Targeted patient outcomes can only be achieved if the prescriber accepts and implements the intervention. In this study, workload data were sometimes entered into the workload management system before an issue had been discussed with the prescriber. As a result, the prescriber’s decision was unknown for 11.6% of the interventions at the time of data [...]
This study demonstrated that ambulatory stroke patients experience numerous actual and potential drug-related problems and that pharmacists may be in a key position to identify and resolve these problems. A large number of the pharmacist’s interventions during the study period were related to lack of appropriate pharmacotherapy. Previous research has indicated that 3-hydroxy-3-methylglutaryl-coenzyme A reductase [...]
During the study period, the pharmacist initiated 432 interventions during 153 patient encounters, which represented an average of 2.8 interventions per encounter. The most common interventions were medication counselling, medication reconciliation or follow-up, recommending initiation of pharmacotherapy, and preventing or resolving adverse drug reactions (Figure 1).
DTHR pharmacists document their patient care activities electronically in the Meditech computer system (Client/Server 5.5 SR2, Meditech, Westwood, Massachusetts). A paper copy of this documentation is placed in the patient’s chart. The pharmacist’s Workload is documented in the Meditech “Clinical Interventions” module at the time that chart notes are written. Workload is documented using a [...]
The main objective of integrating a clinical pharmacist into the Stroke Prevention Clinic team was to further decrease morbidity and mortality by preventing recurrent stroke. This goal was to be accomplished by attaining the following short-term goals related to modification of risk factors and education of both patients and staff: • increasing the percentage of [...]
The David Thompson Health Region (DTHR) serves about 300 000 people in central Alberta. Within the DTHR, pharmacists are members of the acute stroke team and had participated in the Acute Stroke Management Working Group at the primary referral hospital. Neurologists, nurses, and other members of the stroke team have welcomed the addition of a [...]
Stroke is the fourth leading cause of death in Canada, accounting for 14 000 deaths annually. Between 40 000 and 50 000 strokes occur every year, 75% of which result in some type of impairment or disability. Stroke survivors have a 20% risk of another stroke within 2 years of the initial event, and 33% [...]
