Pharmacist recognition of and adherence to medication-use policies and safety practices

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dc.contributor.author Saad, Aline
dc.contributor.author Sweet, Burgunda
dc.contributor.author Stumpf, Janice
dc.contributor.author Gruppen, Larry
dc.contributor.author Oh, Mary
dc.contributor.author Stevenson, James
dc.date.accessioned 2016-09-23T12:10:06Z
dc.date.available 2016-09-23T12:10:06Z
dc.date.copyright 2007 en_US
dc.date.issued 2016-09-23
dc.identifier.issn 1695-0674 en_US
dc.identifier.uri http://hdl.handle.net/10725/4356
dc.description.abstract Purpose. Pharmacist recognition of and adherence to medication-use policies and safety practices were assessed. Methods. Simulation testing was used to assess the performance of pharmacists in hypothetical scenarios simulating real-life situations. Fifty test case medication orders were developed, some requiring specific intervention and some requiring no special action. Orders were classified into four categories: those posing safety concerns n ( = 16), those with formulary and product standardization issues (n = 4), those with pharmacy and therapeutics (P&T) committee restrictions (n = 4), and those requiring no special action (n = 26). Potential barriers to compliance were identified by the project team and the orders categorized accordingly. The orders were processed by 25 pharmacists using a simulation testing procedure. Data were analyzed by pharmacists’ demographics, order category, and perceived barriers to compliance. Results. Pharmacists were correctly able to recognize 77.3% of test orders: 67.3% with safety concerns, 98.9% with formulary issues, and 98.5% with restrictions. Appropriate action was taken with 74.2% of test orders: 64.5% of safety orders, 96.6% of formulary orders, and 92.4% of restriction orders. There was no correlation between pharmacists’ performance and demographic characteristics. The two barriers to correct response identified most often were ambiguous responsibility and low perceived level of importance. Conclusion. Pharmacists generally recognized and took appropriate action with simulated medication orders that contained problems related to formulary or P&T committee restrictions. They were less able to recognize and act appropriately on orders with safety-related problems. Ambiguous responsibility and low perceived importance were the most significant factors contributing to noncompliance with P&T committee policies and guidelines. en_US
dc.language.iso en en_US
dc.title Pharmacist recognition of and adherence to medication-use policies and safety practices en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOP en_US
dc.author.idnumber 200703818 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal American Journal of Health-System Pharmacy en_US
dc.journal.volume 64 en_US
dc.journal.issue 1 en_US
dc.article.pages 2050-2054 en_US
dc.keywords Compliance en_US
dc.keywords Formularies en_US
dc.keywords Hospitals en_US
dc.keywords Interventions en_US
dc.keywords Medication orders en_US
dc.keywords Pharmacists, hospital en_US
dc.keywords Pharmacy and therapeutics committee en_US
dc.keywords Protocols en_US
dc.keywords Toxicity en_US
dc.identifier.ctation Saad, A. H., Sweet, B. V., Stumpf, J. L., Gruppen, L., Oh, M., & Stevenson, J. G. (2007). Pharmacist recognition of and adherence to medication-use policies and safety practices. American Journal of Health-System Pharmacy, 64(19), 2050-2054. en_US
dc.author.email aline.saad@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url http://www.ajhp.org/content/64/19/2050.short en_US

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