Hospital Practice and Clinical Pharmacy Flashcards

1
Q

What profession had a higher number of women?

A

Hospital pharmacy.

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2
Q

Where was seized alcohol taken?

A

Hospitals for use in compounding and manufacturing.

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3
Q

What is the Hill-Burton Act (1946)? (3)

A
  1. 4.5 beds per 1,000 people. 2. Included minimum pharmacy standards. 3. Resulted in the building of more hospitals.
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4
Q

What did Pharmacy & Therapeutics (P&T) committees and Hospital Drug Information Center (at University Kentucky) plant the seed for?

A

The pharmacist is the drug expert.

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5
Q

Who was Don Francke? (2)

A
  1. Well known hospital pharmacist. 2. Ran survey describing the practice of hospital pharmacists.
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6
Q

What was important about the Mirror to Hospital Pharmacy survey?

A

Showed future directions. Described Pharmacy techs, drug info centers, centralized IV admixture service, unit dose systems.

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7
Q

What was important about the 1965 Medicare/Medicaid Act?

A

Required minimum hospital pharmacy services based on bed count.

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8
Q

What was the Clinical Pharmacy Paradigm shift? (2)

A
  1. More about the patient, rather than the product. 2. Patient, rather than customers.
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9
Q

Around when did Clinical Pharmacy begin?

A

1965

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10
Q

What was the 9th floor project? (3)

A
  1. Devised a model based on clinical pharmacy. 2. Pharmacists is not counting and pouring; techs are. 3. Changed how hospital pharmacy was done.
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11
Q

Who was Eugene White? (3)

A
  1. Reformer of the drugstore model of pharmacy. 2. Changed drugstore to reflect clinical applications. 3. Added counseling room and patient profile.
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12
Q

Who was the first to use clinical pharmacy?

A

Donald Brodie in 1965.

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13
Q

Why was the Eugene White model not adopted?

A

Because of the rise of chain stores and big box stores.

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14
Q

What was the 1970s Practitioner Paradigm shift? (2)

A
  1. Parallel development of clinical pharmacy in hospital and adopted very slowly in community pharmacy. 2. Customer to patient.
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15
Q

Who was slow to adopt the idea of clinical pharmacy? Who was quick to adopt it?

A
  1. National Association of Retail Pharmacy. 2. Association of Hospital Pharmacy was quick to adopt it.
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16
Q

What schools were slow to adopt the clinical pharmacy idea? Why?

A

Midwestern (Big 10) Schools. Because they were dominated by lab scientists and they were suspicious of it being a fad.

17
Q

By what time did Midwestern (Big 10) schools adopt clinical pharmacy?

A

Around the mid- 1970s because of national board exam scores.

18
Q

Why did US Pharmacy schools increase graduates?

A

Because of capitation.

19
Q

What changed in prescribing laws in the 1970s?

A

Anti-substitution laws were repealed, allowing generic prescribing.

20
Q

What changed in store layouts in the 1970s?

A

Counseling windows were added to stores.

21
Q

What did Virginia State Pharmacy Board v. Virginia Citizens Consumer Council decide?

A

Pharmacies should be able to advertise prices, but not lawyers or physicians (Professional speech vs. commercial speech).

22
Q

What is a major demographic shift in the 1970s?

A

Gender shift.