Jean-Pierre Calabretto

Consumer–pharmacist interactions around complementary medicines: agreement between pharmacist and consumer expectations, satisfaction and pharmacist influence

To explore pharmacist–consumer interactions around the use of complementary medicines (CMs), with specific focus on consumer expectations, perceptions and satisfaction.

Pharmacy decision support: where is it? A systematic literature review

Objective: The objectives of this study were: to identify electronic decision supported systems that directly support pharmacists or pharmacy practice, in either the hospital or community settings; to ascertain the type of research in this area; and to identify any observable gaps for electronic decision support.

Lack of effect of cisapride on phenytoin free fraction.

AmJ Med I987;83(suppl 38):67-73. 5. Callie G, du Sovich P, Gervais P, Besner JG. Single dose pharmacokinetics of ketoprofen, indomethacin, and naproxen taken alone or with sucralfate. BiopharmDrugDispos 1987;8: 173-83. 6. Mullersman G, Gotz VP, Russell WL, Derendorf H. Lack of clinically significant in vitro and in vivo interactions between ranitidine and sucralfate. J PharmSci 1986;75:995-8. 7. Kamali F, Fry JF, Smart HL, Bell GB. A double blind placebo controlled study to examine effects of sucralfate on paracetarnol absorption (letter). Br J ClinPharmacoI1985;19:113-4. 8. Miller LG, Prichard JG, White CA, Vytla B, Feldman F, Bowman RC. Effect of concurrent sucralfate administration on the absorption of erythromycin. J ClinPharmacoI199O;30:39-44. 9. Ritschel W A, Banerjee PS, Koch HP, Czeijka M. Cimetidine-sucralfate drug interaction. MethodsFindExp ClinPharmacoI1984;6:261-4. 10. Garretts JC, Godley PJ, Peteric JD, Gerlach EH, Lakshe CC. Sucralfate significantly reduces ciprofloxacin concentrations in serum. AntimicrobChemother 1990;34:931-3. II. Yuk JH, Nightingale CN, Quintilliani R. Ciprofloxacin levels when receiving sucralfate (letter). JAMA 1989;262:901. 12. Parpia SH, Nix DE, Hejmanowski LG, Goldstein HR, Wilton JH, Shentag JJ. Sucralfate reduces the gastrointestinal absorption of norfloxacin. Antimicrob Chemother 1989; 33:99-102. 13. Smart HL, Somerville KW, Williams J, Richen A, Langman MJS. The effects of sucralfate upon phenytoin absorption in man. Br J Clin Pharmaco/1985;20:238-40. 14. Babhair SA, Tarig M. Effect of sucralfate on the bioavailability of indenolol. PharmRes Commun 1984;16:845-9. 15. Mungall D, Talbat RL, Phillips C, Jaffe D, Ludden TM. Sucralfate and warfarin (letter). Ann InternMed 1983;98:557. 16. Braverman SE, Marino MT. Sucralfate-warfarin interaction (letter). DrugIntellClin Pharm 1988;22:913. 17. Neuvonen PJ, Jaakalo A, Totterman J, Penttila O. Clinically significant sucralfate-warfarin interaction is not likely. Br J Clin Pharmacol 1985;20: 178-80.

Initial Assessment of an Internet‐Based Medication Record

To assess the usability of an Internet‐based medication record designed to enhance communication between patients and community pharmacists following discharge from hospital.

Health IT – but you promised…

thought processes, and that a generation that has never used any other approach will lose the benefit of learning how to think judiciously and make nuanced decisions that incorporate attention to factors not included in the algorithms that underpin output from health IT applications. In short, although the role of IT in health undoubtedly represents a significant advance relative to what existed before the modern era, like any innovation its adoption must be tempered with the benefit of ongoing critical review. The practice of sound therapeutics involves both science and craft, and it can be argued that the pervasive adoption of automated decision support advances the former at the expense of the latter. There are many commentators who advocate that machines dispassionately make decisions more reliably and accurately than people, but in the final analysis it can be argued that information is not wisdom, and that in situations where critical judgements must be made in a timely fashion, a wise (supported) prescriber assisted by a wise (judicious) pharmacist might well be preferred by consumers. Striking the right balance will be crucial to the future of IT in therapeutics, and the need to develop clinicians who can practice supported by wisdom in addition to data will remain a relevant educational objective for the foreseeable future.

Implementing Medication Management Software Effectively Within a Hospital Environment: Gaining Benefits from Metaphorical Design

Implementing health information systems (HIS) to support the healthcare process is subject to many challenges: behavioural, technical, and organisational. Developing these technological artefacts based on good understanding of such challenges, yields a system design capable of addressing implementation issues. Based on such understanding, we set off a development process to produce a metaphoric software tool to support health care practitioners in a hospital setting. The development of software adopting such approach explicitly considers the inclusion of users concerns, a crucial determinant for the successful implementation of any IS. The software design directly implemented the look and feel of a paper-based medical form used by targeted health care practitioners. This paper illustrates empirical research done in developing and evaluating a metaphoric software tool, and highlights important aspects of such approach in addressing the implementation process.

Designing a better health technology intervention to support medication management

Our research set out to investigate the potential for a beneficial technology intervention in the area of medication management – an area previously devoid of such support. We chose the design research (DR) method, based on its suitability to handle complexity as evidenced by its use in education and information systems-based research. Our intervention was based on two artefacts – an information model and its implementation as a digital document – which were well accepted by the trial participants. Based on our positive experience, we conclude that DR may very well be a useful and appropriate research approach for studying the application and impact of technology interventions in the health domain.