scholarly journals Evolution of Clinical Pharmacy in the USA and Future Directions for Patient Care

Drugs & Aging ◽  
2016 ◽  
Vol 33 (3) ◽  
pp. 169-177 ◽  
Author(s):  
Barry L. Carter
Keyword(s):  
Patient Care ◽  
Clinical Pharmacy ◽  
Future Directions ◽  
The Usa

scholarly journals Rapid implementation of Inpatient eConsult Programme addresses new challenges for patient care during COVID-19 pandemic

2021 ◽  
pp. bmjinnov-2020-000557
Author(s):  
Sharon Rikin ◽  
Eric J Epstein ◽  
Inessa Gendlina
Keyword(s):  
Palliative Care ◽  
Infectious Diseases ◽  
Patient Care ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Qualitative Feedback ◽  
The Usa ◽  
New Challenges ◽  
Science Framework ◽  
Context Specific

IntroductionAt the early epicentre of the COVID-19 crisis in the USA, our institution saw a surge in the demand for inpatient consultations for areas impacted by COVID-19 (eg, infectious diseases, nephrology, palliative care) and shortages in personal protective equipment (PPE). We aimed to provide timely specialist input for consult requests during the COVID-19 pandemic by implementing an Inpatient eConsult Programme.MethodsWe used the reach, effectiveness, adoption, implementation and maintenance implementation science framework and run chart analysis to evaluate the reach, adoption and maintenance of the Inpatient eConsult Programme compared with traditional in-person consults. We solicited qualitative feedback from frontline physicians and specialists for programme improvements.ResultsDuring the study period, there were 46 available in-person consult orders and 21 new eConsult orders. At the peak of utilisation, 42% of all consult requests were eConsults, and by the end of the study period, utilisation fell to 20%. Qualitative feedback revealed subspecialties best suited for eConsults (infectious diseases, nephrology, haematology, endocrinology) and influenced improvements to the ordering workflow, documentation, billing and education regarding use.DiscussionWhen offered inpatient eConsult requests as an alternative to in-person consults in the context of a surge in patients with COVID-19, frontline physicians used eConsult requests and decreased use of in-person consults. As the demand for consults decreased and PPE shortages were no longer a major concern, eConsult utilisation decreased, revealing a preference for in-person consultations when possible.ConclusionsLessons learnt can be used to develop and implement inpatient eConsults to meet context-specific challenges at other institutions.

scholarly journals Presidential Address National Academy of Neuropsychology Conference Boston 2017

2018 ◽  
Vol 34 (7) ◽  
pp. 1101-1112
Author(s):  
John E Meyers
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Presidential Address ◽  
Ethnically Diverse ◽  
Population Based ◽  
Population Trends ◽  
Future Directions ◽  
The Future

Abstract This presidential address attempts to predict the future directions of neuropsychology. Predicting the future is always a difficult thing. By examining population trends such as aging and demographics, a clearer picture becomes visible. The population is getting older and more ethnically diverse. Also, examination of the spending trends in health care indicates that neuropsychology needs to be able to adapt to working with larger population-based patient care as well as individual patient care. Shifts in the demographics of neuropsychology, in that the profession previously was 70% male dominate and now is >70% female dominant are also discussed. Trends in NAN’s speaker and leader demographics are examined as well as the need to stay current in the trends and latest neuropsychological research lest we become dinosaurs in the next 5–10 years. Recommendations for new neuropsychologists and post-doctoral fellows are also presented.

Abstract P847: Exploring the Perspective of Patient Recipients of a Provider and Systems-Level Intervention - A Mixed Methods Analysis From the Care Transitions and Hypertension Management (catch) Program for Ischemic Stroke Study

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Jason J Sico ◽  
Laura Burrone ◽  
Brenda Fenton ◽  
Manali Phadke ◽  
Jan-Michael Ragunton ◽  
...  
Keyword(s):  
Patient Care ◽  
Clinical Pharmacy ◽  
Qualitative Interviews ◽  
Care Transitions ◽  
Care Program ◽  
Lean Six Sigma ◽  
Hypertension Management ◽  
Care Providers ◽  
Post Discharge ◽  
Project File

Introduction: The CAre Transitions and Hypertension management (CATcH) program was developed using Lean Six Sigma methodology and is a bundled, multi-faceted, provider- and healthcare systems-level pilot-intervention designed to enhance care coordination. Components of the intervention included: education delivered during the hospitalization, increased utilization of clinical pharmacy and home telehealth for blood pressure (BP) monitoring, and a patient care navigator. Hypothesis: Recipients of CATcH will find the program valuable though engaging with additional care providers may be deemed onerous. Methods: Twenty-eight semi-structured qualitative interviews were conducted between June 2018 and June 2019 among CATcH recipients. Interviews were audio-recorded, transcribed, and entered into an ATLAS.ti. project file. Thematic Content Analysis was used to analyze coded data, generate, and validate findings. Themes related to the overall impression of CATcH and its individual components were investigated across all patients and stratified by age, race, sex, and when they were discharged in relation to beginning of CATcH implementation. Results: A total of 108 Veterans were the recipients of CATcH. All patients received education, patient care navigator services, and offered both clinical pharmacy and telehealth services, with 52/108 (48.1%) attending clinical pharmacy appointments and 37/108 (34.3%) utilizing telehealth services within 6-months post-discharge. Subjects interviewed were on average 68.6±8.2 years of age, predominantly male (26/28; 92.9%) and equally distributed among black and non-black races. Themes were largely positive with patients expressing they were unaware that they were the recipients of an enhanced care program, and that CATcH. Patients who received CATcH in the second half of the program reported better care collaboration and more useful educational materials that those enrolled earlier in the project. Conclusions: Patients found the CATcH program and its component parts useful in the ongoing management of post-stroke BP control. Continuous self-evaluation and refinement of the program throughout the intervention period likely contributed to improvements in care collaboration and education.

Epilogue

2021 ◽  
pp. 359-371
Author(s):  
Tom Cockburn ◽  
Peter A.C. Smith
Keyword(s):  
Research And Development ◽  
Patient Care ◽  
Digital Technologies ◽  
Medical Personnel ◽  
Human Relations ◽  
Dynamic Complexity ◽  
Future Directions ◽  
Care Systems ◽  
Ways Of Thinking ◽  
Interactive Dynamic

This chapter presents a brief reflection on emergent themes, issues, and problematic areas chapter authors have drawn to readers' attention to and tentatively indicates some potential future directions for research and development whilst recognizing rapidly changing social mores and culture is a deep river running through diverse channels in the Lifeworlds and Workworlds of leaders today. The heroic actions of medical personnel under severely stressed hospital and patient care systems in the current Covid-19 pandemic is noted. The authors have pointed to perceived gaps in leadership regarding the uptake and understanding of digital technologies and suggested that implications include new ways of thinking and new competences for changed ways of working in the networked world of business. Crucially, the authors reiterate that these are deeply human endeavors, and the complexity of the technology does not negate or overwhelm the interactive dynamic complexity of human relations between leaders and others who inhabit and view these conjoined worlds through many cultural windows.

6. Reflections on ageing and future directions

2016 ◽  
pp. 102-116
Author(s):  
Nancy A. Pachana
Keyword(s):  
Clinical Practice ◽  
Personalized Medicine ◽  
Cognitive Training ◽  
Death And Dying ◽  
Group Living ◽  
Aged Care ◽  
Future Directions ◽  
Green House ◽  
New Directions ◽  
The Usa

‘Reflections on ageing and future directions’ considers some of the new directions in geriatric research and clinical practice; exciting developments in healthcare and technology, including personalized medicine; and new, promising models of aged care, such as the Green House nursing homes in the USA and Small Group Living homes in the Netherlands. It also looks at what we are learning from the growing number of supercentenarian studies. The very end of life, with attendant fears about death and dying, as well as potential positive gains to be made through cognitive training and other ‘brain games’, are also considered.

Clinical pharmacy: safe prescribing and monitoring

2019 ◽  
pp. 177-184
Author(s):  
Sandeep Bhatti ◽  
Rachel Brown ◽  
Orla Macdonald ◽  
Dan White
Keyword(s):  
Mental Health ◽  
Patient Care ◽  
Clinical Pharmacy ◽  
Medicines Management ◽  
Inpatient Psychiatry ◽  
High Quality ◽  
Psychiatric Setting ◽  
Care And Support ◽  
Quality Value ◽  
Enhance Patient Care

The roles of the clinical pharmacists and medicines management technicians within the inpatient psychiatric setting are many and varied. This chapter explores some of these roles and examines how they enhance patient care and support the aims of mental health trusts and inpatient psychiatry. This is primarily achieved through effectively and efficiently managing medicines. The aim of the clinical pharmacy team is to promote high-quality, value-for-money care which is patient-centred and based upon improving patient outcomes. The chapter also discusses how pivotal papers and reports have shaped the services that pharmacy departments deliver to psychiatric inpatients.

Physician alert: the legal risks associated with ‘on-call’ duties in the USA

2018 ◽  
Vol 94 (1113) ◽  
pp. 411-414
Author(s):  
Zachary R Paterick ◽  
Nachiket J Patel ◽  
Timothy Edward Paterick
Keyword(s):  
Informed Consent ◽  
Medical Treatment ◽  
Patient Care ◽  
Patient Relationship ◽  
Risk Of Falling ◽  
Best Interest ◽  
Legal Risk ◽  
Legal Risks ◽  
The Usa ◽  
Legal Concepts

On-call physicians encounter a diverse aggregate of interfaces with sundry persons concerning patient care that may surface potential legal peril. The duties and obligations of an on-call physician, who must act as a fiduciary to all patients, create a myriad of circumstances where there is a risk of falling prey to legal ambiguities. The understanding of the doctor–patient relationship, the obligations of physicians under the Emergency Medical Treatment and Labor Act, the meaning of medical informed consent and the elements of negligence will help physicians avoid the legal risk associated with the various encounters of being on call. After introducing the legal concepts, we will explore the interactions that may put physicians at legal risk and outline how to mitigate that risk. Being on call is time consuming and arduous. While on call, physicians have a duty to act morally and ethically in the best interest of the patients.

A Scientometric Analysis of the 100 Most Cited Articles on Pallidotomy

2021 ◽  
pp. 1-11
Author(s):  
Mohit Agrawal ◽  
Kanwaljeet Garg ◽  
Raghu Samala ◽  
Roopa Rajan ◽  
Manmohan Singh
Keyword(s):  
Citation Count ◽  
Scientometric Analysis ◽  
Future Directions ◽  
University Of Toronto ◽  
Current Trends ◽  
Emory University ◽  
The Usa ◽  
Prolific Authors ◽  
Unilateral Pallidotomy ◽  
Improved Technology

<b><i>Background:</i></b> Pallidotomy is the oldest stereotactically performed neurosurgical procedure for movement disorders. Consequently, there is a wealth of literature available on the topic. <b><i>Objectives:</i></b> The aim of this analysis was to identify the top-cited articles on pallidotomy in order to discern the origins, spread, the current trends, and the future directions of this surgical procedure. <b><i>Methods:</i></b> We performed a search of the Web of Science database on 19 October 2020 using the keyword “pallidotomy.” The top-100 cited articles found were arranged in descending order on the basis of citation count (CC) and citation per year (CY). Relevant conclusions were derived. <b><i>Results:</i></b> The 100 top-cited articles were published between 1961 and 2017, in 24 journals. The average CC and CY were 118.1 (range – 856–46) and 5.326 (range – 29.52–2.09), respectively. The 3 most prolific authors were Lang AE (Neurologist – Toronto), Lozano AM (Neurosurgeon – Toronto), and Vitek JL (Neurologist – Atlanta). The Journal of Neurosurgery published the highest number of top-cited articles [Neurology. 1960;10:61–9]. The maximum articles were from the USA. University of Toronto and Emory University were the most productive institutions. <b><i>Conclusions:</i></b> Pallidotomy has gone through several ebbs and flows. Unilateral pallidotomy is currently recommended for the treatment of motor symptoms of Parkinson’s disease and dystonia. The need for further research and improved technology to make the technique safer and prove its efficacy is highlighted, especially keeping in mind a large number of populations to which the prohibitively expensive deep brain stimulation is unavailable.

Sign in / Sign up

Export Citation Format

Share Document