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 · Dec 2009
The Food and Drug Administration Amendments Act of 2007: drug safety and health-system pharmacy implications.
To describe the drug safety provisions of the Food and Drug Administration Amendments Act (FDAAA) of 2007, including risk evaluation and mitigation strategies (REMS), and the implications for health-system pharmacists. ⋯ Standardization of elements to ensure the safe use of drugs with known serious risks is needed so that REMS are not unduly burdensome for the health care delivery system and do not needlessly limit patient access to the drugs.
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Am J Health Syst Pharm · Dec 2009
Risk evaluation and mitigation strategies: impact on patients, health care providers, and health systems.
To describe the impetus for and evolution, components, and potential impact on patients, health care providers, and health systems of risk evaluation and mitigation strategies (REMS) required by the Food and Drug Administration (FDA) for managing known or potential serious drug risks. ⋯ The goal of improving drug safety is sought by the FDA, patients, health care providers, and health systems alike. Collaboration among health care providers may provide efficiencies in meeting FDA REMS requirements.
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Am J Health Syst Pharm · Dec 2009
Specialty pharmacies and other restricted drug distribution systems: financial and safety considerations for patients and health-system pharmacists.
To discuss the role of restricted drug distribution systems in the implementation of risk evaluation and mitigation strategies (REMS), health-system pharmacists' concerns associated with the use of specialty pharmacies and other restricted drug distribution systems, reimbursement policies for high-cost specialty drugs, supply chain models for traditional and specialty drugs, and emerging trends in the management of and reimbursement for specialty pharmaceuticals. ⋯ Health-system pharmacists can improve drug safety and manage costs by collaborating with group purchasing organizations, establishing policies for brown bagging, and making efforts to reconcile drug therapy provided in different settings through traditional drug channels and specialty pharmacies or other restricted drug distribution systems.
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Am J Health Syst Pharm · Dec 2009
Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge.
The implementation of a comprehensive medication reconciliation program to reduce errors in admission and discharge medication orders at an academic medical center is described. ⋯ A pharmacy-driven multidisciplinary admission history and medication reconciliation process has reduced medication errors in an academic medical center.