Development of best practice recommendations for the safe use of pulmonary hypertension pharmacotherapies using a modified Delphi method.
Purpose The Delphi method was used to develop best practice recommendations (BPR) for safe use of pulmonary hypertension (PH) pharmacotherapies and to describe the pharmacist's role in provision of care. Methods A core group reviewed PH medication-safety literature and developed initial BPR. Pharmac...
| Publicado en: | American Journal of Health-System Pharmacy Vol. 76; no. 3; pp. 153 - 166 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Feb2019
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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=134352508&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 134352508 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: Feb2019 vid: 76 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 134352508 134352508 134352508 10.1093/ajhp/zxy020 134352508 ppf: 153 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Development of best practice recommendations for the safe use of pulmonary hypertension pharmacotherapies using a modified Delphi method. aug: au: Smith, Zachary R Rangarajan, Krishna Barrow, Jennifer Carter, Danielle Coons, James C Dzierba, Amy L Falvey, Jennifer Fester, Keith A Guido, Maria R Hao, Diana Ou, Narith N Pogue, Kristen T MacDonald, Nancy C affil: Department of Pharmacy, Henry Ford Hospital, Detroit, Michigan sug: subj: Antihypertensive Agents Therapeutic Use Drug Design Delphi Technique Pharmacists Professional Role Hypertension, Pulmonary Drug Therapy Patient Safety Patient Care Feedback Teleconferencing Summated Rating Scaling Voting Accreditation Inpatients Ambulatory Care Epoprostenol Health Personnel Education ab: Purpose The Delphi method was used to develop best practice recommendations (BPR) for safe use of pulmonary hypertension (PH) pharmacotherapies and to describe the pharmacist's role in provision of care. Methods A core group reviewed PH medication-safety literature and developed initial BPR. Pharmacists practicing at PH-accredited Centers of Comprehensive Care who met defined PH expert criteria were invited to participate on an expert panel. In round 1 of a 4-round Delphi process, expert input was provided on the BPR. Feedback was incorporated into BPR for the next round. Round 2 proceeded in identical fashion to round 1. In round 3, BPR were deliberated in a teleconference and underwent voting at the cessation of the round using a 5-point Likert scale. Median scores of < 2.5, 2.5–3.75, and > 3.75 resulted in a best practice statement being rejected, reviewed in round 4, or accepted in the final BPR, respectively. In round 4, the remaining BPR were discussed and underwent voting. BPR were assigned a level of evidence and strength of recommendation based on voting results. Results Eleven PH experts agreed to participate and met expert inclusion criteria, along with 2 pharmacists from the core group, bringing the total number of expert panel members to 13. To guide safe use of PH pharmacotherapies, 26 BPR were developed, categorized into 5 practice domains, comprising the PH Care Center accreditation process, inpatient practice, formulary management, diagnostics, and ambulatory care. BPR included provisions for safe use of parenteral prostacyclin agents and healthcare practitioner education. Conclusion The Delphi method was used to develop BPR to guide safe use of PH pharmacotherapies. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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