ASHP Practice Advancement Initiative 2030: New recommendations for advancing pharmacy practice in health systems

2019 ◽  
Vol 77 (2) ◽  
pp. 113-121 ◽  
Keyword(s):  
Board Of Directors ◽  
Pharmacy Practice ◽  
Practice Change ◽  
Advisory Panel ◽  
Final Approval ◽  
Online Surveys ◽  
Public Comment ◽  
Pharmacy Technicians ◽  
Effective Use ◽  
Planning Group

Abstract Purpose The process of updating the recommendations of the ASHP Practice Advancement Initiative (PAI) is described, and the new recommendations targeted toward the year 2030 are presented. Summary The process for updating ASHP recommendations for pharmacy-practice change included online surveys of pharmacists, pharmacy technicians, and other stakeholders; extensive discussions by an advisory panel, a strategic planning group, and participants in a town hall session at a national conference; an online public comment period; and final approval by the ASHP Board of Directors. Conclusion The guidance offered by the 59 updated PAI recommendations, which take into account environment trends that are likely to affect the pharmacy enterprise, will help health-system pharmacists in their ongoing pursuit of optimal, safe, and effective use of medicines.

scholarly journals The Contribution of Pharmacists and Pharmacy Technicians to Person-Centred Care within a Medicine’s Optimisation in Care Homes Service: A Qualitative Evaluation

Pharmacy ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 34
Author(s):  
Sally Fowler Davis ◽  
Rachel Cholerton ◽  
Louise Freeman-Parry ◽  
Jo Tsoneva
Keyword(s):  
Care Home ◽  
Pharmacy Practice ◽  
Qualitative Evaluation ◽  
Care Homes ◽  
Framework Analysis ◽  
Medicines Management ◽  
Team Members ◽  
Care Home Staff ◽  
Management Interventions ◽  
Pharmacy Technicians

Pharmacists and pharmacy technicians seek to improve person-centred care. Improvements to systems for care homes seeks to reduce medicines waste and inefficiency, particularly through supporting care home staff, to enhance safer administration of medicines. A complex evaluation used qualitative design and utilised narrative enquiry, and team members and key stakeholders were interviewed. Framework analysis was used, aligning findings to a person-centred care framework for older people. The Medicines Optimisation in Care Homes (MOCH) team brokered improvement practices across care homes to enhance person-centred care. The framework analysis confirms that the team used ‘authentic attention’ in relation to the residents’ experiences and flexibility in relation to negotiating medication. The importance of transparency of processes and systems in medicines management is highlighted, alongside requirements for person-centred care to make explicit the reason for taking a medication, and the continuous discussion with a range of stakeholders about the continuing need for particular medications. The outcome of the evaluation includes insights into a new area of pharmacy practice in community, based on the skills, knowledge, and experience of pharmacists and pharmacy technicians working in the care home sector. Further study is needed into the efficacy and outcomes of medicines management interventions.

scholarly journals Webbasierte linguistische Forschung: Möglichkeiten und Begrenzungen beim Umgang mit Massendaten

2014 ◽  
Vol 61 (4) ◽  
Author(s):  
Britta Juska-Bacher ◽  
Chris Biemann ◽  
Uwe Quasthoff
Keyword(s):  
Critical Appraisal ◽  
Sociological Research ◽  
Crowd Sourcing ◽  
Online Surveys ◽  
Web Based ◽  
The Past ◽  
Linguistic Research ◽  
Textual Data ◽  
Effective Use ◽  
New Procedures

Over the past ten to fifteen years, web-based methods of sociological research have emerged alongside classical methods such as interviews, observations and experiments, and linguistic research is increasingly relying upon them as well. This paper provides an overview of three web-based approaches, i.e. online surveys, crowd-sourcing and web-based corpus analyses. Examples from specific projects serve to reflect upon these methods, address their potential and limitations, and make a critical appraisal. Internet-based empirical research produces vast and highly diverse quantities of (speaker-based or textual) data, presenting linguistic research with new opportunities and challenges. New procedures are required to make effective use of these resources.

Pediatric-to-adult healthcare transitions: Current challenges and recommended practices

2019 ◽  
Vol 76 (19) ◽  
pp. 1544-1554 ◽  
Author(s):  
Catherine B Hobart ◽  
Hanna Phan
Keyword(s):  
Healthcare System ◽  
Care Transitions ◽  
Treatment Modalities ◽  
Team Members ◽  
State Management ◽  
Healthcare Transition ◽  
Disease State Management ◽  
Pharmacy Technicians ◽  
Effective Use ◽  
Current Guidelines

Abstract Purpose An overview of the pediatric-to-adult healthcare transition (HCT) process, including stakeholders, challenges, and fundamental components that present opportunities for pharmacists and pharmacy technicians, is provided. Summary Pediatric-to-adult HCT programs should be longitudinal in nature, be patient focused, and be coproduced by patients, caregivers, and care team members. Educational components of HCT programs should include knowledge and skills in disease state management and self-care; safe and effective use of medications, as well as other treatment modalities; and healthcare system navigation, including insurance issues. Interprofessional involvement in HCT is encouraged; however, roles for each discipline involved are not clearly delineated in current guidelines or literature. Possible influencing elements in achieving successful pediatric-to-adult HCT outcomes include those that are related to patient and/or caregiver factors, clinician awareness, availability of resources, and ability to achieve financial sustainability. Conclusion The use of structured pediatric-to-adult HCT programs is currently recommended to optimize patient and health-system outcomes. Given the importance of medication-related knowledge and healthcare system navigation skills to successful care transitions, there are opportunities for pharmacists and pharmacy technicians to contribute to HCT programs.

Implementation of an Advanced Pharmacy Practice Model in the Emergency Department

2019 ◽  
Vol 33 (4) ◽  
pp. 481-490
Author(s):  
Billy Sin ◽  
Christine Ciaramella ◽  
Greg Stein ◽  
Shalom Butel ◽  
Holly Thompson ◽  
...  
Keyword(s):  
Emergency Department ◽  
Pharmacy Practice ◽  
Cost Savings ◽  
Direct Patient Care ◽  
Care Practice ◽  
Documentation System ◽  
Practice Model ◽  
Study Objective ◽  
Effective Use ◽  
The Impact

Study Objective The objective of this retrospective descriptive study was to quantify clinical activities performed by pharmacists in an advanced pharmacy practice model in the emergency department (ED). Methods Data from January 2015 to August 2017 extracted from the department of pharmacy’s electronic documentation system and the hospital’s electronic medical record were collected and reviewed. Cost savings was derived from the system with adaptation from the previous literature and had been validated by our institution’s administration as an acceptable reflection of the impact for activity. Results The ED pharmacy team participated in a total of 4106 clinical activities that resulted in a cumulative cost avoidance of $5 387 679. Overall, the most common clinical activities that the pharmacy team provided included pharmacotherapy consult (63.3%) and response to medical emergencies (20.7%). A total of 16 219 medication orders placed by ED clinicians were prospectively reviewed and 379 interventions were accepted by ED clinicians. Turnaround times for medication verification in median (interquartile range [IQR]) for 2015, 2016, and 2017 were 2 minutes (1-6 minutes), 3 minutes (1-6 minutes), and 2 minutes (1-5 minutes), respectively. A total of 14 peer-reviewed publications, primarily based on pharmacy practice or use of pharmacotherapy for acute pain, were published by a research program led by the ED pharmacotherapist. Conclusion We created and implemented an advanced practice model tailored to our institution’s needs. The model maximized opportunities for pharmacists to provide direct patient care, practice at the top of their license, and encouraged the safe and effective use of medications.

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