Evaluating the impact of a pediatric weight-based dosing procedure in outpatient pharmacy

Grant, Jonathan J.; Adams, Morgan B.; Decker, Krista; McFarland, Susan; Lee, Carlton K. K.

doi:10.1016/j.japh.2015.11.004

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…1B ). The results agreed with those of previous studies in pediatric outpatients [ 8 ], geriatric outpatients [ 9 ], emergency outpatients [ 10 ], outpatients receiving oral chemotherapy [ 11 , 12 ] and those with heart failure [ 13 ].…”

Section: Discussionsupporting

confidence: 91%

“…Pharmacist interventions on outpatient prescriptions were rarely reported. Limited studies were restricted to certain type of outpatient prescriptions, such as prescriptions of pediatric patients [ 8 ], geriatric patients [ 9 ], emergency patients [ 10 ], patients undergoing oral chemotherapy [ 11 , 12 ] and those with heart failure [ 13 ]. These limited articles have all demonstrated that pharmacist intervention can reduce suboptimal prescriptions.…”

Section: Introductionmentioning

confidence: 99%

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Clinical and economic impact of pharmacist interventions on sampled outpatient prescriptions in a Chinese teaching hospital

Bao¹,

et al. 2018

BMC Health Serv Res

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BackgroundLimited studies have evaluated the effectiveness of pharmacist interventions on outpatient prescription. The goal of this study was to evaluate the clinical and economic impacts of pharmacist interventions on randomly sampled outpatient prescriptions.MethodOutpatient prescriptions of our hospital were sampled automatically and reviewed by pharmacists since 2011. Pharmacists intervened in inappropriate prescriptions (IPs) real-timely, and summarized and analyzed the information monthly. Cost-benefit analysis was performed to estimate the economic benefit of the pharmacist intervention.ResultsFrom 2011 to 2016, pharmacists reviewed 101,271 prescriptions and intervened in 5155 prescriptions. With the interventions of pharmacists, the number of IPs decreased from 1845 to 238, while the inappropriate percentage decreased from 12.60 to 1.22%. The inappropriate rates of different departments and the types decreased annually. IPs were mainly from the Department of Medicine and Department of Surgery and category 1 (Non-indicated medications) in all years. The benefit-to-cost ratios of pharmacist interventions were always more than 1. In the same years, the benefit-to-cost ratios in public payments were higher than those with insurance and self-payment.ConclusionThis form of pharmacist intervention constitutes a method that showed positive clinical and economic benefits and is worth expanding in large hospitals. Pharmacists should pay more attention on prescriptions in department of surgery or prescriptions with public payments.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Clinical and economic impact of pharmacist interventions on sampled outpatient prescriptions in a Chinese teaching hospital

Bao¹,

et al. 2018

BMC Health Serv Res

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Evaluating pediatric weight-based antibiotic dosing in a community pharmacy

Holder¹,

Oprinovich²,

Guthrie³

2023

Journal of the American Pharmacists Association

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Measurement of Ambulatory Medication Errors in Children: A Scoping Review

Rickey,

Auger,

Britto

et al. 2023

Pediatrics

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BACKGROUND AND OBJECTIVESChildren use most medications in the ambulatory setting where errors are infrequently intercepted. There is currently no established measure set for ambulatory pediatric medication errors. We have sought to identify the range of existing measures of ambulatory pediatric medication errors, describe the data sources for error measurement, and describe their reliability.METHODSWe performed a scoping review of the literature published since 1986 using PubMed, CINAHL, PsycINFO, Web of Science, Embase, and Cochrane and of grey literature. Studies were included if they measured ambulatory, including home, medication errors in children 0 to 26 years. Measures were grouped by phase of the medication use pathway and thematically by measure type.RESULTSWe included 138 published studies and 4 studies from the grey literature and identified 21 measures of medication errors along the medication use pathway. Most measures addressed errors in medication prescribing (n = 6), and administration at home (n = 4), often using prescription-level data and observation, respectively. Measures assessing errors at multiple phases of the medication use pathway (n = 3) frequently used error reporting databases and prospective measurement through direct in-home observation. We identified few measures of dispensing and monitoring errors. Only 31 studies used measurement methods that included an assessment of reliability.CONCLUSIONSAlthough most available, reliable measures are too resource and time-intensive to assess errors at the health system or population level, we were able to identify some measures that may be adopted for continuous measurement and quality improvement.

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Evaluating the impact of a pediatric weight-based dosing procedure in outpatient pharmacy

Cited by 3 publications

References 7 publications

Clinical and economic impact of pharmacist interventions on sampled outpatient prescriptions in a Chinese teaching hospital

Clinical and economic impact of pharmacist interventions on sampled outpatient prescriptions in a Chinese teaching hospital

Evaluating pediatric weight-based antibiotic dosing in a community pharmacy

Measurement of Ambulatory Medication Errors in Children: A Scoping Review

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