Journal of the American Pharmacists Association : JAPhA
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J Am Pharm Assoc (2003) · Nov 2019
Randomized Controlled TrialPharmacist linkage in care transitions: From academic medical center to community.
To improve the care of patients discharged from the University of Mississippi Medical Center (UMMC) after treatment for acute myocardial infarction, heart failure, pneumonia, and chronic obstructive pulmonary disease; reduce preventable hospital readmissions; and inform future care transition collaborations between hospital teams and community pharmacies. ⋯ With access to patient records, pharmacists have the potential to positively affect patient outcomes through medication management during care transitions.
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J Am Pharm Assoc (2003) · Nov 2018
Randomized Controlled TrialKey components of success in a randomized trial of blood pressure telemonitoring with medication therapy management pharmacists.
The Hyperlink trial tested a 12-month intervention of home blood pressure (BP) telemonitoring with pharmacist case management in adults with uncontrolled hypertension. The intervention resulted in improved BP control compared with usual care at both 6 (72% vs. 45%; P < 0.001) and 12 months (71% vs. 53%; P = 0.005). We sought to investigate factors contributing to intervention success. ⋯ Frequent adjustments to the antihypertensive treatment regimen based on home BP telemonitoring resulted in rapid lowering of BP. Our results suggest that an intensive telephone-based intervention with the key components of medication adjustments, a strong patient and pharmacist relationship, and individualized treatment plans can achieve BP control in only 3 months in many patients with uncontrolled hypertension.
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J Am Pharm Assoc (2003) · Sep 2018
Randomized Controlled TrialThe effect of a pharmacist-led multidisciplinary transitions-of-care pilot for patients at high risk of readmission.
To evaluate the feasibility and effect of a pharmacist-led transitions-of-care (TOC) pilot targeted to patients at high risk of readmission on process measures, hospital readmissions, and emergency department (ED) visits. ⋯ A pharmacist-led TOC pilot demonstrates potential for reducing hospital readmissions. The intervention was time intensive and led to creation of a TOC pharmacist role to implement medication-related transitional care.
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J Am Pharm Assoc (2003) · Jul 2018
Randomized Controlled TrialA community pharmacy intervention for opioid medication misuse: A pilot randomized clinical trial.
Community pharmacy continues to play a crucial role in the national response to the opioid epidemic. The purpose of this article is to describe the protocol for a pilot study that is examining the feasibility and acceptability of the Motivational Intervention-Medication Therapy Management (MI-MTM) model. This study also examines the preliminary clinical effect of MI-MTM for improving opioid medication misuse and patient activation in self-management of health conditions that increase risk for misuse. ⋯ This study is the first in the United States to implement an evidence-based integrated behavioral intervention into the community pharmacy setting to address opioid medication misuse among pharmacy patients. The results of this study will provide necessary foundational data that allow further testing of this intervention model in a larger trial.
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J Am Pharm Assoc (2003) · May 2017
Randomized Controlled TrialPharmacist-to-prescriber intervention to close therapeutic gaps for statin use in patients with diabetes: A randomized controlled trial.
To assess the effect of a community pharmacist-led intervention on the proportion of patients with diabetes placed on statin therapy. ⋯ Through a brief pharmacist-to-provider intervention, a significant gap closure in statin therapy was seen in patients with diabetes. There is an opportunity for pharmacies, health plans, and prescribers to utilize the community pharmacist in achieving quality, evidence-based patient care.