Monitoring Chronic Outpatient Infections: Providing Comprehensive Home Healthcare Pharmacy Services

Ackerman, Bruce H.; Wolfe, Jonathan

doi:10.1177/106002809102500721

Cited by 4 publications

(2 citation statements)

References 21 publications

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“…[13] Therefore, the preventive measure of total quality management, drug therapy guidelines, and involvement of clinical pharmacy services is highly suggested. [14][15][16] The Saudi Center for Healthcare Institutions Accreditation (CBAHI) released the quality practice standard of home healthcare. [17] All healthcare institutions should implement those standards emphasizing medication safety regulations.…”

Section: Introductionmentioning

confidence: 99%

“…However, the clinical pharmacist's role in home healthcare is not well established locally. [14][15][16] Various studies discussed the role and clinical benefits of clinical pharmacy services at home healthcare services. [18][19][20][21][22][23] It can prevent or decrease drug-related complications and patient's compliance with medications.…”

Section: Introductionmentioning

confidence: 99%

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The Home Care Clinical Pharmacy Practice in Saudi Arabia

Alomi¹,

Aghamdi²,

Jasser³

et al. 2023

Int. J. Pharmacol. Clin. Sci

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Objectives: To demonstrate the clinical pharmacy in home health care services in Saudi Arabia. Methods: It analyzes a cross-sectional survey discussing home care clinical pharmacy practice in Saudi Arabia. The survey consisted of respondents' demographic information about the workforce's pharmacists, Pharmacotherapy classes utilization for home healthcare patients, and therapeutic guidelines implemented in Home Healthcare Pharmacy services. The 5-point Likert response scale system was used with closed-ended questions. The survey was validated through the revision of expert reviewers and pilot testing. Besides, various tests of reliability, McDonald's ω, Cronbach alpha, Gutmann's λ2, and Gutmann's λ6 were done with the study. Furthermore, the data analysis of the home care clinical pharmacy practice is done through the survey monkey system. Besides, the statistical package of social sciences (SPSS), Jeffery's Amazing Statistics Program (JASP), and Microsoft Excel sheet version 16. Results: A total number of 393 pharmacists responded to the questionnaire. Of them, more than three-quarters responded from the Central region (303 (77.10%)), with statistically significant differences between the provinces (p=0.000). Males responded less than females (195 (49.74%)) versus 197 (50.26%%)), with statistically non-significant differences between them (p=0.920). Most of the responders were in the age group of 24-35 years (267 (67.94%)) and 36-45 years (121 (30.79%)), with statistically significant differences between all age groups (p=0.000). Most responders stated that pharmacy home healthcare workforces were five or more clinical pharmacists (35.14-41.89%) and full-time pharmacy staff providing home health pharmacy services. Besides, five or more pharmacists (30.89-52.57%) and five or more pharmacy technicians (31.25-51.09%) with statistically significant differences between all workforce numbers (p=0.000). Most medications reviewed or dispensed for home healthcare patients include Nutrition support (4.50) and Vitamins and mineral supplements (4.49). They were followed by NSAIDs or Pain killers (4.46) and Antibiotics (4.45), with statistically significant differences between all answers (p=0.000). The average score of therapeutic guidelines implemented in Home healthcare Pharmacy services was (4.29). The element "The standard considerations of urology disease therapy guidelines" obtained the highest score (4.44). The element "The standard considerations of acute and chronic kidney disease therapy among geriatric patients" was (4.41), and the aspect "The concerns and management of Gastrointestinal therapeutic guidelines" was (4.38). Conclusion: Nutrition support and vitamin were most used as pharmacotherapy classes for home healthcare services. The urology and nephrology therapeutic guidelines were most implemented. Future research is needed to determine most home care clinical pharmacy services and identify the role of clinical practitioners in home health care services in Saudi Arabia.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Home Care Clinical Pharmacy Practice in Saudi Arabia

Alomi¹,

Aghamdi²,

Jasser³

et al. 2023

Int. J. Pharmacol. Clin. Sci

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Survey of Pharmacy Services and Drug Usage in Victorian Public Hospital HITH Programs

Ioannides‐Demos

1999

The Australian Journal of Hospital Pharmacy

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Objective: To determine the extent of pharmacy serv ices and drug usage for Hospital-in-the-Home (HITH) programs in Victoria. M ethod: In 1997, 42 Victorian hospital pharmacies with H IT H services were surveyed by a questionnaire on services and drug usage over the previous six months. R esults: O f the 29 hospital pharm acies which re sponded, 5 were not providing services, 16 provided 6-m onth drug usage data and 15 provided drug ex penditure data. Pharmacy staffing varied from a dedi cated H IT H pharm acist actively involved in patient management to no pharmacy involvement beyond drug dispensing. The range of pharmacy services provided included: preparation of intravenous additives; devel opm ent of drug and adm inistration protocols; care plans (including allergy and anaphylaxis procedures); supply of information regarding drug stability, storage and appliances, and consumer medicine information; patient counselling; therapeutic drug monitoring; and dosing advice.T he data on drug usage and pharmaceutical ex penditure was compromised by the inability of some pharmacies to identify H IT H patients and inconsistent inclusion of non-drug items. The range of drugs dis pensed to H IT H patients was broad, reflecting con current medical conditions and individual hospital prac tices. The most commonly dispensed parenteral drugs were ceftriaxone, cephazolin, dalteparin, flucloxacillin and vancomycin -reflecting the most common indica tions for H ITH . Conclusion: H IT H is an emerging alternative to in hospital patient management resulting in more patients being managed in the community. This creates an op portunity for hospital-based health professional serv ices to go beyond the hospital boundaries. Unlike the US, pharmacy services in H IT H in Victoria are still evolving. A ust J H osp Pharm 1999; 29: 16-19.

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Physicians, pharmacists, and home infusion antibiotic therapy

Rich

1994

The American Journal of Medicine

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Monitoring Chronic Outpatient Infections: Providing Comprehensive Home Healthcare Pharmacy Services

Cited by 4 publications

References 21 publications

The Home Care Clinical Pharmacy Practice in Saudi Arabia

The Home Care Clinical Pharmacy Practice in Saudi Arabia

Survey of Pharmacy Services and Drug Usage in Victorian Public Hospital HITH Programs

Physicians, pharmacists, and home infusion antibiotic therapy

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