Cardiology 2013. Part II.

Notes: Menon, Shaji C

McCandless, Rachel T

Mack, Gordon K

Lambert, Linda M

McFadden, Molly

Williams, Richard V

Minich, L Luann

eng

2012/06/08 06:00

Pediatr Cardiol. 2013 Jan;34(1):143-8. doi: 10.1007/s00246-012-0403-8. Epub 2012 Jun 7.

URL: http://www.ncbi.nlm.nih.gov/pubmed/22673966

Author Address: Division of Pediatric Cardiology, University of Utah, Salt Lake City, UT 84113, USA. shaji.menon@imail.org

 

 

Reference Type:  Journal Article

Record Number: 885Author: Milfred-Laforest, S. K., Chow, S. L., Didomenico, R. J., Dracup, K., Ensor, C. R., Gattis-Stough, W., Heywood, J. T., Lindenfeld, J., Page, R. L., 2nd, Patterson, J. H., Vardeny, O. and Massie, B. M.

Year: 2013

Title: Clinical pharmacy services in heart failure: an opinion paper from the Heart Failure Society of America and American College of Clinical Pharmacy Cardiology Practice and Research Network

Journal: J Card Fail

Volume: 19

Issue: 5

Pages: 354-69

Date: May

Short Title: Clinical pharmacy services in heart failure: an opinion paper from the Heart Failure Society of America and American College of Clinical Pharmacy Cardiology Practice and Research Network

Alternate Journal: Journal of cardiac failure

ISSN: 1532-8414 (Electronic)

1071-9164 (Linking)

DOI: 10.1016/j.cardfail.2013.02.002

Accession Number: 23663818

Keywords: Drug Costs

Drug Information Services

Drug Monitoring

Drug-Related Side Effects and Adverse Reactions/prevention & control

Education, Pharmacy, Graduate

Heart Failure/*therapy

Heart Transplantation

Humans

Medical Assistance

Medicare

Medication Adherence

Medication Errors/prevention & control

Medication Reconciliation

Medication Therapy Management/economics

Outpatient Clinics, Hospital

*Patient Care Team

Patient Discharge

Patient Education as Topic

Patient Satisfaction

*Pharmacists

*Pharmacy Service, Hospital

Quality Assurance, Health Care

United States

Abstract: BACKGROUND: Heart failure (HF) care takes place in multiple settings, with a variety of providers, and generally involves patients who have multiple comorbidities. This situation is a “perfect storm” of factors that predispose patients to medication errors. METHODS AND RESULTS: The goals of this paper are to outline potential roles for clinical pharmacists in a multidisciplinary HF team, to document outcomes associated with interventions by clinical pharmacists, to recommend minimum training for clinical pharmacists engaged in HF care, and to suggest financial strategies to support clinical pharmacy services within a multidisciplinary team. As patients transition from inpatient to outpatient settings and between multiple caregivers, pharmacists can positively affect medication reconciliation and education, assure consistency in management that results in improvements in patient satisfaction and medication adherence, and reduce medication errors. For mechanical circulatory support and heart transplant teams, the Centers for Medicare and Medicaid Services considers the participation of a transplant pharmacology expert (e.g., clinical pharmacist) to be a requirement for accreditation, given the highly specialized and complex drug regimens used. Although reports of outcomes from pharmacist interventions have been mixed owing to differences in study design, benefits such as increased use of evidence-based therapies, decreases in HF hospitalizations and emergency department visits, and decreases in all-cause readmissions have been demonstrated. Clinical pharmacists participating in HF or heart transplant teams should have completed specialized postdoctoral training in the form of residencies and/or fellowships in cardiovascular and/or transplant pharmacotherapy, and board certification is recommended. Financial mechanisms to support pharmacist participation in the HF teams are variable. CONCLUSIONS: Positive outcomes associated with clinical pharmacist activities support the value of making this resource available to HF teams.

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