Patient perceptions of a proton pump inhibitor therapeutic interchange program across the continuum of care.

Objective: To determine if participation in a hospital-based proton pump inhibitor (PPI) therapeutic interchange program resulted in differences in patient perceptions related to clinical and humanistic outcomes.

Methods: A quasiexperimental repeated-measures study compared patients' perceptions in two groups (111 patients) at hospital admission, discharge, 3-4 days after discharge, and 2-3 weeks after discharge to detect differences across the continuum of care. Patient awareness of the hospital-based interchange also was examined.

Hospitalwide medication policies and standards.

The development and composition of a hospitalwide medication policies and standards manual are described. Medication policies and procedures developed independently by individual hospital departments and services at a 789-bed private teaching institution created problems related to consistency, the approval process, accreditation standards, and retrievability. Therefore, a joint nursing-pharmacy task force was formed to create a master document containing medication policies and standards for the entire institution.

Pharmacist empowerment: taking practice guidelines to the next level (Part 2).

Empowering pharmacists to have direct control and responsibility for institutional drug-use protocols can assist in reducing costs and improving the quality of patient care. This article examines pharmacist involvement in two drug use protocols in place at St. Luke's Episcopal Hospital in Houston.

Smoking prevalence among 15-16-year-olds in Doncaster, England.

An anonymous self-completion questionnaire on smoking was completed by 2065 (60 per cent) 15-16-year-olds attending secondary schools in Doncaster in 1991. Almost one in four girls (23 per cent) and one in six boys (16 per cent) reported they were regular smokers, an overall increase of 8 per cent since a similar survey in 1988. An increase in smoking was recorded in 12 of the 14 schools which took part in both the 1988 and 1991 surveys.