Hospital Nuclear Pharmacy—A Comparison of Physician and Pharmacist Practice

1992 ◽  
Vol 26 (6) ◽  
pp. 826-828
Author(s):  
Raymond N. Dansereau ◽  
Richard J. Dansereau
Keyword(s):  
Nuclear Medicine ◽  
Pharmaceutical Care ◽  
Hospital Pharmacy ◽  
Significant Contribution ◽  
Pharmacy Practice ◽  
Physician Practice ◽  
Hospital Pharmacists ◽  
Medicine Clinic ◽  
Current State ◽  
Pharmacy Curriculum

OBJECTIVE: Nuclear pharmacy is practiced in every hospital with a nuclear medicine clinic. Pharmacists control this practice in fewer than four percent of these institutions. The authors wish to bring to the attention of hospital pharmacists an area of practice in which they can make a significant contribution to the state of pharmacy practice. METHOD: The current state of the physician practice of nuclear pharmacy is described and compared with the accepted standards of pharmacy practice. CONCLUSIONS: Hospital pharmacists can improve pharmaceutical care administered in nuclear medicine by their participation in nuclear pharmacy practice and by the application of hospital pharmacy practice standards. It is also suggested that nuclear pharmacy should be integrated into the pharmacy curriculum at schools of pharmacy.

Justification for Hospital-Based Nuclear Pharmacy Services

1989 ◽  
Vol 2 (3) ◽  
pp. 152-161 ◽  
Author(s):  
David L. Laven ◽  
William R. Martin
Keyword(s):  
Nuclear Medicine ◽  
Hospital Pharmacy ◽  
New Technologies ◽  
Pharmacy Practice ◽  
Third Party ◽  
Pharmacy Services ◽  
Imaging Data ◽  
Nuclear Medicine Imaging ◽  
Third Party Reimbursement ◽  
The Cost

Diversification is the greatest survival strategy available to hospital pharmacy today. Nuclear pharmacy is a growing field within institutional pharmacy practice and can help ensure the profession's participation in new technologies and clinical support roles. Nuclear pharmacy practice parallels hospital pharmacy practice in many areas including procurement, compounding, dispensing, quality assessment, and drug use review. Particularly important to the practice of pharmacy are the clinical contributions by nuclear pharmacists in areas such as product selection, drug interactions and interferences, and assisting the physician in the interpretation of nuclear medicine imaging data. Hospital-based nuclear pharmacy services are closely allied with nuclear medicine and radiology, which have felt the effects of changing trends in third party reimbursement. It has been shown repeatedly that nuclear pharmacists can make an impact on the quality of nuclear medicine services, while improving the cost effectiveness of these services. For the past several years, only a few hospital pharmacies have made attempts to provide services to nuclear medicine or radiology departments. Pharmacy has a professional responsibility and obligation to become involved with the use of legend drugs routinely used (or soon to be introduced) within these departments. Nuclear pharmacy is an area in the hospital where pharmacy can make a solid financial impact and broaden its scope of recognition and value.

scholarly journals Current Trends in Hospital Pharmacy Practice in Lebanon

2019 ◽  
Vol 55 (2) ◽  
pp. 112-118 ◽  
Author(s):  
Nibal Chamoun ◽  
Ulfat Usta ◽  
Lamis R. Karaoui ◽  
Pascale Salameh ◽  
Souheil Hallit ◽  
...  
Keyword(s):  
Hospital Pharmacy ◽  
Pharmacy Practice ◽  
University Teaching ◽  
Teaching Hospitals ◽  
Highly Qualified ◽  
Cross Sectional ◽  
Hospital Pharmacists ◽  
Qualified Personnel ◽  
Nonsignificant Difference ◽  
American Society

Objectives: For decades, the role of hospital pharmacists has been instrumental in elevating pharmacy practice worldwide. Recently, the Hospital Pharmacy Section of the International Pharmaceutical Federation (FIP), the European Association of Hospital Pharmacists (EAHP), and the American Society of Health-System Pharmacists (ASHP) updated their statements about the future role and responsibilities of the pharmacy executive in hospitals and health systems. A series of surveys were conducted around the globe to better understand the current state of hospital pharmacy practice. The purpose of these surveys was to identify challenges in hospital pharmacy practice and to develop improvement strategies. The objective of this national survey is to evaluate hospital pharmacy practice in Lebanon. Methods: A cross-sectional observational study was performed among pharmacists working in hospital settings in Lebanon, from January through June 2016. Based on a literature review, a questionnaire to elicit Lebanese hospital pharmacists’ practice was developed. Results: The results showed a nonsignificant difference between university teaching and nonuniversity teaching hospitals in the processes of drug procurement, preparation, dispensing, and drug administration. However, statistically significant differences were observed between university teaching and nonuniversity teaching hospitals with respect to having clinical pharmacists ( P < .001) and highly qualified personnel ( P < .005). Pharmacy services in teaching hospitals seemed to be more advanced cooperating with affiliated medical schools. Furthermore, teaching hospitals were more likely to have pharmacists providing information about the safety of the medications used ( P = .029). Although not statistically significant, there was a higher trend toward having a designated champion for medication safety ( P = .052). Conclusion: The results of our survey showed that teaching hospitals were more compliant with the International Statements of Hospital Pharmacy Practice compared with nonteaching hospitals. There is room for improvement especially if the application of the accreditation standards for safe hospital pharmacy practice becomes mandatory for all hospitals, which is expected to standardize pharmacy practice and secure both medication and patient safety.

scholarly journals Hospital pharmacy profession in Nepal through the eye of a pharmacist

2017 ◽  
Vol 6 (2) ◽  
pp. 56-57 ◽  
Author(s):  
R Sharma Poudel ◽  
A Prajapati
Keyword(s):  
Human Resources ◽  
Pharmaceutical Care ◽  
Medical Devices ◽  
Hospital Pharmacy ◽  
Pharmacy Practice ◽  
Pharmacy Education ◽  
Chronic Obstructive ◽  
Pharmacovigilance Centre ◽  
Appropriate Use ◽  
Pharmacy Profession

 Pharmacy profession is one of the most renowned and recognized professions in the world. Hospital pharmacy is a branch of pharmacy and is well practiced in theWestern society, but in the context of Nepal, the situation is quite different. Hospital pharmacy of Nepal is usually overcrowded with patients due to limited health facilities, inadequate human resources, infrastructure and technology. Most of the hospitals further lack Drug and Therapeutic Committee (DTC), Drug information centre (DIC) and Pharmacovigilance centre, and in practice, the established DTC, DIC and Pharmacovigilance centre are functioning at sub-optimal level. The hospital pharmacy seems to be a profession of pride for many pharmacists with lots of expectation. However, the reality is that many of the pharmacist fail to meet their own expectation mainly due to lack of self competency, and appreciation by patients and other healthcare professionals. Moreover, a pharmacist may frequently encounter with weak regulation and implementation of policies, inadequate human resources, hectic dispensing focused schedule, more money-oriented organizational policy and poor images left behind by the seniors, all of which contribute to slow growth of the hospital pharmacy practice in Nepal. Also, gap has been observed between pharmacy education and current need in hospital pharmacy practice.The understanding of patients towards pharmacy profession is poor. They often give less priority to appropriate use of medicines and medical devices. They do not seem to worry much about the side effects, interactions, contraindications, precautions to be taken and action needed to be taken in cases of missed dose. Patients are usually in rush to leave the pharmacy and frequently raise their voice to the pharmacist to draw circles and write time of administration on the primary packages of the medication (usually a permanent marker). Patients with chronic disease such as hypertension, diabetes, chronic obstructive pulmonary disease often refuse to attend the medication counseling centre despite the fact that we have found patients using their medication and medical devices incorrectly for a long time. Patients have been found to use their inhaler devices through nose and without breaking dry powder inhalers capsule, taking pessaries even through mouth and frequently visit emergency room due to exacerbation of diseases.Collaborative efforts between health authorities and educational institutions, integration of innovative approaches in hospital pharmacy practice, enriched patient awareness on appropriate use of medicines and medical devices together with patient focused services could overcome these barriers and achieve the transition towards good hospital pharmacy practice and pharmaceutical care. Urgent academic exercise aimed at attaining revamping of curriculum, keeping in pace with current and emerging trends in the field of hospital pharmacy practice and pharmaceutical care is needed. Further, hospital pharmacy practice should be evidence based, initiation of continue pharmacy education and innovative research on pharmacy practice need to be encouraged. Such approach may upgrade hospital pharmacy profession in Nepal in near future.

Pharmaceutical Care in Community Pharmacies: Practice and Research in Brazil

2007 ◽  
Vol 41 (9) ◽  
pp. 1486-1493 ◽  
Author(s):  
Mauro Silveira de Castro ◽  
Cassyano Januário Correr
Keyword(s):  
Pharmaceutical Care ◽  
Professional Training ◽  
Pharmacy Practice ◽  
Drug Distribution ◽  
Pharmaceutical Services ◽  
Pharmacy Education ◽  
Drug Dispensing ◽  
Brazilian Government ◽  
Pharmacy Curriculum ◽  
Research Incentives

Objective: To discuss the provision of pharmaceutical services and pharmaceutical care in Brazil. Findings: Professional training and pharmaceutical services are undergoing a period of restructuring in Brazil, including the adoption of incentives for pharmaceutical care. Some important national measures include the rational use of medications, evidence-based medicine, and pharmacovigilance. A new and more generalist pharmacy curriculum is being implemented and tailored for the Brazilian Public Health System; recently, the Brazilian government has provided resources for pharmaceutical care research. Discussion: A proposal for national consensus in Brazilian pharmaceutical care was published in 2002. The components of this proposal include drug dispensing, counseling, health education, symptoms advice, and pharmacotherapy follow-up. Pharmacy practice is currently focused on drug dispensing and logistic aspects of drug distribution. Professionals are satisfied with patients' confidence in being counseled by pharmacists and reveal interest in extending their role in patient care. Most pharmacy customers were originally unaware of the term “pharmaceutical care”; however, following an explanation, they showed an interest in this service. Furthermore, over 50% stated that they would pay for this service. Despite these initiatives, numerous barriers to the development of pharmaceutical care remain, the main ones being the commercial objective of most pharmacies that sell medications and the insufficient training of professionals. Although government-owned pharmacies also distribute medications, they do not meet all of the needs of the population and lack sufficient pharmacists. Conclusions: Several actions are required to stimulate the implementation and development of pharmaceutical care and services in Brazil. Recent research incentives in pharmaceutical care and reorientation of pharmacy education will contribute to this development.

scholarly journals Use of the International Pharmaceutical Federation’s Basel Statements to Assess and Advance Hospital Pharmacy Practice: A Scoping Review

2016 ◽  
Vol 69 (2) ◽  
Author(s):  
Jonathan Penm ◽  
Betty Chaar ◽  
Rebekah J Moles
Keyword(s):  
Scoping Review ◽  
Hospital Pharmacy ◽  
English Language ◽  
Pharmacy Practice ◽  
Geographic Location ◽  
Western Pacific ◽  
Google Scholar ◽  
Research Activity ◽  
Hospital Pharmacists ◽  
The World

<p><strong>ABSTRACT</strong></p><p><strong>Background: </strong>The Basel statements of the International Pharmaceutical Federation, which provide the first global, unified vision for the hospital pharmacy profession, have recently been revised. Originally released in 2008, the Basel statements have since been made available in 21 languages, and thus have the potential for great impact around the world.</p><p><strong>Objective: </strong>To conduct a scoping review to examine the extent and nature of research activity related to the Basel statements.</p><p><strong>Methods: </strong>Google Scholar, PubMed, and International Pharmaceutical Abstracts were searched using the key term “Basel statements” for relevant research articles. From each included study, data were extracted on geographic location, study design, study outcomes, and use of the Basel statements.</p><p><strong>Results: </strong>The search strategy generated 113 results. Further refinement resulted in 14 English-language articles that met the inclusion criteria. Four of these articles focused on adapting the Basel statements to European practice, an initiative of the European Association of Hospital Pharmacists that led to development of the European statements of Hospital Pharmacy. Six studies focused on monitoring hospital pharmacy practice in Uganda, the Pacific island countries, and the Western Pacific Region. These studies provide valuable baseline data to measure and track the development of hospital pharmacy practices in their respective countries and regions. The remaining 4 studies used qualitative methods to explore the barriers to and facilitators of implementation of the Basel statements in South Africa, China, and Australia.</p><p><strong>Conclusion: </strong>The Basel statements have led to multiple initiatives around the world, involving more than 70 countries. The European and Western Pacific regions have been the most active. Current initiatives should be continued to ensure identification and resolution of issues related to sustaining their use over time.</p><p><strong>RÉSUMÉ</strong></p><p><strong>Contexte : </strong>Les déclarations de Bâle de la Fédération international pharmaceutique, qui offrent la première vision mondiale unifiée pour la pharmacie hospitalière, ont été révisées récemment. D’abord rendues publiques en 2008, les déclarations de Bâle ont été traduites en 21 langues; elles peuvent ainsi avoir une grande portée partout dans le monde.</p><p><strong>Objectif : </strong>Réaliser un examen de la portée et de la nature des recherches liées aux déclarations de Bâle.</p><p><strong>Méthodes : </strong>Google Scholar, PubMed, et International Pharmaceutical Abstracts ont été interrogés à l’aide du mot clé « déclarations de Bâle » afin de trouver des articles de recherche pertinents. Pour chaque étude retenue, on a extrait des données sur le lieu, le plan de l’étude, les résultats de recherche et l’utilisation des déclarations de Bâle.</p><p><strong>Résultats : </strong>La stratégie de recensement bibliographique a permis de trouver 113 articles. Une sélection plus affinée a permis de cerner 14 articles en anglais qui répondaient aux critères d’inclusion. Quatre articles portaient sur l’adaptation des déclarations de Bâle aux pratiques européennes; une initiative de l’European Association of Hospital Pharmacists qui a mené à l’élaboration des Déclarations européennes de la pharmacie hospitalière. Six portaient sur la surveillance des pratiques de la pharmacie hospitalière en Uganda, dans les États insulaires du Pacifique et dans la région du Pacifique occidental. Ces études fournissent d’importantes données de référence qui en retour permettent de mesurer et de suivre l’évolution des pratiques de la pharmacie hospitalière dans chacun des différents pays et régions. Dans les quatre derniers articles, des méthodes qualitatives ont été employées pour étudier les éléments qui font obstacle ou qui facilitent la mise en oeuvre des déclarations de Bâle en Afrique du Sud, en Chine et en Australie.</p><p><strong>Conclusion : </strong>Les déclarations de Bâle ont mené à de nombreuses initiatives partout dans le monde, auxquelles participent plus de 70 pays. La région de l’Europe et celle du Pacifique occidental ont été les plus actives. Les initiatives actuelles devraient être poursuivies afin d’identifier les enjeux liés au développement durable et de leur trouver des solutions.</p>

scholarly journals Pharmacy Practice and Education in Estonia

Pharmacy ◽  
2019 ◽  
Vol 7 (3) ◽  
pp. 87 ◽  
Author(s):  
Daisy Volmer ◽  
Kristiina Sepp ◽  
An Raal ◽  
Jeffrey Atkinson
Keyword(s):  
Hospital Pharmacy ◽  
Pharmacy Practice ◽  
Pharmaceutical Product ◽  
Pharmacy Education ◽  
Individual Member ◽  
Community Pharmacies ◽  
The European Union ◽  
Member States ◽  
Pharmacy Curriculum ◽  
The University

The Pharmacy Education in Europe (PHARMINE) project studied pharmacy practice and education in the European Union (EU) member states. The work was carried out using an electronic survey forwarded to selected pharmacy representatives at community and hospital pharmacies, in the pharmacy industry and at drug authorities. The surveys of the individual member states are now being published as reference documents for students and staff interested in research on pharmacy education in the EU, and in mobility. This paper presents the results of the PHARMINE project on pharmacy practice and education in Estonia. In this paper, we examine the harmonisation of practice and education in Estonia with EU norms. Community pharmacies in Estonia provide traditional and extended services, of which influenza vaccination, the evaluation of the risk of diabetes, and medication use review have been introduced recently. Pharmacists (in Estonian proviisor) study at the University of Tartu for five years and graduate with a Master of Pharmacy (MSc Pharm) degree. A pharmacist can be the owner of a pharmacy, or work as a pharmacy manager or chief pharmacist in either a community or a hospital pharmacy. Assistant pharmacists (in Estonian farmatseut) study at the Tallinn Health Care College for 3 years; after graduation, they are mainly employed in community pharmacies. The University of Tartu is the only university in Estonia providing higher education in pharmacy at university level. The pharmacy curriculum is an integrated (bachelor followed by master), pharmaceutical product-oriented study programme. It was last updated in 2019. On that occasion, several changes were made such as the introduction of competency-based modules; novel methods in education and training based on the constructive alignment and the restructuring of the six-month traineeship. Several new courses focus on the concepts of clinical pharmacy and on patient-centred communication. In the current pharmacy curriculum, there is a balance between chemical and medical subjects. The traineeship is provided for six months at a community and/or hospital pharmacy in the 5th year. Currently, the pharmacy curriculum at the University of Tartu does not offer specialization in subjects such as hospital or industrial pharmacy.

Muhammad Nejatullah Siddiqui. Issues in Islamic Banking: Selected Papers, Leicester: The Islamic Foundation. 1983 , I 52pp.Author and Subject Indexes.

1983 ◽  
Vol 22 (1) ◽  
pp. 57-61
Author(s):  
Shahrukh Rafi Khan
Keyword(s):  
Analytical Model ◽  
Significant Contribution ◽  
Profit Sharing ◽  
Islamic Banking ◽  
Current State ◽  
The Subject ◽  
Made In

The book under review is a compilation of the author's articles and lectures that highlight the prominent developments in the literature on the subject of Islamic banking and inform the reader of the current state of debate on it. One of the earliest and main contributors to this topic is the author himself. The focus of this review will mainly be on "Economics of Profit-Sharing", which is the title of the fourth chapter of the book and is among his latest contributions. This chapter is a significant contribution as it is the first attempt to formalise the concept of profit sharing into an analytical model and, therefore, demands closer scrutiny. However, in the remaining chapters of the book, the author has drawn attention to some of the fine points made in the literature on this topic. Since some of these points appear to be controversial to me, I will briefly discuss them before moving on to the analytical chapter of the book.

Student Pharmacists Self-Perceived Confidence in Communication Skills With Healthcare Practitioners Before and After a Seminar Course

2021 ◽  
pp. 089719002110184
Author(s):  
Kimberly L. Barefield ◽  
Caroline Champion ◽  
Lucy Yang ◽  
Brent Rollins
Keyword(s):  
Survey Design ◽  
Research Question ◽  
Pharmacy Practice ◽  
Course Evaluation ◽  
Internship Experience ◽  
Before And After ◽  
Student’S T ◽  
Strongly Agree ◽  
Pharmacy Curriculum ◽  
Question Survey

Introduction: Competent pharmacy practice requires the ability to critically evaluate the medical literature and communicate pharmacotherapy information and recommendations to healthcare practitioners. Given the limited research on how these skills are taught, a seminar course in the third year of the pharmacy curriculum was designed to strengthen these skills and abilities. Methods: This was a prospective, pre- and post-cohort survey design. Students were informed of the study’s intent with participation being voluntary and not affecting their course grade. Students received the same survey at the beginning and end of the semester. The 20-question survey assessed self-perceived confidence in the domains of communication and literature evaluation using a 5-point, Likert-type Strongly Disagree-Strongly Agree Scale. Demographic information and students’ previous pharmacy work and internship experience were collected as a part of the survey. Descriptive statistics and Student’s t-test were used to assess the research question and comparisons of student demographics. Results: Sixty-eight of a possible 91 students (75% response rate) completed both the pre- and post-survey. There was no statistically significant differences between any of the measured demographics. Overall, students slightly agreed they were confident in their communication and literature evaluation skills in the pre-course evaluation, with communicating drug interactions as the least confident area. Post-course, students were significantly more confident in all but 5 of 20 measured areas. Conclusion: The Seminar course resulted in a positive change in students’ perception of confidence to communicate with healthcare professionals and ability to evaluate drug literature.

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