Autumn L. Stewart

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BACKGROUND SSRIs have been one of the major innovations in psychopharmacology in recent years. The debate over the competing claims of SSRIs and the older, cheaper TCAs has implications for clinical practice and prescribing expenditure. Several reviewers have focused on acquisition costs and stressed the higher costs associated with using SSRIs. METHODS(More)
OBJECTIVES To describe the immunization needs of indigent community-dwelling patients from a primary care center for the medically underserved, evaluate the impact of a pharmacist immunizer on vaccination rates of adults presenting for care, and evaluate the impact of a pharmacist immunizer on the percent of adult patients who are current on immunizations.(More)
OBJECTIVE To compare 3 strategies for pharmacy student learning of motivational interviewing skills, knowledge of motivational interviewing principles, and confidence in and attitudes toward their application. DESIGN Following a motivational interviewing lecture, first-year students were randomized to perform practice activities (written dialogue, peer(More)
This paper concerns the special ethical problems in child and adolescent psychiatry which relate to the child as a developing being. Two themes are discussed--the sense of responsibility in the child, and the therapist's responsibility towards the child. As a background to understanding the former, ideas on moral and cognitive development are reviewed. The(More)
OBJECTIVES To describe the types and causes of medication discrepancies in the electronic medical record identified by pharmacist medication reconciliation during outpatient medical visits and to identify patient characteristics associated with the presence of discrepancies. DESIGN Observational case series study. SETTING Indigent primary care clinic in(More)
BACKGROUND Patients frequently use medications with potential implications for oral health and dental procedures, yet little is known about the accuracy of medication lists available to dentists. The aims of this study were to describe the frequency and clinical implications of medication discrepancies in the dental record (phase 1) and to evaluate the(More)
OBJECTIVE Describe the types of medication discrepancies that persist despite pharmacist-led medication reconciliation using the primary care electronic medical record (EMR). METHODS Observational case series study of established patients from an urban, indigent care clinic. Medication reconciliation was conducted immediately prior to the physician visit(More)
OBJECTIVE To demonstrate for first-year pharmacy students the relevance of pharmaceutics course content to pharmacy practice by implementing a joint, integrated assignment in both courses and assessing its impact. DESIGN Medication errors and patient safety issues relevant to ophthalmic and otic formulations were selected as the assignment topic. A(More)
OBJECTIVES To describe an innovative pharmacist-led approach, with the use of electronic medical record (EMR) data, to identify patients at risk of anaphylaxis in need of epinephrine auto-injector (EAI) for self-administration. SETTING An urban free health care center for an uninsured indigent adult population in Pittsburgh, PA. PRACTICE INNOVATION In(More)