Expansion of clinical pharmacy through increased use of outpatient pharmacists for anticoagulation services

American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
Achsah PhilipKevin W Garey

Abstract

The expansion of clinical pharmacy services through increased use of outpatient pharmacists for anticoagulation services is described. Due to the high demand for clinical pharmacist services by patients and medical staff at Harris Health System in Houston, Texas, and the strict budgetary restrictions to improve the quality of care through cost-neutral services, a new telephone anticoagulation monitoring service, provided by clinical pharmacists, was established at four of the busiest anticoagulation ambulatory care centers within the system. One clinical staff pharmacist was trained in each of the four clinics by a clinical pharmacy specialist. Each pharmacist received roughly two weeks of training to provide this service. Implementation of the new anticoagulation monitoring service occurred on April 1, 2013. Data collected between October 2011 and April 2014 revealed significantly more visits per month for the clinical pharmacy service after the implementation of the telephone anticoagulation monitoring service (p=0.011). Redistribution of workflow resulted in a 16% increase in clinical pharmacy patient volume at the ambulatory care clinics (p=0.011). The percentage of International Normalized Ratio values in the therapeutic r...Continue Reading

References

Jan 12, 2005·Archives of Internal Medicine·Kari L OlsonUNKNOWN Clinical Pharmacy Cardiac Risk Service Study Group
Dec 25, 2009·Circulation. Cardiovascular Quality and Outcomes·Yi WanYongyong Xu
Jun 7, 2011·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Cynthia BrennanShabir Somani
Jul 31, 2013·International Journal of Clinical Pharmacy·Ryan R SchupbachDonald L Harrison

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Citations

Feb 1, 2018·Journal of Managed Care & Specialty Pharmacy·Amanda W BenedictNazia Rashid
Sep 28, 2021·Frontiers in Pharmacology·Maha Al AmmariAswaq Maringa

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