Hospital pharmacy
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As pharmacy leaders develop health-system pharmacy services, it is important for them to understand successful leadership behaviors and apply them effectively to be successful in managing the challenges of health care. Directors can learn various skills from leaders both in and outside of pharmacy. ⋯ Leadership qualities that made him successful include the use of clear and simple communication, decisiveness, willingness to take risks and learn from failure, commitment to self-improvement, and the ability to inspire and lead others. This article describes these leadership characteristics displayed by Winston Churchill and discusses ways these qualities can be used effectively by today's pharmacy leaders in building patient-centered services.
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Opioid utilization for acute pain has been associated with numerous adverse events, potentially resulting in longer inpatient stays and increased costs. ⋯ There was not a statistically significant difference in postoperative opioid consumption between patients receiving and not receiving IV acetaminophen intraoperatively.
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Erythroderma, or red man's syndrome, is a common infusion-related reaction following vancomycin administration. Erythroderma following daptomycin rapid infusion has not been documented. ⋯ A 2-minute intravenous injection of daptomycin in this patient yielded a reaction that was not present on rechallenge with standard, extended infusion.
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Bupivacaine liposomal injection was recently approved by the US Food and Drug Administration (FDA) as a local anesthetic for use in management of postsurgical pain in adults. When compared to placebo, bupivacaine liposomal decreases postoperative pain and opioid use. This review examines the efficacy of bupivacaine liposomal when compared to conventional bupivacaine ± epinephrine using published and unpublished data provided to the FDA by the manufacturer.