Impact of a pharmacy technician on an interprofessional antithrombotic stewardship program at an academic medical center.

Autor:	Hammonds WM; Department of Pharmacy, West Virginia University Medicine - West Virginia University Hospitals, Morgantown, WV, USA., Bowman EA; Department of Pharmacy, West Virginia University Medicine - West Virginia University Hospitals, Morgantown, WV, USA., Chiplinski AN; Department of Pharmacy, West Virginia University Medicine - West Virginia University Hospitals, Morgantown, WV, USA., Keeting TA; Department of Pharmacy, West Virginia University Medicine - West Virginia University Hospitals, Morgantown, WV, USA., Pagenhardt SM; Department of Pharmacy, West Virginia University Medicine - West Virginia University Hospitals, Morgantown, WV, USA., Valdez P; Department of Pharmacy, West Virginia University Medicine - West Virginia University Hospitals, Morgantown, WV, USA., Street AF; Department of Pharmacy, West Virginia University Medicine - West Virginia University Hospitals, Morgantown, WV, USA., Caccamo M; Heart and Vascular Institute, West Virginia University Medicine - West Virginia University Hospitals, Morgantown, WV, USA., O'Neil DP, Peters JE; Department of Nursing, West Virginia University Medicine - West Virginia University Hospitals, Morgantown, WV, USA., Stoffa SL; Department of Nursing, West Virginia University Medicine - West Virginia University Hospitals, Morgantown, WV, USA.
Jazyk:	angličtina
Zdroj:	American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists [Am J Health Syst Pharm] 2024 Jul 08; Vol. 81 (14), pp. 615-621.
DOI:	10.1093/ajhp/zxae042
Abstrakt:	Purpose: The need for monitoring and standardization of anticoagulation management has garnered the attention of national organizations, driving the implementation of antithrombotic stewardship programs (ASPs). Established ASPs have highlighted interdisciplinary collaboration between physicians, nurses, and pharmacists and demonstrated financial benefits and positive patient care outcomes. While pharmacy technicians are key members of the pharmacy profession, they are rarely utilized to expand clinical programs. The aim of this report is to describe the impact of adding a pharmacy technician to an ASP at an academic medical center. Summary: The departments of pharmacy and quality at West Virginia University Hospitals (WVUH) developed a business plan and financially justified an ASP. The ASP was implemented in January 2022 and consisted of 2 full-time clinical pharmacist specialists, 1 full-time clinical pharmacy technician, 2 full-time clinical nurse specialists, and 1 part-time physician medical director. The clinical pharmacy technician's primary role was to review patients' sequential compression device (SCD) compliance and newly started oral anticoagulants prior to discharge. The clinical nurse specialists educated patients newly started on oral anticoagulants within 24 hours of discharge and triaged any postdischarge medication access issues. The medical director provided high-level program oversight and acted as a clinical consultant on complex patient cases. In the first 6 months after the program's implementation, the clinical pharmacy technician made 174 recommendations to the clinical pharmacist specialists regarding discharge transitions of care and assessed SCD compliance in 246 patients. Of the 246 patients assessed, 217 patients (88%) were deemed to be noncompliant. Conclusion: The pharmacy department at WVUH successfully justified and implemented an interprofessional ASP at an academic medical center, which is the first ASP to date to incorporate a clinical pharmacy technician. (© American Society of Health-System Pharmacists 2024. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.)
Databáze:	MEDLINE
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