Promoting integration of pharmacy expertise in care of hospitalized patients with acute myocardial infarction.
Purpose. The substantive integration of pharmacists into quality-improvement initiatives aimed at improving the care of hospitalized patients with acute myocardial infarction (AMI) is described. Methods. A 2-year, mixed-methods, interventional study was conducted in 10 U.S. hospitals, directed at pr...
| Publicado en: | American Journal of Health-System Pharmacy Vol. 75; no. 13; pp. 962 - 973 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
7/1/2018
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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=130332347&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 130332347 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: 7/1/2018 vid: 75 iid: 13 pid: 622 pub: Oxford University Press / USA artinfo: ui: 130332347 130332347 130332347 10.2146/ajhp170727 130332347 ppf: 962 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Promoting integration of pharmacy expertise in care of hospitalized patients with acute myocardial infarction. aug: au: Curry, Leslie A. Brault, Marie A. Cherlin, Emily Smith, Marie affil: Department of Health Policy and Management, Yale School of Public Health, New Haven, CTYale Global Health Leadership Institute, Yale University, New Haven, CT sug: subj: Myocardial Infarction Drug Therapy Quality of Health Care Quality Improvement Pharmacists Human Male Female Medical Practice, Evidence-Based Organizational Culture Organizational Change Patient Education Information Technology Treatment Outcomes Professional Role Thematic Analysis Health Care Delivery, Integrated Male Female ab: Purpose. The substantive integration of pharmacists into quality-improvement initiatives aimed at improving the care of hospitalized patients with acute myocardial infarction (AMI) is described. Methods. A 2-year, mixed-methods, interventional study was conducted in 10 U.S. hospitals, directed at promoting the use of evidence-based strategies and fostering domains of hospital organizational culture associated with lower risk-standardized mortality rates (RSMRs) for patients with AMI. The adoption of 5 evidence-based strategies associated with reducing RSMRs for AMI was measured at baseline, 12, and 24 months. Data were collected via face-to-face interviews conducted at each hospital. Ethnographic observations were conducted at baseline and 18 months. Results. Significant changes in the use of evidence-based strategies were observed over the 2-year study period (p = 0.02), with the mean number of strategies used per hospital increasing from 2.4 at baseline to 3.9 at 24 months. Innovative approaches for integrating pharmacotherapy and pharmacy practice expertise included information technology solutions, targeted rounding for patients with AMI, medication-bridging programs, and education of patients with AMI. Conclusion. A mixed-methods interventional study in 10 hospitals examined the substantive integration of pharmacists into quality-improvement initiatives aimed at improving the care of patients with AMI. The investigation revealed the ability of this integration to meet clinical challenges by generating novel, feasible solutions that were tailored for specific hospital contexts. Inclusion of pharmacists strengthened relationships across disciplines and allowed pharmacists to become routinely embedded in broader quality efforts. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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