The evaluation of mandatory alerts on long-acting opioid prescriptions and the use of a community pharmacy naloxone protocol

Coffman, Ranelle; Johnson, Ashley; Frede, Stacey M.; Pleiman, Michael; Johnson, Katelyn

doi:10.1016/j.japh.2021.11.032

Journal of the American Pharmacists Association

2022

DOI: 10.1016/j.japh.2021.11.032

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The evaluation of mandatory alerts on long-acting opioid prescriptions and the use of a community pharmacy naloxone protocol

Ranelle Coffman¹,

Ashley Johnson²,

Stacey M. Frede³

et al.

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Cited by 2 publications

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“…Coffman et al. 6 showed that a computer system prompt for the pharmacist may increase pharmacists’ offer to provide naloxone to at-risk patients; the pharmacist improved access to a critically important medication to reduce overdose deaths.…”

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confidence: 99%

Pharmacy residents increase access to health care!

Heaton

2022

Journal of the American Pharmacists Association

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confidence: 99%

Pharmacy residents increase access to health care!

Heaton

2022

Journal of the American Pharmacists Association

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Clinical decision support systems in community pharmacies: a scoping review

Moon,

Chladek,

Wilson

et al. 2023

Journal of the American Medical Informatics Association

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Objective Clinical decision support systems (CDSS) were implemented in community pharmacies over 40 years ago. However, unlike CDSS studies in other health settings, few studies have been undertaken to evaluate and improve their use in community pharmacies, where billions of prescriptions are filled every year. The aim of this scoping review is to summarize what research has been done surrounding CDSS in community pharmacies and call for rigorous research in this area. Materials and methods Six databases were searched using a combination of controlled vocabulary and keywords relating to community pharmacy and CDSS. After deduplicating the initial search results, 2 independent reviewers conducted title/abstract screening and full-text review. Then, the selected studies were synthesized in terms of investigational/clinical focuses. Results The selected 21 studies investigated the perception of and response to CDSS alerts (n = 7), the impact of CDSS alerts (n = 7), and drug–drug interaction (DDI) alerts (n = 8). Three causes of the failures to prevent DDIs of clinical importance have been noted: the perception of and response to a high volume of DDI alerts, a suboptimal performance of CDSS, and a dearth of sociotechnical considerations for managing workload and workflow. Additionally, 7 studies emphasized the importance of utilizing CDSS for a specific clinical focus, ie, antibiotics, diabetes, opioids, and vaccinations. Conclusion Despite the range of topics dealt in the last 30 years, this scoping review confirms that research on CDSS in community pharmacies is limited and disjointed, lacking a comprehensive approach to highlight areas for improvement and ways to optimize CDSS utilization.

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The evaluation of mandatory alerts on long-acting opioid prescriptions and the use of a community pharmacy naloxone protocol

Cited by 2 publications

References 10 publications

Pharmacy residents increase access to health care!

Pharmacy residents increase access to health care!

Clinical decision support systems in community pharmacies: a scoping review

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