The Role of Clinical Pharmacy in Preventing Prescribing Errors in the Emergency Department of a Governmental Hospital in Jordan: A Pre-Post Study

2020 ◽  
pp. 001857872094223 ◽  
Author(s):  
Derar H. Abdel-Qader ◽  
Najlaa Saadi Ismael ◽  
Ahmad Z. Al Meslamani ◽  
Abdullah Albassam ◽  
Asma’ A. El-Shara’ ◽  
...  
Keyword(s):  
Emergency Department ◽  
Clinical Pharmacy ◽  
Active Phase ◽  
Vital Role ◽  
Prescribing Errors ◽  
Clinical Pharmacists ◽  
Spss Software ◽  
The Impact ◽  
Error Types

Background: Clinical pharmacists have a vital role in intercepting prescribing errors (PEs) but their impact within a Jordanian hospital emergency department (ED) has never been studied. Objective: To evaluate the impact of clinical pharmacy services on PEs and assess predictors of physicians’ acceptance of clinical pharmacists’ interventions. Setting: This study was conducted in the ED of the largest governmental hospital in Jordan. Method: This was a pre-post study conducted in October and November 2019 using a disguised observational method. There were 2 phases: control phase (P0) with no clinical interventions, and active phase (P1) where clinical pharmacists prospectively intervened upon errors. The clinical significance of errors was determined by a multidisciplinary committee. The SPSS software version 24 was used for data analysis. Main Outcome Measure: PEs incidence, type, severity, and predictors for physicians’ acceptance. Results: Of 18003 patients, 8732 were included in P0 and 9271 in P1. PEs incidence decreased from 24.6% to 5.4%. Contraindication, drug selection, and dosage form error types were significantly reduced from 32.6%, 9.1%, and 3.7% (P0) to 12.6%, 0.0%, and 0.0% (P1), respectively. Albeit not statistically significant, drug-drug interaction, drug frequency, and allergy error types were reduced from 4.9%, 3.1%, and 0.1% to 4.5%, 2.5%, and 0.0%, respectively. Significant and serious errors were significantly reduced from 68.7% and 3.0% (P0) to 8.9% and 1.8% (P1), respectively. During P1, most errors were minor (89.3%, 1574/1763), and lethal errors ceased. Predictors for physicians’ acceptance were: significant errors (OR 3.1; 95% CI 2.6-4.3; P = 0.03) and non-busy physicians (OR 2.1; 95% CI 1.6-2.7; P = 0.04). Conclusion: Clinical pharmacists significantly reduced PEs in the ED by 76%; most of interventions were significant. Policymakers are advised to implement active clinical pharmacy in the ED.

Evolution, Current Structure, and Role of a Primary Care Clinical Pharmacy Service in an Integrated Managed Care Organization

2013 ◽  
Vol 47 (1) ◽  
pp. 124-131 ◽  
Author(s):  
Rachel MF Heilmann ◽  
Stephanie M Campbell ◽  
Beverly A Kroner ◽  
Jenel R Proksel ◽  
Sarah J Billups ◽  
...  
Keyword(s):  
Primary Care ◽  
Clinical Pharmacy ◽  
Primary Care Physicians ◽  
Vital Role ◽  
Clinical Pharmacy Service ◽  
Care Organization ◽  
Full Time ◽  
Current Structure ◽  
The Impact

The impact of the declining number of primary care physicians is exacerbated by a growing elderly population in need of chronic disease management. Primary care clinical pharmacy specialists, with their unique knowledge and skill set, are well suited to address this gap. At Kaiser Permanente of Colorado (KPCO), primary care clinical pharmacy specialists have a long history of integration with medical practices and are located in close proximity to physicians, nurses, and other members of the health care team. Since 1992, Primary Care Clinical Pharmacy Services (PCCPS) has expanded from 4 to 30 full-time equivalents (FTEs) to provide services in all KPCO medical office buildings. With this growth in size, PCCPS has evolved to play a vital role in working with primary care medical teams to ensure that drug therapy is effective, safe, and affordable. In addition, PCCPS specialists provide ambulatory teaching sites for pharmacy students and pharmacy residents. There is approximately 1 specialist FTE for every 13,000 adult KPCO members and every 9 clinical FTEs of internal medicine and family medicine physicians. All clinical pharmacy specialists in the pharmacy department are required to have a PharmD degree, to complete postgraduate year 2 residencies, and, as a condition of employment, to become board certified in an applicable specialty. The evolution, current structure, and role of PCCPS at KPCO, including factors facilitating successful integration within the medical team, are highlighted. Patient and nonpatient care responsibilities are described.

Role of video assisted teaching in counselling to make decision for organ donation

2019 ◽  
Vol 2 (6) ◽  
pp. 145-148
Author(s):  
Sumesh Kumar ◽  
Sarita Bagaria ◽  
Moirangthem Sonia ◽  
Kailash Kumar Khandelwal
Keyword(s):  
Organ Donation ◽  
Vital Role ◽  
Health Team ◽  
Video Assisted ◽  
Knowledge Questionnaire ◽  
Structured Knowledge ◽  
Spss Software ◽  
Knowledge And Attitude ◽  
Post Assessment

Decision of organ donation has enormous potential to save countless lives and health team play a vital role in counselling of patients and their family in decision making regarding organ donation in the ultimate stage of life. For this reason, evaluation of factors which can enhance knowledge and positive attitude towards organ donation has paramount importance. Present study aims to assess the knowledge and attitude of adults regarding organ donation and to find out role of video assisted teaching in behaviour modulation. Data from 80 participants were collected using a structured knowledge questionnaire. Pre-assessment was done before intervention of video-assisted teaching and post-assessment was done following that. Data were analyzed through SPSS software using Spearman’s Rank Co-relation. We found a negative co-relation (rK= -0.1122) between knowledge & attitude of adults regarding organ donation before video-assisted teaching regarding organ donation. A direct and positive co-relation (rK=+0.294) was observed between knowledge and attitude of adults regarding organ donation after video assisted teaching. We found that video assisted counselling provided by the medical team has great potential in promoting actions regarding organ donation. It is recommended that video assisted counselling should be applied to enhance knowledge and attitude regarding organ donation among general population.

Prescribing errors on medical wards and the impact of clinical pharmacists

2003 ◽  
Vol 11 (1) ◽  
pp. 19-24 ◽  
Author(s):  
Alison Dale ◽  
Richard Copeland ◽  
Roger Barton
Keyword(s):  
Prescribing Errors ◽  
Clinical Pharmacists ◽  
Medical Wards ◽  
The Impact

The Role Of Social Networking Between Knowledge Donating And Productivity Among Service Sector Employees

2021 ◽  
Vol 3 (1) ◽  
pp. 1-21
Author(s):  
Sarah Khan ◽  
Dr. Nasir Mehmood
Keyword(s):  
Social Networking ◽  
Knowledge Sharing ◽  
Structural Equation ◽  
Service Sector ◽  
Business Environment ◽  
Vital Role ◽  
Mediating Role ◽  
Networking Technologies ◽  
The Impact

Purpose: The purpose of this study is to examine the direct impact of knowledge donating behaviour on employees’ productivity and an indirect effect through social networking technologies. Social networking technologies play a vital role in the growth and learning of individuals and organizations in today’s competitive business environment. Recently, advancement in social networking technologies has brought a paradigm shift in the overall business environment and specific operational requirements. This study aimed to investigate the role of social networking (SN) between knowledge donating behaviour (KD) and employees’ productivity (EP). Methodology: For this purpose, data were gathered from targeted respondents belonged to the Universities and Banks located in the Northern Punjab region of Pakistan. Structural Equation Modelling technique using the SmartPLS was carried to statistically analyse the responses. Findings: The results showed that the hypothesized relationship between knowledge sharing behaviour (KSB) and employee’s productivity was significant and positively related, while social networking played a significant mediating role between this relationship. Implications: The findings provided useful insight to the managers and policymakers for planning effective use of social networking technologies to craft knowledge sharing behaviour among employees to create efficiencies and intended outcomes. Originality: The study has uniquely focused merging phenomenon of knowledge sharing behaviour in the service sector of Pakistan, specifically among academic and financial sector by exploring the impact of social networking technologies and provide valuable future direction for researchers to further extend the underlined idea in the wake of current Covid-19 Pandemic.

scholarly journals Role of Anillin in Tumour: From a Prognostic Biomarker to a Novel Target

Cancers ◽  
2020 ◽  
Vol 12 (6) ◽  
pp. 1600
Author(s):  
Nguyen Minh Tuan ◽  
Chang Hoon Lee
Keyword(s):  
Prognostic Biomarker ◽  
Tumour Microenvironment ◽  
Vital Role ◽  
Actin Binding ◽  
Cell Proliferation And Migration ◽  
Novel Target ◽  
And Migration ◽  
The Impact ◽  
Proliferation And Migration

Anillin (ANLN), an actin-binding protein, reportedly plays a vital role in cell proliferation and migration, particularly in cytokinesis. Although there have been findings pointing to a contribution of ANLN to the development of cancer, the association of ANLN to cancer remains not fully understood. Here, we gather evidence to determine the applicability of ANLN as a prognostic tool for some types of cancer, and the impact that ANLN has on the hallmarks of cancer. We searched academic repositories including PubMed and Google Scholar to find and review studies related to cancer and ANLN. The conclusion is that ANLN could be a potent target for cancer treatment, but the roles ANLN, other than in cytokinesis and its influence on tumour microenvironment remodeling in cancer development, must be further elucidated, and specific ANLN inhibitors should be found.

scholarly journals Autophagy plays a protective role during Pseudomonas aeruginosa-induced apoptosis via ROS–MAPK pathway

2020 ◽  
Vol 26 (7) ◽  
pp. 580-591
Author(s):  
Lu Han ◽  
Qinmei Ma ◽  
Jialin Yu ◽  
Zhaoqian Gong ◽  
Chenjie Ma ◽  
...  
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Mapk Pathway ◽  
Protective Role ◽  
Vital Role ◽  
Raw264.7 Cells ◽  
Cellular Reactive Oxygen Species ◽  
Induced Apoptosis ◽  
Related Proteins ◽  
The Impact

Pseudomonas aeruginosa infection can induce alveolar macrophage apoptosis and autophagy, which play a vital role in eliminating pathogens. These two processes are usually not independent. Recently, autophagy has been found to interact with apoptosis during pathogen infections. Nevertheless, the role of autophagy in P. aeruginosa-infected cell apoptosis is unclear. In this study, we explored the impact of P. aeruginosa infection on autophagy and apoptosis in RAW264.7 cells. The autophagy activator rapamycin was used to stimulate autophagy and explore the role of autophagy on apoptosis in P. aeruginosa-infected RAW264.7 cells. The results indicated that P. aeruginosa infection induced autophagy and apoptosis in RAW264.7 cells, and that rapamycin could suppress P. aeruginosa-induced apoptosis by regulating the expression of apoptosis-related proteins. In addition, rapamycin scavenged the cellular reactive oxygen species (ROS) and diminished p-JNK, p-ERK1/2 and p-p38 expression of MAPK pathways in RAW264.7 cells infected with P. aeruginosa. In conclusion, the promotion of autophagy decreased P. aeruginosa-induced ROS accumulation and further attenuated the apoptosis of RAW264.7 cells through MAPK pathway. These results provide novel insights into host–pathogen interactions and highlight a potential role of autophagy in eliminating P. aeruginosa.

scholarly journals Role of The Family in Entrepreneurship Develoment in Nepali Society

2016 ◽  
Vol 9 (1) ◽  
pp. 37-47 ◽  
Author(s):  
Sushil Kumar Pant
Keyword(s):  
Economic Growth ◽  
Statistical Tests ◽  
Job Creation ◽  
Vital Role ◽  
Ethnic Communities ◽  
Entrepreneurship Research ◽  
Entrepreneurship Development ◽  
The Family ◽  
The Impact

Entrepreneurship is the engine for social and economic growth of any society. It drives people toward wealth and job creation, which leads to better lives for people in the society. There has been growing interest in entrepreneurship research recently. This paper attempted to assess the impact of family in Nepalese society. This was viewed as essential in a country in which more than 125 ethnic communities are found. The findings show that family has some impact in people to become entrepreneurship but it was not strongly substantiated by statistical tests. It was found that entrepreneur’s parental profession plays some role in entrepreneurship development in Nepal which was similar to some findings that parental profession plays vital role in the choice of profession in children.Journal of Nepalese Bussiness Studies Vol. 9, No. 1, 2015 pp. 37-47

Toward a Perspective on R&D Outsourcing: RBV and Firm Performance

2018 ◽  
Vol 15 (05) ◽  
pp. 1850040 ◽  
Author(s):  
Anne W. Fuller
Keyword(s):  
Decision Making ◽  
Firm Performance ◽  
Research And Development ◽  
Competitive Advantage ◽  
Industrial Research ◽  
Vital Role ◽  
Decision Making Process ◽  
Resource Based View ◽  
The Impact

This paper looks at the vital role of industrial research and development (R&D). The increased outsourcing of industrial R&D is contrasted with a resource-based view of competitive advantage which maintains capabilities that are valuable, rare, imitable, and non-substitutable (VRIN), and should be internalized in the firm. Traditional business formation literature is also supportive of keeping R&D “inhouse”. R&D outsourcing research is leveraged to posit possible reasons for the increased amount of outsourced R&D. Testable propositions are included that look at factors for R&D outsource decisions and also the impact of these decisions on firm performance. An R&D entropy statistic is introduced as well as several R&D characteristics useful in the decision-making process to create R&D.

scholarly journals The role of clinical pharmacists in the optimisation of medication prescription and reconciliation on admission in an emergency department

2017 ◽  
Vol 25 (e1) ◽  
pp. e59-e61
Author(s):  
José Javier Arenas-Villafranca ◽  
Juan Manuel Rodríguez-Camacho ◽  
María Antonia Pérez-Moreno ◽  
Manuela Moreno-Santamaría ◽  
Francisco de Asís Martos-Pérez ◽  
...  
Keyword(s):  
Emergency Department ◽  
Clinical Pharmacists ◽  
Medication Prescription

scholarly journals Export and total factor productivity of EU new member states

2020 ◽  
Vol 11 (2) ◽  
pp. 263-273
Author(s):  
Sasa Jaksic ◽  
Natasa Erjavec ◽  
Boris Cota
Keyword(s):  
Total Factor Productivity ◽  
Vital Role ◽  
Common Denominator ◽  
Factor Productivity ◽  
Member States ◽  
New Member States ◽  
Export Competitiveness ◽  
The Impact ◽  
Eu New Member States

The common denominator of the European Union’s (EU) strategic long-run documents is the role of total factor productivity in fostering future growth and competitiveness. Hence, this article analyses the impact of total factor productivity on export competitiveness in EU new member states (NMS). As opposed to the stagnation of the growth of total factor productivity in the advanced economies, EU NMS exhibited stronger growth that was interrupted due to the 2008 economic and financial crisis. After the crisis, the growth continued but it was not as strong as before. The results of the empirical analysis confirm the vital role of total factor productivity for the export competitiveness of the EU NMS. However, the results also point to the fact that the impact of total factor productivity on export competitiveness is not that beneficial in the countries where the value of total factor productivity has not returned to the pre-crisis level.

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