Pharmacy Student Monitoring of Direct Oral Anticoagulants.
J Pharm Pract
; 31(5): 462-468, 2018 Oct.
Article
em En
| MEDLINE
| ID: mdl-29366379
ABSTRACT
BACKGROUND:
Best practice recommendations are lacking. Thus far, literature has described pharmacist-led DOAC monitoring.OBJECTIVE:
The purpose of this study is to describe a DOAC monitoring program involving pharmacy students.METHODS:
This was an observational analysis of a quality improvement initiative. A clinical pharmacist preceptor identified clinic patients taking DOACs by running a report using the electronic medical record. Pharmacy students conducted chart reviews, called pharmacies for 6-month refill histories, and interviewed and educated patients. Findings were communicated to the care team and interventions were performed as applicable with the preceptor.RESULTS:
Of 90 patients included, the mean age was 63 years, 54% were female, and 65.6% were black or African American. Rivaroxaban and apixaban were used most commonly. Sixty-two percent of DOACs were prescribed for atrial fibrillation/flutter, while 32.2% for venous thromboembolism. The mean MPR was 77.1%, with 27.7% of patients having an MPR ≤60%. Of the 136 student-led interventions, 25.2% involved medication access, 24.4% adherence education, 20.7% processing refills, 14.8% laboratory monitoring recommendations, 8.9% switching or recommending switching to another anticoagulant, and 4.4% stopping a nonsteroidal anti-inflammatory drug or aspirin.CONCLUSION:
Pharmacy students can help to ensure medication safety and effective use of DOACs.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Estudantes de Farmácia
/
Monitoramento de Medicamentos
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Adesão à Medicação
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Registros Eletrônicos de Saúde
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Anticoagulantes
Tipo de estudo:
Guideline
/
Observational_studies
/
Prognostic_studies
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
J Pharm Pract
Assunto da revista:
FARMACIA
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Estados Unidos