Document Detail


Implementation of continuous infusion of blood coagulation factors at an academic medical center.
MedLine Citation:
PMID:  22382485     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Purpose A multidisciplinary initiative to promote more cost-effective use of blood factor derivatives and increase pharmacist involvement in associated order verification, dispensing, and monitoring activities is described. Summary After an evaluation of a hospital's procedures for the use of blood factor derivatives identified inconsistencies and opportunities for cost savings, a revised medication-use process promoting continuous infusion of selected products (factors VIII, IX, and VIII/von Willebrand factor) was developed by pharmacy staff with input from physicians and nurse educators. The implementation of the enhanced medication-use procedures included (1) the publication of a compendium of key information on commonly used blood factors, including specific guidance on dosing and administration, (2) the use of Web-based educational modules targeting pharmacists and nurses, (3) greater involvement by pharmacists in blood factor order justification and verification, (4) routine pharmacist assessment of pertinent laboratory values and other determinants of optimal dosing, and (5) refined procedures for changing i.v. tubing. Surveys of pharmacists conducted before and after the practice changes indicated a significant increase in their knowledge of blood factor products and evidence-based best practices for the management of hemophilia. Conclusion Through a multidisciplinary initiative involving pharmacists, physicians, and nurses, new procedures to promote continuous infusion of selected blood factor products were implemented. Results of a postimplementation survey indicated that educational tools were effective in increasing pharmacists' knowledge of blood factor derivatives and hemophilia management.
Authors:
Lindsey B Poppe; Stephen F Eckel; Scott W Savage
Related Documents :
16198875 - Doppler echocardiographic assessment of valvular regurgitation severity by measurement ...
7930195 - A simplified method for determining regurgitant fraction by doppler echocardiography in...
8530325 - Detection and localization of early diastolic forces within the left ventricle from inf...
651385 - Thrombotic occlusion of hancock conduit due to severe dehydration after fontan operation.
2849335 - Quartz but not iron oxide causes air-flow obstruction, emphysema, and small airways les...
16603255 - Investigation of micronuclei and other nuclear abnormalities in peripheral blood and ki...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists     Volume:  69     ISSN:  1535-2900     ISO Abbreviation:  Am J Health Syst Pharm     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-03-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9503023     Medline TA:  Am J Health Syst Pharm     Country:  United States    
Other Details:
Languages:  eng     Pagination:  522-6     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Pharmacist's role in a Parkinson's disease and movement disorders clinic.
Next Document:  Small non-coding RNAs govern mammary gland tumorigenesis.