Reproduction de : Mémoire du DES : Pharmacie hospitalière et des collectivités : Nantes : 2008. Thèse d'exercice : Pharmacie : Nantes : 2008. / Bibliogr.

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Diss.--Pharmazie und Lebensmittelchemie--Marburg--Philipps-Universität Marburg, 1990. / Bibliogr. p. 291-309. Index.

Thesis (Ph. D.)--University of Wisconsin--Madison, 2009. / Includes bibliographical references (p. 114-123) and appendices. Also available on Internet.

Class of 2013 Abstract / Specific Aims: The objective of this quality improvement project is to evaluate if drug therapy problems in a community pharmacy setting can be identified via patient counseling at the time of prescription pick up. The central hypothesis of the project is that patient consultation will aid in identifying drug therapy problems and reduce the amount of negative effects posed by these problems. Methods: This project will assess data obtained through a medication therapy intervention report utilized in multiple community pharmacy environments in Arizona. Any consultation provided to a patient by a pharmacist or pharmacy intern regarding a new or transferred prescription will be eligible for data collection. The primary dependent variable is the number of drug therapy problems identified during consultation. Drug therapy problems will be assessed via expert opinion to identify the potential negative impact they may have posed to patients. Data analysis will involve the frequency and type of drug therapy problems identified during data collection. Main Results: A total of 1305 prescriptions were screened during the data collection period. A total of 29 drug therapy problems were identified upon patient consultation. This yielded a 2.2% drug therapy problem occurrence during data collection. The most commonly occurring drug therapy problem involved a patient drug allergy or sensitivity issue. Conclusion: Future research is warranted on the effects that drug therapy problems have on patients and the healthcare system. This project is descriptive in nature and may not be applicable to every community pharmacy in Arizona.

Class of 2005 Abstract / Objectives: To evaluate results of a hypertension (HTN) screening provided to patients by community pharmacists at various Bashas’ United Drug Stores. Information evaluated includes risk factors for HTN and blood pressure values. Methods: This is a retrospective study analyzing results documented during clinical services provided at community pharmacies in Tucson and Phoenix, Arizona between December 2002 and January 2004. Data from 535 patients was collected. Data included risk factors (e.g. age, tobacco use, cardiovascular exercise, family history of HTN) and a blood pressure measurement by a pharmacist. For analysis, patients were separated into two groups based on HTN diagnosis status. The two groups were compared across each risk factor variable and blood pressure measurements. Results: Seven patients were excluded because they did not specify previous HTN status, leaving a total of 528 patients. Significant differences were found between the two groups regarding the following characteristics: age (p < 0.001), HTN management with drugs (p < 0.001), cardiovascular exercise (p < 0.05), family history of HTN (p < 0.001), salt intake (p < 0.001), diabetes (p < 0.001), measured systolic blood pressure (p < 0.001) and diastolic blood pressure (p < 0.05). Implications: Patients with diagnosed HTN were determined to be older, more likely to receive HTN treatment, at a greater level of cardiovascular exercise, greater family history of HTN, more likely diagnosed with diabetes and had a higher systolic and diastolic measurement taken by the pharmacist when compared to the undiagnosed group.

Class of 2013 Abstract / Specific Aims: To compile and evaluate the impact of Arizona pharmacy rule waiver requests from 2002 through 2012 and to determine the current status of these waivers. Methods: Minutes of the Arizona State Board of Pharmacy (ASBP) meetings were reviewed to identify pharmacies which had sought waivers to Arizona state pharmacy regulations. Information was collected from the ASBP meeting minutes and from the ASBP pharmacy permits database. Persons at the pharmacies were contacted regarding their operation, whether the waiver was still in use, and any perceived impact the waiver had made. Main Results: Fifty waivers were requested of the ASBP. All but three of these requests were granted. The most waivers were requested for hospital and mail order pharmacies and the most common requests were for a smaller than required pharmacy floor plan area, no pharmacist final inspection or initialing, and fewer than the required hours of operation. One waiver was associated with a poor outcome and was subsequently rescinded. Three waivers were followed by rule changes. Some waivers improved pharmacy service to underserved or specialty patient groups and others increased patient convenience or eliminated unnecessary labor, facilities or equipment. One waiver reduced product waste and another enabled pharmacy students to get compounding experience. Several waivers allowed technicians to work from home. About half the waivers are either no longer in use or were never used. Conclusion: The waiver process has helped pharmacy evolve. The waiver process has also allowed businesses to serve underserved populations and special patient groups.