Publications | Pharmacists & Patient Outcomes
Pharmacist & Outcomes – ALL
Background/Objectives: Pharmacists are highly accessible healthcare providers who have frequent, repeated contact with diverse patient populations. They are poised to offer expanded and comprehensive healthcare, including mental health services. One potential barrier to this is a lack of knowledge, confidence, or training in mental health, which may be overcome with [...]
CONCLUSION: In three Norwegian EDs, junior physicians' work time was predominantly spent on non-medication-related tasks, with only 8.7% dedicated to medication-related tasks. The introduction of clinical pharmacists did not significantly impact junior physicians' overall work-time distribution. Further research should investigate pharmacists' impact on ED care quality and efficiency. [...]
CONCLUSIONS: There exists a critical necessity for pharmacists to augment their comprehension of the medications utilized in smoking cessation. Such enhancement is essential to improve their practices and, consequently, to attain superior outcomes in supporting individuals in their efforts to quit smoking. [...]
Pharmacist-led transitions of care (TOC) services decrease preventable hospital readmission. TOC service implementation assessment can inform translation to real-world settings. The purpose of this study was to evaluate the implementation of a TOC service for patients with multiple admissions at a regional hospital using the RE-AIM framework. In this quasi-experimental, [...]
Medication discrepancies at hospital admission are common and may lead to adverse outcomes. Medication reconciliation is a critical process for minimizing medication discrepancies and medication errors at the time of hospital admission. This study aimed to evaluate the role of clinical pharmacists in identifying pharmacotherapy-related issues upon patient admission in [...]
Polypharmacy in older adults increases risks of adverse drug reactions (ADRs), hospitalisations, and mortality. Pharmacist-led interventions using validated tools (e.g., STOPP/START, MAI, STOPPFrail) aim to optimise prescribing, yet their impact on clinical and economic outcomes in UK/Ireland health systems remains underexplored. This systematic review aimed to critically assess the impact [...]
CONCLUSION: The ACOP program represents a promising strategy to enhance medication management in RACHs. However, implementation on a large scale necessitates a thoughtful consideration of various interconnected factors at the individual, organisation and policy levels that may affect its uptake, adoptability, and long-term sustainability. This has implications for policymakers and [...]
The health of Canadians in correctional facilities is poor when compared with the general population. Pharmacists effectively manage chronic illness and minor ailments; pharmacist-led prescriber clinics are being introduced in the community to improve access to care. However, there are no data on this model in correctional facilities. This article [...]
Pain remains one of the most common reasons that individuals seek healthcare. Despite advances in pain care and an improved understanding of the harms associated with opioid use, there is still considerable reliance on opioid medications for treating both acute and chronic pain. With the implementation of guidelines emphasizing opioid [...]
CONCLUSION: Pharmacist interventions may significantly impact the health outcomes of patients with schizophrenia or BAD, but more high-quality RCTs are needed to solidify these findings. [...]
BackgroundPharmacist-led multidisciplinary care may enhance diabetes self-management, yet evidence from Taiwan is limited. This study evaluates the impact of such interventions on health literacy, medication adherence, and clinical outcomes in patients with type 2 diabetes.MethodsA quasi-experimental pretest-posttest study was conducted at Taipei City Hospital (April to December 2021) with 70 [...]
CONCLUSIONS: EMP presence during AIS management is associated with a reduction in fibrinolytic DTN time compared to no EMP presence. These findings highlight the importance of EMPs in optimizing patient outcomes related to stroke care. [...]
CONCLUSIONS: There was no difference in the rate of anti-Xa concentrations that were in goal between groups. This likely stemmed from the use of the same dose adjustment guideline among both groups. This underscores the equal quality of care provided by pharmacists in achieving optimal anticoagulation and positive outcomes. [...]
INTRODUCTION: Pharmacist prescribing has evolved to meet healthcare system needs, but the effectiveness, mechanisms and contextual factors influencing education programmes remain poorly understood. Realist approaches are fairly novel in pharmacy practice research. This realist synthesis aims to answer the question: to what extent do pharmacy prescribing education programs work (or [...]
Background: The use of warfarin is complicated by a narrow therapeutic window, requiring close monitoring to prevent serious adverse events. Literature has shown that pharmacist-led warfarin management improves patient outcomes and decreases hospitalization length of stay. This study assessed the impact of the recently implemented pharmacist-driven warfarin consult service at [...]
CONCLUSIONS: Our study revealed that a pharmacist-led genotype-guided warfarin dosing strategy could improve the effectiveness of anticoagulant therapy for valve replacement operations. [...]
No abstract [...]
CONCLUSIONS: The clinical pharmacist-led deprescribing intervention, designed to reduce the use of PIMs not only significantly decreased the number of prescribed drugs, but also markedly reduced the incidence of ADRs among older inpatients with hip fractures. [...]
BackgroundImmunocompromised patients undergoing cancer therapy are at increased risk for severe infections such as rabies. Coordinating rabies post-exposure prophylaxis (PEP) with ongoing treatment requires careful planning.Case PresentationA 73-year-old female with metastatic breast cancer, scheduled to begin second-line chemotherapy, sustained a WHO Category 3 cat scratch injury. A clinical pharmacist collaborated [...]
CONCLUSION: Pharmacist-led interventions enhance medication adherence in mean PDC and adherence rate. These consistent effects across different durations and delivery methods show their adaptability and scalability in clinical settings, highlighting their value in real-world pharmacy practice. [...]
INTRODUCTION: Transitions from the emergency department (ED) to home are high-risk periods for medication-related harm. Pharmacist-led interventions during this period may improve medication safety and care continuity, yet co-design approaches to develop such interventions remain underused. The aim of this study is to co-design a pharmacist-led transition of care programme [...]
CONCLUSION: Pharmacist-led anti-infective consultations demonstrate efficacy in enhancing infection treatment outcomes and curbing antimicrobial expenditures, providing actionable evidence for scaling antimicrobial stewardship programs in one DRG-based hospital in China. [...]
CONCLUSION: Pharmacists remain accessible healthcare providers for individuals with diabetes, but deficits in CGM counseling and patient education in community pharmacies exist. Barriers may include low pharmacist comfort with CGM devices and potential lack of familiarity based on the type of device a patient is using. [...]
CONCLUSION: Integrating an oncology pharmacist into hematology-oncology clinics reduces ADRs and improves the detection and prevention of potentially serious MEs. [...]
CONCLUSION/LESSONS LEARNED: Opioid deprescribing clinic was time-intensive and patients required close monitoring for implementation of patient-specific opioid deprescribing plans. [...]
CONCLUSION: The new model illustrates how pharmacists can support GPs. New program theory regards the importance of compatible perspectives between pharmacists and GPs on appropriate polypharmacy work, i.e., 'shared mental models', the ways GPs can develop their mental models when interacting with pharmacists, and the usefulness of relational work when [...]
CONCLUSION: Findings highlight a growing trend of social media-driven decisions regarding weight-loss medication use and the associated risks of unregulated online-purchases. Pharmacists play a crucial role in mitigating adverse outcomes by promoting drug safety and adherence. Policy efforts should focus on enhancing regulations of over-the-counter online sales, strengthening pharmacist-led patient [...]
CONCLUSIONS: Our analysis suggests that the involvement of pharmacists in the context of emergency cardiac or trauma resuscitations may benefit direct patient outcomes and indirect outcomes. [...]
Problem-solving courts (PSCs) are major diversionary programs in the United States (U.S.) criminal legal system, mandating substance use and mental health treatment as an alternative to incarceration. While they reduce recidivism, their impact on clinical outcomes remains uncertain. A significant challenge is ensuring participants have access to and remain in [...]
CONCLUSION: Gamification offers a novel approach to enhancing medication education for adolescent transplant patients. The involvement of pharmacists and pharmacy students in developing and delivering gamified education can support patient engagement and transition to adult care. Future research is needed to evaluate the impact of gamification on clinical outcomes, including [...]
CONCLUSION: The project developed a standardized, reproducible methodology to implement and validate clinical outcome measures for acute care pharmacists. This methodology was successful in measuring outputs for the 3 different acute care pilot areas. [...]
CONCLUSION: By employing the PDSA methodology, a standard and sustainable process was created to identify service-specific clinical outcomes for acute care services. The second phase of the research explored validation of identified outcomes and reporting methodologies within the electronic medical record. [...]
INTRODUCTION: The increasing emergence of bacteria resistant to antibiotic treatments has become a global public health concern and one of the leading causes of death worldwide. This growing threat demands urgent and coordinated action from health systems across the globe. A key driver of antimicrobial resistance is the inappropriate and [...]
Purpose: This study serves to evaluate the potential benefit of pharmacist intervention in ensuring appropriate treatment of urinary tract infections (UTI) in adult patients in a community hospital. Methods: This was a single-center, quasi-experimental design, institutional review board (IRB)-approved study comparing antimicrobial use and UTI treatment guidance adherence before (11/2021-1/2022) [...]
CONCLUSIONS AND RELEVANCE: In this randomized clinical trial, the AR-PRISE intervention significantly improved AR symptom control (TNSS for the past 2 weeks) compared with standard care over 180 days but did not show significant effects on other coprimary outcomes (AR knowledge, TNSS for the past 12 hours, medication adherence, or [...]
CONCLUSION: The DMTAC programme in public health clinics across Johor, Malaysia, significantly improves HbA1c levels, fasting blood glucose levels, lipid profiles, BPs and medication understanding, with DMTAC pharmacists playing a key role in supporting multidisciplinary teams through targeted interventions and counselling. [...]
CONCLUSION: The studies reviewed highlight the notable benefits of pharmacist-led interventions, underscoring the potential contribution of pharmacists in managing COPD within the healthcare setting. Despite encouraging outcomes, the prevailing low quality of evidence calls for additional high-quality research to confirm efficacy and adaptability in broader COPD patient care. The findings [...]
CONCLUSION: Pharmacist review of patients in an outpatient vascular clinic is a likely effective strategy to improve prescribing rates of guideline adherent statin therapy and smoking cessation service provision. [...]
Allergic rhinitis (AR) and asthma are common respiratory disorders that often occur together, affecting quality of life and increasing healthcare expenses of patients. These chronic illnesses are often managed without medical supervision, creating distinct challenges. A lack of resources can limit regular follow-up, which in turn promotes disease mismanagement and [...]
CONCLUSION: This study offers significant insights into the prevalence, clinical management, and outcomes of HADRs associated with hydroxyurea therapy in pediatric SCD patients. The findings underscore the need for proactive management approaches to optimize treatment outcomes and ensure patient safety. [...]
BACKGROUND: Guideline-directed medical therapy (GDMT) is a cornerstone in the management of congestive heart failure, offering well-documented benefits in reducing mortality and morbidity. However, despite strong clinical evidence, many eligible patients do not receive optimal GDMT during hospitalization. [...]
CONCLUSION: Collaborative prescribing models are the most commonly described PP models used in cancer services. There is potential for expanding pharmacists' scope of practice in cancer services where this is not routine. [...]
CONCLUSION: Pharmacist-led post-prescription interventions within an established AMS program effectively identified clinically relevant misuse of restricted antimicrobials. Targeted actions on key agents enable high-impact optimization, supported by strong acceptance and cost-saving potential - thereby enhancing stewardship efforts, guiding improvements in diagnostics, and prescribing behavior. [...]
CONCLUSION: The findings suggested that pharmacist involvement in gout management can considerably enhance disease control and improve the overall quality of life for patients. Further research is warranted to identify the most effective components of pharmacist-led interventions and to evaluate their effect on gout outcomes. [...]
CONCLUSIONS: By utilizing the MHC model, pharmacists may be better able to address health gaps while leveraging existing resources, and providing services tailored to the needs of the patients within a community. These findings may be used as a guide for the development, implementation, and operation of current and future [...]
BACKGROUND: Heart failure (HF) remains a major global health challenge. Guideline-directed medical therapy can effectively reduce mortality and hospitalizations; however, persistent medication nonadherence hinders its real-world impact. Although recent guidelines emphasize the pivotal role of pharmacists in supporting medication adherence, the mechanisms through which pharmacist-led patient education influences medication adherence [...]
CONCLUSION: The pharmacist-led DSME program was effective in enhancing glycemic control, diabetes knowledge, self-management behaviors, and HRQoL in patients with T2DM. Findings from subgroup analyses underscore the potential of tailored pharmacist-led interventions to optimize outcomes in high-risk populations. [...]
CONCLUSIONS: The implementation of a structured algorithm for penicillin allergy reassessment in emergency settings is effective and safe. Its application facilitates antibiotic optimization, improves patient safety, and reduces broad-spectrum antibiotic use. This study highlights the role of hospital pharmacists in drug allergy management and antimicrobial stewardship. [...]
Pulmonary tuberculosis (TB) remains a significant global health concern, particularly in low- and middle-income countries, where treatment adherence is critical to improving patient outcomes and mitigating drug resistance. In Malaysia, challenges in adherence to TB treatment regimens continue to hinder disease control efforts. This study protocol outlines a pharmacist-led educational [...]
CONCLUSION: A variety of multifaced approaches to pharmacist-led ToC services have been evaluated within many studies, reporting favourable effects on outcomes for patients with cardiovascular disease. Tailoring ToC services to specific patient populations and settings, targeting activities to high-risk patients, and a multidisciplinary approach, are important to optimise ToC and [...]
Cardiovascular (CV) disease (CVD) is the leading cause of death worldwide. The risk factors contributing to CVD development have been well known for decades, but treatment gaps persist. Pharmacists are frontline primary healthcare providers whose interventions to lower CV risk are supported by rigorous evidence. However, efforts to support the [...]
CONCLUSION: This study demonstrates that participation in a dual-channel policy is widely perceived by community pharmacies as a strategic opportunity, despite the associated operational and systemic challenges. Proactive engagement with the policy not only strengthened their competitive positioning but also contributed to improved pharmaceutical services and patient care outcomes. [...]
CONCLUSION: The cofunded faculty model resulted in a positive ROI after covering the costs of both faculty compensation and the software used for CCM services. ROI from wellness visits alone was also positive, demonstrating the sustainability of profits from pharmacist-led wellness visits. The cofunded faculty model is a viable avenue [...]
CONCLUSION: Pharmacist-led MRs in a pain clinic have demonstrated significant clinical impact. By identifying predictors of effective interventions, this study provides insights for targeting patients who may benefit most. Furthermore, the recognition of pharmacists' expertise by the interdisciplinary team supports the integration of pharmacy-led initiatives to enhance collaborative care and [...]
Background: The effective management of psychotic and bipolar disorders in tertiary care can improve patient outcomes, yet the role of clinical pharmacists in optimising psychotropic medication use remains underexplored in South Africa. This study aims to investigate the role and interventions of clinical pharmacists in managing psychotic and bipolar disorders [...]
CONCLUSION: Despite the adverse impact ED boarding has on patient outcomes and quality of care, solutions remain scarce and long-term fixes likely require large-scale health-system reformation. Until then, we must institute protocols and workflows to improve the care of boarding patients within existing patient care constraints. [...]
CONCLUSIONS: A dedicated pharmacist comanagement telehealth program for patients with HFrEF proved effective at improving GDMT use and reducing cardiac hospitalizations. [...]
This case study explores the role that pharmacists can have managing resistant hypertension (RH) in rural Appalachian veterans, where health care access is limited. RH, defined as blood pressure above target despite adherence to multiple antihypertensive medications, presents challenges in chronic disease management. The Department of Veterans Affairs (VA) has [...]
CONCLUSIONS: The SMART formulary reduced the total cost of care for a cohort of charitable care patients enrolled in a primary care clinic at a large urban academic medical center in Baltimore, Maryland. [...]
CONCLUSION: Clinical pharmacist education improved diabetes self-care practices and metabolic outcomes, including glycemic control and lipid profiles, demonstrating its role in achieving therapeutic goals for patients with T2DM. [...]
CONCLUSION: Pharmacist-led interventions significantly improved patient habits, resulting in increased vitamin D levels. These improvements were associated with a significant increase in patients' perceived quality of life. [...]
CONCLUSION: Pharmacists play a crucial role in optimizing hydroxyurea therapy for patients with SCD by improving adherence and maximizing dosing strategies. Their involvement ensures that more patients experience the full therapeutic benefits of hydroxyurea, contributing to better long-term outcomes. Expanding pharmacist engagement in SCD management will continue to be essential, [...]
CONCLUSION: maximizing the impact of HMRs on medication safety and quality of life for older adults requires addressing these gaps through proactive policy reforms, expanded pharmacist roles, and digital health solutions. The bibliometric findings highlight the need for a more structured, evidence-based approach to improve the effectiveness and implementation of [...]
CONCLUSION: Although there was an observed increase in resource utilization resulting from clinical pharmacists' interventions, this study highlights their crucial role in mitigating the costs associated with preventable adverse drug events. [...]
CONCLUSIONS: Proactive pharmacist intervention significantly improved ADLs in older patients with musculoskeletal disorders and polypharmacy undergoing rehabilitation. Therefore, future interventions for older musculoskeletal patients with polypharmacy should consider deprescribing medications from a rehabilitation pharmacotherapy perspective in addition to combined nutrition and exercise therapy. Geriatr Gerontol Int 2025; 25: 932-938. [...]
CONCLUSIONS: Exploring the experiences of patients with osteoarthritis in a pharmacist-led opioid-tapering service before elective surgery revealed that external motivations, such as knowledge of a surgery date, play a crucial role in successful opioid tapering. Patients were more likely to taper if they knew their surgery date. Attitudes toward opioid [...]
Heart failure with reduced ejection fraction is a chronic, progressive medical condition affecting millions of individuals worldwide. It is associated with high morbidity and mortality. The use of "foundational quadruple therapy" titrated to the maximum tolerated doses improves survival, quality of life, and reduces heart failure-related hospitalisation. Despite this evidence, [...]
CONCLUSION: An integrated pharmacist-led, general practice-based cardio-renal and metabolic clinic, improved key CKD-related outcomes in deprived population. Further studies are needed to confirm long-term impact. [...]
CONCLUSION: CPs can have a valuable role in the interdisciplinary team at a geriatric day hospital. Regularly reevaluating the appropriate use of drugs used for the nervous system, and initiating judicious deprescribing is recommended. [...]
CONCLUSION: The P3ID trial tests the hypothesis that a jointly led pharmacist-physician intervention in an outpatient will reduce the total number of medications, improve medication adherence, reduce falls and improve patients' and doctors' satisfaction towards pharmacist services. Findings from this study would inform future deprescribing practices, particularly in LMIC, pertaining [...]
Developed nations maximize pharmacists, while developing nations underutilize them, especially in operating rooms (ORs), necessitating cost-effectiveness and feedback evaluations. We investigated the impact of pharmacist involvement in operating rooms (OR) at Muhimbili National Hospital. We contrasted a "before era" (BE) without pharmacists to an "after era" (AE) with their presence. [...]
CONCLUSIONS: Patients in the PPCC group were more likely to meet comprehensive diabetes care quality measures compared with SC. These results underscore the value of pharmacists in diabetes management in primary care and their contribution to value-based care. [...]
Medication adherence is crucial for slowing chronic kidney disease (CKD) progression. A specially designed pharmacist-led mobile application, Kidney Health, was evaluated in a single-center, prospective, 3 months, randomized controlled trial (RCT) to assess its impact on medication adherence and efficacy in patients with CKD. 86 patients were randomly assigned to [...]
Background There is good evidence describing on-call pharmacy services internationally; however, there is limited evidence evaluating out-of-hours (OOH) calls from adult critical care units. Our primary objective is to describe the characteristics of OOH calls from adult critical care units to resident pharmacists, to inform service provision to this high-risk [...]
CONCLUSION: Pharmacist support in entering blood drug concentration test orders significantly reduced vancomycin-induced kidney injury frequency and shortened time to first TDM, enhancing patient safety during anti-MRSA medication administration in the emergency and critical care center. This task-shifting approach demonstrates clear benefits for patient care and physician workload. [...]
Accessing essential healthcare services presents a challenge for consumers living in rural and remote communities, leading to higher rates of chronic disease and poorer health outcomes. Community pharmacists are well positioned to address this lack of access; thus, this study aimed to explore the perceptions of rural and remote consumers [...]
To combine didactic education with clinical and research experiences that would empower student pharmacists to consider postgraduate training and a career in pharmacy education or academics, in 2009, the Next Generation of Pharmacist Educators (NextGenRxEd) program, a four-year longitudinal education program, was implemented at the University of California San Diego [...]
CONCLUSIONS: Results of this study will further elucidate the role of pharmacist-led CGM in primary care. [...]
CONCLUSIONS: This study highlights the positive impact of pharmacist consultations on enhancing knowledge and safety skills in patients with IA and treated with bDMARDs. The lack of a control group limits interpretation of the finding. [...]
CONCLUSION: The lack of regulation has contributed to unstandardized telepharmacy practice. Despite the untapped potential, the growth of telepharmacy services in Indonesian community pharmacies is uncertain, with ongoing support from the regulation needed. [...]
IntroductionAt the University of California Irvine (UCI) in Orange County California, we published an implementation study to evaluate the use of an electronic patient-reported outcome (ePRO) tool to guide pharmacist-led chemotherapy education in newly diagnosed cancer patients. The goal of this secondary analysis was to describe the types of pharmacist-led [...]
This systematic review aimed to evaluate the association between pharmacists' interventions and health outcomes of patients with type 2 Diabetes Mellitus (DM) in the Middle East. A comprehensive database search was conducted in July 2024 using the electronic databases of PubMed, MEDLINE, Embase, Cochrane Library, Web of Science and Scopus. [...]
RATIONALE & OBJECTIVE: Chronic kidney disease (CKD) associates with high morbidity and mortality due to CKD progression and cardiovascular disease (CVD). Blood pressure (BP) lowering reduces the risk of CVD and CKD progression. Despite the large number of BP medications available, a significant proportion of patients with CKD have BP [...]
CONCLUSIONS: EMP involvement in blood culture review following discharge improved the time to patient notification and potentially decreased inappropriate call-backs and admissions. Future studies are warranted to explore additional advantages of EMP managed blood culture follow up, particularly clinical outcomes and economic impact. [...]
In this implementation science study evaluating the feasibility and effectiveness of a remote patient monitoring program for hypertension, we found that most, but not all of patients received the intended program components of clinical pharmacist outreach and medication titration. Despite feasibility challenges, remote-patient monitoring for hypertension was effective at reducing [...]
CONCLUSIONS: This study shows that identifying functional difficulties in medication preparation enables tailored interventions to address these issues. Observing older adults' abilities to manage their medication could reduce the risk of medication errors and probably enhance their daily quality of life. [...]
CONCLUSION: The intervention studied improved family physicians' knowledge of medication for type 2 diabetes, reduced the number of medication issues for patients, and improved their FPG concentrations. It should provide a valuable reference for chronic disease management. This pharmacist-led training approach could be expanded to improve medication practices and patient [...]
Opioid use prior to hip or knee arthroplasty is associated with worse outcomes after surgery. Opioid tapering is recommended prior to surgery, but little is known about the most appropriate methods and what patients' perspectives and experiences may be. The aim of this study was to understand patient perspectives and [...]
CONCLUSION: This study demonstrated that pharmacists have continued to be negatively portrayed in film and TV media over the past 10 years. The film/TV industry continues to inaccurately portray the profession, and this may be causing negative public perceptions of pharmacists. [...]
Background: Millions of older people are hospitalized each year, and they often use pain medications during their stay. At the same time, about seven million people 65 years of age and older have filled at least one opioid prescription. Studies have found pharmacist-led interventions to minimize inappropriate prescribing and optimize [...]
Background: Patients being discharged from acute care facilities have a high risk of hospital readmission due to medication errors. Pharmacist interventions during transitions of care (TOC) may be beneficial in identifying medication errors and improving patient outcomes when discharging to a skilled nursing facility (SNF). Objective The objective of this [...]
CONCLUSIONS AND RELEVANCE: In this randomized clinical trial, a pharmacist-led transitional care intervention in the ED among patients with MRE significantly reduced ED visits and hospitalizations for the same MRE. If replicated in subsequent trials, this strategy offers a novel approach for reducing drug-related harms. [...]
CONCLUSION: Pharmacist-led interventions led to a significant improvement in HbA1c levels. While medication expenses increased in both groups from the initial follow-up, the control group exhibited a significantly greater increase in costs and HbA1c levels than the intervention group. [...]
CONCLUSION: This study demonstrates that a hospital-based pharmacist-led post-discharge medication review clinic reduced 30-day hospital readmissions in adult patients compared to a group of case-matched controls. This study provides evidence to support extending pharmaceutical care beyond the inpatient hospital setting into the early post-discharge period, particularly in hospitals providing comprehensive [...]
CONCLUSION: Our findings reveal that clinical pharmacist-provided services could positively affect outcomes in BD-I patients. [...]
CONCLUSION: A clinic-based population health approach reduced therapeutic inertia and improved BP control in a cohort of in hypertensive patients compared with a similar cohort of patients in clinics who did not receive the intervention. [...]
CONCLUSION: Pharmacist-led MedRec services improved continuity of care for elderly patients. Implementing a structured reconciliation process successfully resolved discrepancies and reduced hospital readmissions as well as ED visits at 30-days post-discharge. This outlines potentials for healthcare cost savings. Future studies are recommended to explore long-term benefits, cost-effectiveness, and integrating pharmacist-led [...]
CONCLUSION: While our study did not find a statistically significant difference in pharmacist-led deprescribing, there was a trend towards reduction in high-risk medication use. This suggests potential clinical significance, emphasizing the role of pharmacist involvement in prescribing practices of medications used to treat T2DM, including deprescribing high-risk medications and initiating [...]
CONCLUSION: Pharmacists spend over 80% of their work time performing clinical activities for patients, of which almost 12% is spent face-to-face with patients. The largest proportion of time is spent with discharge patients followed by review patients. [...]
CONCLUSION: For patients with hypertension and diabetes co-morbidity, integrating pharmacist education in multifaceted interventions is more effective in improving MA and clinical outcomes. [...]
Pharmacist & Outcomes – Open Acess (Free PDF)
Background/Objectives: Pharmacists are highly accessible healthcare providers who have frequent, repeated contact with diverse patient populations. They are poised to offer expanded and comprehensive healthcare, including mental health services. One potential barrier to this is a lack of knowledge, confidence, or training in mental health, which may be overcome with [...]
CONCLUSIONS: There exists a critical necessity for pharmacists to augment their comprehension of the medications utilized in smoking cessation. Such enhancement is essential to improve their practices and, consequently, to attain superior outcomes in supporting individuals in their efforts to quit smoking. [...]
Pharmacist-led transitions of care (TOC) services decrease preventable hospital readmission. TOC service implementation assessment can inform translation to real-world settings. The purpose of this study was to evaluate the implementation of a TOC service for patients with multiple admissions at a regional hospital using the RE-AIM framework. In this quasi-experimental, [...]
Medication discrepancies at hospital admission are common and may lead to adverse outcomes. Medication reconciliation is a critical process for minimizing medication discrepancies and medication errors at the time of hospital admission. This study aimed to evaluate the role of clinical pharmacists in identifying pharmacotherapy-related issues upon patient admission in [...]
CONCLUSION: In three Norwegian EDs, junior physicians' work time was predominantly spent on non-medication-related tasks, with only 8.7% dedicated to medication-related tasks. The introduction of clinical pharmacists did not significantly impact junior physicians' overall work-time distribution. Further research should investigate pharmacists' impact on ED care quality and efficiency. [...]
Polypharmacy in older adults increases risks of adverse drug reactions (ADRs), hospitalisations, and mortality. Pharmacist-led interventions using validated tools (e.g., STOPP/START, MAI, STOPPFrail) aim to optimise prescribing, yet their impact on clinical and economic outcomes in UK/Ireland health systems remains underexplored. This systematic review aimed to critically assess the impact [...]
CONCLUSIONS: There was no difference in the rate of anti-Xa concentrations that were in goal between groups. This likely stemmed from the use of the same dose adjustment guideline among both groups. This underscores the equal quality of care provided by pharmacists in achieving optimal anticoagulation and positive outcomes. [...]
INTRODUCTION: Pharmacist prescribing has evolved to meet healthcare system needs, but the effectiveness, mechanisms and contextual factors influencing education programmes remain poorly understood. Realist approaches are fairly novel in pharmacy practice research. This realist synthesis aims to answer the question: to what extent do pharmacy prescribing education programs work (or [...]
Background: The use of warfarin is complicated by a narrow therapeutic window, requiring close monitoring to prevent serious adverse events. Literature has shown that pharmacist-led warfarin management improves patient outcomes and decreases hospitalization length of stay. This study assessed the impact of the recently implemented pharmacist-driven warfarin consult service at [...]
CONCLUSIONS: The clinical pharmacist-led deprescribing intervention, designed to reduce the use of PIMs not only significantly decreased the number of prescribed drugs, but also markedly reduced the incidence of ADRs among older inpatients with hip fractures. [...]
INTRODUCTION: Transitions from the emergency department (ED) to home are high-risk periods for medication-related harm. Pharmacist-led interventions during this period may improve medication safety and care continuity, yet co-design approaches to develop such interventions remain underused. The aim of this study is to co-design a pharmacist-led transition of care programme [...]
CONCLUSION: Pharmacist-led anti-infective consultations demonstrate efficacy in enhancing infection treatment outcomes and curbing antimicrobial expenditures, providing actionable evidence for scaling antimicrobial stewardship programs in one DRG-based hospital in China. [...]
CONCLUSION/LESSONS LEARNED: Opioid deprescribing clinic was time-intensive and patients required close monitoring for implementation of patient-specific opioid deprescribing plans. [...]
CONCLUSION: The new model illustrates how pharmacists can support GPs. New program theory regards the importance of compatible perspectives between pharmacists and GPs on appropriate polypharmacy work, i.e., 'shared mental models', the ways GPs can develop their mental models when interacting with pharmacists, and the usefulness of relational work when [...]
CONCLUSION: Findings highlight a growing trend of social media-driven decisions regarding weight-loss medication use and the associated risks of unregulated online-purchases. Pharmacists play a crucial role in mitigating adverse outcomes by promoting drug safety and adherence. Policy efforts should focus on enhancing regulations of over-the-counter online sales, strengthening pharmacist-led patient [...]
CONCLUSIONS: Our analysis suggests that the involvement of pharmacists in the context of emergency cardiac or trauma resuscitations may benefit direct patient outcomes and indirect outcomes. [...]
INTRODUCTION: The increasing emergence of bacteria resistant to antibiotic treatments has become a global public health concern and one of the leading causes of death worldwide. This growing threat demands urgent and coordinated action from health systems across the globe. A key driver of antimicrobial resistance is the inappropriate and [...]
Purpose: This study serves to evaluate the potential benefit of pharmacist intervention in ensuring appropriate treatment of urinary tract infections (UTI) in adult patients in a community hospital. Methods: This was a single-center, quasi-experimental design, institutional review board (IRB)-approved study comparing antimicrobial use and UTI treatment guidance adherence before (11/2021-1/2022) [...]
CONCLUSIONS AND RELEVANCE: In this randomized clinical trial, the AR-PRISE intervention significantly improved AR symptom control (TNSS for the past 2 weeks) compared with standard care over 180 days but did not show significant effects on other coprimary outcomes (AR knowledge, TNSS for the past 12 hours, medication adherence, or [...]
CONCLUSION: The DMTAC programme in public health clinics across Johor, Malaysia, significantly improves HbA1c levels, fasting blood glucose levels, lipid profiles, BPs and medication understanding, with DMTAC pharmacists playing a key role in supporting multidisciplinary teams through targeted interventions and counselling. [...]
CONCLUSION: The studies reviewed highlight the notable benefits of pharmacist-led interventions, underscoring the potential contribution of pharmacists in managing COPD within the healthcare setting. Despite encouraging outcomes, the prevailing low quality of evidence calls for additional high-quality research to confirm efficacy and adaptability in broader COPD patient care. The findings [...]
CONCLUSION: This study offers significant insights into the prevalence, clinical management, and outcomes of HADRs associated with hydroxyurea therapy in pediatric SCD patients. The findings underscore the need for proactive management approaches to optimize treatment outcomes and ensure patient safety. [...]
Allergic rhinitis (AR) and asthma are common respiratory disorders that often occur together, affecting quality of life and increasing healthcare expenses of patients. These chronic illnesses are often managed without medical supervision, creating distinct challenges. A lack of resources can limit regular follow-up, which in turn promotes disease mismanagement and [...]
BACKGROUND: Guideline-directed medical therapy (GDMT) is a cornerstone in the management of congestive heart failure, offering well-documented benefits in reducing mortality and morbidity. However, despite strong clinical evidence, many eligible patients do not receive optimal GDMT during hospitalization. [...]
CONCLUSION: Collaborative prescribing models are the most commonly described PP models used in cancer services. There is potential for expanding pharmacists' scope of practice in cancer services where this is not routine. [...]
CONCLUSION: The findings suggested that pharmacist involvement in gout management can considerably enhance disease control and improve the overall quality of life for patients. Further research is warranted to identify the most effective components of pharmacist-led interventions and to evaluate their effect on gout outcomes. [...]
CONCLUSIONS: By utilizing the MHC model, pharmacists may be better able to address health gaps while leveraging existing resources, and providing services tailored to the needs of the patients within a community. These findings may be used as a guide for the development, implementation, and operation of current and future [...]
BACKGROUND: Heart failure (HF) remains a major global health challenge. Guideline-directed medical therapy can effectively reduce mortality and hospitalizations; however, persistent medication nonadherence hinders its real-world impact. Although recent guidelines emphasize the pivotal role of pharmacists in supporting medication adherence, the mechanisms through which pharmacist-led patient education influences medication adherence [...]
CONCLUSIONS: The implementation of a structured algorithm for penicillin allergy reassessment in emergency settings is effective and safe. Its application facilitates antibiotic optimization, improves patient safety, and reduces broad-spectrum antibiotic use. This study highlights the role of hospital pharmacists in drug allergy management and antimicrobial stewardship. [...]
Cardiovascular (CV) disease (CVD) is the leading cause of death worldwide. The risk factors contributing to CVD development have been well known for decades, but treatment gaps persist. Pharmacists are frontline primary healthcare providers whose interventions to lower CV risk are supported by rigorous evidence. However, efforts to support the [...]
Pulmonary tuberculosis (TB) remains a significant global health concern, particularly in low- and middle-income countries, where treatment adherence is critical to improving patient outcomes and mitigating drug resistance. In Malaysia, challenges in adherence to TB treatment regimens continue to hinder disease control efforts. This study protocol outlines a pharmacist-led educational [...]
CONCLUSION: A variety of multifaced approaches to pharmacist-led ToC services have been evaluated within many studies, reporting favourable effects on outcomes for patients with cardiovascular disease. Tailoring ToC services to specific patient populations and settings, targeting activities to high-risk patients, and a multidisciplinary approach, are important to optimise ToC and [...]
CONCLUSION: Pharmacist-led MRs in a pain clinic have demonstrated significant clinical impact. By identifying predictors of effective interventions, this study provides insights for targeting patients who may benefit most. Furthermore, the recognition of pharmacists' expertise by the interdisciplinary team supports the integration of pharmacy-led initiatives to enhance collaborative care and [...]
Background: The effective management of psychotic and bipolar disorders in tertiary care can improve patient outcomes, yet the role of clinical pharmacists in optimising psychotropic medication use remains underexplored in South Africa. This study aims to investigate the role and interventions of clinical pharmacists in managing psychotic and bipolar disorders [...]
CONCLUSIONS: A dedicated pharmacist comanagement telehealth program for patients with HFrEF proved effective at improving GDMT use and reducing cardiac hospitalizations. [...]
CONCLUSIONS: The SMART formulary reduced the total cost of care for a cohort of charitable care patients enrolled in a primary care clinic at a large urban academic medical center in Baltimore, Maryland. [...]
CONCLUSION: Clinical pharmacist education improved diabetes self-care practices and metabolic outcomes, including glycemic control and lipid profiles, demonstrating its role in achieving therapeutic goals for patients with T2DM. [...]
Heart failure with reduced ejection fraction is a chronic, progressive medical condition affecting millions of individuals worldwide. It is associated with high morbidity and mortality. The use of "foundational quadruple therapy" titrated to the maximum tolerated doses improves survival, quality of life, and reduces heart failure-related hospitalisation. Despite this evidence, [...]
CONCLUSION: The P3ID trial tests the hypothesis that a jointly led pharmacist-physician intervention in an outpatient will reduce the total number of medications, improve medication adherence, reduce falls and improve patients' and doctors' satisfaction towards pharmacist services. Findings from this study would inform future deprescribing practices, particularly in LMIC, pertaining [...]
Developed nations maximize pharmacists, while developing nations underutilize them, especially in operating rooms (ORs), necessitating cost-effectiveness and feedback evaluations. We investigated the impact of pharmacist involvement in operating rooms (OR) at Muhimbili National Hospital. We contrasted a "before era" (BE) without pharmacists to an "after era" (AE) with their presence. [...]
CONCLUSIONS: Patients in the PPCC group were more likely to meet comprehensive diabetes care quality measures compared with SC. These results underscore the value of pharmacists in diabetes management in primary care and their contribution to value-based care. [...]
Medication adherence is crucial for slowing chronic kidney disease (CKD) progression. A specially designed pharmacist-led mobile application, Kidney Health, was evaluated in a single-center, prospective, 3 months, randomized controlled trial (RCT) to assess its impact on medication adherence and efficacy in patients with CKD. 86 patients were randomly assigned to [...]
Background There is good evidence describing on-call pharmacy services internationally; however, there is limited evidence evaluating out-of-hours (OOH) calls from adult critical care units. Our primary objective is to describe the characteristics of OOH calls from adult critical care units to resident pharmacists, to inform service provision to this high-risk [...]
CONCLUSION: Pharmacist support in entering blood drug concentration test orders significantly reduced vancomycin-induced kidney injury frequency and shortened time to first TDM, enhancing patient safety during anti-MRSA medication administration in the emergency and critical care center. This task-shifting approach demonstrates clear benefits for patient care and physician workload. [...]
To combine didactic education with clinical and research experiences that would empower student pharmacists to consider postgraduate training and a career in pharmacy education or academics, in 2009, the Next Generation of Pharmacist Educators (NextGenRxEd) program, a four-year longitudinal education program, was implemented at the University of California San Diego [...]
Accessing essential healthcare services presents a challenge for consumers living in rural and remote communities, leading to higher rates of chronic disease and poorer health outcomes. Community pharmacists are well positioned to address this lack of access; thus, this study aimed to explore the perceptions of rural and remote consumers [...]
CONCLUSIONS: Results of this study will further elucidate the role of pharmacist-led CGM in primary care. [...]
CONCLUSIONS: This study highlights the positive impact of pharmacist consultations on enhancing knowledge and safety skills in patients with IA and treated with bDMARDs. The lack of a control group limits interpretation of the finding. [...]
CONCLUSION: The lack of regulation has contributed to unstandardized telepharmacy practice. Despite the untapped potential, the growth of telepharmacy services in Indonesian community pharmacies is uncertain, with ongoing support from the regulation needed. [...]
This systematic review aimed to evaluate the association between pharmacists' interventions and health outcomes of patients with type 2 Diabetes Mellitus (DM) in the Middle East. A comprehensive database search was conducted in July 2024 using the electronic databases of PubMed, MEDLINE, Embase, Cochrane Library, Web of Science and Scopus. [...]
IntroductionAt the University of California Irvine (UCI) in Orange County California, we published an implementation study to evaluate the use of an electronic patient-reported outcome (ePRO) tool to guide pharmacist-led chemotherapy education in newly diagnosed cancer patients. The goal of this secondary analysis was to describe the types of pharmacist-led [...]
CONCLUSIONS: This study shows that identifying functional difficulties in medication preparation enables tailored interventions to address these issues. Observing older adults' abilities to manage their medication could reduce the risk of medication errors and probably enhance their daily quality of life. [...]
CONCLUSION: The intervention studied improved family physicians' knowledge of medication for type 2 diabetes, reduced the number of medication issues for patients, and improved their FPG concentrations. It should provide a valuable reference for chronic disease management. This pharmacist-led training approach could be expanded to improve medication practices and patient [...]
CONCLUSION: Pharmacist-led interventions led to a significant improvement in HbA1c levels. While medication expenses increased in both groups from the initial follow-up, the control group exhibited a significantly greater increase in costs and HbA1c levels than the intervention group. [...]
CONCLUSION: Our findings reveal that clinical pharmacist-provided services could positively affect outcomes in BD-I patients. [...]
CONCLUSION: Pharmacist-led MedRec services improved continuity of care for elderly patients. Implementing a structured reconciliation process successfully resolved discrepancies and reduced hospital readmissions as well as ED visits at 30-days post-discharge. This outlines potentials for healthcare cost savings. Future studies are recommended to explore long-term benefits, cost-effectiveness, and integrating pharmacist-led [...]
CONCLUSION: While our study did not find a statistically significant difference in pharmacist-led deprescribing, there was a trend towards reduction in high-risk medication use. This suggests potential clinical significance, emphasizing the role of pharmacist involvement in prescribing practices of medications used to treat T2DM, including deprescribing high-risk medications and initiating [...]
CONCLUSION: This study underscores the considerable advantages of integrating pharmacists into diabetes management programs, particularly for patients with elevated A1c levels >9%. [...]
CONCLUSIONS: Pharmacists are well-placed to play a broader role in SEM but face systemic and educational barriers. Enhancing training, establishing formal referral and interdisciplinary communication pathways and addressing structural challenges could improve engagement. This study lays the groundwork for future interventions to enhance pharmacists' contributions to SEM and strengthen pharmacist-physiotherapist [...]
CONCLUSION: This study highlights the frequent occurrence of DRPs and LT4 therapy adherence problems in patients with HoT. The findings suggest that the intervention of CPs, by increasing adherence to LT4 therapy and decreasing DRPs, could significantly contribute to improving patients' treatment outcomes. [...]
PurposeThe time to complete oncology pharmacist tasks is needed to determine workload and productivity. The Hematology/Oncology Pharmacy Association (HOPA) and the Hematology/Oncology Practice and Research Network (PRN) of the American College of Clinical Pharmacy (ACCP) partnered with the aim of establishing consensus on the time required to complete oncology pharmacy [...]
CONCLUSION: SMPOP service enhances prescription appropriateness, reduces ADRs, shortens stays, and lowers costs, underscoring the need for continuous innovation in healthcare. [...]
CONCLUSION: CBE improved pharmacists' knowledge of POCT but showed a limited effect on pharmacist intention or behaviour. The study highlighted that knowledge alone does not influence behaviour change. Factors such as organizational support, adequate reimbursement, and expanded practice scope (e.g., prescribing) are critical to enhance POCT implementation. [...]
CONCLUSIONS: During hospitalization, there was no group difference in the primary outcome of high-intensity statin therapy. Feasibility of an effective pharmacist-initiated intervention for improvement of lipid management was demonstrated by entry of recommendations in the discharge summary and related adjustment in outpatient statin therapy. The main opportunity for future improvement [...]
Respiratory tract infections (RTIs) are prevalent in India, affecting approximately 11.3% of the population. India leads globally in lung disease mortality, including chronic obstructive pulmonary disease and asthma, contributing significantly to disability-adjusted life years and mortality rates. The role of clinical pharmacist interventions (CPIs) in optimizing antibiotic use and managing [...]
Background: During the coronavirus disease 2019 (COVID-19) pandemic, many clinical practices shifted to using virtual platforms to care for patients. After in-person visits resumed, many patients continued to participate in virtual care. Objective: This study evaluated the impact of hybrid care (virtual and in-person visits) on diabetes control in patients [...]
No abstract [...]
Objectives: Sleep in the hospital is often disrupted by modifiable factors. When addressing poor sleep in the hospital, non-pharmacologic strategies should be utilized initially; however, pharmacologic therapies are often prescribed first. The objective of this initiative was to determine if pharmacist-led initiation of a sleep promotion order set improved quality [...]
CONCLUSIONS: Community pharmacists with higher levels of assertive self-expression were more likely to experience community pharmacist-led deprescribing. [...]
CONCLUSION: Clinical pharmacists' involvement in pediatric cardiac care significantly reduces medication errors in LMICs, as demonstrated by this study. These findings underscore the need to integrate clinical pharmacists into multidisciplinary teams to enhance medication safety and improve patient outcomes. [...]
CONCLUSIONS: Delivering a supplemented medication reconciliation service by a clinical pharmacist for patients with CKD is cost beneficial from the healthcare perspective in Jordan, an example of a low- and middle-income country. This finding further confirms the pivotal role of clinical pharmacists in multidisciplinary healthcare teams. [...]
CONCLUSION: This review revealed that pharmacist-led patient education was particularly effective in cases of VKAs, while the outcomes in cases of DOACs were modest. Moreover, while the role of pharmacists in patient education on VKAs has been widely studied, limited research has focused on the effect of pharmacist-led education on [...]
Background Medication errors can be categorized into five main categories: prescribing, compounding, dispensing, distribution, and administration. Prescribing errors, including wrong indication, dose, frequency, and route of administration, are the most prevalent preventable medication errors. Over the past decades, pharmacists' role in minimizing such errors has grown with the development of [...]
Purpose: One option recommended by expert guidelines for prompt reversal of anticoagulation-induced hemorrhage is four-factor prothrombin complex concentrate (4F-PCC). Pharmacist presence has been shown to reduce order entry to administration and door-to-needle (DTN) times. However, how pharmacist preparation of 4F-PCC at the bedside in the Emergency Department (ED) can affect [...]
CONCLUSION: High levels of satisfaction with the outcomes of the medication reviews-particularly regarding quality, patient safety, and their overall positive impact on the ward-indicate that both patients and HCPs perceived the service as highly valuable in supporting patient care throughout the medication process. [...]
Introduction: Using long-acting injectable (LAI) medications increases treatment adherence and promotes positive outcomes for patients with substance use disorders (SUD). Despite documented benefits that LAI medications can have over their oral counterparts, they continue to be underused. With the expansion of pharmacists' scope of practice for medication administration services, there [...]
Introduction: Clinical pharmacists bring unparalleled medication expertise, but quantifying their impact on a health system's bottom line remains unestablished. Objective: To classify interventions by pharmacists with and without board certification and quantify the cost avoidance (CA) from accepted interventions. Methods: This multicenter prospective observational study, conducted between August 2018 and [...]
CONCLUSION: Our findings demonstrated that pharmacist-physician collaboration service in the PD clinic positively impacted patient outcomes. [...]
CONCLUSIONS: General practice pharmacist-led person-centred medicines reviews for patients with hyperpolypharmacy and/or at high risk of medicines-related harm delivered substantial improvements in medicines appropriateness and patient-reported outcomes, thus providing evidence to support their wider implementation. [...]
CONCLUSION: The study underscores the critical role of pharmacists in psychiatric care, with high physician acceptance of their interventions. The diverse range of DRPs highlights the need to expand clinical pharmacy services and integrate pharmacists into psychiatric teams. Our findings clearly demonstrate that integrating pharmacists into psychiatric care settings is [...]
CONCLUSION: Pharmacist-led medication reviews were effective in resolving DRPs and improving clinical outcomes in HD patients, such as quality of life and lab values. However, their impact on healthcare utilisation and mortality remains inconclusive. Further research with longer follow-up is needed to assess the long-term economic outcomes of these interventions. [...]
CONCLUSIONS: Pharmacist care and physician care for patient e-visits for COVID-19 medication both yielded high quality of care, with no significant group differences. Evaluation of pharmacist care may be warranted for other e-visits designed to facilitate medication prescribing. [...]
CONCLUSIONS: The cluster RCT will provide evidence on medication management through televisits. If found effective in improving the use of medications, the intervention has the potential to impact older adults with multiple chronic conditions and polypharmacy. [...]
CONCLUSIONS: The pharmacist-led intervention reduced the proportion of patients receiving SUP in the ICUs, without significantly affecting the proportion of patients with overt gastrointestinal bleeding. These findings will help guide ICU medical decision-making. [...]
Hypertensive disorders in pregnancy (HDPs) are a leading cause of poor maternal and birth outcomes worldwide. Prompt management of these disorders is usually recommended to optimize outcomes. Administration of pharmacotherapeutic agents is critical in the prevention and management of these disorders. The services of the pharmacist are required to maximize [...]
CONCLUSION: Data collected with respect to opioid use post-surgery, feasibility and acceptability of the intervention, patient experience and outcome data will inform the design of future research and larger clinical trials. [...]
Multimorbidity and polypharmacy are prevalent among Long-Term Care (LTC) users. Older people, who most use LTC services, are more prone to drug-related problems, which polypharmacy aggravates. Deprescribing is a key intervention to address polypharmacy and inappropriate medication. Evidence shows that pharmacists' expertise in medicines and their growing involvement in clinical-oriented [...]
CONCLUSION: Increased awareness and ability of community pharmacists to deprescribe medication and use of general practitioners' data, led community pharmacists and general practitioners to successfully conduct a more deprescribing-focused CMR in daily practice. Further research is needed to assess the necessity of additional training to optimize the deprescribing of cardiovascular [...]
CONCLUSION: Antimicrobial stewardship programmes are critical for any institution's proper health care system. It ensures proper antibiotic outflow to patients, thereby improving their health status. The role of pharmacists in establishing an AMS in a hospital setting is a highly commendable activity that enhances healthcare collaboration and outcomes. Clinical pharmacists [...]
CONCLUSION: Pharmaceutical care services provided to diabetes patients had positive effects on disease prognosis, knowledge levels and disease perceptions. Patients with HbA1c level higher than 9% had the greatest benefit from pharmacist interventions. [...]
Digital health interventions have emerged as a promising approach for patient care. The aim of this study was to conduct a systematic review of pharmacist-led digital health interventions for patients with diabetes. The PubMed database was used to select randomized controlled trials that assess the effectiveness of digital health interventions [...]
CONCLUSIONS: Incorporating an oncology clinical pharmacist into the clinical research team was associated with improved clinical trial enrollment. Validation of the effect of multidisciplinary interventions across a broader spectrum of differentially resourced oncology practices will be conducted within future MYLUNG iterations. [...]
CONCLUSION: This study identified the pharmacist's role in supportive care management and reports the successful integration of a clinical pharmacist into a breast cancer clinic. Future directions include conducting prospective studies to further explore the impact of the clinical pharmacist on treatment outcomes. [...]
Background/Objectives: Methicillin-resistant Staphylococcus aureus (MRSA) can cause cases of community-acquired pneumonia, hospital-acquired pneumonia, and ventilator-associated pneumonia, and nasal colonization with this pathogen increases the risk of infection. Due to its high negative predictive value, multiple studies support using the MRSA nasal polymerase chain reaction (PCR) test to discontinue antimicrobials that [...]
CONCLUSIONS: The results indicate that this approach led to fewer DRPs, a high rate of acceptance, and better adherence to treatment guidelines. This is the first retrospective pre-post study in the European Union to include this collaboration in daily rounds at psychiatric hospitals, focusing on somatic comorbidities. However, the study [...]
CONCLUSION: The results suggest implementing a pharmacist driven MRSA nasal surveillance program into practice could increase the number of MRSA nasal swabs ordered and promote timely de-escalation of vancomycin in patients with pneumonia. [...]
Non-small cell lung cancer (NSCLC) is commonly treated with tyrosine kinase inhibitors (TKIs). However, adverse events from such treatment can lead to treatment discontinuation and additional medical expenditures. Ambulatory care from oncology pharmacists in patient education and symptom management can benefit patients with NSCLC. In this study, we evaluated the [...]
CONCLUSIONS: The University of Colorado Medicine's population health initiative provided mixed results on medication adherence metrics. Electronic health record messaging provided insight into ways to improve the intervention to better engage and assist patients. [...]
The unintended consequences of polypharmacy pose significant risks to older adults. The complexities of managing numerous medications from multiple prescribers demand a comprehensive approach to mitigate harms. Pharmacist-led clinics have been shown to improve outcomes in patients with diabetes and hypertension. Pharmacist-led clinics focused on broader issues of polypharmacy have [...]
CONCLUSIONS: A community pharmacist-linked cessation program in homeless shelters was associated with reduced consumption and increased weekly quit attempts, highlighting its potential for scalability among people experiencing homelessness with high rates of co-occurring behavioral health conditions. [...]