American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists
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The treatment of pulmonary arterial hypertension (PAH) in pregnancy is reviewed. ⋯ Targeted pulmonary vasodilators are viable treatment options for pregnant patients with PAH. Early recognition and management of worsening symptoms are essential to improve outcomes for both the mother and infant.
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Am J Health Syst Pharm · Sep 2007
Dosing factor VIIa (recombinant) in nonhemophiliac patients with bleeding after cardiac surgery.
The dosing of factor VIIa (recombinant) in nonhemophiliac patients with cardiac-surgery-associated bleeding (CSAB) is discussed. ⋯ No particular dose of factor VIIa (recombinant) is strongly supported in the literature for off-label use, and thromboembolic events may be dose dependent. Use of the smallest possible dose is warranted because of the high cost of factor VIIa (recombinant) and the potential for thromboembolic events. A single dose of 2.4 or 4.8 mg or 45 microg/kg should be considered.
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Am J Health Syst Pharm · Sep 2007
Clinical documentation for patient care: models, concepts, and liability considerations for pharmacists.
A guide to the appropriate documentation of the critical aspects of the patient medical record to ensure reimbursement and the reduction of medical liability is presented. ⋯ Documentation in a universal format allows for communication among health care practitioners. Written documentation is one key to a successful, open-communication partnership among providers. In addition, accurate, appropriate, and concise documentation is an essential component of ensuring that the patient care provided is evident, not only for patient safety and continuity but also for cases where reimbursement and quality of care are being challenged contractually or legally.
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Am J Health Syst Pharm · Sep 2007
Analysis of pharmacist charges for medication therapy management services in an outpatient setting.
Pharmacist charges for medication therapy management (MTM) services in an outpatient setting were analyzed. ⋯ Converting from incident-to physician billing to pharmacist billing would not generate additional revenue for this medical center at this time.