Counseling of inhalation medicine perceived by patients and their healthcare providers: insights from North Cyprus
Conclusion In spite of health care professionals  feeling comfortable with their counseling practices, the majority of patients reported dissatisfaction with the information they provided about medicine, and three out of four patients were making critical mistakes in the use of inhalers. More effort is warranted by health care professionals on pa tient education to limit critical mistakes. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - July 16, 2019 Category: Drugs & Pharmacology Source Type: research

Signal detection of human papillomavirus vaccines using the Korea Adverse Events Reporting System database, between 2005 and 2016
Conclusions South Korea should develop a system for proactively updating HPV  labels. These results also suggest potential research directions such as vaccination label expansion, pharmacovigilance studies, and identification of causality in AEs associated with HPV vaccination. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - July 16, 2019 Category: Drugs & Pharmacology Source Type: research

Consumption of methylphenidate and atomoxetine in the private healthcare sector in South Africa: a longitudinal study
Conclusion Consumption showed an increase in use of methylphenidate in South Africa, with small changes observed over the study period. Further studies are required. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - July 16, 2019 Category: Drugs & Pharmacology Source Type: research

Medication in older patients reviewed multiple ways (MORE) study
This study was conducted in Zuyderland Medical Centre, the second largest teaching hospital in the Netherlands.Method This descriptive study compares the quantity and content of remarks identified by medication review performed by a geriatrician, outpatient pharmacist, and Clinical Decision Support System. The content of remarks is categorized in seven categories of possible pharmacotherapeutic problems: ‘indication without medication’, ‘medication without indication’, ‘contra-indication/interaction/side-effect’, ‘dosage problem’, ‘double medication’, ‘incor...
Source: International Journal of Clinical Pharmacy - July 13, 2019 Category: Drugs & Pharmacology Source Type: research

Multidisciplinary education approach to optimize phosphate control among hemodialysis patients
AbstractBackground Hyperphosphatemia is a common consequence in end stage renal disease. It is associated with increased cardiovascular risk and mortality, also development of hyperparathyroidism and mineral bone disease. A patient educational program involving physician, pharmacist and dietician was developed to manage hyperphosphatemia among hemodialysis patients.Objective To investigate the efficacy of the program in optimal phosphate control among hemodialysis patients.Setting Kuala Lipis Hospital, Malaysia.Method This was a non-randomized, single-arm community trial running for a period of 6  months. The program ...
Source: International Journal of Clinical Pharmacy - July 13, 2019 Category: Drugs & Pharmacology Source Type: research

Pharmacist-led pre-treatment assessment, management and outcomes in a Hepatitis C treatment patient cohort
Conclusions In this Hepatitis C pre-treatment pharmacist assessment analysis, a significant number of medication reconciliation variances and clinically significant drug –drug interactions were identified which present unique and important patient safety risks. Pharmacist-led management strategies aided the achievement of optimum treatment response while promoting patient safety and antiviral stewardship. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - July 11, 2019 Category: Drugs & Pharmacology Source Type: research

Antimicrobial prescribing and determinants of antimicrobial resistance: a qualitative study among physicians in Pakistan
Conclusion Identification of concerns regarding inappropriate antimicrobial prescribing will enable specific initiatives and approaches to improve future antimicrobial use and reduce antimicrobial resistance in Pakistan. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - July 4, 2019 Category: Drugs & Pharmacology Source Type: research

Pharmacogenomics-based practice in North Cyprus: its adoption by pharmacists and their attitudes and knowledge
AbstractBackground Pharmacogenomics is a branch of biotechnological science integrating medicine, pharmacology, and genomics techniques. Moreover, it focuses on creating drug therapies in order to analyze genetic differences in patients causing various responses to a single therapeutic regimen.Objective This cross sectional study aimed to examine the attitude, knowledge and adoption among pharmacists in North Cyprus and the most appropriate method to improve education among them.Setting Community pharmacy setting.Method A total of 103 out of 140 pharmacists responded to a pre-tested and validated questionnaire consisting o...
Source: International Journal of Clinical Pharmacy - July 2, 2019 Category: Drugs & Pharmacology Source Type: research

Drug safety surveillance within a strategy for the management of non-chemotherapy drug-induced neutropenia
AbstractBackground Severe non-chemotherapy drug-induced neutropenia is a rare idiosyncratic drug reaction that is considered potentially fatal.Objective To report, in terms of drug safety surveillance, the results of an institutional strategy for NCDIN.Method An observational and prospective study including all adult patients who received filgrastim for the treatment of NCDIN from June 2015 to December 2017 was carried out by hematologists and clinical pharmacists.Results 13 patients with severe NCDIN were included in the study. The median age was 51 (range 24 –80) years old and 46.2% were male. Seven patients had on...
Source: International Journal of Clinical Pharmacy - June 29, 2019 Category: Drugs & Pharmacology Source Type: research

Abstracts ESCP Symposium 17 –18 May 2019, Antwerp, Belgium
(Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - June 28, 2019 Category: Drugs & Pharmacology Source Type: research

Development of a trigger tool for the detection of adverse drug events in Chinese geriatric inpatients using the Delphi method
Conclusion The 42-trigger tool was developed to identify ADEs in Chinese geriatric inpatients. A pilot study that tests the list of triggers to identify ADEs in Chinese geriatric inpatients is the next step for establishing a specific trigger tool for Chinese geriatric inpatients. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - June 28, 2019 Category: Drugs & Pharmacology Source Type: research

Moral reasoning among Dutch community pharmacists: testing the applicability of the Australian Professional Ethics in Pharmacy test
Conclusion The PEP test needs further adaptation to the Dutch pharmacy practice context: especially the statements that should reflect the most advanced moral reasoning schema, need more accurate representations of professional pharmacy ethics that guide pharmacists in the Netherlands. Moral reasoning tests for a specific professional setting or country should be developed and adapted by experts who share the same professional values and practice as the respondents. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - June 28, 2019 Category: Drugs & Pharmacology Source Type: research

Multidisciplinary care in patients with systemic lupus erythematosus: a randomized controlled trial in China
Conclusion Our multidisciplinary care team significantly improved clinical outcomes and satisfaction with drug information in Chinese systemic lupus erythematosus patients. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - June 25, 2019 Category: Drugs & Pharmacology Source Type: research

Improving medication safety in oncology care: impact of clinical pharmacy interventions on optimizing patient safety
Conclusion Interventions by CPs helped to minimize preventable ADRs to anti-cancer agents. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - June 25, 2019 Category: Drugs & Pharmacology Source Type: research

Healthcare personnel ’s experience of reporting adverse drug reactions in Baghdad city: cross-sectional study
Conclusion The healthcare providers working in Baghdad healthcare institutions have a good attitude toward ADR reporting. There is a relatively below-standard reporting culture of the encountered adverse reactions. The inadequate knowledge about  adverse reactions and the unavailability of reporting forms played a major role in discouraging healthcare professionals to detect and report ADRs. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - June 25, 2019 Category: Drugs & Pharmacology Source Type: research

Initiation and continuation of antipsychotic medicines in older people following non-psychiatric hospital admission
Conclusion Initiation of antipsychotics during hospital admissions was not frequent in this Australian population. Amongst those who did initiate antipsychotics, for almost half no diagnosis corresponding with an approved indication for use was recorded and long-term use of up to one year was common. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - June 25, 2019 Category: Drugs & Pharmacology Source Type: research

Health-related quality of life of  exposed versus non-exposed androgen deprivation therapy patients with prostate cancer: a cross-sectional study
Conclusions The quality of life  of patients with all-stages prostate cancer differs significantly between androgen deprivation therapy users and non-androgen deprivation therapy users. The HRQoL for androgen deprivation therapy users is worse than for the non-androgen deprivation therapy users. Additionally, the symptoms are the key determinants of the quality of life. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - June 25, 2019 Category: Drugs & Pharmacology Source Type: research

Estimation of apparent clearance of valproic acid in adult Saudi patients
Conclusion This model showed significant inter-individual variability between subjects. Our findings showed that patient age, body weight, total daily dose, and cotherapy with carbamazepine and phenytoin are the most significant covariates of valproic acid clearance. Collectively, healthcare providers should take these factors in consideration for optimal valproic acid dosage regimen. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - June 20, 2019 Category: Drugs & Pharmacology Source Type: research

Claudia Rijcken (ed): Pharmaceutical care in digital revolution, insights towards circular innovation
(Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - June 20, 2019 Category: Drugs & Pharmacology Source Type: research

Cost-effectiveness of a clinical medication review in vulnerable older patients at hospital discharge, a randomized controlled trial
AbstractBackground Drug-related problems (DRP) following hospital discharge may cause morbidity, mortality and hospital re-admissions. It is unclear whether a clinical medication review (CMR) and counseling at discharge is a cost-effective method to reduce DRP.Objective To assess the effect of a CMR on health care utilization and to investigate whether CMR is a cost-effective method to reduce DRP in older polypharmacy patients discharged from hospital.Setting 24 community pharmacies in the Netherlands.Method A cluster-randomized controlled trial with an economic evaluation. Community pharmacies were randomized to those pro...
Source: International Journal of Clinical Pharmacy - June 17, 2019 Category: Drugs & Pharmacology Source Type: research

Attitudes, knowledge and views on off-label prescribing in children among healthcare professionals in Malaysia
Conclusion There is a need to increase the knowledge of hospital —based pharmacists and paediatric doctors and address several concerns on off-label prescribing in children. The decision to prescribe or dispense off-label drugs involved collective decision-making mechanisms and guidance is required with regards to offlabel prescribing in children. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - June 13, 2019 Category: Drugs & Pharmacology Source Type: research

The appropriateness of psychotropic medicines: an interview study of service users attending a substance misuse service in England
Conclusion Most service users described improved functioning as a result of their prescribed psychotropic medications. Prescriptions that are inappropriate in terms of their usual indications may well be justified if they assist in stabilising service users and moving them on to recovery. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - June 13, 2019 Category: Drugs & Pharmacology Source Type: research

Assessment of potentially inappropriate medications using the EU (7)-PIM list and the Swedish quality indicators
Conclusion The prevalence of PIMs was relatively low in the study sample according to the Swedish guidelines but high according to the EU (7)-PIM list. Different evaluation tools might give inconclusive results, but it is still important to continuously evaluate the need for PIMs in older patients in order to improve drug treatment and to decrease the risk of adverse drug reactions. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - June 10, 2019 Category: Drugs & Pharmacology Source Type: research

A regulatory perspective on the availability of medicines and medicine shortages in outpatient care: case Finland
AbstractThe good availability of medicines and medicine shortages have become global issues during recent years. Medicine shortages are often affected by universal determinants, but the availability of medicines is also depending on national characteristics. This commentary aims to discuss the issue of the availability of medicines and medicine shortages in outpatient care in Finland, taking in consideration both national characteristics and global determinants that effect on the availability of medicines in other countries but Finland also. In this commentary, a regulatory approach is applied. (Source: International Journ...
Source: International Journal of Clinical Pharmacy - June 7, 2019 Category: Drugs & Pharmacology Source Type: research

Potential drug interactions with antibacterials in long-term care facilities analyzed by two interaction checkers
AbstractBackground Residents in long-term care facilities take many medications concomitantly, including antibacterials, which increases the risk of drug –drug interactions.Objectives The aims of the study were to investigate the prevalence of severe potential interactions between antibacterials and other medications in Slovenian long-term care facilities and to compare the performance of two different drug –drug interaction checkers in these settings.Setting Residents in long-term care facilities in Slovenia.Method A point-prevalence study was conducted from April 2016 to June 2016. Residents ’ character...
Source: International Journal of Clinical Pharmacy - June 6, 2019 Category: Drugs & Pharmacology Source Type: research

Pharmacotherapy related quality of life in Thai patients with chronic diseases
Conclusion Pharmacotherapy related quality of life in Thai patients is moderate-to-good. Five of eight pharmacotherapy related quality of life domain scores differed by disease groups. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - June 6, 2019 Category: Drugs & Pharmacology Source Type: research

Adverse events in patients with ankylosing spondylitis treated with TNF inhibitors: a cross-sectional study
Conclusion TNF inhibitors show a good safety profile in ankylosing spondylitis patients. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - June 6, 2019 Category: Drugs & Pharmacology Source Type: research

Impact of pharmacist ’s intervention on reducing cardiovascular risk in obese patients
AbstractBackground Obesity is a risk factor for cardiovascular disease, the leading cause of death. Health education, nutritional follow-up, and life style habits modification are key for cardiovascular risk reduction in obese patients.Objective To measure the impact of pharmacist ’s intervention on cardiovascular risk in obese patients.Setting A Spanish community pharmacy.Method Obese patients (BMI ≥ 30) with (group A, n = 30) and without (group B, n = 14) comorbidities were selected. Variables determined in first visit on-site: anthropometric values (weigh...
Source: International Journal of Clinical Pharmacy - June 3, 2019 Category: Drugs & Pharmacology Source Type: research

Prevalence of potentially inappropriate medications in older adults in Argentina using Beers criteria and the IFAsPIAM List
Conclusions The IFAsPIAM List is an effective tool to evaluate the prescription of PIMs in the elderly. The results showed a high prevalence of PIMs with a multicausal origin and directly associated with polypharmacy. As clarified by the authors of the IFAsPIAM List, the criteria specified in the list do not substitute the clinical evaluation of each patient. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - June 3, 2019 Category: Drugs & Pharmacology Source Type: research

Use of non-formulary high-cost medicines in an Australian public hospital
Conclusions Non-formulary high-cost medicines are being used for a broad range of indications based largely on low levels of evidence. Prospective definition of an adequate response to treatment and reporting of these outcomes is required to improve the evidence-base and to aid decision-making for subsequent treatment courses. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - June 3, 2019 Category: Drugs & Pharmacology Source Type: research

Knowledge, awareness, perception and reporting of experienced adverse drug reactions among outpatients in Nigeria
AbstractBackground Higher incidence of adverse drug reactions (ADRs) remain a major cause of morbidity and mortality. Most targeted ADR reporting activities are mainly professional-centered with less attention to patients ’ knowledge, perception and selfreporting of experienced ADRs.Objectives To comprehensively evaluate patients ’ knowledge, awareness, perception and reporting of experienced ADRs.Setting Three public healthcare facilities in Ibadan, southwestern Nigeria.Method A questionnaire-guided cross-sectional interview of 1190 consented ambulatory adult patients consecutively recruited from various clini...
Source: International Journal of Clinical Pharmacy - May 28, 2019 Category: Drugs & Pharmacology Source Type: research

General practitioner –pharmacist collaboration in Germany: an explanatory model
Conclusion The results provide evidence for the factor structure of both measures in measuring attitudes toward and frequency of collaboration. A model of collaboration in which behaviour and extent of collaboration are directly influenced by individual and context characteristics is supported. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - May 28, 2019 Category: Drugs & Pharmacology Source Type: research

Balancing traditional activities and cognitive pharmaceutical services by community pharmacists: a work sampling study
Conclusion This study shows that community pharmacists that spend more time on cognitive pharmacy services are devoting less time on managerial activities, logistics and other activities. Pharmacists spending more time on cognitive pharmaceutical services are mostly locum pharmacists or work at a pharmacy located in a residential area with largely older inhabitants. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - May 28, 2019 Category: Drugs & Pharmacology Source Type: research

Early pharmacokinetics of low dosage mycophenolate exposure in Thai kidney transplant recipients
AbstractBackground The effects of mycophenolic acid exposure in the early period after transplantation on clinical outcomes have been reported; however, mycophenolic acid exposure in the early period after transplantation in Asian kidney transplant recipients who receive 1.5  g/d mycophenolate mofetil has never been investigated. Objective To determine mycophenolic acid exposure on day 3 post-transplantation in kidney transplant recipiens who receive 1.5 g/d mycophenolate mofetil. The effects of the reduced renal function on mycophenolic acid area under the concentrat ion–time curve (AUC) and the achievemen...
Source: International Journal of Clinical Pharmacy - May 25, 2019 Category: Drugs & Pharmacology Source Type: research

Pharmacists ’ perspectives on medication reviews for long-term care residents with advanced dementia: a qualitative study
Conclusion Incorporating avenues for greater communication between team members can improve collaboration between health professionals and ultimately the quality of medication reviews. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - May 23, 2019 Category: Drugs & Pharmacology Source Type: research

Pharmacy-supported interventions at transitions of care: an umbrella review
Conclusion Pharmacy-supported interventions at transitions of care are heterogeneous and potentially improve medication safety, but show no significant effect on mortality. The effect on healthcare utilization and costs is inconclusive. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - May 23, 2019 Category: Drugs & Pharmacology Source Type: research

Perceptions of medicine use among pregnant women: an interview-based study
Conclusion Many pregnant women are concerned about how to use medicines. To reduce these concerns and ensure the appropriate use of medicines during pregnancy, initiatives are needed to strengthen evidence-based advice from health care professionals, especially during the first trimester. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - May 18, 2019 Category: Drugs & Pharmacology Source Type: research

Potentially inappropriate medications in older kidney transplant recipients: a Brazilian prevalence study
AbstractBackground Older kidney transplant recipients take a larger number of medications than younger patients,  but there is currently no evidence that this affects health outcomes or that is it associated with potentia medicine-related problems.Objective To evaluate the prevalence and number of potentially inappropriate medications in older kidney transplant recipients and also the  possible associated factors (sex, age, comorbidities, number of medications, etc.).Setting A renal post-transplant ambulatory outpatient clinic of a university hospital in Fortaleza, Brazil.Method PIMs were defined according to the...
Source: International Journal of Clinical Pharmacy - May 15, 2019 Category: Drugs & Pharmacology Source Type: research

Creating an Interprofessional guideline to support patients receiving oral anticoagulation therapy: a Delphi exercise
Conclusion The 18 recommendations included in this guideline provide the base for optimization of anticoagulation care across different countries/healthcare systems. Future work involves translating the guideline recommendations into clinical practice. Once implemented, the recommendations of the guideline will support health care providers with the pharmaceutical care for patients on, oral anticoagulation which will improve the effective and safe use  of these medicines. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - May 15, 2019 Category: Drugs & Pharmacology Source Type: research

External validation of a clinical pharmacy intervention in geriatric inpatients: a controlled study
AbstractBackground Clinical pharmacist interventions have been shown to improve drug use in older adults. Study findings are seldom externally validated however.Objective First, to validate a minimized iteration of a previously tested intervention of clinical pharmacists in a non-academic setting with limited staffing resources. Second, to compare the potentially inappropriate medication (PIM) reduction to two previous controlled interventional studies.Methods A controlled study was performed at geriatric wards. The control group received usual care. The intervention group was exposed to a clinical pharmacist led  med...
Source: International Journal of Clinical Pharmacy - May 15, 2019 Category: Drugs & Pharmacology Source Type: research

Pharmacy ethical reasoning: a comparison of Australian pharmacists and interns
Conclusion Interns focussed on legislation and guidelines when presented with hypothetical ethical dilemmas. In contrast to this positivist approach, pharmacists reported using a social constructionist approach with peers as a reference. Pharmacists avoided ethical scenario options that required complex management. Interns reported more exposure to potential practice privacy breaches. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - May 15, 2019 Category: Drugs & Pharmacology Source Type: research

Implementation fidelity of an intervention programme to enhance adherence to antihypertensive medication in Dutch community pharmacies
Conclusion Implementation fidelity was moderate to high for all key intervention components. Therefore, the absence of effectiveness of the CATI intervention programme on self-reported medication adherence cannot be explained by poor implementation of the intervention. However, the limited genuine eligibility of some participants resulted in a limited potential for improvement in medication adherence. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - May 15, 2019 Category: Drugs & Pharmacology Source Type: research

Prevalence of potentially inappropriate medications among geriatric residents in nursing care homes in Malaysia: a cross-sectional study
Conclusion The 2015 Beers criteria was able to identify more PIM ’s compared to STOPP-2 criteria. The findings also support the expansion of pharmacists’ services in nursing homes in Malaysia. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - May 9, 2019 Category: Drugs & Pharmacology Source Type: research

Engaging patients to access the community pharmacy medicine review service after discharge from hospital: a cross-sectional study in England
Conclusion The use of written and verbal information to encourage patients to use the dMUR service had minimal impact. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - May 9, 2019 Category: Drugs & Pharmacology Source Type: research

Characteristic of drug-related problems and pharmacists ’ interventions in a stroke unit in Thailand
Conclusion DRP in a stroke unit is common. Clinical pharmacists in a stroke unit can effectively reduce and prevent DRPs with the focus on performing medication reconciliation, providing recommendation on dosage adjustment and proper drug selection for stroke patients. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - May 3, 2019 Category: Drugs & Pharmacology Source Type: research

Implementation of a pharmaceutical care program for patients with hepatitis C treated with new direct-action antivirals
Conclusion The implementation of a pharmaceutical care program in patients with hepatitis C treated with direct-acting antivirals has improved the safety in the use of these drugs. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - April 27, 2019 Category: Drugs & Pharmacology Source Type: research

Evaluation of a mobile health intervention to support asthma self-management and adherence in the pharmacy
Conclusion Pharmacists and patients perceived many beneficial effects and were positive about the the use of the interactive ADolescent Adherence Patient Tool (ADAPT) intervention. This study emphasizes opportunities for mHealth in improving the quality of care, which supports the need for further implement ation in clinical practice. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - April 27, 2019 Category: Drugs & Pharmacology Source Type: research

Validity of a nationwide medication record system in the Netherlands
Conclusion Even with a Nationwide Medication Record System medication reconciliation with the patient remains essential to obtain complete information about patient ’s actual medication use. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - April 27, 2019 Category: Drugs & Pharmacology Source Type: research

Accuracy of pharmacist electronic discharge medicines review information transmitted to primary care at discharge
Conclusion Discrepancies were due to changes in the patient ’s medicines journey not being fully captured and documented. The overall reduction of discrepancies over the three consecutive audits was felt to be largely due to formalisation of the discharge medicines reconciliation process and reminding staff on how to complete a note. We are planning to uti lise informatics surveillance tools along with system developments to sustain this elimination of out of date notes being transmitted to primary care. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - April 26, 2019 Category: Drugs & Pharmacology Source Type: research

Adverse effects of mycophenolic acid in renal transplant recipients: gender differences
Conclusions The results of our research showed that recipients ’ gender may play an important role in pharmacokinetic profile of mycophenolic acid, suggesting that women had higher concentration of mycophenolic acid and more serious side effects. (Source: International Journal of Clinical Pharmacy)
Source: International Journal of Clinical Pharmacy - April 26, 2019 Category: Drugs & Pharmacology Source Type: research