ASHP Re-certification Ambassador - New Practitioner: Literature Study 2015, Neurologic Disorders/Geriatrics/Medication Safety

By David Martin posted 12-14-2015 21:56


Hi Everyone, and Happy Holidays from Chicago!

It may not feel like winter in Chicago right now with 60-degree weather, but I have still been extremely busy getting ready for the holidays.  With all of my shopping and decorating finished, I decided to take some time to work on a couple ASHP re-certification courses for BCPS.  I completed two literature study modules (just in the nick of time I might add): Neurology/Geriatrics and Medication Safety.

The Neurology/Geriatrics Literature Module included the following articles:

  • Kernan WN, Ovbiagele B, Black HR et al. Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014; 45:2160-236.
  • Porsteinsson AP, Drye LT, Pollock BG et al. Effect of citalopram on agitation in Alzheimer disease: the CitAD randomized clinical trial. JAMA. 2014; 311:682-91.
  • Wang Y, Wang Y, Zhao X et al. Clopidogrel with aspirin in acute minor stroke or transient ischemic attack. N Engl J Med. 2013; 369:11-9.

The Medication Safety Literature Module included the following articles:

  • Chassin MR, Loeb JM. High-reliability heath care: getting there from here. Milbank Q. 2013; 91 (3): 459-90.
  • Cobaugh DJ, et al. Enhancing insulin-use safety in hospitals: practical recommendations from an ASHP Foundation expert consensus panel. Am J Health Syst Pharm. 2013; 70: 1404-13.
  • Fox BI, Pedersen CA, Gumpper KF. ASHP national survey on informatics: assessment of the adoption and use of pharmacy informatics in U.S. hospitals—2013. Am J Health Syst Pharm. 2015; 72:636-55.
  • Radley DC, Wasserman MR, Olsho LEW et al. Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. J Am Med Inform Assoc. 2013; 20:470-6.
  • Weaver SJ, Lubomksi LH, Wilson RF et al. Promoting a culture of safety as a patient safety strategy: a systematic review. Ann Intern Med. 2013 Mar 5;158(5 Pt 2):369-74.

Both of these literature study modules challenged me to read and analyze articles that I may not have read otherwise.  While I learned new things from both of them, I actually enjoyed the medication safety module a little more, perhaps because I don't often think about non-clinical aspects of pharmacy and patient care.  I especially enjoyed learning more about the CMS stages of of meaningful use and how hospitals are fairing in meeting those components.  As a relatively new pharmacist, I completed all of my education and training at hospitals with fully functioning and integrated electronic medical record systems with CPOE.  I honestly can't even imagine a world without the EMR, and I cringed when I heard stories from my preceptors about having to go around the hospital to find patients' paper charts.  However, with this convenience of having the medical record at our fingertips comes the responsibility to provide even higher quality and safer patient care.

After reading this medication safety material, I can now better understand and appreciate my role as the clinical pharmacist on a patient-care team.  I am lucky enough to work at an organization that supports a culture of safety.  Pharmacists are included in a variety of initiatives aimed at improving patient safety, and we are looked to as the drug experts.  In turn, I rely on my colleagues in nursing, social work, medicine, and a variety of other areas to provide their ideas and expertise in order to improve patient safety.  Completing this module provided new ideas and a refresher on why we do what we do on a daily basis.

Until next month!

- David

#PatientSafety #InpatientCare #MedicationSafety #NewPractitioners #ClinicalSpecialistsandScientists #ASHPCerts