Hospital Pharmacy

A special issue of Pharmacy (ISSN 2226-4787).

Deadline for manuscript submissions: closed (30 September 2016) | Viewed by 16389

Special Issue Information

Dear Colleague,

As a hospital pharmacist, you have endeavored to incessantly sustain and develop medication management and pharmaceutical care of patients in the hospital setting with your unique set of skills and focus. We invite you to share your journey by documenting your investigative pursuits and involvement in bench to individual patient to population-based studies, as well as advancement in service delivery within a constantly changing work environment that demands care and service transformation.

We hope this Special Issue will inspire fellow health professionals and hospital administrators everywhere to strive for higher standards in practice, overcome barriers and obstacles in order to make improvements happen and recognize those who have completed successful and sustainable initiatives in hospital pharmacy. As change is constant in the healthcare environment, where the ingenuity of hospital pharmacists encounters a myriad of complexities and challenges, we eagerly look forward to the submission of your research paper for our review.

Associate Professor Sui Yung CHAN
Assistant Professor Lita Sui Tjien CHEW
Guest Editors

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Keywords

  • Pharmaceutical sciences including the development and testing of new dosage forms or medication-administration modalities
  • Clinical research concerning the efficacy, safety and pharmacokinetics of medications
  • Pharmacy practice research addressing various issues such as the evaluation of new and existing services, automation, workload measurement, pharmacoeconomics, patient safety and quality management
  • Education, training, competencies and specialization of hospital pharmacists

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Published Papers (3 papers)

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Research

380 KiB  
Article
Comparison of Insulin Detemir and Insulin Glargine for Hospitalized Patients on a Basal-Bolus Protocol
by Sondra Davis, Chad Friece, Nicki Roderman, Darrell Newcomer and Evangelina Castaneda
Pharmacy 2017, 5(2), 22; https://doi.org/10.3390/pharmacy5020022 - 23 Apr 2017
Cited by 8 | Viewed by 5784
Abstract
BACKGROUND: The primary purpose of this study is to determine whether insulin detemir is equivalent to insulin glargine in controlling hyperglycemia for the adult hospitalized patient on a basal-bolus treatment regimen. METHODS: A retrospective study was conducted at two acute care hospitals within [...] Read more.
BACKGROUND: The primary purpose of this study is to determine whether insulin detemir is equivalent to insulin glargine in controlling hyperglycemia for the adult hospitalized patient on a basal-bolus treatment regimen. METHODS: A retrospective study was conducted at two acute care hospitals within the same health system. Patients from both facilities who were initiated on a basal-bolus subcutaneous insulin regimen were included in the study. The basal-bolus regimen consisted of three components: basal, bolus, and corrective insulin with only the data from the first seven days analyzed. Once the basal-bolus protocol was initiated, all previous glycemic agents were discontinued. The target glycemic goal of the study was 100–180 mg/dL. RESULTS: In both groups, 50% of the patients had achieved the target glycemic control goal (100–180 mg/dL) by day 2 (p = 0.3). However, on the seventh or last day of basal-bolus treatment, whichever came first, 36.36% of patients receiving insulin detemir (n = 88) achieved the blood glucose reading goal compared to 52.00% in patients receiving insulin glargine (n = 100) (p = 0.03). This corresponded to an adjusted odds ratio of 2.12 (1.08 to 4.15), p = 0.03. The adjusting variables were provider type, whether the patient was hospitalized within 30 days prior and diagnosis of stroke. The mean blood glucose readings for the insulin glargine and the insulin detemir groups while on basal-bolus therapy were 200 mg/dL and 215 mg/dL, respectively (p = 0.05). The total number of blood glucose readings less than 70 mg/dL and less than 45 mg/dL was very low and there were no differences in number of episodes with hypoglycemia between the two groups. CONCLUSION: There was not a statistical difference between the two groups at 2 days, however there was on the seventh day or the last day of basal-bolus treatment. There were nonsignificant hypoglycemia events between basal insulin groups and the results for the last or seventh day of treatment may not be clinically significant in practice. Full article
(This article belongs to the Special Issue Hospital Pharmacy)
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190 KiB  
Article
Retrospective Evaluation of Pharmacist Interventions on Use of Antimicrobials Using a Clinical Surveillance Software in a Small Community Hospital
by Samuel R. Huber, Fekadu Fullas, Kristel R. Nelson, Lesleigh B. Ailts, James M. Stratton and Michael T. Padomek
Pharmacy 2016, 4(4), 32; https://doi.org/10.3390/pharmacy4040032 - 21 Oct 2016
Cited by 7 | Viewed by 4396
Abstract
The Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America “Guidelines for Developing an Institutional Program to Enhance Antimicrobial Stewardship” recommend the use of computer-based surveillance programs for efficient and thorough identification of potential interventions as part of an [...] Read more.
The Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America “Guidelines for Developing an Institutional Program to Enhance Antimicrobial Stewardship” recommend the use of computer-based surveillance programs for efficient and thorough identification of potential interventions as part of an antimicrobial stewardship program (ASP). This retrospective study examined the benefit of utilizing a clinical surveillance software program to help guide antimicrobial therapy in an inpatient setting, in a small community hospital, without a formal ASP. The electronic health record (EHR) was used to retrieve documentations for the following types of antibiotic interventions: culture surveillance, duplicate therapy, duration of therapy and renal dose adjustments. The numbers of interventions made during the three-month periods before and after implementation of the clinical surveillance software were compared. Antibiotic related interventions aggregated to 144 and 270 in the pre- and post-implementation time frame, respectively (p < 0.0001). The total number of antibiotic interventions overall and interventions in three of the four sub-categories increased significantly from the pre-implementation to post-implementation period. Clinical surveillance software is a valuable tool to assist pharmacists in evaluating antimicrobial therapy. Full article
(This article belongs to the Special Issue Hospital Pharmacy)
162 KiB  
Article
A Short History of the Development of Hospital Pharmacy in Belgium
by Jean-Daniel Hecq
Pharmacy 2016, 4(3), 25; https://doi.org/10.3390/pharmacy4030025 - 1 Sep 2016
Cited by 1 | Viewed by 5023
Abstract
The Belgian Association of Hospital Pharmacists (BAHP) is a professional and scientific association representing all pharmacists who work in hospital institutions, whether private or public, university, general or psychiatric. This association was created in 1953. The aim of this short paper is to [...] Read more.
The Belgian Association of Hospital Pharmacists (BAHP) is a professional and scientific association representing all pharmacists who work in hospital institutions, whether private or public, university, general or psychiatric. This association was created in 1953. The aim of this short paper is to tell the history of its continuous development in a few words. The main development is reviewed from 1950 to now including: regulation, professional association roles, agreement and continuing education, development of clinical pharmacy, and updating of university training program. A new decree for the hospital pharmacist is in the course of being finalized, including new technologies: automated dispensing, automated compounding, centralization of sterile compounding, e-learning, traceability of medical devices and clinical pharmacy. Full article
(This article belongs to the Special Issue Hospital Pharmacy)
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