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)
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)
The concept of patient-centered medical homes (PCMHs) is one of the latest efforts to provide higher quality of life for patients while aiming to reduce overall health care costs. As part of this health care reform effort, PCMHs strive to provide patient-centered, coordinated, effective, and efficient care that leads to long-term relationships with(More)
Clinical pharmacists must often interpret and use data derived from observational studies when making clinical decisions and recommendations, answering drug information questions, and educating patients about drug therapy. This is the third article in a three-part series intended to enhance clinical pharmacists' understanding of methods frequently used in(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)
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)
OBJECTIVE To describe the impact of a pharmacist-run antiarrhythmic clinic in an outpatient practice. SETTING Blanchard Valley Medical Associates (BVMA) in Findlay, OH. PRACTICE DESCRIPTION BVMA is a 15-physician private practice with five pharmacists on staff who run several disease management clinics. PRACTICE INNOVATION Patients receiving(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)