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Details

Day 2 materials
Contemporary Pharmacy Practice/Medical Informatics
16
History
Graduate
07/29/2013

Additional History Flashcards

 


 

Cards

Term
Professional
Definition
Person who provides directly/indirectly, a vast range of services to the patient
- altruistic无私-value motivation
-specialized education
-licensed to practice
-CE req
Term
Characteristics of a Profession
Definition
1. Services offered linked to major human values (eg. health, property, religion)
2. services req a degree of knowledge, skill and understanding beyond ordinary ppl
3.services are inherently personal or individualized in nature
Term
Ethics
Definition
-to help, do no harm at least
-developed by an individual, a gp, or society (thru laws + court sys) to guide behavior when rules + principles may conflict w/ 1 another
Term
APhA code of ethics
Definition
- autonomy自主:personal independence

- veracity诚实:telling the truth is right

- fidelity:忠诚keep promise

- avoid killing

- justice
Term
core principles of ethics
Definition
- respect for patient autonomy
- nonmaleficence:do no harm
- beneficence: do things good
- justice
Term
9th floor project goal
Definition
1) To develop a hospital floor-based pharmaceutical service to optimize patient safety in drug utilization
2) To charge pharmacist w/ responsibility for all phases of drug distribution, except administration of med to pt’
- 3) To provide an unbiased and easily available source of reliable drug info and to disseminate info according to the needs of professional personnel
4) To provide clinical experience for interns, residents, and students in hospital pharmacy
- 5) To design and conduct studies w/ physicians + nurses in a multidisciplinary approach to health care
Term
3 trends of 9th floor proj
Definition
combined 3 trends that served as basis for clinical pharmacy movement
- drug info
-decentralized drug distribution
-teaching&research prog in pharmacology &biopharmaceutics
Term
Drug Regimen Review(DRR)
Definition
By 1974, gov't recog a clinical role for pharmacists by req drug-regimen生活规则 reviews in nursing homes
- Pharmacists reviews patient's drug regimen and provides recommendations to the physician abt:
drug selection
duplication
necessity
AEs
monitoring
Term
Pharmaceutical Care
(definition/element/principle for practicing)
Definition
definition: responsible provision of drug therapy for the purpose of achieving definite outcomes that improve a patient's quality of life

outcomes:
1. cure disease
2.eliminate/reduce symptomatology
3. Arresting/slowing disease process
4.preventing disease/symptomatology

Elements:
Forces on outcomes
Endorse a team approach
ID pharm' care related fxns of a pharmacist
Pharmacist has a direct relationship w/ the patient + a direct responsibility to patient to provide competent pharmaceutical care

Principles of practice:
1. Est. a professional relationship
2. Collect, organize, record, maintain patient specific medical info
3. Evaluate patient-specific medication info+develop a drug therapy plan mutually w/ patient
4. Educate patient abt their own therapy plan
5. Review, monitors+modifies therapeutic plan as necessary + appropriate
Term
Medication Therapy Management/MTM (definition/core element/Act/example)
Definition
Def:a service/gp of services that optimize therapeutic outcomes for individual pts; indpt of but along w/ med prod

-Core elements: medication therapy review, personal medication record, medication-related action plan, intervention+/ referral, documtatn + follow-up

ACT:- Reimbursable act: Medicare Prescriptn Drug, Improvemt, + modernization Act of 2003 (MTM = Med D benefit for elderly&disabled)

E.g.medication therapy reviews; pharmacotherapy consults; disease managemt coach/support; anticoagulation managemt; other clinical services; medication safety surveillance; health, wellness, public health; immunization
Term
Asheville Project
Definition
-1997
-pharmacist developed pharmaceutical care practices in community + cut health care costs

-Improved outcomes in diabetes, asthma, cardiovascular disease, and
depression
Term
Practice-based residencies
Definition
post grad prog of organized training that meets req of a residency-accreditation body (eg ASHP); salaries = 0.5 of pharmacist’s w/ employer benefits; app’ thru ASHP; several residents
Term
Post grad year 1 (PGY-1)
Definition
general practice-based; managing & impv med use process; providing MTM in multidisciplinary teams; leadership & managemt; providing practice related edu/training
Term
Post grad year 2 (PGY-2)
Definition
a specific area of practice (e.g critical care, drug info, pediatrics, oncology)
Term
other opportunities: Non-health-sys-based residencies
Definition
not much clinical expo’; e.g. Associatn managemt, editing& writing, pharmaceutical ind
Term
Fellowships
Definition
research-based; one fellow; ACCP Research Institute –major sponsor; salaries = 0.5 of pharmacist’s w/ employer benefits; small research proj
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