Pharmacy Student Monitoring of Direct Oral Anticoagulants

Kim, Jennifer J.; Hill, Hailey L.; Groce, J. B.; Granfortuna, James; Makhlouf, Tanya

doi:10.1177/0897190017752713

Cited by 7 publications

(7 citation statements)

References 23 publications

(23 reference statements)

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“…4 This study found that student pharmacists can help ensure medication safety and effective use of DOACs, however similar to the other studies, it did not assess the impact participation had on student pharmacists. 4 A study by Dunkley and colleagues also examined the utilization of student pharmacists to provide medication education on anticoagulants, inhalers, insulin, and naloxone. This study utilized 10 student pharmacists and found participants felt sufficiently to exceedingly prepared to perform medication education.…”

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confidence: 71%

“…2 While several studies have examined pharmacy student involvement in patient counseling services, the impact of participation in patient education on student knowledge and perceptions remains underexplored. [2][3][4][5][6] The majority of studies available concerning pharmacist and pharmacy student involvement in inpatient anticoagulation education focus on warfarin with less emphasis on direct oral anticoagulants (DOACs). Wilhelm and colleagues specifically looked at the impact of an anticoagulation service using pharmacy students and residents on rate of education completed and effect of providing education on overall and anticoagulation-associated readmission rates.…”

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confidence: 99%

“…3 Similarly, a 2018 study conducted by Kim and colleagues examined the utilization of student pharmacists in DOAC monitoring. 4 Student led interventions in this study included adherence education, medication access, monitoring recommendations, and alternative anticoagulation recommendations. 4 This study found that student pharmacists can help ensure medication safety and effective use of DOACs, however similar to the other studies, it did not assess the impact participation had on student pharmacists.…”

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confidence: 99%

“…4 Student led interventions in this study included adherence education, medication access, monitoring recommendations, and alternative anticoagulation recommendations. 4 This study found that student pharmacists can help ensure medication safety and effective use of DOACs, however similar to the other studies, it did not assess the impact participation had on student pharmacists. 4 A study by Dunkley and colleagues also examined the utilization of student pharmacists to provide medication education on anticoagulants, inhalers, insulin, and naloxone.…”

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confidence: 99%

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Benefits of Utilizing Pharmacy Learners in an Inpatient Anticoagulation Education Service

2021

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Objective. The 2019 Hospital National Patient Safety Goal 03.05.01 indicates education regarding anticoagulant therapy should be provided to patients and families. Previous studies assessing pharmacist and pharmacy student involvement in oral anticoagulation (OAC) education services have focused on patient-related outcomes, with limited emphasis on the additional benefit to the student. The purpose of this study was to assess the benefit of pharmacy student involvement in anticoagulation education services both clinically and through their perceptions of participating in the service. Methods. This study assessed students’ knowledge and perceptions of providing OAC education before and after a 1-month learning experience, where students provided counseling 2-3 days per week. The primary endpoint was comparing each student’s pre- and post-rotation OAC education knowledge assessments. Secondary endpoints included percentage change in knowledge between the prospective cohort and a historical comparator group, perceived benefit of student participation in the service, percentage of patients able to recall counseling, and number of interventions made related to OAC therapy. Results. A total of 35 pharmacy students were included in this prospective study with 277 patients receiving counseling from June 2020 through March 2021. A total of 32 pharmacy students had assessment data available for retrospective comparison. The mean pharmacy student score within the prospective cohort improved significantly (21.5%) between the pre-assessment and post-assessment. Change in pre- and post-rotation knowledge assessment was also significantly higher in the prospective cohort compared to the retrospective group. Additionally, students gained confidence in their counseling abilities and OAC knowledge through participation. Conclusion. Pharmacy student participation within anticoagulation education services significantly improved student knowledge and confidence in their counseling abilities. It also allowed for over 70% of patients to successfully recall pertinent information about their anticoagulants over a week later and improved patient care through dosing interventions.

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confidence: 71%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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Benefits of Utilizing Pharmacy Learners in an Inpatient Anticoagulation Education Service

2021

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“…In an observational analysis conducted in an internal medicine clinic, a pharmacy student program designed to monitor direct oral anticoagulants demonstrated that the most common intervention was related to medication adherence. 20 Therefore, future research may consider expanding clinical services involving pharmacy students to other high-risk medication classes that suffer from low adherence rates. Given that we only investigated statins in this study as a pilot project, future studies investigating adherence to other medications included in the CMS star measures (renin-angiotensin system antagonists or oral antidiabetic agents) are needed.…”

Section: Baseline Characteristics For Statin Users (N = 99)mentioning

confidence: 99%

Change in Proportion of Days Covered for Statins Following Implementation of a Pharmacy Student Adherence Outreach Program

Tamargo

Sando

Prados

et al. 2019

JMCP

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BACKGROUND: Nearly half of statin users discontinue therapy within the first year of treatment. Nonadherence to statin therapy may lead to an increased risk of atherosclerotic cardiovascular disease and, thus, higher costs due to hospitalizations. Value-based care models, such as accountable care organizations (ACO), are measured on adherence rates to statins through proportion of days covered (PDC). However, there is little research describing pharmacy student-based interventions within value-based care models.OBJECTIVES: To (a) identify mean change in PDC for statins following implementation of a pharmacy student adherence outreach program and (b) identify the proportion of patients converted to PDC ≥ 0.80 following the implementation of the outreach program.METHODS: This single-center retrospective quasi-experimental study included patients actively enrolled in a Humana Medicare Advantage Prescription Drug (MA-PD) plan who completed at least 1 adherence outreach telephone call performed by a pharmacy student between January 1, 2017, and December 31, 2017.RESULTS: 99 patients met inclusion criteria. Atorvastatin was the most commonly prescribed statin (43%), followed by simvastatin (38%). Sixtyfour percent of patients had a baseline PDC of < 0.80. Mean (SD) PDC was 0.66 (±0.24) before the pharmacy student adherence outreach intervention, and 0.79 (± 0.23)-a 0.13 increase-after the pharmacy student adherence outreach intervention (P < 0.001). Among patients who had PDC < 0.80 at baseline, 35% of patients (n = 35) were converted to PDC ≥ 0.80 (P < 0.001), and 5% of patients with a baseline PDC ≥ 0.80 had a decrease in PDC to < 0.80 following the intervention. CONCLUSIONS: Among patients enrolled in a Humana MA-PD plan within an ACO, mean PDC for statins increased following exposure to a pharmacy student adherence outreach program. One third of patients converted their PDCs to ≥ 0.80 following the intervention. Value-based care programs may consider incorporating pharmacy student services to improve adherence to statins.

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A scoping review of direct oral anticoagulant ambulatory management practices

Mangrum

Saunders

Chaiyakunapruk

et al. 2023

J Thromb Thrombolysis

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Pharmacy Student Monitoring of Direct Oral Anticoagulants

Abstract: Pharmacy students can help to ensure medication safety and effective use of DOACs.

Cited by 7 publications

References 23 publications

Benefits of Utilizing Pharmacy Learners in an Inpatient Anticoagulation Education Service

Benefits of Utilizing Pharmacy Learners in an Inpatient Anticoagulation Education Service

Change in Proportion of Days Covered for Statins Following Implementation of a Pharmacy Student Adherence Outreach Program

A scoping review of direct oral anticoagulant ambulatory management practices

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