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In Which Areas Have Clinical Pharmacists Been the Most Successful in Patient Care ?

In Which Areas Have Clinical Pharmacists Been the Most Successful in Patient Care ?. Hospital inpatient unit (wards) Therapeutic drug monitoring Anticoagulation services IV antibiotic usage Establishing collaborative drug protocols

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In Which Areas Have Clinical Pharmacists Been the Most Successful in Patient Care ?

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  1. In Which Areas Have Clinical Pharmacists Been the Most Successful in Patient Care ? • Hospital inpatient unit (wards) • Therapeutic drug monitoring • Anticoagulation services • IV antibiotic usage • Establishing collaborative drug protocols • Prescriber authorizes pharmacists to engage in specified activities including adjusting and/or initiation therapy • Examples • Anticoagulation Nutrition support services • Smoking cessation Pain management

  2. In Which Areas Have Clinical Pharmacists Been the Most Successful in Patient Care ? • Community pharmacists • Administering immunizations • Dispensing emergency contraception

  3. How Were Health Care Providers/Authorities Convinced to Increase Pharmacist Involvement? • Key steps • Decentralization of pharmacy services to patient care areas (out of basement!) • Developing relationships and building trust between pharmacists and prescribers • Demonstration of reduced drug and overall costs and better clinical outcomes with pharmacist involvement

  4. Main Difficulties? • Lack of standardization of pharmacist training • Lack of reimbursement for services • Buy-in from healthcare administration • Lack of awareness of range of services pharmacists can provide • Pharmacist perceptions of their professional role • Competition with other non-physician prescribers • e.g. nurse practitioners, physician assistants

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