Heart failure between 1986 and 1994: Temporal trends in drug-prescribing practices, hospital readmissions, and survival at an academic medical center

1997 ◽  
Vol 134 (5) ◽  
pp. 901-909 ◽  
Author(s):  
Mary McGrae McDermott ◽  
Joe Feinglass ◽  
Peter Lee ◽  
Shruti Mehta ◽  
Brian Schmitt ◽  
...  
2021 ◽  
Vol 12 (4) ◽  
pp. 11
Author(s):  
Maggie N. Faraj ◽  
Ileana L. Piña ◽  
Candice Garwood

Objectives: Heart failure (HF) affects approximately 6 million in the United States and despite guideline-directed medical therapy (GDMT), still more than 20% of patients are readmitted within 30 days.1,2 This study evaluated the impact of a “pharmacist-led HF Brown Bag Clinic” (BBC) on HF patient outcomes including readmissions and mortality. Methods: This retrospective study, conducted at an academic medical center, included adult patients 18 to 89 years old with HF presenting to the BBC 7-14 days post HF hospitalization. Those failing to attend the BBC within 30 days of hospital discharge were in the control group. Our electronic medical records were used to capture patients’ baseline characteristics and describe pharmacists’ interventions. Thirty- and ninety-day post-discharge HF readmission and all-cause mortality were evaluated. Results: A total of 32 patients met the inclusion criteria; 15 receiving intervention and 17 controls. A total of 18 HF hospital readmissions occurred, 4 (22%) readmissions in the intervention group and 14 (78%) in the control group (p= 0.06). Hospital readmissions within 30 days and 90 days were greater in the control group compared with the intervention group (18% vs. 7% and 41% vs. 21% respectively). Conclusion: A pharmacist-led post-discharge clinic demonstrated numerically fewer HF hospital readmissions compared with a scheduled but “no show” control group.


2020 ◽  
Vol 26 (10) ◽  
pp. S131-S132
Author(s):  
Theresa Diederich ◽  
Scott Lundgren ◽  
Bunny Pozehl ◽  
Kelly Ferguson ◽  
Kyana Holder ◽  
...  

2019 ◽  
Vol 112 (6) ◽  
pp. 338-343
Author(s):  
Ajay Dharod ◽  
Brian J. Wells ◽  
Kristin Lenoir ◽  
Wesley G. Willeford ◽  
Michael W. Milks ◽  
...  

2018 ◽  
Vol 24 (8) ◽  
pp. S101
Author(s):  
George Sokos ◽  
Prashanth Iyer ◽  
Ashley Modany ◽  
Christopher Bianco ◽  
Marco Caccamo

2019 ◽  
Vol 12 (11) ◽  
Author(s):  
Lauren A. Eberly ◽  
Aaron Richterman ◽  
Anne G. Beckett ◽  
Bram Wispelwey ◽  
Regan H. Marsh ◽  
...  

2017 ◽  
Vol 13 (10) ◽  
pp. S185
Author(s):  
Pablo Quadri ◽  
Mario Masrur ◽  
David Sigmon ◽  
Antonio Gangemi ◽  
Lisa Sanchez-Johnsen ◽  
...  

2017 ◽  
Vol 33 (4) ◽  
pp. 146-150
Author(s):  
Elise M. Gilbert ◽  
Nathaniel J. Rhodes ◽  
Milena M. McLaughlin ◽  
Jessica M. Cottreau ◽  
Marc H. Scheetz ◽  
...  

Background: An on call infectious diseases (ID) pharmacist may be used as a resource for physicians, pharmacists, and other health care providers to help answer questions regarding anti-infective agents. Objective: To assess type, requestor, resources dedicated, and temporal trends of questions received through an ID pharmacist on call pager program. A secondary objective was to gather insight as to how this information was utilized to inform educational initiatives. Methods: This was a retrospective study of questions received by the ID pharmacist on call via pager at a large academic medical center. Question data were documented in a central database and analyzed to assess temporal trends and question type, and qualitatively analyzed to determine areas for targeted educational efforts. Results: The ID pharmacist on call recorded 545 questions during the 1-year study period; questions were composed of various antimicrobial agent–related queries, including antibiotic spectrum and selection (n = 251, 46.1%), dosing of antimicrobials (n = 195, 35.8%), and drug monitoring (n = 26, 4.8%). Targeted educational initiatives secondary to questions received included pharmacist education regarding the use of polymyxin antibiotics and antibiotic dosing protocol updates. Conclusions: An ID pharmacist on call pager program was utilized to inquire about antibiotic spectrum and selection for the majority of questions. Records of questions received may be utilized to direct educational efforts and create or revise targeted resources for pharmacists and other clinicians.


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