A5060834370- Pharmaceutical Practices and Patient Outcomes
- Antibiotic Use and Resistance
- Health Systems, Economic Evaluations, Quality of Life
- Intensive Care Unit Cognitive Disorders
- Patient Safety and Medication Errors
- Urinary Tract Infections Management
- Sleep and related disorders
- Cardiac, Anesthesia and Surgical Outcomes
- Pediatric Urology and Nephrology Studies
- Patient Satisfaction in Healthcare
- Pharmaceutical Economics and Policy
- Medication Adherence and Compliance
- Pharmaceutical industry and healthcare
- Thermal Regulation in Medicine
- Health, Medicine and Society
- Pharmaceutical studies and practices
- Healthcare Systems and Practices
- Nosocomial Infections in ICU
- Racial and Ethnic Identity Research
- Chronic Disease Management Strategies
- Neonatal and Maternal Infections
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Mental Health and Patient Involvement
- Opioid Use Disorder Treatment
- Diabetes Treatment and Management
Horizon Health Network
2025
Nova Scotia Health Authority
2016-2024
Queen Elizabeth II Health Sciences Centre
2017-2022
Dalhousie University
2020
Izaak Walton Killam Health Centre
2020
Capital District Health Authority
2011-2016
Capital Health
2016
Foundation for Human Potential
2012
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In hospitals around the world, there has been no consensus regarding which clinical activities a pharmacist should focus on until recently. 2011, Canadian pharmacy key performance indicator (cpKPI) collaborative was formed. The goal of to advance practice in order improve patient outcomes and enhance quality care provided patients by hospital pharmacists. Following literature review, indicated that pharmacists can carrying out specific activities, an evidence-informed process, final set...
Abstract Objective Clinical pharmacists improve the quality of patient care by reducing adverse drug events (ADEs), length stay and mortality. This impact is currently not well described in surgery. The objective was to evaluate clinical economic outcomes after pharmacist services were added two general surgical wards an adult hospital. Methods a prospective, observational study. All interventions resolve therapy problems documented assessed for severity, value probability preventing ADE....
Background: Diabetes is the leading cause of kidney disease and contributes to 38% failure requiring dialysis. A gap in detection management type 2 diabetes (T2D) chronic (CKD) exists primary care. Community pharmacists are positioned support those not able access care through traditional pathways. Algorithms were developed validated assist community identifying individuals with T2D CKD prescribing kidney-protective medications. Objective: The objective was develop validate pharmacist...
ABSTRACT Some groups of people are underserved in research. This means that they do not take part research as much should. People with learning disabilities often There lots reasons for this, such researchers knowing how to (1) make easy understand disabilities, (2) communicate well them and (3) hold meetings places can access easily. paper talks about the DECODE project included Patient Public Involvement (PPI) which meant were able share their ideas team. four PPI DECODE: two family...
<p><strong>ABSTRACT</strong></p><p><strong>Background:</strong> Pharmacists have made significant contributions to patient care and been recognized as integral members of the interprofessional team. Health professionals differ in their opinions expectations clinical pharmacy services. Very little has published about health professionals’ perspectives on advanced roles, such prescriptive authority or administration vaccines. In 2013, services were...
ABSTRACTBackground: Antimicrobial use is the major factor in development of antimicrobial resistance. stewardship has been recom-mended as a strategy to improve use. Objective: To learn about health care providers’ perceptions current and stewardship, including barriers facilitators improving at acute hospitals Nova Scotia.Methods: This qualitative research study was conducted Scotia using focus groups semistructured interviews. Health providers (nurses, nurse practitioners, pharmacists,...
To determine nurses' perceptions and expectations of clinical pharmacists prior to, 9 months after, pharmacy services were introduced on two general gastrointestinal surgery hospital wards in Canada.A survey tool was developed based previous research, validated to ensure reliability accuracy, administered approximately 70 nurses the wards.Response rates for pre post surveys 75% 67% respectively. Nurses indicated that quality service improved significantly from (85% versus 95%; P < 0.0001)....
BACKGROUND Patients with suspected thiamine deficiency should receive treatment parenteral to achieve the high serum levels necessary reverse effects of and circumvent problems absorption common in medically ill. OBJECTIVE To quantify rates administration across university‐affiliated hospitals identify factors associated higher prescribing. DESIGN Multicenter, retrospective observational study prescriptions. METHODS Prescriptions for were captured from computerized pharmacy information...
Abstract Objective: The objective of this study was to explore barriers and enablers improving the management bacteriuria in hospitalized adults. Design: Qualitative study. Setting: Nova Scotia, Canada. Participants: Nurses, physicians, pharmacists involved assessment, diagnosis, treatment patients. Methods: Focus groups (FGs) were completed between May July 2019. FG discussions facilitated using an interview guide that consisted open-ended questions coded theoretical domains framework (TDF)...
Abstract Background Antimicrobial resistance is a growing threat to the world’s ability prevent and treat infections. Links between quantitative antibiotic use emergence of bacterial are well documented. This study presents benchmark antimicrobial (AMU) rates for inpatient adult populations in acute-care hospitals across Canada. Methods In this retrospective surveillance study, participating Canadian Nosocomial Infection Surveillance Program (CNISP) submitted annual AMU data on all systemic...
<p><strong>ABSTRACT</strong></p><p><strong>Background:</strong> Point prevalence surveys are used to monitor antimicrobial use and identify targets for improvement through stewardship activities. Few studies have evaluated in Nova Scotia acute care institutions.</p><p><strong>Objectives: </strong>To determine the characteristics of hospitals.</p><p><strong>Methods:</strong> A point survey was conducted...
<p><strong>ABSTRACT</strong></p><p><strong>Background: </strong>Pharmacy technicians are expanding their scope of practice, often in partnership with pharmacists. In oncology, such a shift responsibilities may lead to workflow efficiencies, but also cause concerns about patient risk and medication errors.</p><p><strong>Objectives: </strong>The primary objective was compare the time spent on order entry order-entry checking...

 Limited data are available to understand costs and trends over time in the Canadian pharmaceutical market across all sectors. To fill this gap, a retrospective series analysis of annual prescription drug purchases Canada between 2001 2020 was conducted using from IQVIA Drugstore Hospital Purchases Audit.
 Spending has grown past 2 decades at steady pace, with average growth 5.3% 7.1% retail hospital sectors, respectively. Total were approximately $32.7 billion, 4.3% higher than...
Antimicrobial resistance threatens the ability to successfully prevent and treat infections. While hospital benchmarks regarding antimicrobial use (AMU) have been well documented among adult populations, there is less information from paediatric inpatients. This study presents benchmark rates of for inpatients in nine Canadian acute-care hospitals.Acute-care hospitals participating Nosocomial Infection Surveillance Program submitted annual AMU data 2017 2018. All systemic antimicrobials were...
ABSTRACTBackground: Benzodiazepines and sedative-hypnotic drugs (BZD/ SHDs), such as zopiclone the antidepressant trazodone, pose risks falls, fractures, confusion, especially for older adults. Use of these in acute care setting is poorly understood.Objectives: To determine point prevalence characteristics use BZD/SHDs hospitals Nova Scotia, Canada.Methods: A survey was conducted adults admitted to all with at least 30 beds between May August 2016. Drugs administered intravenously, patients...
Introduction Polypharmacy and potentially inappropriate medication use is common in older adults associated with adverse outcomes such as falls hospitalisations. Methods analysis This study a pharmacist-led optimisation initiative using an electronic tool (the Drug Burden Index (DBI) Calculator) four hospital sites the Canadian province of Nova Scotia. The aims to enrol 160 participants between preintervention intervention groups. Standard Protocol Items: Recommendations for Interventional...
Background: The kidneys are responsible for the elimination of many drugs. Chronic kidney disease (CKD) is common, and medications may require adjustment to avoid adverse outcomes. Despite availability drug dosing resources, people with CKD at risk inappropriate prescribing. Community pharmacists in ideal position mitigate harm from prescribing this population. Methods: In qualitative study, community were interviewed on their perspective function assessment dose advanced (estimated...
Reducing medication turnaround time can improve efficiency, patient safety, and quality of care in the hospital setting. Digital scanning technology (DST) be used to electronically transmit scanned prescriber orders a pharmacy computer queue for verification processing, which may help time.To evaluate before after implementation DST all medications antibiotics only.Medication times were evaluated retrospectively periods (June 6-10, 2011) (September 26-30, at 2 sites 1 health region....
In 2019, more than $34.5 billion was spent on prescription drugs in Canada. However, little is known about the distribution of this spending across medications and settings (outpatient inpatient) over time. The objective paper to describe largest expenditures by medication class time inpatient outpatient settings. This information can help guide policies control expenditures.
Background: Despite ample evidence of benefit, adherence to secondary prevention medication therapy after acute coronary syndrome (ACS) is often suboptimal. Hospital pharmacists are uniquely positioned improve by providing education at discharge. Objective: To determine whether a standardized counselling intervention hospital discharge significantly improved patients’ cardiovascular medications following ACS. Methods: This single-centre, prospective, nonrandomized comparative study enrolled...