Implementation of clinical pharmacy services in a pediatric dialysis unit

Borolossy, Radwa El; Wakeel, Lamia El; Hakim, Ihab El; Badary, Osama A.

doi:10.1007/s00467-014-2760-4

Cited by 12 publications

(11 citation statements)

References 11 publications

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“…Pediatric pharmacists can improve care for the nearly 10 000 pediatric ESKD patients in the U.S. A randomized study of 50 hemodialysis pediatric patients showed that pharmacist‐based care improved blood pressure, phosphorus, parathyroid hormone, and calcium‐phosphate product compared with usual care 53 . Importantly, pharmacist‐based care also improved patient satisfaction.…”

Section: Opportunities For Pharmacists To Integrate Into the Care Of mentioning

confidence: 99%

Nephrology practice and research network opinion paper: Pharmacists' perspectives on the Advancing American Kidney Health initiative

Meaney

Manley²,

Pai

et al. 2020

J Am Coll Clin Pharm

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Patients with chronic kidney disease (CKD) are at high risk for clinically significant medication therapy problems (MTPs) due primarily to the complex pharmacotherapy prescribed by numerous providers, and the significant changes in pharmacokinetic and pharmacodynamic properties of many medications due to their kidney disease. While MTPs are well recognized, pharmacists are not routinely involved in the health care teams that provide care for patients with CKD. The Advancing American Kidney Health initiative was announced in July 2019 and is poised to shift models of care in nephrology toward value‐based payment. This represents an opportunity for pharmacists to integrate into teams to improve quality of care and outcomes for patients with CKD. Pharmacists should engage in medication reconciliation, transitions of care, and medication‐focused kidney disease education programs within a comprehensive medication management (CMM) framework to optimize pharmacotherapy outcomes. To implement these services, pharmacists need to utilize certified pharmacy technicians, telehealth, interprofessional skills, and other tools in innovative ways. Current models of successful practice from Canada can serve as a template for United States‐based nephrology pharmacy practice. In this opinion paper, we characterize the current state of nephrology practice and identify significant opportunities for advancement. We propose metrics to evaluate pharmacy services and a framework for key stakeholder engagement which will be critical to advance the profession of pharmacy within nephrology. The Advancing American Kidney Health initiative offers a distinct opportunity to demonstrate the value of CMM provided by pharmacists in the nephrology arena to optimize patient care.

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Section: Opportunities For Pharmacists To Integrate Into the Care Of mentioning

confidence: 99%

Nephrology practice and research network opinion paper: Pharmacists' perspectives on the Advancing American Kidney Health initiative

Meaney

Manley²,

Pai

et al. 2020

J Am Coll Clin Pharm

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“…poprawę parametrów biochemicznych (np. stężenia fosforanów, wapnia, ferrytyny, parathormonu) i jakości życia w porównaniu z grupą kontrolną [19,20]. Również u dzieci leczonych warfaryną lepszą kontrolę INR obserwowano w grupie pacjentów, których farmakoterapia nadzorowana była przez farmaceutę klinicznego [21].…”

Section: Zapobieganie Występowaniu Błędów Lekowychunclassified

Identification of the area of service provided by clinical pharmacist in the pediatric patient care

Nowak¹,

Owczarek²,

Karolewicz³

et al. 2019

Farm Pol.

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Identification of the area of service provided by clinical pharmacist in the pediatric patient care • The interdisciplinary cooperation between medical professions in patient care was indicated as necessary in the joint document of the The International Pharmaceutical Federation and the World Medical Assembly "The relationship between physicians and pharmacists in medical therapy". The available literature emphasizes the role of the clinical pharmacist in clinical departments, such as pediatric cardiac intensive care units, or pediatric nephrology and pediatric oncology units. This work summarizes the literature related to the most important opportunities and benefits of clinical involvement of a pharmacist in the care of a pediatric patient. The law regulations in Poland to the area of pharmacists' activity discussed in the article require supplementing and specifying the most important legal acts related to pharmaceutical law and healthcare legal services. The changes should lead to the clarification of new obligations and support shaping the new professional status of clinical pharmacists employed in hospitals to provide care in the group of pediatric patients.

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“…Many medical specialities with complex conditions that require polytherapy of potentially toxic medications routinely include clinical pharmacists on ward rounds or in outpatient clinics. 25 Studies have evaluated the impact of clinical pharmacist involvement with outcome measures including symptom-control, monitoring of blood indices and patient satisfaction. Statistically significant improvements in some aspects of patient management have been seen with more pharmacist intervention or integration within the clinical team.…”

Section: Scales For Assessing Potential Harm Secondary To Prescribingmentioning

confidence: 99%

Outpatient anti-epileptic drug prescribing errors in a Children's Hospital: An audit and literature review

Murphy

Bentur

Dolan

et al. 2014

Seizure

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This review highlights the importance of clinical information on prescriptions and that incomplete or poor documentation may contribute to prescribing errors. It also emphasises the importance of pharmacists in the identification and correction or resolution of potential prescribing errors. There is a need to develop a well-validated measure to assess the severity of prescribing errors that will better address their clinical significance and risk.

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Implementation of clinical pharmacy services in a pediatric dialysis unit

Abstract: Pharmacist-initiated pharmaceutical care improved the satisfaction and biochemical findings of patients on hemodialysis.

Cited by 12 publications

References 11 publications

Nephrology practice and research network opinion paper: Pharmacists' perspectives on the Advancing American Kidney Health initiative

Nephrology practice and research network opinion paper: Pharmacists' perspectives on the Advancing American Kidney Health initiative

Identification of the area of service provided by clinical pharmacist in the pediatric patient care

Outpatient anti-epileptic drug prescribing errors in a Children's Hospital: An audit and literature review

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