Pharmacy students' perspectives on involvement in workplace-based preventative health and wellness events
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The conception and its connotation of pharmaceutical service were discussed.According to the clinical pharmacist guideline issued by Ministry of Health, combined with experience of clinical pharmacist training in Nanjing Gulou Hospital and pharmaceutical service theory, clinical pharmacist training mode was explored.Pharmaceutical service theory and its application on anticoagulation management department were introduced.Problems of implementing clinical pharmacist training were discussed.
Pharmaceutical Care
Guideline
Christian ministry
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New-generation pharmacists who graduate from the 6-year pharmacy education program will come into being in Japan in 2 years' time. The new program regards technical skills and caring attitudes suitable for healthcare professionals as important, as well as expert knowledge. Pharmacists are expected to become more involved in pharmacotherapy and patient care to overcome rural physician shortage and achieve better outcomes in pharmacotherapy. Pharmacists themselves also want to contribute to improve pharmacotherapy and patient care. Pharmacists educated with the former 4-year education program, however, hardly had a chance to learn clinical pharmacy or pharmaceutical care when they were pharmacy students. They have so far studied clinical knowledge, skills, and attitudes by themselves mostly after graduation. Therefore most pharmacists have not received systematic education or training about clinical pharmacy. Pharmacy schools employ pharmacists and physicians as professors, and built practical rooms for pre-clinical training to study pharmacy practice in recent years. We should use those human resources and laboratory equipment in pharmacy schools to facilitate recurrent education for pharmacists. Internet-based real time remote lecture is also useful for pharmacists working far from pharmacy schools to attend a recurrent class. I propose an education system in which pharmacists who completed the recurrent education program teach students pharmacy practice in their worksites, and both pharmacists and students are developing their practical skills to a high degree together.
Pharmaceutical Care
Graduation (instrument)
Pharmacy school
Pharmacotherapy
Medication therapy management
Economic shortage
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There is a move in the pharmacy/pharmacist profession, a move that is being driven by many factors, and a move that is causing the art of pharmacy to become further and further separated from everyday pharmacy practice. These factors are discussed in this article, including stories, challenges, and solutions. The author has penned this article to try and convince the pharmacists and pharmacist advocates reading this article to immediately take action to reverse this trend before we have traveled too far down our current path. This includes the efforts of Boards of Pharmacy. To be successful in its mission of getting the safest and best healthcare for patients in the world of pharmacy is to facilitate pharmacists to practice at the full extent of their training and expertise.
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ABSTRACT Aim To evaluate the impact of integrating a clinical pharmacist into a disease management unit to provide a clinical pharmacy review service for patients in the outpatient clinic and at home. Method This pilot study consisted of two phases—service planning, and implementation and evaluation. The service planning phase involved multidisciplinary consultation on the clinical pharmacist role. After completion of the service planning phase and service implementation, the service was evaluated for a 4‐month period through quantification of accuracy of the medication list on attendance at the outpatient clinic, number and type of medication problems identified by the pharmacist and number and type of interventions undertaken by the pharmacist. Results The clinical pharmacy review service was implemented in October 2005 and evaluation of the service continued until January 2006. 122 patients were seen by the pharmacist in the 4‐month period. The accuracy of the medication list increased from 12 to 24% pre‐implementation to 91 to 94% postimplementation. Of the patients interviewed by the pharmacist, 49% of the outpatient clinic patients and 83% of the home visit patients were identified as having medication‐related problems. 66 medication‐related problems were identified by the pharmacist at the home visits and 47 in the unit's outpatient clinic. Conclusion The success of the pilot resulted in the implementation and evaluation of the impact of integrating a clinical pharmacist to a disease management unit. The demonstrated positive outcomes have resulted in the ongoing provision of the clinical pharmacy review service with expansion to other clinics.
Outpatient clinic
Attendance
Medication therapy management
Pharmaceutical Care
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Background: Clinical pharmacist sheet is an essential part of the medical record; it highlights the pharmacist’s role during hospitalisation through the concept of pharmaceutical care and specific pharmacist collaboration with a patient and other health care teams. Objective: To assess the documentation completeness level of the clinical pharmacist sheet, pharmacist intervention, type and prevalence of Drug-Related Problems. Methodology: A retrospective observational study that included revised 3900 clinical pharmacist sheets from Baghdad and Thiqar Hospitals for 2018, 2019, and 2020. The forms from four departments of the hospitals (internal medicine, surgery, paediatrics, gynaecology and obstetrics). In addition, assessment completeness of the pharmacist documentation level in the clinical pharmacist sheets, and Pharmacist interventions. Results: The overall documentation completeness level in the clinical pharmacist sheets was generally poor (less than 50% of the sheet items were filled in). The best documentation level was presented in the surgery ward (52.34%). A total of 3900 clinical pharmacist sheets were analysed within multi-ward hospitals that revealed variable percentages of DRPs (10%, 8.55%, 12.44%, and 7.42%) in internal medicine, surgery, gynaecology and obstetrics, and paediatric respectively. Findings also revealed a significant decline in pharmacist interventions over the last three years. Conclusion: There was poorn documentation completeness level and pharmacist interventions over the last 3 years among clinical pharmacist sheets. Drug selection, dosing, and substituting unavailable drugs with an alternative were the commonest causes of DRPs.
Pharmaceutical Care
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The discussion of hospital pharmacy tendency and clinical pharmacist career were mentioned widely. The core factor of transition hospital pharmacy and clinical pharmacist were establishment clinical pharmacist institutional. The function of clinical pharmacist was considered to change from grantee supply to clinical drug and pharmacy care service.
Hospital pharmacy
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Medication errors may lead to adverse drug events (ADEs), which endangers patient safety and increases healthcare-related costs. The on-ward deployment of clinical pharmacists has been shown to reduce preventable ADEs, and save costs. The purpose of this study was to evaluate the ADEs prevention and cost-saving effects by clinical pharmacist deployment in a nephrology ward. This was a retrospective study, which compared the number of pharmacist interventions 1 year before and after a clinical pharmacist was deployed in a nephrology ward. The clinical pharmacist attended ward rounds, reviewed and revised all medication orders, and gave active recommendations of medication use. For intervention analysis, the numbers and types of the pharmacist's interventions in medication orders and the active recommendations were compared. For cost analysis, both estimated cost saving and avoidance were calculated and compared. The total numbers of pharmacist interventions in medication orders were 824 in 2012 (preintervention), and 1977 in 2013 (postintervention). The numbers of active recommendation were 40 in 2012, and 253 in 2013. The estimated cost savings in 2012 and 2013 were NT$52,072 and NT$144,138, respectively. The estimated cost avoidances of preventable ADEs in 2012 and 2013 were NT$3,383,700 and NT$7,342,200, respectively. The benefit/cost ratio increased from 4.29 to 9.36, and average admission days decreased by 2 days after the on-ward deployment of a clinical pharmacist. The number of pharmacist's interventions increased dramatically after her on-ward deployment. This service could reduce medication errors, preventable ADEs, and costs of both medications and potential ADEs.
Nephrology
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OBJECTIVE: To cultivate the thinking of clinical pharmacist gradually and discover the breakthrough point through summarizing from the consultation for a particular disease case by the clinical pharmacist, so as to become one member of the therapy team. METHODS: Clinical pharmacist participating in the consultation for a case of postpartum placenta implantation complicating with infection was analyzed retrospectively. RESULTS: Clinical pharmacist can provide the reasonable drug selection for clinical pharmacist and offer some necessary medication education to the patients. CONCLUSION: Clinical pharmacist can offer absolutely necessary help to the doctors and patients.
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Background of building clinical pharmacist system in aspects of hospital needs suitable human resources system,hospital pharmacy needs transformation,pharmacist should participate in clinical pharmacy and help doctor selecting drug is discussed.Main content of hospital clinical pharmacist system research and practice is introduced.It shows that clinical pharmacist training base should be established,clinical pharmacist on job training mode should be explored and clinical pharmacist system should be built to give professional advice in clinical drug use.
Clinical Practice
Hospital pharmacy
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