UNLABELLED Utilizing a multidisciplinary approach to management of patients with certain chronic cardiovascular diseases (CVD) has been shown to improve treatment outcomes. The role of clinical pharmacists in comprehensive outpatient CVD management has not been evaluated. OBJECTIVE The objective of this pilot study was to evaluate the impact of a clinical pharmacist added to cardiologist care...

Background. Siriraj Hospital has implemented post-authorization of target antibiotics (piperacillin/tazobactam, meropenem, imipenem/cilastatin and doripenem) for nearly 10 years. Currently, antibiotic approval is implemented by ID clinical fellows. Methods. During February – September 2013, we conducted a cluster randomized controlled trial in 6 general medical wards at Siriraj hospital to comp...

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...

OBJECTIVE To describe the integration of a clinic pharmacy with a patient-centered medical home (PCMH). SETTING Primary care clinic in Monroe, WA, from 1981 to January 2011. PRACTICE DESCRIPTION Pharmacists and physicians with a previous working relationship in a family practice residency program established colocated practices in 1981. In addition to traditional pharmacy services, collabor...

Background There is a difference between evidence-based guidelines for geriatric patients and clinical practice of physicians. Prescribing potentially inappropriate medications (PIMs) can be attributed to the fact that many physicians are not aware of PIMs usage. Aim The aim of this study was to assess the effectiveness of a combined intervention program comprising an educational and clinical...

Infections of the cerebrospinal shunts and other neurosurgical structures are not uncommon in the clinical practice. These infections are mostly clinical emergencies carrying negative prognostic impacts on the patients as well as spending healthcare resources. The low pathogenicity nature of some implicated pathogens results in minimal physical signs that may complicate the diagnosis and mislea...

In 2008, the pharmacy department of the Winnipeg Regional Health Authority (WRHA) embarked on an initiative to incorporate clinical pharmacy services into a University of Manitoba Department of Family Medicine resident teaching unit. The impetus for the project stemmed from knowledge of national and international experience about the potential benefits of clinical pharmacists in primary care an...

OBJECTIVES To evaluate the impact of a dedicated specialist critical care pharmacist service on patient care at a UK critical care unit (CCU). METHODS Pharmacist intervention data was collected in two phases. Phase 1 was with the provision of a non-specialist pharmacist chart review service and Phase 2 was after the introduction of a specialist dedicated pharmacy service. Two CCUs with establ...

The aim of this study was to determine the frequency of medication errors happened during the preparation and administration of intravenous (IV) drugs. This study was designed as prospective cross-sectional evaluations by direct unconcealed observation in a setting consisted of orthopedic, general surgery and gastroenterology wards of a teaching hospital. Participants were those patients hospit...