Transitions of care at an ambulatory care clinic: An implementation science approach

Lieu, Elizabeth; Mercadante, Amanda R.; Schwartzman, Emmanuelle; Law, Anandi V.

doi:10.1016/j.sapharm.2021.06.022

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…There are numerous opportunities to accelerate the implementation of evidence‐based interventions in pharmacy. Potential targets for the application of IS models and methods to advance pharmacy practice and care delivery include iterative design and evaluation of different models for pharmacist‐led chronic disease management in outpatient clinics and transitions of care services, de‐prescribing of inappropriate medications in older adults, antibiotic stewardship, applying clinically relevant pharmacogenomic recommendations that promote health equity, or improving population health using value‐based reimbursement metrics 10‐12 . A recent review of factors influencing the implementation of innovations in community pharmacies identified important barriers to nationwide implementation, including pharmacy staff engagement with the innovation, resources needed for successful operationalization of the innovation, and external engagement (eg, the perceptions of patients and other health care professionals and their relationship with the community pharmacy) with implemented innovations 13 …”

Section: Introductionmentioning

confidence: 99%

“…relevant pharmacogenomic recommendations that promote health equity, or improving population health using value-based reimbursement metrics. [10][11][12] A recent review of factors influencing the implementation of innovations in community pharmacies identified important barriers to nationwide implementation, including pharmacy staff engagement with the innovation, resources needed for successful operationalization of the innovation, and external engagement (eg, the perceptions of patients and other health care professionals and their relationship with the community pharmacy) with implemented innovations. 13 IS is defined as "the scientific study of methods to promote the systematic uptake of research findings and other evidence-based practices into routine practice, and, hence, to improve the quality and effectiveness of health services".…”

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Research and scholarly methods: Implementation science studies

Kuo

Trinkley

Rabin

2022

J Am Coll Clin Pharm

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Traditional research focuses on efficacy or effectiveness of interventions but lacks evaluation of strategies needed for equitable uptake, scalable implementation, and sustainable evidence‐based practice transformation. The purpose of this introductory review is to describe key implementation science (IS) concepts as they apply to medication management and pharmacy practice, and to provide guidance on literature review with an IS lens. There are five key ingredients of IS, including: (a) evidence‐based intervention; (b) implementation strategies; (c) IS theory, model, or framework; (d) IS outcomes and measures; and (e) stakeholder engagement, which is key to a successful implementation. These key ingredients apply across the three stages of IS research: (a) pre‐implementation; (b) implementation; and (c) sustainment. A case example using a combination of IS models, PRISM (Practical, Robust Implementation and Sustainability model) and RE‐AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance), is included to describe how an IS study is designed and conducted. This case is a cluster‐randomized trial comparing two clinical decision support tools to improve guideline‐concordant prescribing for patients with heart failure and reduced ejection fraction. The review also includes information on the Standards for Reporting Implementation Studies (StaRI), which is used for literature review and reporting of IS studies, as well as IS‐related learning resources.

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Section: Introductionmentioning

confidence: 99%

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confidence: 99%

Research and scholarly methods: Implementation science studies

Kuo

Trinkley

Rabin

2022

J Am Coll Clin Pharm

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Bridging the continuity: Practice-enhancing publications about the ambulatory care medication-use process in 2022

Gazda,

Vest,

Peek

et al. 2024

American Journal of Health-System Pharmacy

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Disclaimer In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Purpose This article identifies, summarizes, and prioritizes literature on the ambulatory care medication-use process (ACMUP) published in 2022 that can describe ambulatory pharmacy practice. The medication-use process (MUP) is the foundational system that provides the framework for safe medication utilization within the healthcare environment and was reimagined to focus on new innovations and advancements in ambulatory pharmacy practice. The ACMUP is defined in this article as having the following components: transitions of care, prescribing, access, dispensing, adherence, and evaluating. Articles evaluating at least one step of the ACMUP were assessed for their usefulness toward practice improvement. Summary A PubMed search for articles published in 2022 was conducted in January 2023 using targeted Medical Subject Headings (MeSH) keywords and the table of contents of selected pharmacy journals, providing a total of 4,125 articles. A thorough review identified 49 potentially practice-enhancing articles: 6 for transitions of care, 9 for prescribing, 5 for access, 2 for dispensing, 6 for adherence, and 21 articles for evaluating. Trends from the impact articles are described. Conclusion It is important to routinely review the published literature and to incorporate significant findings into daily practice. This article continues a series of articles defining and evaluating the currently published literature around the ACMUP. As healthcare continues to advance and care shifts to ambulatory settings, the ACMUP will continue to be a crucial process to evaluate.

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Transitions of care at an ambulatory care clinic: An implementation science approach

Cited by 2 publications

References 18 publications

Research and scholarly methods: Implementation science studies

Research and scholarly methods: Implementation science studies

Bridging the continuity: Practice-enhancing publications about the ambulatory care medication-use process in 2022

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