Impact of a Student-Supported Pharmacy Assessment Program on Venous Thromboembolism Prophylaxis Rates in Hospitalized Patients

Butkievich, Laura E.; Stacy, Zachary A.; Daly, Michael W.; Huey, Way Y.; Taylor, Charles T.

doi:10.5688/aj7406105

Cited by 5 publications

(7 citation statements)

References 13 publications

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“…The successful integration of pharmacy students in VTE prophylaxis initiatives has been described in the literature. 14 Students benefit as they enhance their knowledge on VTE prophylaxis and risk assessment, become more familiar with patient charts, and participate in research. Their involvement offset the ward pharmacists' workload, and we were able to audit a large number of patients relatively quickly.…”

Section: Discussionmentioning

confidence: 99%

Working toward a System-wide Venous Thromboembolism Prophylaxis Strategy: Experience from a Multisite Health Region

et al. 2011

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Background: Venous thromboembolism (VTE), comprised of both deep vein thrombosis (DVT) and pulmonary embolism (PE), is a common complication for hospitalized patients. Clear guidance is available to practitioners in regard to risk factors for the development of VTE as well as strategies to decrease its prevalence. Despite knowing who is at risk and how to prevent VTE, practitioners provide adequate measures to only half of the patients who are eligible for VTE prophylaxis. Pharmacy practitioners within the Regina Qu'Appelle Health Region (RQHR) have been actively involved in improving VTE prophylaxis for inpatients over the past 10 years. Objective: To improve the rate of VTE prophylaxis within the RQHR, thereby improving patient safety. Methods: The strategy involved 3 phases: a preparation phase, an active intervention phase, and a maintenance and improvement phase. The preparation phase included education and participation in a national registry along with a residency project. The intervention phase consisted of a number of strategies in conjunction with 1-day VTE prophylaxis audits, and the maintenance phase consisted of ongoing educational initiatives and audits. , the percentage of patients being appropriately managed for VTE prophylaxis within the RQHR improved from 62% to 94% (P , .005). Looking specifically at our medical and surgical populations, rates increased from 47% to 90% (P , .005) and 79% to 97% (P , .005), respectively. Conclusion: The strategy was successful in improving VTE prophylaxis in the inpatient population.Hosp Pharm-2011;46(8):574-579 V enous thromboembolism (VTE), comprised of deep vein thrombosis (DVT) and pulmonary embolism (PE), is a common complication in hospitalized medical and surgical patients, with an incidence rate of up to 40% and 60%, respectively. 1 The majority of inpatients have at least 1 risk factor for VTE, while approximately 40% have 3 or more. 2 VTE leads to significant mortality; PE is associated with a case-fatality rate of up to 12%. 3 The risk is higher in elderly patients as the 1-year mortality rate of DVT and PE reaches 21% and 40%, respectively. 4 A decade ago, the American Agency for Healthcare Research and Quality highlighted the need for inpatient VTE prophylaxis and identified it as the number one preventative strategy to improve patient safety. 5 Despite the risk and recognition over the past

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Section: Discussionmentioning

confidence: 99%

Working toward a System-wide Venous Thromboembolism Prophylaxis Strategy: Experience from a Multisite Health Region

et al. 2011

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“…Table 4 includes all articles that used assessment methods consistent with KH levels 3 (behavior change), 4a (change in organizational practice), or 4b (improvement in patient health/well-being). 22,23,[32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49]51,52,59,60,62,64,67,68,[96][97][98] Nine of 15 CAPE outcomes (60%) were represented at these higher KH levels, and approximately 60% of the reports were comprised of subdomain 2.1 (patient-centered care). Assessment methods used were consistent with this subdomain and included medication reconciliation, identification of drug-related problems, and acceptance of clinical intervention recommendations, as well as other measures promoting quality and/or costeffectiveness.…”

Section: Resultsmentioning

confidence: 99%

Pharmacy Student Learning During Advanced Pharmacy Practice Experiences in Relation to the CAPE 2013 Outcomes

Dennis

May

Kanmaz

et al. 2016

American Journal of Pharmaceutical Education

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Outcomes from The Center for Advancement of Pharmacy Education (CAPE) are intended to represent the terminal knowledge, skills, and attitudes pharmacy students should possess and have guided delivery of pharmacy education for more than two decades. Advanced pharmacy practice experiences (APPEs) are the endpoint of pharmacy curricula where demonstration and assessment of terminal learning occurs. This review examines published literature in relation to the most recent CAPE outcomes to determine the extent to which they have been addressed during APPEs since 1996. Details related to the APPE focus, intervention(s)/learning setting(s), and assessments are summarized according to the 15 CAPE outcomes. Further, the assessments are categorized according to the level of learning achieved using an available method. Common CAPE outcomes are highlighted, as well as those for which published reports are lacking for APPEs. The range and quality of assessments are discussed and emphasize the need for continuous improvement of scholarly design and assessment.

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“…12,13,18 Summary: The U.S. health care system is in a period of intense and rapid transformation. Healthcare stakeholders are modifying the delivery methods and payment vehicles in order to improve quality and to reduce costs.…”

Section: Appendix 1 Executive Summary: the Value Of Student Pharmacimentioning

confidence: 99%

“…During an introductory conference call, the committee developed strategies to address the charges and outlined initial committee assignments. The committee met for a day and a half, with the other 2016-2017 AACP standing committees, on October [18][19]2016 in Alexandria, Virginia to discuss various facets related to the charges, as well as to finalize the process and strategies for addressing the charges. Following the process development and delegation of assignments related to the committee charges, the PAC utilized various communication modalities, including Basecamp, conference calls, and email to complete the remaining work.…”

Section: Introduction and Committee Chargesmentioning

confidence: 99%

The Report of the 2016-2017 Professional Affairs Standing Committee: Formally Embracing and Engaging Preceptors in the Academy — The Time Has Come

Aistrope

Daniel

Ausili

et al. 2017

American Journal of Pharmaceutical Education

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EXECUTIVE SUMMARY. The 2016-2017 AACP Professional Affairs Committee (PAC) was charged to examine strategies to include adjunct/affiliate preceptors as AACP members and to determine the value proposition of AACP membership for this group of educators. The PAC defined adjunct/affiliate preceptors as preceptors who are neither full-time employees nor have a primary employment commitment ($50% of the preceptor's work salary) at a school/college of pharmacy. Specific charges to the PAC included: recommend an approach to increase the number of adjunct/ affiliate preceptors as AACP members, examine AACP membership from an adjunct/affiliate preceptor value perspective, and prepare a concise summary of available literature describing value-added contributions of student pharmacists and pharmacy preceptors to pharmacy practice models, interprofessional education (IPE) and interprofessional practice (IPP). The summary of the plan developed by the PAC to address the charges is presented in the following report, which includes three sections: the value proposition of AACP membership for adjunct/affiliate preceptors, expansion of the presence of adjunct/affiliate preceptors in AACP, and the value of student pharmacists in experiential education settings. The value proposition of AACP membership for adjunct/affiliate preceptors section describes results of surveys and focus groups conducted by the PAC. The PAC surveyed experiential education directors at schools/colleges of pharmacy, adjunct/affiliate preceptors (from a request via the experiential education directors), and new pharmacy practice faculty members in order to determine current resources available for adjunct/affiliate preceptor development, as well as explore potential resources AACP could provide for adjunct/affiliate preceptor development. Focus groups were held with adjunct/ affiliate preceptors and experiential education faculty/staff to explore some of the results and concepts generated from the surveys. The PAC developed three recommendations for AACP as a result of the surveys and focus groups. The report also describes various factors that should be considered by AACP in developing a membership category for adjunct/affiliate preceptors, including potential membership models, establishment of an advisory board, and collaboration with other stakeholder groups. The final section of the report provides an executive summary and detailed table, which summarizes available literature on the value of student pharmacists in experiential education. The brief literature review reinforces that there are many different practice settings where student pharmacists add value to patient care and the practice site. This information is significant for experiential education faculty/staff, as well as adjunct/affiliate preceptors, and serves as an example of best practices which document the value American Journal of Pharmaceutical Education 2017; 81 (9) Article S16.1 experiential education provides to patient care and practice sites. The final section of the report provides ...

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Impact of a Student-Supported Pharmacy Assessment Program on Venous Thromboembolism Prophylaxis Rates in Hospitalized Patients

Cited by 5 publications

References 13 publications

Working toward a System-wide Venous Thromboembolism Prophylaxis Strategy: Experience from a Multisite Health Region

Working toward a System-wide Venous Thromboembolism Prophylaxis Strategy: Experience from a Multisite Health Region

Pharmacy Student Learning During Advanced Pharmacy Practice Experiences in Relation to the CAPE 2013 Outcomes

The Report of the 2016-2017 Professional Affairs Standing Committee: Formally Embracing and Engaging Preceptors in the Academy — The Time Has Come

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