Paul W. Bush

Pharmacy practice model for academic medical centers.

The pharmacist’s role in health systems continues to evolve from a product-focused to a patient-centered care model that ensures the safe and effective use of medications in all practice settings. The best way to deploy pharmacists, technicians, and technology in support of the transition has been

Preparing for pharmacy residency accreditation surveys

The progress of health-system pharmacy depends on residency training. An increasingly talented pharmacy work force is necessary if the profession is to reach the heights of its collective aspirations. Both the American College of Clinical Pharmacy (ACCP) and the American Society of Health-System

Inaugural Address of the Incoming President: Caring for patients and frontline pharmacy staff

> As leaders in health-system pharmacy, we should support our staff by serving as their advocates. > > ![Figure][1] It is a privilege to have the opportunity to serve you, ASHP, and the profession. Please indulge me for a moment as I recognize a few special people who have provided

Leadership at all levels

I am humbled and honored to have been selected to give this year’s John W. Webb lecture. I would like to thank the ASHP Section of Pharmacy Practice Managers and Bill Gouveia and Dean Jack Reynolds of the School of Pharmacy at the Bouve College of Health Sciences at Northeastern University for

Role of residency training in the development of practice models

The pharmacist’s role in health systems continues to evolve from a product focus to a focus on the patient and the safe and effective use of medications. For many years, how best to deploy pharmacists, technicians, and technology in health-system practice to support this transition has been a

Highlights of the Cleveland Clinic Pharmacy Practice Model Summit

Video recordings of the speeches given at the summit, synchronized with slides, are available with the full text of this article at [www.ajhp.org][1]. In November 2010, the American Society of Health-System Pharmacists (ASHP) kicked off its Pharmacy Practice Model Initiative (PPMI) with the PPMI

Comparison of a Pharmacist-Performed and Physician or Advanced Practice Provider–Performed Medication History in Pediatric Patients

Background: In the adult population, a high rate of discrepancies exists between provider-performed and pharmacist-performed medication histories. Limited data exist regarding pharmacist-performed medication histories in hospitalized pediatric patients. Objective: Identify the incidence and severity of discrepancies in medication histories performed by practitioners compared with pharmacists in the pediatric population. Methods: After institutional review board approval, a retrospective analysis of pediatric patients admitted to inpatient pediatric units in a tertiary hospital was performed. The primary endpoint of the study was the percentage of provider-performed medication histories with any discrepancies compared with the pharmacist-performed medication history. Secondary endpoints included the number and type of discrepancies and the discrepancy’s potential risk of patient harm. Results: A total of 101 subjects were included. Nineteen patients (18.8%) had at least one medication discrepancy. Missing medications accounted for the majority of the discrepancies. Advance practice providers performed a small number of the initial medication histories (5%) and had at least one discrepancy for each history performed. The percentages of Grades 1, 2, and 3 discrepancies were 57.2%, 17.1%, and 25.7%, respectively. Medications with the most frequent discrepancies included anticonvulsants, antihistamines, and histamine receptor antagonists. Limitations include the retrospective nature of the study and lower than expected discrepancy rate. Conclusion: In this study, 18.8% of pediatric patients had a discrepancy between medication histories. Missing medications accounted for the largest amount of discrepancies. A large percentage of discrepancies had the potential to cause patient harm.

Evidence of burnout in health-system pharmacists

Purpose. Results of a study to determine levels of and risk factors for professional burnout among health‐system pharmacists are reported. Methods. The Maslach Burnout Inventory Human Services Survey (MBI‐HSS) was distributed to a target population of health‐system pharmacists to assess study participants for burnout, which is characterized by feelings of emotional exhaustion, depersonalization, and reduced personal accomplishment. Health‐system pharmacists were solicited via email through a professional network listserver to complete an anonymous, electronic questionnaire regarding burnout. Demographic information, employment characteristics, and responses to the MBI‐HSS were collected using a cross‐sectional cohort survey methodology. Descriptive statistics were used to assess MBI‐HSS scores and risk factors associated with burnout. Results. Of the 371 survey responses received, 329 were complete and included in the final analysis. Overall, 175 study participants (53.2%) reported scores indicating a high degree of burnout on at least 1 subscale of the MBI‐HSS. Twenty‐eight respondents (8.5%) had scores indicating burnout on all 3 subscales. Average scores were 22.9, 6.2, and 36.3 for feelings of emotional exhaustion, depersonalization, and reduced personal accomplishment, respectively. Modifiable and nonmodifiable risk factors for burnout were identified. The findings warrant further research on burnout prevention and action to promote resilience in the profession. Conclusion. Half of health‐system pharmacists assessed using the MBI‐HSS in this study identified themselves as being at risk for burnout.

2018 Report Of The President And Chair Of The Board: ASHP promotes resilience, pharmacy leadership, and technician training

![Figure][1] It’s hard to believe that my year as ASHP president is almost over. It has been a privilege to have the opportunity to serve you, ASHP, and the profession. I would like to extend a heartfelt thanks to all of my colleagues and friends, both within and outside the pharmacy world

Health Care Systems and Transitions of Care: Implication on Interdisciplinary Pharmacy Services

Effective medication management is critical to successful patient outcomes. Pharmacists and pharmacy technicians working within North Carolina Health Systems provide a variety of services that aid in those successful outcomes. By leveraging the North Carolina Clinical Pharmacist Practitioner designation along with integrated health records, health system pharmacists are uniquely positioned to provide expert clinical support to patients. Services such as medication history collection, discharge medication dispensing and counseling, post discharge clinic engagement, and drug therapy management are all components of an even larger number of strategic health system pharmacy assets that aid in the care of patients whether they are admitted to hospitals, seen in clinics, or cared for in the community.