Pharmacist-initiated general practitioner referral of patients with suboptimal asthma management

Bereznicki, Bonnie; Peterson, Gregory M.; Jackson, Shane; Walters, E. Haydn; Fitzmaurice, K. D.; Gee, Peter

doi:10.1007/s11096-008-9242-3

Cited by 33 publications

(69 citation statements)

References 24 publications

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“…However, since those on preventer therapy would need regular prescriptions, we assume that there would have been frequent opportunities to intervene, either by the GP or pharmacist. A recent publication has emphasised how effective intervention from healthcare professionals can be, including improving quality of life, when an inadequate level of therapy relative to disease severity is noticed 27. Bereznicki et al show strong evidence that patients are prepared to change therapeutic practice under good professional guidance 27.…”

Section: Discussionmentioning

confidence: 99%

“…A recent publication has emphasised how effective intervention from healthcare professionals can be, including improving quality of life, when an inadequate level of therapy relative to disease severity is noticed 27. Bereznicki et al show strong evidence that patients are prepared to change therapeutic practice under good professional guidance 27. This contrasts with published evidence that physicians have found it challenging to adhere to NAC guidelines, suggesting perceived limitations to such a regimented “one size fits all” approach.…”

Section: Discussionmentioning

confidence: 99%

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Adherence to asthma management guidelines by middle-aged adults with current asthma

Kandane‐Rathnayake

Matheson

Simpson

et al. 2009

Thorax

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Background: With the increasing burden of asthma worldwide, much effort has been given to developing and updating management guidelines. Using data from the Tasmanian Longitudinal Health Study (TAHS), the adequacy of asthma management for middle-aged adults with asthma was investigated. Methods: Information about spirometry, medication history and current asthma status was collected by the most recent TAHS when participants were in their mid 40s. Only those who reported ever having asthma were eligible for analysis. Results: Of the 702 participants who reported ever having asthma, 50% had current asthma (n = 351) of whom 71% were categorised as having persistent asthma (n = 98 mild, n = 92 moderate, n = 58 severe). The majority (85

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Adherence to asthma management guidelines by middle-aged adults with current asthma

Kandane‐Rathnayake

Matheson

Simpson

et al. 2009

Thorax

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“…patients with possible uncontrolled asthma were identified, provided written information and a doctor referral, no significant change was observed in the asthma knowledge score [32,47]. Our instrument can thus be used in the community setting to assess effectiveness of education programs.…”

Section: "I Think When You've Been An Asthmatic a Long Time Previousmentioning

confidence: 99%

“…It has been demonstrated that community pharmacies are suitable venues to identify patients in need of asthma education, i.e. those with poorly-controlled asthma and those with poor medication adherence identifiable through pharmacy records [31,32].…”

Section: Introductionmentioning

confidence: 99%

Asthma disease management—Australian pharmacists’ interventions improve patients’ asthma knowledge and this is sustained

Saini

LeMay

Emmerton

et al. 2011

Patient Education and Counseling

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Objectives: To assess any improvements in knowledge of asthma patients after a tailored education program delivered by pharmacists and measure the sustainability of any improvements. To ascertain patients' perceptions about any changes in their knowledge.Methods: 96 specially trained pharmacists recruited patients based on their risk of poor asthma control. A tailored intervention was delivered to patients based on individual needs and goals, and was conducted at three or four time points over six months. Asthma knowledge was assessed at the beginning and end of the service, and six and 12 months after it had ended. Patients' perceptions of the impact of the service on their knowledge were explored qualitatively in interviews.

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“…DM aims to supply new, valuable, and potentially useful information from big databases [19,20]. DM techniques can be used extensively in hospitals, clinics and pharmacies by healthcare providers to give better and more affordable healthcare services to the patients [21][22][23][24][25][26][27].…”

Section: Introductionmentioning

confidence: 99%

A New Drug-Shelf Arrangement for Reducing Medication Errors using Data Mining: A Case Study

Ceylan¹,

Fırat²

2017

SDÜ Fen Bil Enst Der

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Medication errors are common, fatal, costly but preventable. Location of drugs on the shelves and wrong drug names in prescriptions can cause errors during dispensing process. Therefore, a good drug-shelf arrangement system in pharmacies is crucial for preventing medication errors, increasing patient's safety, evaluating pharmacy performance, and improving patient outcomes. The main purpose of this study to suggest a new drug-shelf arrangement for the pharmacy to prevent wrong drug selection from shelves by the pharmacist. The study proposes an integrated structure with three-stage data mining method using patient prescription records in database. In the first stage, drugs on prescriptions were clustered depending on the Anatomical Therapeutic Chemical (ATC) classification system to determine associations of drug utilizations. In the second stage association rule mining (ARM), wellknown data mining technique, was applied to obtain frequent association rules between drugs which tend to be purchased together. In the third stage, the generated rules from ARM were used in multidimensional scaling (MDS) analysis to create a map displaying the relative location of drug groups on pharmacy shelves. The results of study showed that data mining is a valuable and very efficient tool which provides a basis for potential future investigation to enhance patient safety. Veri Madenciliği Kullanarak Tıbbi Hataların Azaltılması için Yeni Bir İlaç-Raf Düzeni:Bir Vaka Analizi Anahtar kelimeler Birliktelik kuralları, Veri madenciliği, İlaç-raf düzeni, Tıbbi hatalar, Çok boyutlu ölçekleme Özet: Tıbbi hatalar yaygın, ölümcül ve maliyetli ama önlenebilirlerdir. İlaçların raflardaki konumu ve reçetelerdeki yanlış ilaç isimleri, ilaçların dağıtım sürecindeki hataları arttırabilir. Bu nedenle, eczanelerde iyi bir ilaç-raf düzenleme sistemi tıbbi hataların önlenmesi, hasta güvenliğinin arttırılması, eczane performansının değerlendirilmesi ve hasta geri-dönüşlerinin iyileştirilmesi açısından hayati önem taşımaktadır. Bu çalışmanın temel amacı, eczacı tarafından raflardan yanlış ilaç seçimini önlemek üzere eczane için yeni bir ilaç-raf düzeni önermektir. Çalışma, 3-aşamalı veri madenciliği metodu ile veri tabanındaki hasta reçete kayıtlarını kullanarak bir entegre yapı önermektedir. İlk aşamada, reçetelerdeki ilaçlar, ilaç kullanımları arasındaki ilişkileri belirlemek üzere Anatomik Terapötik Kimyasal (ATK) sınıflandırma sistemine göre sınıflandırıldı. İkinci aşamada, iyi bilinen bir veri madenciliği tekniği olan Birliktelik Kural Madenciliği (BKM), birlikte satın alınma eğilimindeki ilaçlar arasındaki sık rastlanan birliktelik kurallarını elde etmek için uygulandı. Üçüncü aşamada, BKM ile üretilen kurallar, eczane raflarında ilaçların göreceli olarak yerlerini gösteren haritayı oluşturmak için Çok Boyutlu Ölçekleme (ÇBÖ) analizinde kullanıldı. Çalışmanın sonuçları, veri madenciliğinin hasta güvenliğinin arttırılması üzerine gelecekte yapılacak araştırmalar için temel oluşturan değerli ve çok verimli bir araç olduğunu göstermiştir.

show abstract

Pharmacist-initiated general practitioner referral of patients with suboptimal asthma management

Cited by 33 publications

References 24 publications

Adherence to asthma management guidelines by middle-aged adults with current asthma

Adherence to asthma management guidelines by middle-aged adults with current asthma

Asthma disease management—Australian pharmacists’ interventions improve patients’ asthma knowledge and this is sustained

A New Drug-Shelf Arrangement for Reducing Medication Errors using Data Mining: A Case Study

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