Journal ArticleDOI
Impact of pharmacist intervention on clinical outcomes in the palliative care setting.
Reads0
Chats0
TLDR
Acceptance of the pharmacist’s recommendation was significantly associated with the strongest predictor of the patient achieving the desired clinical outcome.Abstract:
Background: Although accepted as an integral part of the interdisciplinary team, pharmacist value in palliative care has predominantly been evaluated by subjective methods. This study was conducted to identify factors that impact physician acceptance of the pharmacist’s recommendation and to determine whether acceptance is a significant predictor of clinical outcome. Methods: As a mandated in-house quality assurance project at Niagara Hospice, Inc, 2 clinical pharmacists tracked each request for pharmacotherapeutic intervention over a 4-month period (April-July 2009). Through retrospective examination of clinical notes, each intervention was reviewed to determine age, gender, death date, presenting symptom, recommending pharmacist, recommendation type, recommendation status (accepted vs declined), and clinical outcome (achieved vs not achieved). Results: Overall, 89.4% of recommendations were accepted, and 79.9% of patients achieved the desired clinical outcome. With the exception of delirium as a present...read more
Citations
More filters
Journal ArticleDOI
Medication reviews by clinical pharmacists at hospitals lead to improved patient outcomes: a systematic review.
Trine Graabæk,Lene Juel Kjeldsen +1 more
TL;DR: The aim of this systematic MiniReview was to identify, assess and summarize the literature investigating the effect of pharmacist-led medication reviews in hospitalized patients, and to design research within this area using rigorous design, large sample sizes and comparable outcome measures for patient health outcomes.
Journal ArticleDOI
Piloting the role of a pharmacist in a community palliative care multidisciplinary team: an Australian experience
TL;DR: The inclusion of a pharmacist in a community palliative care team lead to an increase in the medication-related knowledge and skills of its members, improved patients' medication management, and minimised related errors.
Journal ArticleDOI
The impact of medication therapy management in older oncology patients
TL;DR: MTM is an important platform in identifying and managing DRPs and patients are generally satisfied with MTM services, and statistically significant improvement in patients’ satisfaction level after the service was provided.
Journal ArticleDOI
ASHP Guidelines on the Pharmacist's Role in Palliative and Hospice Care.
Christopher M. Herndon,Douglas Nee,Rabia S. Atayee,David S. Craig,Julie Lehn,Pamela S. Moore,Suzanne A. Nesbit,James Ray,Bridget Scullion,Robert G. Wahler,Julie M. Waldfogel +10 more
TL;DR: Palliative care arose from the modern hospice movement and has evolved significantly over the past 50 years.[1] Numerous definitions exist to describe palliative Care, all of which focus on aggressively addressing suffering.
Journal ArticleDOI
Retrospective analysis of pharmacist interventions in an ambulatory palliative care practice
TL;DR: A pharmacist-led outpatient palliative care practice identified medication problems for management of pain, constipation, and nausea/vomiting and initiated a change in pain medication dose and initiation of a new medication for constipation and vomiting.
References
More filters
Journal ArticleDOI
Evidence of the economic benefit of clinical pharmacy services: 1996-2000.
Glen T. Schumock,Melissa G. Butler,Patrick D. Meek,Lee C. Vermeulen,Lee C. Vermeulen,Bhakti V. Arondekar,Jerry L. Bauman +6 more
TL;DR: The body of literature from this 5‐year period provides continued evidence of the economic benefit of clinical pharmacy services, and future evaluations of this type should incorporate methodologies that will further enhance the strength of evidence and the conclusions that may be drawn from it.
Journal ArticleDOI
Economic evaluations of clinical pharmacy services: 2006-2010.
Daniel R. Touchette,Fred Doloresco,Katie J. Suda,Alexandra Perez,Stuart J. Turner,Yash J. Jalundhwala,Maria C. Tangonan,James M. Hoffman +7 more
TL;DR: The quality of economic evaluations of CPS published between 2006 and 2010 were described and evaluated to inform administrators and practitioners as to their cost‐effectiveness, and CPS were generally considered cost‐effective or provided a good benefit‐cost ratio.
Journal ArticleDOI
Developing a business-practice model for pharmacy services in ambulatory settings.
Ila M. Harris,Ed Baker,Tricia M. Berry,Mary Ann Halloran,Kathleen Lindauer,Kelly R. Ragucci,Melissa Somma McGivney,A. Thomas Taylor,Stuart T. Haines +8 more
TL;DR: This document provides detailed instructions, examples, and resources on conducting a market assessment and a needs assessment, types of clinical services, operations, legal and regulatory issues, marketing and promotion, service development and exit plan, evaluation of service outcomes, and financial considerations in the development of a clinical pharmacy service in the ambulatory environment.
Journal ArticleDOI
Evaluation of the effectiveness of UK community pharmacists' interventions in community palliative care.
TL;DR: The result supports the view that when community pharmacists are appropriately trained and included as integrated members of the team, they can intervene effectively to improve pharmaceutical care for palliative care patients.
Journal ArticleDOI
Outcomes of recommendations by hospice pharmacists.
Jerome Lee,Mary Lynn McPherson +1 more
TL;DR: Hospice-based clinical pharmacists influenced patient outcomes positively by identifying DRPs and recommending appropriate drug therapy and achieved their intended therapeutic effect, which resulted in better management of the patients' physical symptoms.