in this setting was to link the pharmacy records to the problem in this setting was to link the pharmacy records to the computerized patient-record system. Information on drug reactions and long-term medications is updated on the patient's medical record each time a new or modified prescription is ordered. While this solution may not be appropriate for other family practices, the findings emphasize the need to update systematically long-term medication lists.

MEDICAL, NURSING AND PHARMACY STUDENTS' ATTITUDES TOWARD ALCOHOLICS AND ALCOHOLISM IN QUEENSLAND, AUSTRALIA

Engs, Ruth C.
Fonte: Universidade de Indiana Publicador: Universidade de Indiana
Tipo: Conferência ou Objeto de Conferência
EN
Relevância na Pesquisa
36.39%
Other research papers and publications on student attitudes towards alcoholism and drinking can be found at: https://scholarworks.iu.edu/dspace/handle/2022/17130/browse?type=dateissued; https://scholarworks.iu.edu/dspace/handle/2022/17127/browse?type=dateissued and https://scholarworks.iu.edu/dspace/handle/2022/17124/browse?type=dateissued. Further information about the questionnaire, calculations used for the study, and the original data base can be found in the following item records within IUScholarworks repository. Details about the reliability and validity of the SAQ are found at: http://hdl.handle.net/2022/17154; http://hdl.handle.net/2022/17181. The classic SAQ is found at http://hdl.handle.net/2022/17153. ALL QUESTIONNAIRES developed by Engs are found in the repository at: https://scholarworks.iu.edu/dspace/handle/2022/17141/browse?type=dateissued. INFORMATION ABOUT THE QUEENSLAND ALCOHOL AND DRUG QUESTIONNAIRE USED IN THIS STUDY IS FOUND AT: http://hdl.handle.net/2022/17200. THE DATABASE FOR THIS STUDY FOR THOSE WHO WISH TO COMPARE INFORMATION OVER TIME IS LOCATED AT IUScholarWorks repository http://hdl.handle.net/2022/17155.; BACKROUND: Studies have suggested there are differences between helping professionals (physicians...

Cost evaluation of therapeutic drug monitoring of gentamicin at a teaching hospital in Malaysia

Ibrahim,Mohamed Izham; Abdelrahim,Hisham Elhag; Ab Rahman,Ab Fatah
Fonte: Pharmacy Practice (Internet) Publicador: Pharmacy Practice (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/03/2014 ENG
Relevância na Pesquisa
36.1%
Background: Therapeutic drug monitoring (TDM) makes use of serum drug concentrations as an adjunct to decision-making. Preliminary data in our hospital showed that approximately one-fifth of all drugs monitored by TDM service were gentamicin. Objective: In this study, we evaluated the costs associated with providing the service in patients with bronchopneumonia and treated with gentamicin. Methods: We retrospectively collected data from medical records of patients admitted to the Hospital Universiti Sains Malaysia over a 5-year period. These patients were diagnosed with bronchopneumonia and were on gentamicin as part of their treatment. Five hospitalisation costs were calculated; (i) cost of laboratory and clinical investigations, (ii) cost associated with each gentamicin dose, (iii) fixed and operating costs of TDM service, (iv) cost of providing medical care, and (v) cost of hospital stay during gentamicin treatment. Results: There were 1920 patients admitted with bronchopneumonia of which 67 (3.5%) had TDM service for gentamicin. Seventy-three percent (49/67) patients were eligible for final analysis. The duration of gentamicin therapy ranged from 3 to 15 days. The cost of providing one gentamicin assay was MYR25, and the average cost of TDM service for each patient was MYR104. The average total hospitalisation cost during gentamicin treatment for each patient was MYR442 (1EUR approx. MYR4.02). Conclusion: Based on the hospital perspective...

Description of medication errors detected at a drug information centre in Southern Brazil

Santos,Luciana Dos; Winkler,Natália; Santos,Marlise A. Dos; Martinbiancho,Jacqueline K.
Fonte: Pharmacy Practice (Granada) Publicador: Pharmacy Practice (Granada)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/03/2015 ENG
Relevância na Pesquisa
36.1%
Objective: To identify and describe actual or potential medication errors related to drug information inquiries made by staff members of a teaching hospital to a Drug Information Centre from January 2012 to December 2013. Methods: Data were collected from the records of inquiries made by health care professionals to the Drug Information Centre throughout this period. Results: During the study period, the Drug Information Centre received 3,500 inquiries. Of these, 114 inquiries had medication errors. Most errors were related to prescribing, preparation, and administration and were classified according to severity as category B (57%) (potential errors) and categories C (26.3%) and D (15.8%) (actual errors that did not result in harm to the patient). Error causes included overdose (13.2%), wrong route of administration (11.4%), inadequate drug storage (11.4%), and wrong dosage form (8.8%). The drugs most frequently involved in errors were vitamin K (4.4%), vancomycin (3.5%), and meropenem (3.5%). Conclusion: In this study, it was not possible to measure the reduction in error rate involving medication use because of the lack of previous data on this process in the institution. However, our findings indicate that the Drug Information Centre may be used as a strategy to seek improvements in processes involving medication use.

Eliciting comprehensive medication histories in the emergency department: the role of the pharma

Crook,Meredith; Ajdukovic,Maya; Angley,Christopher; Soulsby,Natalie; Doecke,Christopher; Stupans,Ieva; Angley,Manya
Fonte: Pharmacy Practice (Internet) Publicador: Pharmacy Practice (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/06/2007 ENG
Relevância na Pesquisa
36.2%
The Australian Pharmaceutical Advisory Committee guidelines call for a detailed medication history to be taken at the first point of admission to hospital. Accurate medication histories are vital in optimising health outcomes and have been shown to reduce mortality rates. This study aimed to examine the accuracy of medication histories taken in the Emergency Department of the Royal Adelaide Hospital. Medication histories recorded by medical staff were compared to those elicited by a pharmacy researcher. The study, conducted over a six-week period, included 100 patients over the age of 70, who took five or more regular medications, had three or more clinical co-morbidities and/or had been discharged from hospital in three months prior to the study. Following patient interviews, the researcher contacted the patient's pharmacist and GP for confirmation and completion of the medication history. Out of the 1152 medications recorded as being used by the 100 patients, discrepancies were found for 966 medications (83.9%). There were 563 (48.9%) complete omissions of medications. The most common discrepancies were incomplete or omitted dosage and frequency information. Discrepancies were mostly medications that treated dermatological and ear...

Documentation of pharmacotherapeutic interventions of pharmacy students

King,Elicia D.; Wilson,Mamie A.; Van,Linh; Emanuel,Frank S.
Fonte: Pharmacy Practice (Internet) Publicador: Pharmacy Practice (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/06/2007 ENG
Relevância na Pesquisa
46.36%
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.

Drugs with narrow therapeutic index as indicators in the risk management of hospitalised patients

Blix,Hege S.; Viktil,Kirsten K.; Moger,Tron A.; Reikvam,Aasmund
Fonte: Pharmacy Practice (Internet) Publicador: Pharmacy Practice (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/03/2010 ENG
Relevância na Pesquisa
36.1%
Drugs with narrow therapeutic index (NTI-drugs) are drugs with small differences between therapeutic and toxic doses. The pattern of drug-related problems (DRPs) associated with these drugs has not been explored. Objective: To investigate how, and to what extent drugs, with a narrow therapeutic index (NTI-drugs), as compared with other drugs, relate to different types of drug-related problems (DRPs) in hospitalised patients. Methods: Patients from internal medicine and rheumatology departments in five Norwegian hospitals were prospectively included in 2002. Clinical pharmacists recorded demographic data, drugs used, medical history and laboratory data. Patients who used NTI-drugs (aminoglycosides, ciclosporin, carbamazepine, digoxin, digitoxin, flecainide, lithium, phenytoin, phenobarbital, rifampicin, theophylline, warfarin) were compared with patients not using NTI-drugs. Occurrences of eight different types of DRPs were registered after reviews of medical records and assessment by multidisciplinary hospital teams. The drug risk ratio, defined as number of DRPs divided by number of times the drug was used, was calculated for the various drugs. Results: Of the 827 patients included, 292 patients (35%) used NTI-drugs. The NTI-drugs were significantly more often associated with DRPs than the non-NTI-drugs...

Detecting pre-diabetes and the role of the pharmacist

Simoens,Steven; De Coster,Sandra; Lenie,Jan; Hayen,Véronique; Laekeman,Gert
Fonte: Pharmacy Practice (Internet) Publicador: Pharmacy Practice (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/06/2011 ENG
Relevância na Pesquisa
46.26%
Objective: This study aims to use a pharmacoepidemiological approach to study the drug use of patients during the year prior to diabetes diagnosis (i.e. pre-diabetic patients) and control patients. Drug use might reveal cardiovascular, metabolic and/or endocrinological changes and help to identify indicators for active monitoring of Type 2 diabetes mellitus. Methods: A retrospective case-control study compared drug use of patients with a future diagnosis of diabetes (experimental patients) with patients without a diabetes diagnosis (control patients) based on community pharmacy records. An experimental patient had used oral hypoglycaemic drugs during 2005 or 2006. Experimental and control patients were matched in terms of age, gender and quarter of index date. Drugs were selected based on possible comorbidities of diabetes. Drug use was expressed as a binary variable, indicating whether or not a patient took specific drugs. Drug use was compared between experimental patients during the year prior to diagnosis and control patients using the chi-squared test. Results: Our dataset covered 5,064 patients (1,688 experimental and 3,376 control patients). A higher probability of taking cardiovascular drugs was observed for specific subgroups of patients with pre-diabetes as compared to control patients: this trend was observed for men as well as for women...

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

Galato,Dayani; Alano,Graziela M.; Trauthman,Silvana C.; França,Tainã F.
Fonte: Pharmacy Practice (Internet) Publicador: Pharmacy Practice (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/09/2011 ENG
Relevância na Pesquisa
46.4%
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 simulations were filmed to facilitate the evaluation process. It presents the OSCE educational experience performed by pharmacy trainees of the University of Southern Santa Catarina and experienced by two evaluators. The student general performance was analyzed, and the criteria for pharmacy practice assessment often identified trainees in difficulty. Results: The results of 291 simulations showed that students have an average yield performance of 70.0%. Several difficulties were encountered, such as the lack of information about the selected/prescribed treatment regimen (65.1%); inadequate communication style (21.9%); lack of identification of patients´ needs (7.7%) and inappropriate drug selection for self-medication (5.3%). Conclusions: These data show that there is a need for reorientation of clinical pharmacy students because they need to improve their communication skills...

Student pharmacist initiated medication reconciliation in the outpatient setting

Andrus,Miranda R.
Fonte: Pharmacy Practice (Internet) Publicador: Pharmacy Practice (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/06/2012 ENG
Relevância na Pesquisa
36.25%
The Joint Commission continues to emphasize the importance of medication reconciliation in all practice settings. Pharmacists and student pharmacists are uniquely trained in this aspect of patient care, and can assist with keeping accurate and complete medication records through patient interview in the outpatient setting. Objective: The objective of this study was to quantify and describe medication reconciliation efforts by student pharmacists in an outpatient family medicine center. Methods: A retrospective review was conducted of all standard medication reconciliation forms completed by student pharmacists during patient interviews from April 2010 to July 2010. The number of reviews conducted was recorded, along with the frequency of each type of discrepancy. A discrepancy was defined as any lack of agreement between the medication list in the electronic health record (EHR) and the patient-reported regimen and included any differences in dose or frequency of a medication, duplication of the same medication, medication no longer taken or omission of any medication. Results: A total of 213 standard medication forms from the 4 month period were reviewed. A total of 555 discrepancies were found, including medications no longer taken...