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    Describing and measuring the pharmacists’ involvement in dosing and monitoring vancomycin at Tucson Medical Center, a community teaching hospital

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    Author
    Neopaney, Tek
    Kafley, Puspa
    Tran, Kelvin
    Affiliation
    College of Pharmacy, The University of Arizona
    Issue Date
    2018
    Keywords
    vancomycin
    questionnaire
    inpatient treatment
    pharmacy
    community clinics
    TDM
    MeSH Subjects
    Vancomycin
    Surveys and Questionnaires
    Community Pharmacy Services
    Inpatients
    Drug Monitoring
    Advisor
    Bergstrom, Eric
    
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    Rights
    Copyright © is held by the author.
    Collection Information
    This item is part of the Pharmacy Student Research Projects collection, made available by the College of Pharmacy and the University Libraries at the University of Arizona. For more information about items in this collection, please contact Jennifer Martin, Librarian and Clinical Instructor, Pharmacy Practice and Science, jenmartin@email.arizona.edu.
    Publisher
    The University of Arizona.
    Abstract
    Specific Aims: To measure the amount of time spent by pharmacists on vancomycin dosing and monitoring at Tucson Medical Center (TMC). Methods: This is a descriptive study that used data obtained through a questionnaire and data collection sheets from pharmacists at TMC from September 18 through October 13, 2017. Pharmacists were eligible to participate in the study if they were working in an inpatient pharmacy setting at this community hospital for at least 24 hours a week and more than 6 months. Data were analyzed by using student t-test to compare between groups. Main Results: Through a questionnaire, pharmacists reported spending an average of 13.5 minutes (SD 6.9) and 9.5 minutes (SD 4.3) for new and continuous vancomycin therapeutic drug monitoring per encounter, respectively. Data collection over a period of 29 days revealed that pharmacists spent a total of 112.33 hours and an average of 3.85 hours per day on vancomycin TDM. In general, pharmacists spent an average of 10.27 minutes (SD 6.76) per encounter and 30.42 minutes (SD 27.53) per patient. The mean time for new (n=163) versus continuous (n=493) vancomycin TDM was 11.7 minutes (SD 5.6) and 9.8 minutes (SD 7.0), respectively, with statistically significant P values of 0.001. The mean time spent per encounter was statistically significant between groups that used a vancomycin calculator (n=323) [13 minutes (SD 7.9)] versus those that did not use a calculator (n=333) [7.6 minutes (SD 3.9); P = 0.001]. Conclusions: The average time spent per patient by the pharmacist for vancomycin therapeutic drug monitoring (TDM) was about half an hour, which supported the prediction for the time spent on vancomycin by pharmacists prior to our study. More time was spent on new-start vancomycin TDM than existing vancomycin drug monitoring. In addition, more time was spent on vancomycin TDM with the use of a calculator.
    Description
    Class of 2018 Abstract
    Collections
    Pharmacy Student Research Projects

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