ASHP–PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems

Eiland, Lea S.; Benner, Kim W.; Gumpper, Karl F.; Heigham, Melissa; Meyers, Rachel; Pham, Katherine; Potts, Amy

doi:10.5863/1551-6776-23.3.177

Cited by 12 publications

(14 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Pharmacists are classical experts in medications whose roles include optimizing pharmacotherapy through pharmaceutical care services. Mastery of PK, pharmacodynamics and their application in optimizing pharmacotherapy are core competencies of pharmacists in modern healthcare delivery [ 32 ]. Through pharmaceutical care services, pharmacists are supposed to help patients achieve therapeutic drug levels within a lesser number of days, shorten the length of hospitalization, reduce mortality and morbidity, and improve patient outcomes [ 33 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

Views, knowledge, and practices of hospital pharmacists about using clinical pharmacokinetics to optimize pharmaceutical care services: a cross-sectional study

Shawahna

Shraim

Aqel

2022

BMC Health Serv Res

View full text Add to dashboard Cite

Background Pharmacokinetics (PK) is often used to optimize individualized dosing regimens of some drugs. This study was conducted to determine views, knowledge, and practices of hospital pharmacists in Palestine about using clinical PK to optimize pharmaceutical care services. Method This study was conducted in a cross-sectional design using a questionnaire. The questionnaire collected information about the nature of PK courses taught to hospital pharmacists, importance, relevance, effectiveness, adequacy, and depth of these courses, adequacy of PK skills, implementing PK knowledge/skills in current practice, and barriers limiting the implementation of PK to optimize pharmaceutical care services for hospitalized patients. The hospital pharmacists were visited in their places of work and were asked to complete the questionnaire in privacy. Categorical data were compared using Kruskal-Wallis test or Mann-Whitney U tests. Results The questionnaire was completed by 145 hospital pharmacists. Of the pharmacists, 84 (57.9%) received basic PK courses, 79 (54.5%) were taught integrated PK courses, and 94 (64.8%) agreed that the PK courses were important to their current practice. Similarly, 85 (57.9%) of the pharmacists were not satisfied with the teaching methods and contents of the PK courses. Pharmacists who obtained their degrees from Palestine were less satisfied with the methods of teaching compared to those who obtained their degrees from foreign countries (p-value = 0.006). Only 25 (17.2%) pharmacists reported frequent use of PK knowledge in their current practice. Lack of practical knowledge and continuing education, poor understanding of PK by pharmacists and other healthcare professionals were identified as barriers limiting the implementation of PK in optimizing pharmaceutical care services to hospitalized patients. Conclusion The hospital pharmacists were generally not satisfied with the way PK courses were taught and expressed difficulty in implementing PK knowledge and skills to improve pharmaceutical care services to hospitalized patients. Integrating PK topics within other relevant courses and adopting more clinically oriented learning methods could improve understanding and implementing PK knowledge and skills in optimizing pharmaceutical services to hospitalized patients. Further studies are still needed to determine the optimal teaching/learning methods that can improve knowledge and skill acquisitions of pharmacists in the area of PK.

show abstract

Section: Discussionmentioning

confidence: 99%

Views, knowledge, and practices of hospital pharmacists about using clinical pharmacokinetics to optimize pharmaceutical care services: a cross-sectional study

Shawahna

Shraim

Aqel

2022

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…11 Process-oriented studies and recommendations have focused on the inclusion of pharmacists in the medication process, safety checks at various stages of the medication process, and improved communication between care team members. 1,2,[12][13][14] Including pediatric clinical pharmacists in the medication process has been shown to mitigate inpatient prescribing errors; however, involving pharmacists did not address administration errors. 13 A recent systematic review suggests there is insufficient evidence to conclude that two nurses checking a medication during administration, also referred to as "double checks," are more effective at preventing medication administration errors compared to a single nurse.…”

Section: Previous Research and Interventionsmentioning

confidence: 99%

Pediatric Dose Calculation Issues and the Need for Human Factors–Informed Preventative Technology Optimizations

et al. 2022

View full text Add to dashboard Cite

Background: Dose calculation errors are one of the most common types of medication errors impacting children and they can result in significant harm. Technology-based solutions, such as computerized provider order entry, can effectively reduce dose calculation issues; however, these technologies are not always optimized, resulting in potential benefits not being fully realized. Methods: We analyzed pediatric dose-related patient safety event reports submitted to the Pennsylvania Patient Safety Reporting System using a task-analytic approach that focused on information being used in the dose calculation, calculation errors during ordering, and errors during dose preparation or administration. From these reports, we identified whether the patient was impacted by the error, the type of medication involved, and whether a technology optimization could have mitigated the issue. Results: Of the 356 reports reviewed, 326 (91.6%) met the criteria for a dose calculation issue. The 326 reports meeting criteria had the following dose calculation issue types: wrong information used in the calculation (49 of 326, 15.0%), incorrect calculation during ordering (97 of 326, 29.8%), and calculated dose was not properly used or incorrect calculation during preparation/administration (180 of 326, 55.2%). Most of these dose calculation issues impacted the patient (219 of 326, 67.2%). Analysis of these issues by patient age group and drug class also revealed interesting patterns. Technology optimizations potentially could have addressed 81.6% of the dose calculation issues identified. Conclusion: While many healthcare facilities have adopted health information technology and other devices to support the medication process, these technologies are not always optimized to address dose calculation issues. Human factors–informed recommendations, a safety checklist, and test cases for optimizing technology are provided in the context of these findings.

show abstract

“…A clinical pharmacist with pediatric training is responsible for providing other healthcare professionals about information regarding new and investigational drugs, adverse effects and contraindications of drug therapy, stability information, drug interaction, pharmacogenomics, the pharmacokinetics of pediatric population, helps in dose calculation, dosage form modification, pediatric formulary and also provides counseling to parents regarding medication and immunization. 7,14…”

Section: Pharmacist's Patient Care Processmentioning

confidence: 99%

Clinical pharmacists’ role in paediatric patients’ medical care

Balakrishnan

Ravichandran

Dillibatcha

et al. 2020

Int J Contemp Pediatr

View full text Add to dashboard Cite

Clinical pharmacists give valuable administrations to adult patients, however, their advantages for pediatric and neonatal patients are less characterized. Many studies state that medication errors in children are more common than in adults with a greater risk of death.Clinical Pharmacists are accepted as the primary source for providing evidence-based information and advice, to ensure the delivery of correct, safest, and most effective medication to patients. This paper presents a review of the role of clinical pharmacists in the pediatric unit and emphasis the importance of clinical pharmacists for all patients, especially in the pediatric age group.

show abstract

ASHP–PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems

Cited by 12 publications

References 35 publications

Views, knowledge, and practices of hospital pharmacists about using clinical pharmacokinetics to optimize pharmaceutical care services: a cross-sectional study

Views, knowledge, and practices of hospital pharmacists about using clinical pharmacokinetics to optimize pharmaceutical care services: a cross-sectional study

Pediatric Dose Calculation Issues and the Need for Human Factors–Informed Preventative Technology Optimizations

Clinical pharmacists’ role in paediatric patients’ medical care

Contact Info

Product

Resources

About