The purpose of this intervention study was to evaluate educational protocols to see which would be more effective in increasing medication compliance rates within an elderly population. Forty-two patients were randomized into four groups. Group 1 received a standard education protocol; group 2 received the standard education and 30 minutes of verbal instruction; group 3 received the standard education and a medication schedule; and group 4 received the standard education, a medication schedule, and 30 minutes of verbal instruction. The intervention was given on the day of hospital discharge. Home visits were made 2 weeks, 1 and 2 months post-hospital discharge. Results of the visits revealed that groups 1 and 2 had higher rates of errors with medications than groups 3 and 4. In conclusion, the groups with a medication schedule had higher compliance rates. Considering the sample size of 42, this study can act as a pilot study to justify further research in the effects of a medication schedule on compliance.
Bed-sharing cases were more likely to have had bedding-environment and sleep-position risks and higher ratios of demographic and lifestyle risk factors. Bed-sharing subjects who breastfed had a risk profile distinct from those who were not breastfed cases. Risk and situational profiles can be used to identify families in greater need of early guidance and to prepare educational content to promote safe sleep.
Risk-free and single-risk SIDS cases are rare, and most contain multiple risks. Parent education should be comprehensive and address compensatory strategies for nonmodifiable risks.
Background
The Ministry of Health promoted in 2010 a project to improve the management of cancer drug treatments in five Italian oncology hospitals. A pharmacist was assigned to assist physicians in prescribing, one of the main aims being improving the quality of the data recorded in the Italian web-based Register on oncology drugs. The register onco AIFA was set up in 2006 to evaluate new and costly drugs introduced in the market. For each drug, it ensures both patient eligibility and periodic evaluation of treatment toxicity and patient follow-up.
Purpose
One of the outstanding critical issues in the management of the onco-AIFA register was the delay in the data entry of toxicity/patient revaluation. The objective of this project was to verify how the pharmacist's activity could improve the data quality in the tumour registry, which represents a potentially powerful tool in outcome research.
Materials and methods
A daily monitoring of the recorded data allowed to identify the pending requests. A reminder e-mail was daily sent to each physician to highlight the incomplete records. Number of patients entry data / overall patients treated, number of treatment completed forms / overall treatments, risk sharing reimbursement obtained / overall treatment cost were evaluated as indicators of the process efficiency.
Results
Owing the centralised drug distribution in the IOV Pharmacy department, all the treated patients were eligible and inserted in onco-AIFA. Improving margins have been focused, rather than as of ‘number of entries’, as number of closed and reimbursed treatments. Both doubled compared to the period before the project. In addition, data suggest the investigation and the evaluation of others indicators, which could better demonstrate the efficiency of pharmacist's role in the department. Although daily data entry was not achieved, a significant improvement (81, 42% vs 51.80%) in records within a week was obtained. A predefined report has been developed and suggested as standard format for monitoring oncological data.
Conclusions
Results obtained confirm the value of the pharmacist in a multidisciplinary team as part of the process of patient care as warranty of prescriptive appropriateness and as an ‘added value’ in different areas of health intervention, including administrative implications.
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