American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists
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Am J Health Syst Pharm · Mar 2010
ReviewPharmacotherapeutic disparities: racial, ethnic, and sex variations in medication treatment.
Variations in the medication treatment received by racial and ethnic minorities and women and the negative health outcomes associated with these differences were examined. ⋯ A literature review revealed significant disparities in the medication treatment received by racial and ethnic minorities and women.
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Am J Health Syst Pharm · Mar 2010
Strategies for implementing emergency department pharmacy services: results from the 2007 ASHP Patient Care Impact Program.
Strategies proposed during a patient care impact program for implementing emergency department (ED) pharmacy services are described. ⋯ Despite the diversity in practice settings, participants of the program faced similar challenges in implementing ED pharmacy services at their institutions. Various strategies toward solutions to these challenges were shared among participants and mentors.
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Am J Health Syst Pharm · Mar 2010
Coagulation factor VIIa (recombinant) for warfarin-induced intracranial hemorrhage.
The use of coagulation factor VIIa (recombinant) for the treatment of warfarin-induced intracranial hemorrhage (ICH) is described. ⋯ Use of factor VIIa (recombinant) may be considered for reversal of anticoagulation in patients with warfarin-associated ICH. However, patients should be screened for increased risk of thrombosis before administration of the drug.
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Am J Health Syst Pharm · Mar 2010
Clinical TrialWeight-based heparin protocol using antifactor Xa monitoring.
The performance of a weight-based dosing protocol for unfractionated heparin (UFH) infusions using antifactor Xa monitoring was evaluated. ⋯ A weight-based UFH dosing nomogram using antifactor Xa monitoring resulted in a high percentage of patients achieving target antifactor Xa values within the first 24 hours of therapy.
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Am J Health Syst Pharm · Mar 2010
Developing and implementing clinical decision support for use in a computerized prescriber-order-entry system.
The development and implementation of clinical decision support (CDS) in a computerized prescriber-order-entry (CPOE) system in a large, tertiary care, academic health care system are described. ⋯ Through an interdisciplinary collaboration, an academic health care system planned, designed, and implemented institution-specific, CPOE-integrated CDS to improve clinical efficiency and facilitate the compliance with regulatory policies and guidelines.