scholarly journals Utilizing Pharmacists to Optimize Medication Management Strategies During the COVID-19 Pandemic

2020 ◽  
pp. 089719002096165
Author(s):  
L. Hayley Burgess ◽  
Mandelin K. Cooper ◽  
Elizabeth H. Wiggins ◽  
Karla M. Miller ◽  
Edward Murray ◽  
...  
Keyword(s):  
Best Practice ◽  
Medication Management ◽  
Management Strategies ◽  
The United States ◽  
Medication Administration ◽  
Dose Inhaler ◽  
Successful Implementation ◽  
Nursing Time ◽  
Thromboembolism Prophylaxis ◽  
Short Supply

As the COVID-19 pandemic swept through the United States, our heath-system mobilized clinical pharmacy services to address critical clinical medication management needs. Reinforcing recommended medication management strategies for clinical pharmacists was key to successful implementation. Best practice strategies include converting patients from intravenous (IV) to oral medication, transitioning to IV push medication administration, evaluating standard medication administration timing, reviewing metered dose inhaler (MDI) and nebulizer utilization, using alternatives for medications in short supply, reviewing coronavirus disease COVID-19 treatment recommendations, reviewing COVID-19 patient care on interdisciplinary rounds, de-prescribing and de-escalating to eliminate unnecessary medications, and assessing for appropriate venous thromboembolism prophylaxis. These strategies served to help protect medication supply, reduce number of staff entries into patient rooms to conserve personal protective equipment, limit nursing time in patient rooms to reduce COVID-19 exposure risk, and to conserve compounding supplies. Here we present example medication management guidance as used by a large healthcare system during the COVID-19 pandemic.

Medication Administration Practices in United States’ Schools: A Systematic Review and Meta-synthesis

2021 ◽  
pp. 105984052110263
Author(s):  
Ashley A. Lowe ◽  
Joe K. Gerald ◽  
Conrad Clemens ◽  
Cherie Gaither ◽  
Lynn B. Gerald
Keyword(s):  
United States ◽  
Systematic Review ◽  
Public Schools ◽  
Medication Management ◽  
The United States ◽  
Medication Administration ◽  
Full Time ◽  
Level Of Training ◽  
K 12 ◽  
Keyword Searches

Schools often provide medication management to children at school, yet, most U.S. schools lack a full-time, licensed nurse. Schools rely heavily on unlicensed assistive personnel (UAP) to perform such tasks. This systematic review examined medication management among K-12 school nurses. Keyword searches in three databases were performed. We included studies that examined: (a) K-12 charter, private/parochial, or public schools, (b) UAPs and licensed nurses, (c) policies and practices for medication management, or (d) nurse delegation laws. Three concepts were synthesized: (a) level of training, (b) nurse delegation, and (c) emergency medications. One-hundred twelve articles were screened. Of these, 37.5% (42/112) were comprehensively reviewed. Eighty-one percent discussed level of training, 69% nurse delegation, and 57% emergency medications. Succinct and consistent policies within and across the United States aimed at increasing access to emergency medications in schools remain necessary.

Integration of the Codonics Safe Label System® and the Omnicell XT® Anesthesia Workstation into Pediatric Anesthesia Practice: Utilizing Technology to Increase Medication Labeling Compliance and Decrease Medication Discrepancies While Maintaining User Acceptability

2020 ◽  
pp. 001857872097046
Author(s):  
James Joseph Thomas ◽  
Ferras Bashqoy ◽  
John T. Brinton ◽  
Patrick Guffey ◽  
Myron Yaster
Keyword(s):  
Inventory Control ◽  
Best Practice ◽  
Medication Management ◽  
Pediatric Anesthesia ◽  
Medication Administration ◽  
Management Systems ◽  
Convenience Sample ◽  
Medication Discrepancies ◽  
Label System ◽  
User Acceptability

Background: Perioperative medication errors are recognized as a source of patient morbidity and mortality. Medication management systems with built-in scanning and label-printing functions that integrate with medication-dispensing cabinets have the potential to decrease medication administration errors by improving compliance with medication labeling. Whether these management systems will also improve periodic automatic replacement (PAR) inventory control and be accepted by users is unknown. We hypothesized that implementation of the Codonics Safe Label System®, an automated labeling system (ALS), would increase compliance with labeling guidelines and improve PAR inventory control by decreasing medication discrepancies while maintaining user acceptability in the OR. Methods: We audited a cohort of anesthesia workstations and electronic anesthesia records for 2 months to compare dispensed and administered medications and establish a discrepancy baseline. We also observed a convenience sample of syringes to evaluate labeling compliance. Post-implementation of the ALS, we repeated the audit. Finally, an anonymous survey was distributed electronically to providers to assess user acceptability. Results: Pre-implementation the average daily medication discrepancy rate was 9.7%, decreasing to 6.1% post-implementation (χ21 = 43.9; P < .0001). Pre-implementation 330 of 696 syringes (47.4%) were either missing a label or labeling elements. After implementation, 100% of all syringes received a label with the complete required labeling information ( P < .0001). All respondents agreed or strongly agreed that the system was easy to use, accurate, met their needs, printed labels quickly, improved safety and efficiency, and was recommendable. Conclusion: The ALS significantly increased the rate of best-practice-compliant medication labeling while reducing medication inventory discrepancies. The system was highly accepted by providers.

scholarly journals Real Estate Investment Trusts’ (REITs) Asset Management Strategies Within Global REIT Portfolios

2021 ◽  
Vol 29 (1) ◽  
pp. 72-86
Author(s):  
Yasmin Mohd. Adnan ◽  
Normala Lamin ◽  
Muhammad Najib Razali ◽  
Rohaya Abdul Jalil ◽  
Zulkifli Esha
Keyword(s):  
Asset Management ◽  
Best Practice ◽  
Management Strategies ◽  
Developed Countries ◽  
The United States ◽  
Real Estate Investment ◽  
Analysis Techniques ◽  
Sustainable Performance ◽  
Management Perspective ◽  
The Stability

Abstract Investment in REITs has become significant in recent years due to the stability and sustainable performance of the investment. A study on the management perspective is very important but this perspective is very limited. Asset management will derive from the profit optimization of the investment. Therefore, it is important to assess asset management strategies to ensure the sustainable performance of the assets. This paper aims to assess asset management strategies among matured REIT companies in developed countries in comparison with Malaysian REIT companies from the perspective of the managers. This research employed qualitative analyses by using content analysis techniques. A total of 41 REIT companies from the United States (US), Japan, Singapore, Australia and Malaysia were assessed. The analyses focused on the similarities and differences between the strategy framework identified in the literature review and the strategies adopted by global REITs and Malaysian REITs under review. The study will enable all REIT stakeholders to become well-informed on global REIT asset management that will derive the maximum profit from the investment. The success of developed countries’ REITs will provide guidelines for Malaysian REITs to adopt the best practice of strategic asset management from REITs in mature markets. Furthermore, this study is one of few papers that have discussed the issue of strategic property investment, particularly focusing on REITs.

Educating behavior clinicians in a community behavior care center for children with autism spectrum disorder: Medication administration a pilot study in the United States

2020 ◽  
pp. 174462952096717
Author(s):  
Kathy Auberry
Keyword(s):  
United States ◽  
Autism Spectrum Disorder ◽  
Pilot Study ◽  
Care Center ◽  
Medication Management ◽  
The United States ◽  
Medication Administration ◽  
Autism Spectrum ◽  
Children With Asd ◽  
Community Behavior

Autism Spectrum Disorder (ASD) is a multifaceted developmental disability requiring specialized supports. Due to the growing diagnoses of ASD, the demand for behavior treatment centers has also grown. These centers offer a wide range of beneficial services to children with ASD, including medication administration and management. While centers may employ highly educated and certified employees, there may be a gap in education related to medication administration and medication management knowledge. Using an evidence based education tool, this study sought to explore if clinicians in a behavior care center could gain knowledge in their ability to accurately administer and manage medications for children with ASD, and postulate if existing post-secondary curricula for behavior clinicians should be enriched to include medication administration and management training. This comprised two separate day long sessions of an implementation pilot study of best practice education in medication administration and medication management for behavior clinicians employed at a community behavior care center for children with ASD in the United States. Using the Statistical Package for the Social Sciences, 25 (SPSS), the paired samples t-test was applied for analysis. The quantitative results demonstrated the skill level treatment effect was statistically significant ( p < .001). On the basis of the results the author makes recommendations regarding how to include medication administration and medication management education into existing behavior clinician curricula in the United States.

scholarly journals The “New Northern Policy” strategy and its constraints

2020 ◽  
Vol 13 (3) ◽  
pp. 354-373
Author(s):  
Gu Ho Eom ◽  
Keyword(s):  
North Korea ◽  
Management Strategies ◽  
The United States ◽  
Successful Implementation ◽  
The North ◽  
Risk Management Strategies ◽  
The Republic ◽  
The Moment ◽  
Northeast Asian ◽  
Northern Policy

The article evaluates the “New Northern Policy” of Moon Jae-in’s administration. Based on the evaluations, geopolitical risk management strategies of the Northern Policy, essential and feasible tasks and projects, and a guideline to establish cooperative governance are proposed. The characteristics of the New Northern Policy under Moon Jae-in’s leadership are as follows: 1) the idea of connecting the Republic of Korea with the continent through North Korea is more important task of the New Northern Policy than that of participation in the Eurasian integration process; 2) at the moment, the New Northern Policy cannot overcome geopolitical restrictions and it can be compared to a car equipped with a powerful noisy engine, which however cannot be moved; 3) due to many difficulties, it seems that the current administration may have fewer motivating factors to implement the New Northern Policy than to promote the New Southern Policy. To succeed in the New Northern Policy, the following tasks must be completed: finding a reasonable answer to Western sanctions against Russia and North Korea; actively promoting mini-lateral cooperation; establishing the Northeast Asian Development Bank with the participation of the United States, Japan, Russia and China; connecting the regulation of the North Korean nuclear issue to the creation of the “Northeast Railway Community”; strengthen the platform for successful implementation of the New Northern Policy.

scholarly journals The Role of Stigma Management in HIV Treatment Adherence

2019 ◽  
Vol 16 (24) ◽  
pp. 5003 ◽  
Author(s):  
Lance Rintamaki ◽  
Kami Kosenko ◽  
Timothy Hogan ◽  
Allison M. Scott ◽  
Christopher Dobmeier ◽  
...  
Keyword(s):  
Treatment Adherence ◽  
Social Stigma ◽  
Medication Management ◽  
Management Strategies ◽  
The United States ◽  
Subsequent Treatment ◽  
Hiv Treatment ◽  
Hiv Stigma ◽  
People Living With Hiv ◽  
Stigma Management

Social stigma is linked to improper HIV treatment adherence, but how stigma impairs adherence outcomes is poorly understood. This study included 93 people living with HIV in the United States who participated in focus groups or one-on-one interviews regarding how stigma might affect medication management. Latent content analysis and constant comparative techniques of participant responses that were produced three thematic groupings that described how participants (a) orient to HIV stigma, (b) manage HIV stigma in ways that directly impair treatment adherence, and (c) manage HIV stigma in ways that may indirectly impair adherence. These findings illustrate the need to understand how patients orient to HIV stigma when prescribing medications and the complications that are inherent to such assessments. In addition, these findings provide a simple framework for organizing the different ways in which stigma management strategies may disrupt treatment adherence. Conceptually, these findings also offer a paradigm shift to extent theories on disclosure and concealment, in which only disclosure has been cast as an active process. These findings demonstrate how concealment is far from a passive default, often requiring enormous effort. Ultimately, these findings may guide intervention programs that help to entirely eliminate HIV by promoting optimized counseling and subsequent treatment adherence.

scholarly journals LIVING WITH MULTIPLE MYELOMA: SELF-MANAGEMENT STRATEGIES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S928-S928
Author(s):  
Matthew R LeBlanc ◽  
Thomas W LeBlanc ◽  
Bryant L Ashley ◽  
Kathryn I Pollak ◽  
Donald E Bailey ◽  
...  
Keyword(s):  
Multiple Myeloma ◽  
Chronic Disease ◽  
Plasma Cells ◽  
Medication Management ◽  
Management Strategies ◽  
The United States ◽  
Self Management ◽  
Incurable Cancer ◽  
Age Of Diagnosis ◽  
The Many

Abstract Multiple myeloma (myeloma), is an incurable cancer of the plasma cells that affects many older adults. Over 30,000 new diagnoses and over 12,000 deaths are attributed to myeloma annually in the United States, where the median age of diagnosis is 69 years old. Dramatic improvements in survival over the past fifteen years have transformed myeloma into a chronic disease for many. The disease and its toxic, ongoing treatment lead to significant challenges for patients. In this study we explore the self-management strategies patients use to address the challenges of living with myeloma through semi-structured one-on-one interviews with myeloma patients and clinicians. Fifteen myeloma patients and ten myeloma clinicians were interviewed between September 2017 and September 2018. Self-management strategies emerged in five major categories; managing uncertainty, finding emotional strength, seeking support, medication management, and activity management. The care of MM patients has made great strides as new and more effective treatments have extended survival for many patients. Effective self-management strategies are critical in addressing the challenges of this increasingly chronic disease. Our study explores the ways myeloma patients address the many challenges they face due to their disease and its’ treatment. Findings from this study could inform the development of interventions to optimize and support patients living with myeloma self-management.

Business: The Electronic Health Record: Front Line Experience

2011 ◽  
Vol 21 (1) ◽  
pp. 18-22
Author(s):  
Rosemary Griffin
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Electronic Health Record ◽  
Financial Incentives ◽  
Best Practice ◽  
Health Care Systems ◽  
The United States ◽  
Health Record ◽  
Health Trends ◽  
Electronic Health

National legislation is in place to facilitate reform of the United States health care industry. The Health Care Information Technology and Clinical Health Act (HITECH) offers financial incentives to hospitals, physicians, and individual providers to establish an electronic health record that ultimately will link with the health information technology of other health care systems and providers. The information collected will facilitate patient safety, promote best practice, and track health trends such as smoking and childhood obesity.

The First Decade of Effort: Progress Toward a Hospital Information System at the UCLA Hospital, Los Angeles, California

1970 ◽  
Vol 09 (02) ◽  
pp. 75-80
Author(s):  
B. G. Lamson ◽  
W. S. Russell ◽  
J. Fullmore ◽  
W. E. Nix
Keyword(s):  
Los Angeles ◽  
Medical Record ◽  
Communication Systems ◽  
The United States ◽  
Computer Applications ◽  
Record Management ◽  
Successful Implementation ◽  
Accounting System ◽  
Accrual Accounting ◽  
Medical Specialties

Total information and communication systems within hospitals have been designed, but successful complete implementation, to date, has not been achieved. Limited applications with both patient medical data, notably in the clinical laboratories, and in the hospital accounting offices have been numerous. Although total programs are not yet a reality, it is apparent that the computer will serve ultimately many communication requirements, both medical and financial, within the hospital.Sound hospital management requires that costs of all component operations be known in order that value judgments concerning worth and efficiency may be made. Accrual accounting systems which match revenue and expense over the same time period are a prerequisite. Cash and modified cash hospital accounting cannot provide current reliable data for sound decision making.Costs of hospital operations cannot be evaluated unless related to the characteristics of the patient service load. Average per diem costs mean little except when large similar populations of patients are being compared. A modern hospital accrual accounting system should be able to provide information concerning the costs of caring for specific diseases in patients with known age and sex and disease severity characteristics. Without information of this type, it will not be possible to objectively evaluate alternative systems of financing and organizing patient care.Medical record management offers the promise of prospective use of patient disease information in the planning and scheduling of facilities. The prose content of medical record summaries, such as diagnostic statements in tissue pathology, radiology, and admission and discharge diagnoses, may be susceptible to non-coded, full prose input into computer controlled diagnostic files. Thesauri in the several medical specialties will be necessary for this achievement.There is little immediate prospect for complete hospital communication systems that can be made available as a package to any hospital without substantial local alteration. Pilot projects in teaching centers should be viewed for the time being as opportunities to define objectives, evaluate feasibility, and determine degree of risk and expense.A brief survey of applications in the United States which have been successfully implemented or which appear suitable for successful implementation is recorded.Eleven general principles which have been associated with successful implementation of computer applications within the UCLA Hospital are enumerated.

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