INTRODUCTION There is a high prevalence of polypharmacy and inappropriate medication use in Singapore nursing homes. This study primarily explored the benefits of pharmacist reviews in local nursing homes. The secondary aims were to review the potential cost savings gained from following the pharmacists' recommendations and to identify the possible risks associated with polypharmacy and inappro...

Objective: Managing patients on warfarin within a therapeutic range is complex due to factors that affect warfarin dosing, making it necessary to monitor patients closely and adjust medication doses to ensure maximal efficacy and minimal adverse events. The objectives of this study were to evaluate the effectiveness and safety of managing patients on warfarin by clinical pharmacists and physici...

OBJECTIVES To evaluate the impact of a pharmacy-technician centered medication reconciliation (PTMR) program by identifying and quantifying medication discrepancies and outcomes of pharmacist medication reconciliation recommendations. METHODS A retrospective chart review was performed on two-hundred patients admitted to the internal medicine teaching services at Cooper University Hospital in ...

240. Effectiveness of a Pharmacist Driven Antibiotic Stewardship Program at Two Critical Access Hospitals Using a Remote Infectious Diseases Pharmacist Emily Herstine, PharmD, BCPS; Scott Erickson, RPh, MBA; Sarah Leslie, PharmD, BCPS; Jessica Holt, PharmD, BCPS-ID; Pharmacy, Abbott Northwestern Hospital, Minneapolis, MN; Pharmacy, River Falls Area Hospital, River Falls, WI; Pharmacy, New Ulm M...

BACKGROUND The roles of pharmacists in patient care have expanded from the traditional tasks of dispensing medications and providing basic medication counseling to working with other health professionals and the public. Multiple reviews have evaluated the impact of pharmacist-provided patient care on health-related outcomes. Prior reviews have primarily focused on in-patient settings. This syst...

PURPOSE The effect of pharmacist conducted medication reconciliation on compliance with a hospital's medication reconciliation policy was studied. METHODS In this eight-week pilot study, one pharmacist worked in the emergency department (ED) to facilitate the safe and accurate transfer of medication histories for admitted patients. During the first four weeks, retrospective chart review was p...

We previously started pharmacist blood pressure (BP) management programs using telemonitoring systems for monitoring side effects of antihypertensive drugs in a community pharmacy. The present case demonstrates that pharmacist BP management programs using telemonitoring systems are useful for monitoring side effects of antihypertensive drugs in a community pharmacy.

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BACKGROUND Pharmacist intervention in improving patient adherence to antidepressants is coupled with better outcomes. AIMS The aim of this investigation was to systematically examine the published literature to explore different types of pharmacist interventions used for enhancing patient adherence to antidepressant medications. Three specific questions guided the review: what is the impact o...