Karen L. Kier

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OBJECTIVE To define the incidence and severity of thrombocytopenia in a mixed medical-surgical population of critically ill patients and to examine factors that may be related to the development of thrombocytopenia. DESIGN Retrospective chart review of 314 critically ill patients requiring at least 3 days of critical care. SETTING A 17-bed combined(More)
As a result of current weaknesses and deficiencies in the United States health care system, the concept of patient-centered medical homes (PCMHs), a way of organizing primary care that emphasizes coordination and communication among patients and providers, has taken root. The formation of the National Committee for Quality Assurance-Patient- Centered(More)
OBJECTIVE To report a possible drug interaction between clarithromycin and warfarin in a patient with chronic atrial fibrillation. CASE SUMMARY A patient with chronic atrial fibrillation was placed on warfarin therapy. International normalized ratios (INRs) ranged from 1.61 to 3.99 while the dosage was being adjusted during the first 5 months of warfarin(More)
UNLABELLED As pharmacists and pharmacy students are increasingly called upon to assume roles in public health activities, it is important to recognize unique opportunities to educate community members on health, wellness, and disease prevention. OBJECTIVE To evaluate the impact of a pilot health promotion program on college women's knowledge regarding(More)
Understanding the application of statistical methods is an essential component in the process of evaluating the medical literature. Statistical methods can differ when evaluating randomized controlled clinical trials (experimental design) compared with observational study designs such as cohort or case-control. A review of common statistical concepts(More)
PURPOSE The design and implementation of pharmacist-directed preventive care services within a university-based, employee health and wellness clinic are described. SUMMARY Ohio Northern University (ONU) HealthWise is a multidisciplinary employee health and wellness clinic located on the campus of ONU that offers medication therapy management, disease(More)
PURPOSE The impact on physical activity and health of a 12-week, pharmacist-directed walking program incorporated into an employee health and wellness clinic was evaluated. METHODS Clinic participants were eligible for study inclusion if they or their spouse was a current or retired employee of Ohio Northern University. Participants received a pedometer,(More)
The use of outcome assessment with DUE can provide more detailed information on the impact of drug therapy on the overall health status of the patient, rather than just the narrow view of the drug-prescribing process within the institution. These studies may justify additional pharmacists to help in the selection of drugs and their potential to affect(More)