ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education -- 2009.
PURPOSE: Results of the 2009 ASHP national survey of pharmacy practice in hospital settings that pertain to monitoring and patient education are presented. METHODS: A stratified random sample of pharmacy directors at 1364 general and children's medical-surgical hospitals in the United States were su...
| Publicado en: | American Journal of Health-System Pharmacy Vol. 67; no. 7; pp. 542 - 559 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
4/1/2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105167011&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105167011 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10792082 1X3 jtl: American Journal of Health-System Pharmacy issn: 10792082 maglogo: N pubinfo: dt: 4/1/2010 vid: 67 iid: 7 pid: 622 pub: Oxford University Press / USA artinfo: ui: 105167011 105167011 2010613276 10.2146/ajhp090596 NLM20237382 105167011 ppf: 542 ppct: 17 formats: fmt: @attributes: type: P tig: atl: ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education -- 2009. aug: au: Pedersen CA Schneider PJ Scheckelhoff DJ sug: subj: Drug Monitoring Standards Patient Education Pharmacists Organizations Pharmacy Service Administration Practice Patterns Administrative Personnel Adverse Drug Event Analysis of Variance Chi Square Test Data Analysis Software Descriptive Statistics Drug Monitoring Methods Funding Source Health Facility Administration Hospitals Human Questionnaires Regression Stratified Random Sample United States ab: PURPOSE: Results of the 2009 ASHP national survey of pharmacy practice in hospital settings that pertain to monitoring and patient education are presented. METHODS: A stratified random sample of pharmacy directors at 1364 general and children's medical-surgical hospitals in the United States were surveyed by mail. SDI Health supplied data on hospital characteristics; the survey sample was drawn from SDI's hospital database. RESULTS: The response rate was 40.5%. Virtually all hospitals (97.3%) had pharmacists regularly monitor medication therapy in some capacity; nearly half monitored 75% or more of their patients. Over 92% had pharmacists routinely monitor serum medication concentrations or their surrogate markers, and most hospitals allowed pharmacists to order initial serum concentrations (80.1%) and adjust dosages (79.2%). Interdisciplinary committees reviewed adverse drug events in 89.3% of hospitals. Prospective analysis was conducted by 66.2% of hospitals, and retrospective analysis was performed by 73.6%. An assessment of safety culture had been conducted by 62.8% of hospitals. Most hospitals assigned oversight for patient medication education to nursing (89.0%), but many hospitals (68.9%) reported that pharmacists provided medication education to 1-25% of patients. Computerized prescriber-order-entry systems with clinical decision support were in place in 15.4%, bar-code-assisted medication administration systems were used by 27.9%, smart infusion pumps were used in 56.2%, and complete electronic medical record systems were in place in 8.8% of hospitals. The majority of hospitals (64.7%) used an integrated pharmacy practice model using clinical generalists. CONCLUSION: Pharmacists were significantly involved in monitoring medication therapy. Pharmacists were less involved in medication education activities. Technologies to improve the use of medications were used in an increasing percentage of hospitals. Hospital pharmacy practice was increasingly integrated, with pharmacists having both distribution and clinical roles. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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