PSW Transitions of Care Toolkit References

References

Discharge Medication Reconciliation

1. Cassano A. ASHP-APhA Medication Management in Care Transitions Best Practices. APhA website. 2013. Available at: http://media.pharmacist.com/practice/ASHP_APhA_MedicationManagementinCareTransitionsBestPracticesReport2_2013.pdf. Accessed September 20th, 2013.
2. Graabaek T, Kjeldsen LJ. Medication reviews by clinical pharmacists at hospitals lead to improved patient outcomes: a systematic review. Basic Clin Pharmacol Toxicol. 2013;112(6):359-373.
3. Hume AL, Kirwin J, Bieber HL, et al. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326–e337.
4. Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Hospital-based medication reconciliation practices: a systematic review. Arch Intern Med. 2012;172(14):1057-1069.

Discharge Patient Education

1. Lee AJ, Borham A, Korman NE, Keeney BE, Mock ED. Staff development in pharmacist-conducted patient education and counseling. Am J Health Syst Pharm. 1998 Sep 1;55(17):1792-8.
2. Soflin D, Young WW, Clayton BD. Development and evaluation of an individualized patient education program about digoxin. Am J Hosp Pharm. 1977 Apr;34(4):367-71.
3. Clark PM, Karagoz T, Apikoglu-Rabus S, Izzettin FV. Effect of pharmacist-led patient education on adherence to tuberculosis treatment. Am J Health Syst Pharm. 2007 Mar 1;64(5):497-505.
4. Wilhelm SM, Petrovitch EA. Implementation of an inpatient anticoagulation teaching service: expanding the role of pharmacy students and residents in patient education. Am J Health Syst Pharm. 2011 Nov 1;68(21):2086-93.
5. Makowski CT, Jennings DL, Nemerovski CW, Szandzik EG, Kalus JS. The impact of  pharmacist-directed patient education and anticoagulant care coordination on patient satisfaction. Ann Pharmacother. 2013 Jun;47(6):805-10.
6. Evans E, Patry R. Management of gestational diabetes mellitus and pharmacists' role in patient education. Am J Health Syst Pharm. 2004 Jul 15;61(14):1460-5.
7. Talbert RL. Overview of advances in cardiovascular disease treatment and prevention: the evolving role of antiplatelet therapy. Am J Health Syst Pharm. 2008 Jul 1;65(13 Suppl 5):S1-5; quiz S16-8.
8. Canales PL, Dorson PG, Crismon ML. Outcomes assessment of clinical pharmacy services in a psychiatric inpatient setting. Am J Health Syst Pharm. 2001 Jul 15;58(14):1309-16.
9. March K, Mak M, Louie SG. Effects of pharmacists' interventions on patient outcomes in an HIV primary care clinic. Am J Health Syst Pharm. 2007 Dec 15;64(24):2574-8.
10. Ciminelli AM, Dupuis R, Williams D, Hollar K, Fair JH, Johnson M, Gerber D. Patient education role of a pharmacist on a transplant service. Am J Health Syst Pharm. 2000 Apr 15;57(8):767-8.
11. Maldonado AQ, Weeks DL, Bitterman AN, McCleary JA, Seiger TC, Carson RW, Tabon PK, Goroski AL, Ojogho ON. Changing transplant recipient education and inpatient transplant pharmacy practices: a single-center perspective. Am J Health Syst Pharm. 2013 May 15;70(10):900-4.
12. Chisholm MA, Lance CE, Mulloy LL. Patient factors associated with adherence to immunosuppressant therapy in renal transplant recipients. Am J Health Syst Pharm. 2005 Sep 1;62(17):1775-81.
13. Viele CS. Managing oral chemotherapy: the healthcare practitioner's role. Am J Health Syst Pharm. 2007 May 1;64(9 Suppl 5):S25-32.
14. Barrons R, Pegram A, Borries A. Inhaler device selection: special considerations in elderly patients with chronic obstructive pulmonary disease. Am J Health Syst Pharm. 2011 Jul 1;68(13):1221-32.
15. Benavides S, Rodriguez JC, Maniscalco-Feichtl M. Pharmacist involvement in improving asthma outcomes in various healthcare settings: 1997 to present. Ann Pharmacother. 2009 Jan;43(1):85-97.
16. Patient education, early anti-inflammatory therapy are keys to better asthma care, say new federal guidelines. Am J Health Syst Pharm. 1997 Apr 15;54(8):862, 867.
17. Warden BA, Freels JP, Furuno JP, Mackay J. Pharmacy-managed program for providing education and discharge instructions for patients with heart failure. Am J Health Syst Pharm. 2014 Jan 15;71(2):134-9.
18. Sandhoff BG, Nies LK, Olson KL, Nash JD, Rasmussen JR, Merenich JA. Clinical pharmacy cardiac risk service for managing patients with coronary artery disease in a health maintenance organization. Am J Health Syst Pharm. 2007 Jan 1;64(1):77-84.
19. Cassano A. ASHP-APhA Medication Management in Care Transitions Best Practices. APhA website. 2013. Available at: http://media.pharmacist.com/practice/ASHP_APhA_MedicationManagementinCareTransitionsBestPracticesReport2_2013.pdf. Accessed September 20th, 2013.
20. Graabaek T, Kjeldsen LJ. Medication reviews by clinical pharmacists at hospitals lead to improved patient outcomes: a systematic review. Basic Clin Pharmacol Toxicol. 2013;112(6):359-373.
21. Hume AL, Kirwin J, Bieber HL, et al. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326–e337.
22. Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Hospital-based medication reconciliation practices: a systematic review. Arch Intern Med. 2012;172(14):1057-1069.

Discharge Prescription Management

Pharmacy Hand off Communication

1. Coleman EA. Falling through the cracks: challenges and opportunities for improving transitional care for persons with continuous complex care needs. J Am Geriatr Soc. 2003 Apr;51(4):549-55.
2. Forster AJ, Murff HJ, Peterson JF, et al. The incidence and severity of adverse events affecting patients after discharge from the hospital. Ann Intern Med. 2003;138(3):161–7.
3. Kripalani S, LeFevre F, Phillips CO, et al. Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care. JAMA. 2007;297(8):831–41.
4. American College of Clinical Pharmacy et al. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326-7.
5. Cassano et al. Best practices from the ASHP-APhA medication management in care transitions initiative (2013).
6. National Quality Forum. Endorsing Preferred Practices and Performance Measures for Measuring and Reporting Care Coordination: A Consensus Report (2010).
7. Lounsbery JL, Green CG, Bennett MS, Pedersen CA. Evaluation of pharmacists' barriers to the implementation of medication therapy management services. J Am Pharm Assoc. 2009 Jan-Feb;49(1):51-8.
8. Moore JM, Shartle D, Faudskar L, et al. Impact of a patient-centered pharmacy program and intervention in a high-risk group. J Manag Care Pharm. 2013 Apr;19(3):228-36.

1. American College of Clinical Pharmacy et al. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326-7.
2. Cassano et al. Best practices from the ASHP-APhA medication management in care transitions initiative (2013). http://media.pharmacist.com/practice/ASHP_APhA_MedicationManagementinCareTransitionsBestPracticesReport2_2013.pdf. Accessed December 13, 2013.
3. Imberg AJ, Swanoski MT, Renier CM, et al. Maximizing medication therapy management services through a referral initiative. Am J Health-Syst Pharm. 2012;69: 1234-1239.
4. National Transitions of Care Coalition et al. Improving transitions of care (2008). http://www.ntocc.org/Portals/0/PDF/Resources/PolicyPaper.pdf. Accessed December 13, 2013.
5. Martinez AS, Saef J, Paszczuk A, et al. Implementation of a pharmacist-managed heart failure medication titration clinic. Am J Health-Syst Pharm. 2013;70:1070-1076.
6. Pharmacy Society of Wisconsin. Wisconsin Pharmacy Quality Collaborative. 2013. www.pswi.org/wpqc. Accessed January 2, 2014.