{"title":"The PBS-Its Future","authors":"L. Sansom","doi":"10.1002/JPPR2001314257","DOIUrl":"https://doi.org/10.1002/JPPR2001314257","url":null,"abstract":"","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79752123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim: To develop a practical guide for pharmacists for the provision of clinical pharmacy services that would: 1. facilitate the delivery of a uniform standard of care; and 2. enhance communication between pharmacists and other members of the medication team. Method: A generic pharmaceutical care plan based on the'SHPA Standards of Practice for Clinical Pharmacy' was developed as an appropriate framework for the model. The plan is outcome oriented. It uses the patient's medication chart to document clinical information and activities and follows the patient from admission to discharge. The medication chart was chosen as the medium for documenting pharmaceutical care following a survey of the medical staff. Previously this information was recorded in patient profiles in individual pharmacists' ward folders. Results: Major outcomes included a change in clinical practice, improved discharge planning, visibility of the pharmacists' contribution to patient care, and an increase in the pharmacists' profile within the hospital. The plan also proved to be a useful tool for performance management and education purposes, and was well accepted by pharmacists. Conclusion: A formalised pharmaceutical care plan is a practical and efficient model for providing and documenting clinical pharmacy services. Using the medication chart as the medium for documenting clinical services supports continuity of care in the hospital, improves productivity and streamlines the discharge process. (author abstract)
{"title":"The medication chart as an integral tool in the pharmaceutical care plan","authors":"M. Duguid, C. Wilcox","doi":"10.1002/JPPR2001314268","DOIUrl":"https://doi.org/10.1002/JPPR2001314268","url":null,"abstract":"Aim: To develop a practical guide for pharmacists for the provision of clinical pharmacy services that would: 1. facilitate the delivery of a uniform standard of care; and 2. enhance communication between pharmacists and other members of the medication team. Method: A generic pharmaceutical care plan based on the'SHPA Standards of Practice for Clinical Pharmacy' was developed as an appropriate framework for the model. The plan is outcome oriented. It uses the patient's medication chart to document clinical information and activities and follows the patient from admission to discharge. The medication chart was chosen as the medium for documenting pharmaceutical care following a survey of the medical staff. Previously this information was recorded in patient profiles in individual pharmacists' ward folders. Results: Major outcomes included a change in clinical practice, improved discharge planning, visibility of the pharmacists' contribution to patient care, and an increase in the pharmacists' profile within the hospital. The plan also proved to be a useful tool for performance management and education purposes, and was well accepted by pharmacists. Conclusion: A formalised pharmaceutical care plan is a practical and efficient model for providing and documenting clinical pharmacy services. Using the medication chart as the medium for documenting clinical services supports continuity of care in the hospital, improves productivity and streamlines the discharge process. (author abstract)","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78295278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The authors describe the development of a pharmacy-specific classification system for acute episodes of care. (non-author abstract)
作者描述了急性发作护理的药物特异性分类系统的发展。(non-author抽象)
{"title":"Management tool that allows comparison of pharmacy services. - editorial-","authors":"N. Burgess, K. Howitt","doi":"10.1002/JPPR2001313181","DOIUrl":"https://doi.org/10.1002/JPPR2001313181","url":null,"abstract":"The authors describe the development of a pharmacy-specific classification system for acute episodes of care. (non-author abstract)","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82132028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hospitals and the PBS Revisited","authors":"J. Low","doi":"10.1002/JPPR2001313179","DOIUrl":"https://doi.org/10.1002/JPPR2001313179","url":null,"abstract":"","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91415349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Metered-Dose Inhaler with Spacer versus Nebuliser for Acute Exacerbation of Asthma-A Literature Review","authors":"Hesham S. Al-Sallami, P. Ball, A. Davey","doi":"10.1002/JPPR2001313189","DOIUrl":"https://doi.org/10.1002/JPPR2001313189","url":null,"abstract":"","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73283201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim: To determine the incidence of falls in elderly patients and possible association with medication use. Method: Using the International Classification of Diseases (ICD-10, AM) codes for falls, the medical records of patients over 60 years of age discharged from Toowoomba Base Hospital during the period 1 January to 31 May 2000 were retro-spectively reviewed. Medications on admission were assessed to ascertain their possible contribution to the fall. Falls were assigned ratings (strong, moderate, weak, or no association) following review by a panel of pharmacists and consideration of confounding factors. Results: One hundred and fifteen patients fulfilled the criteria. Thirteen patients fell whilst in hospital. Medications considered most likely to have contributed were cardiovascular (52%), psychotropic (40%), and analgesic (8%) agents. Excessive alcohol consumption contributed to seven falls (6%). Four incidents (3%) were assigned a strong association. Of these, two were attributed to orthostatic hypotension, one to a combination of orthostatic hypotension and central nervous system (CNS) effects, and the other was due to ataxia caused by phenytoin toxicity confounded by possible haloperidol-induced parkinsonian symptoms. Drug therapy was moderately associated with 11 falls (10%), weakly associated with 72 falls (63%) and there was no drug involvement in 21 falls (18%). Conclusion: Falls are associated with significant morbidity and mortality and are a huge burden on the healthcare budget. Medication use can be an important factor in increasing the risk of falls in the elderly. Pharmacists, both hospital and community, are in an ideal position to review patients' medication and make necessary interventions to help reduce the risk of this serious and expensive problem.
{"title":"Fall-related hospital admissions in elderly patients: Contribution of medication use","authors":"C. Groves, H. Andrews, P. Gilbar, R. Wiedmann","doi":"10.1002/JPPR2001313183","DOIUrl":"https://doi.org/10.1002/JPPR2001313183","url":null,"abstract":"Aim: To determine the incidence of falls in elderly patients and possible association with medication use. Method: Using the International Classification of Diseases (ICD-10, AM) codes for falls, the medical records of patients over 60 years of age discharged from Toowoomba Base Hospital during the period 1 January to 31 May 2000 were retro-spectively reviewed. Medications on admission were assessed to ascertain their possible contribution to the fall. Falls were assigned ratings (strong, moderate, weak, or no association) following review by a panel of pharmacists and consideration of confounding factors. Results: One hundred and fifteen patients fulfilled the criteria. Thirteen patients fell whilst in hospital. Medications considered most likely to have contributed were cardiovascular (52%), psychotropic (40%), and analgesic (8%) agents. Excessive alcohol consumption contributed to seven falls (6%). Four incidents (3%) were assigned a strong association. Of these, two were attributed to orthostatic hypotension, one to a combination of orthostatic hypotension and central nervous system (CNS) effects, and the other was due to ataxia caused by phenytoin toxicity confounded by possible haloperidol-induced parkinsonian symptoms. Drug therapy was moderately associated with 11 falls (10%), weakly associated with 72 falls (63%) and there was no drug involvement in 21 falls (18%). Conclusion: Falls are associated with significant morbidity and mortality and are a huge burden on the healthcare budget. Medication use can be an important factor in increasing the risk of falls in the elderly. Pharmacists, both hospital and community, are in an ideal position to review patients' medication and make necessary interventions to help reduce the risk of this serious and expensive problem.","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78450817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The unique characteristics associated with paediatric pharmacy practice led to the launch of an e-mail network in January 1999. It aimed to facilitate communication and timely exchange of information between pharmacists on paediatric-related issues. Aim: To outline the utility and assess the activity of the e-mail network over the first 18 months of operation and to determine the future direction of the group. Method: A retrospective review of electronic activities was performed to assess the activity of the e-mail list for the first 18 months of operation. User satisfaction was determined by an e-mail survey of all subscribers and the future direction of the network drawn from analysis of this information. Results: For the first six months the network consisted of 15 New Zealand (NZ) based pharmacists, with 23 new enquiries and 60 replies circulated. After 18 months, 65 practitioners subscribed with representatives from NZ (22), Australia (42) and England (1). A corresponding increase in activity was noted over the 12 to 18 month period with 80 new enquiries and 170 associated replies. Of the 148 new enquiries over the 18 month period, the most frequently raised topics related to dosage and administration (27%), formulation (19%), useful resources and information (15%) and availability and supply of medicines (14%). Nearly 60% related to off- label or unlicensed use of medicines. The majority of respondents to the user satisfaction survey indicated that they found the network convenient, useful and valuable. To ensure rapid communication with archiving of messages, use of a mailing list named 'Paedpharm' has been established. Future developments being considered are inclusion of individual members overseas and links with other established paediatric groups. Conclusion: The paediatric pharmacy e-mail network has grown into a convenient, valuable and useful tool for informal exchange of information with paediatric colleagues. (author abstract)
{"title":"Initial experience with a paediatric pharmacy e-mail network","authors":"Desirée L. Kunac, S. Turner","doi":"10.1002/JPPR2001312139","DOIUrl":"https://doi.org/10.1002/JPPR2001312139","url":null,"abstract":"Background: The unique characteristics associated with paediatric pharmacy practice led to the launch of an e-mail network in January 1999. It aimed to facilitate communication and timely exchange of information between pharmacists on paediatric-related issues. Aim: To outline the utility and assess the activity of the e-mail network over the first 18 months of operation and to determine the future direction of the group. Method: A retrospective review of electronic activities was performed to assess the activity of the e-mail list for the first 18 months of operation. User satisfaction was determined by an e-mail survey of all subscribers and the future direction of the network drawn from analysis of this information. Results: For the first six months the network consisted of 15 New Zealand (NZ) based pharmacists, with 23 new enquiries and 60 replies circulated. After 18 months, 65 practitioners subscribed with representatives from NZ (22), Australia (42) and England (1). A corresponding increase in activity was noted over the 12 to 18 month period with 80 new enquiries and 170 associated replies. Of the 148 new enquiries over the 18 month period, the most frequently raised topics related to dosage and administration (27%), formulation (19%), useful resources and information (15%) and availability and supply of medicines (14%). Nearly 60% related to off- label or unlicensed use of medicines. The majority of respondents to the user satisfaction survey indicated that they found the network convenient, useful and valuable. To ensure rapid communication with archiving of messages, use of a mailing list named 'Paedpharm' has been established. Future developments being considered are inclusion of individual members overseas and links with other established paediatric groups. Conclusion: The paediatric pharmacy e-mail network has grown into a convenient, valuable and useful tool for informal exchange of information with paediatric colleagues. (author abstract)","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2001-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86647285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim: To assess the communication format for adverse drug reaction (ADR) reports between the hospital and the general practitioner (GP). Method: The research group conducted a survey to evaluate the ADR reports sent from the hospital pharmacy department to the patient's GP. The survey, by questionnaire, sought to determine satisfaction with the format of the report and an indication of the usefulness of this report to the GP. Every GP who had received an ADR report in the previous 11 months was sent the questionnaire, a blank ADR report and a return envelope. A computer database was used to collate the results. Results: The survey was sent to 106 GPs; 47 replies were received, a response rate of 44%. Sixty eight per cent (32/47) remembered receiving the ADR report and all these GPs used the report in patient care plans. Fifty nine per cent (19/32) of GPs were not aware of the reported ADR from any other source. Four GPs (13%) had previously been aware of the reported ADR prior to the patient's admission to hospital although the hospital was not. Forty seven GPs commented on the format of the ADR report and the majority considered the format suitable and sufficiently detailed; however, 19% (6/32) felt the drug in question should be more clearly highlighted and 53% requested the report be typed. Conclusion: ADR reports from this Area Health Service are useful to GPs and well received by them. Improvement of communication of ADRs across the hospital-community interface is required. The results of the survey will also form a platform for discussions with the Central Coast Division of GPs. (author abstract)
{"title":"Communication of adverse drug reactions between the hospital health care team and general practitioners: how effective is it?","authors":"L. Clark, Pk Bellette, M. Robinson","doi":"10.1002/jppr2001312134","DOIUrl":"https://doi.org/10.1002/jppr2001312134","url":null,"abstract":"Aim: To assess the communication format for adverse drug reaction (ADR) reports between the hospital and the general practitioner (GP). Method: The research group conducted a survey to evaluate the ADR reports sent from the hospital pharmacy department to the patient's GP. The survey, by questionnaire, sought to determine satisfaction with the format of the report and an indication of the usefulness of this report to the GP. Every GP who had received an ADR report in the previous 11 months was sent the questionnaire, a blank ADR report and a return envelope. A computer database was used to collate the results. Results: The survey was sent to 106 GPs; 47 replies were received, a response rate of 44%. Sixty eight per cent (32/47) remembered receiving the ADR report and all these GPs used the report in patient care plans. Fifty nine per cent (19/32) of GPs were not aware of the reported ADR from any other source. Four GPs (13%) had previously been aware of the reported ADR prior to the patient's admission to hospital although the hospital was not. Forty seven GPs commented on the format of the ADR report and the majority considered the format suitable and sufficiently detailed; however, 19% (6/32) felt the drug in question should be more clearly highlighted and 53% requested the report be typed. Conclusion: ADR reports from this Area Health Service are useful to GPs and well received by them. Improvement of communication of ADRs across the hospital-community interface is required. The results of the survey will also form a platform for discussions with the Central Coast Division of GPs. (author abstract)","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2001-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86299087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim: To describe a review of drug information activities in a teaching hospital in Mysore, India. Method: Drug information enquiry forms were reviewed for a 6 month period. Randomly selected enquiries were audited by experienced clinical pharmacists. Results: 370 enquiries were handled at an average of 62 per month. Most enquiries were from doctors (52%) and postgraduate medical students (30%). Questions most frequently related to administration/dosage (30%) and adverse drug reactions (27%). Standard textbooks were used for 64% of enquiries. Of the 16 enquiries directly audited, 15 were rated as good or excellent and 1 as 'can improve'. Conclusions: The service was well used. In developing countries, it is important to establish independent drug information centres beginning with basic resources. Output should be monitored with quality assurance programs. (author abstract)
{"title":"Review of a drug information service in an Indian teaching hospital","authors":"P. Nibu, M. Ramesh, G. Parthasarathi","doi":"10.1002/JPPR2001312144","DOIUrl":"https://doi.org/10.1002/JPPR2001312144","url":null,"abstract":"Aim: To describe a review of drug information activities in a teaching hospital in Mysore, India. Method: Drug information enquiry forms were reviewed for a 6 month period. Randomly selected enquiries were audited by experienced clinical pharmacists. Results: 370 enquiries were handled at an average of 62 per month. Most enquiries were from doctors (52%) and postgraduate medical students (30%). Questions most frequently related to administration/dosage (30%) and adverse drug reactions (27%). Standard textbooks were used for 64% of enquiries. Of the 16 enquiries directly audited, 15 were rated as good or excellent and 1 as 'can improve'. Conclusions: The service was well used. In developing countries, it is important to establish independent drug information centres beginning with basic resources. Output should be monitored with quality assurance programs. (author abstract)","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2001-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76332059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"HEPA Filter Testing","authors":"Bruce M Graham","doi":"10.1002/jppr2001312154a","DOIUrl":"https://doi.org/10.1002/jppr2001312154a","url":null,"abstract":"","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2001-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85988255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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