Implementation of a Pharmacist-Managed Transitions of Care Tool.

Purpose: To improve, expand, and sustain a pharmacist-based transitions of care (TOC) program and to assess interventions targeting veterans at high risk for adverse outcomes.

Methods: A TOC program was developed and piloted at the Richard L. Roudebush Veterans Affairs Medical Center (RLRVAMC).

Development of a Pharmacist-Led Emergency Department Antimicrobial Surveillance Program.

An analysis of antimicrobial agents used for urinary tract infections found effective initial empiric coverage, but fluoroquinolones were used in a majority of patients who may have been better served with narrower spectrum agents.