Studies have shown that approximately one third of community-dwelling people aged 65 years and older will experience a fall each year. Many studies indicate use multiple medications may put patients at an increased risk falling, but few been conducted to correlate the number with falls.To determine most frequently used in or who experienced within past year, particular attention type commonly associated falls injury.We chart review outpatient internal medicine clinic over 13-month period. A...

Description of the problem: While previous studies have described impact incorporating a postgraduate year two (PGY2) Ambulatory Care resident on clinical outcomes and revenue, an independent Patient Centered Medical Home (PCMH) experience from perspective has not been reported on. The purpose this study was to determine PCMH rotation confidence. innovation: A longitudinal part our PGY2 residency since program inception. To confidence, 23-item survey developed distributed electronically all...

To describe the outcomes of a partnership between drug plan and pharmacists to switch patients from brand name dipeptidyl-peptidase-4 inhibitors generic alogliptin. Single-center, retrospective chart review. Clinical contacted with primary care providers within health system affiliated facilitate switch. Drug members external were sent letters communicating formulary change without contact clinical pharmacist. Outcomes included proportion successfully switched alogliptin, reasons for not...

Multiple groups have described strategies for clinical implementation of pharmacogenetics (PGx) that often include internal laboratory tests are specifically developed their needs. However, many institutions not able to follow this practice and instead must utilize external laboratories obtain PGx testing results. As each might different ordering reporting workflows, consistent storing results within the medical record can be a challenge. This result in patient safety concerns as important...

Urinary tract infections (UTIs) are one of the most common encountered in ambulatory care and inpatient settings. Although these common, not all patients prescribed an appropriate antibiotic or duration therapy. The primary objective this analysis was to evaluate appropriateness selection therapy for adult internal medicine clinic diagnosed as having a UTI.We conducted retrospective chart review (July 1, 2012-June 30, 2013) who were UTI. Pediatric pregnant excluded from analysis. Data...

Children from food insecure households are more likely to have substandard and nutritional intakes, experience developmental delays, behaviour issues increased use of health services. In Australia, screening for household insecurity (HFI) within services is not undertaken routinely, limiting opportunities optimise nutrition healthcare. This research aimed (a) identify the prevalence, potential determinants outcomes HFI among paediatric outpatients in two Queensland hospitals; (b) questions...

Intractable hiccups are a relatively uncommon condition characterized by involuntary, spasmodic contractions of the diaphragm. This type generally has duration more than 1 month. We describe 59-year-old kidney transplant recipient with complicated medical history (atrial fibrillation, chronic renal failure, 2 diabetes mellitus, gastroesophageal reflux, gout, hypertension, hyperlipidemia, and obstructive sleep apnea) who developed intractable that significantly affected his quality life....

A focus on oral medications for patients receiving care from both oncologists and primary providers elicits an opportunity improvement in patient outcomes. The purpose of this pilot study was to explore the feasibility appropriateness a comprehensive medication review (CMR) by pharmacist population with cancer chronic conditions.Adult who received at Michigan Medicine, active systemic treatment, had comorbid condition diabetes, hypertension, heart failure, depression, and/or anxiety were...

Until recently, Prothrombin Time/International Normalized Ratio (PT/INR) measurements have typically been used to monitor patients on warfarin through institutional laboratories via venous puncture. The Point-of-Care Testing (POCT) device has revolutionized the patient care process by allowing for laboratory testing outside of central laboratory.To analyze humanistic and clinical outcomes in currently treated with monitored a pharmacist-managed anticoagulation clinic using point-of-care...

Objective. To determine whether student confidence in their knowledge of ambulatory care pharmacy and ability to contribute patient this setting increased after participating an introductory practice experience (IPPE), it changed interest pursuing a career pharmacy.Methods. Second-year students (n=86) completed required which included four hours didactic work 13.5 clinic with pharmacist. Before the experience, eight-question survey they rated providing setting, as well care. A five-point...

Journal Article The Cleveland Clinic Pharmacy Population Health Management Summit Get access Scott J. Knoer, M.S., Pharm.D., FASHP, FASHP Clinic, Cleveland, OH Address correspondence to Dr. Knoer (knoers@ccf.org). Search for other works by this author on: Oxford Academic Google Scholar Meghan D. Swarthout, M.B.A., BCPS, BCPS Ambulatory and Care Transitions, Johns Hopkins Hospital, Baltimore, MD Erick Sokn, Transitions of Care, Nirav Vakharia, M.D., M.D. Trista Pfeiffenberger, M.S. Network...

The use of a standardized knowledge test to assess postgraduate year 1 (PGY1) pharmacy residency training was evaluated. This retrospective review prospectively administered exam. A bank questions developed by preceptors from each the core rotation disciplines: general medicine (including ambulatory care and oncology), pediatrics, critical transplantation), drug information, operations, practice management, psychiatry. Board-certified specialists at our institution were asked submit 5–10...

Introduction: Implementation of telehealth in high-risk patient populations provides opportunities for continuous interactions and has previously been shown to positively impact practice. However, there is a paucity studies focused on the liver transplant population specific pharmacist care. Project Aim: Describe importance treatment decisions between telehealth, in-clinic, asynchronous (eg chart review electronic message support) visit types. Design: This was single-center comparative...

This database analysis quantifies the rate of use and cost self-monitoring blood glucose supplies that are potentially used inappropriately, specifically focusing on test strips.

Abstract Purpose: The purpose of the study was to assess quality anticoagulation with warfarin in patients non-valvular AF who were managed exclusively pharmacy run clinics and evaluate whether these would be expected have same efficacy safety profiles as those RE-LY, ROCKET AF, ARISTOTLE trials. Methods: This a retrospective 146 3 initiated on therapy prevent stroke associated atrial fibrillation. International Normalized Ratio (INR) values collected over 1-year period management expressed...

Discrepancies in medication orders at transitions of care have been shown to affect patient outcomes a negative way. The Joint Commission recognizes the importance reconciliation through their National Patient Safety Goals, with an emphasis placed on maintaining accurate information for each patient. primary objective this study was assess effectiveness implementing process internal medicine clinic academic medical center. A retrospective chart review patients seen Internal Medicine Clinic...

A Postgraduate Year One (PGY1) resident's concerns, limitations, and strengths may be self-identified early in the residency year but are reliant on self-awareness insight. Program directors commonly find difficulty identifying a specific knowledge deficits at beginning of program. standardized resident examination can identify limitations training these results incorporated into tailored development plan. total sixty-two PGY1 residents completed pre- post-training over five-year timespan....