2- Tuesday  Pharmacy Practice News – 6th April

1 – How accurately is hospital acquired pneumonia documented for the correct assignment of a hospital acquired complication (HAC)?

• In 2016, ACSQHC released a list of 16 categories of potentially preventable, high impact hospital-acquired complications (HAC) identified by using administrative coded data (ACD).
• There are no published studies concerning the current ACSQHC approach to HAI surveillance using ACD and no pneumonia-specific ACD studies reported from Australia.
• Published work indicates that ACD detection of HAP has low a sensitivity and positive predictive value (PPV).
• The current study was designed to examine whether coders correctly reflected the documentation of HAP that was present in the medical record and also evaluated the medical documentation that was present.

Source: ScienceDirect

2 – Community Pharmacist Perceptions of Increased Technician Responsibility

• Pharmacists have long struggled to balance the time they spend on clinical tasks with other technical, dispensatory tasks.
• To alleviate this burden, regulatory steps have been taken by some states to expand the scope of practice for community pharmacy technicians.
• The objective of this study is to determine what settings and characteristics predict pharmacists’ comfort level with technicians giving/receiving verbal prescriptions, performing non-clinical MTM tasks, administering immunizations, and verifying prescriptions.
• Pharmacist characteristics may affect the expansion of technician task expansion, no matter what state regulations allow.

Source: ScienceDirect

3 – Pharmacists’ Role, Work Practices, and Safety Measures against COVID-19: A Comparative Study

• The coronavirus disease (COVID-19) pandemic poses a great challenge to health systems and their most accessible assets—community pharmacies.
• Pharmacists faced many challenges such as incorporating safety measures, changes in working schedule and workload, and meeting specific patients’ needs.
• This study aimed to explore and compare the community pharmacists’ roles, practices, implemented safety measures, and psychological toll in Croatia and Serbia during the COVID-19 pandemic.
• It is imperative to develop a more effective strategy to counter potential health crises to ensure a better response from primary care pharmacists in the future.

Source: ScienceDirect

4- Investigation the success rate of hospital information system (HIS): Development of a questionnaire and case study

• The implantation of hospital information systems (HISs) has grown dramatically in recent years.
• Understanding the success rate of HIS is key in health organizations.
• In this study, a validated questionnaire for HISs evaluation based on the Information System Success Model (ISSM) has been provided.
• In addition, the HIS success rate was determined.

Source: ScienceDirect

5 – Intermittent Education and Audit and Feedback Reduce Inappropriate Prescribing of Oral Third-Generation Cephalosporins for Pediatric Upper Respiratory Tract Infections

• In June 2017, leaders within a pediatric ambulatory care network in Houston approached the antimicrobial stewardship team at Texas Children’s Hospital with concerns for high oral third-generation cephalosporin (oTGC) use in their clinics.
• An outpatient quality improvement (QI) team was formed.
• The specific aim was to reduce inappropriate oTGC prescribing at one clinic by 15% in one year.
• Intermittent education and audit and feedback were associated with reduced oTGC misuse at Clinic A but not at four control clinics.
• Improvements were maintained despite decreased participation in stewardship activities, suggesting that perceptions of ongoing antibiotic audits can help sustain prescribing improvements.

Source: ScienceDirect

6 – Antibiotic use in paediatrics

• Antibiotics play an important role in the treatment and management of bacterial infections.
• The concern for the management of antibiotic resistance in many countries has led to the introduction of various measures.
• Such initiatives include World Health Organization (WHO) model Essential Medicine List for children [EMLc] introduced in 2017, which attempted to improve antibiotic stewardship by streamlining their use and classifying antibiotics into three broad classes: Access, Watch, and Reserve [AWaRe].
• In this classification, Access antibiotics refer to the first line or second line antibiotics for key infections, which should be widely available at low cost, Watch antibiotics are considered as those with high susceptibility to resistance, and Reserve are antibiotics of last resort and should be used as a contingency under specialist guidance and monitoring.

Source: ScienceDirect

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