do clinicians back the backgrounders? - cadth.ca · at each presentation delivered the expectation...
TRANSCRIPT
![Page 1: Do Clinicians Back the Backgrounders? - CADTH.ca · At each presentation delivered the expectation of pharmacists to: ... • 55% decrease in docusate use without a significant laxative](https://reader035.vdocument.in/reader035/viewer/2022081514/5fe14c2afc4bd95dfc1899af/html5/thumbnails/1.jpg)
Do Clinicians Back the Backgrounders?
Jeremy Slobodan, BSP Director, Drug Utilization, Information & Stewardship
Pharmacy Services Alberta Health Services
![Page 2: Do Clinicians Back the Backgrounders? - CADTH.ca · At each presentation delivered the expectation of pharmacists to: ... • 55% decrease in docusate use without a significant laxative](https://reader035.vdocument.in/reader035/viewer/2022081514/5fe14c2afc4bd95dfc1899af/html5/thumbnails/2.jpg)
Disclosure • No industry conflicts of interest to declare • Current member of Alberta Expert Committee on Drug
Evaluation and Therapeutics • Current member of AHS Drugs & Therapeutics Committee
![Page 3: Do Clinicians Back the Backgrounders? - CADTH.ca · At each presentation delivered the expectation of pharmacists to: ... • 55% decrease in docusate use without a significant laxative](https://reader035.vdocument.in/reader035/viewer/2022081514/5fe14c2afc4bd95dfc1899af/html5/thumbnails/3.jpg)
![Page 4: Do Clinicians Back the Backgrounders? - CADTH.ca · At each presentation delivered the expectation of pharmacists to: ... • 55% decrease in docusate use without a significant laxative](https://reader035.vdocument.in/reader035/viewer/2022081514/5fe14c2afc4bd95dfc1899af/html5/thumbnails/4.jpg)
![Page 5: Do Clinicians Back the Backgrounders? - CADTH.ca · At each presentation delivered the expectation of pharmacists to: ... • 55% decrease in docusate use without a significant laxative](https://reader035.vdocument.in/reader035/viewer/2022081514/5fe14c2afc4bd95dfc1899af/html5/thumbnails/5.jpg)
![Page 6: Do Clinicians Back the Backgrounders? - CADTH.ca · At each presentation delivered the expectation of pharmacists to: ... • 55% decrease in docusate use without a significant laxative](https://reader035.vdocument.in/reader035/viewer/2022081514/5fe14c2afc4bd95dfc1899af/html5/thumbnails/6.jpg)
Structure • Bottom line up front • Key issues on a single page • Relatability
• Written by a person • Reviewed by a person • Vetted through a frontline group
![Page 7: Do Clinicians Back the Backgrounders? - CADTH.ca · At each presentation delivered the expectation of pharmacists to: ... • 55% decrease in docusate use without a significant laxative](https://reader035.vdocument.in/reader035/viewer/2022081514/5fe14c2afc4bd95dfc1899af/html5/thumbnails/7.jpg)
At each presentation delivered the expectation of pharmacists to: •Proactively share with practitioners •Use it to build your relationship with other practitioners and establish your role to support the best use of drugs
![Page 8: Do Clinicians Back the Backgrounders? - CADTH.ca · At each presentation delivered the expectation of pharmacists to: ... • 55% decrease in docusate use without a significant laxative](https://reader035.vdocument.in/reader035/viewer/2022081514/5fe14c2afc4bd95dfc1899af/html5/thumbnails/8.jpg)
![Page 9: Do Clinicians Back the Backgrounders? - CADTH.ca · At each presentation delivered the expectation of pharmacists to: ... • 55% decrease in docusate use without a significant laxative](https://reader035.vdocument.in/reader035/viewer/2022081514/5fe14c2afc4bd95dfc1899af/html5/thumbnails/9.jpg)
Survey Results Done with Pharmacists Completion rate: 38.5% (218 of 566) Limitations: • Selection bias – more likely to do the survey if an individual:
• Knows it exists • Uses backgrounders in practice
• Most recent recollection may not reflect overall experience
![Page 10: Do Clinicians Back the Backgrounders? - CADTH.ca · At each presentation delivered the expectation of pharmacists to: ... • 55% decrease in docusate use without a significant laxative](https://reader035.vdocument.in/reader035/viewer/2022081514/5fe14c2afc4bd95dfc1899af/html5/thumbnails/10.jpg)
Who are backgrounders shared with?
Physicians, 35%
Nurses, 17%
Fellow Pharmacists, 40%
6% Other, 8%
None
Nurse Practitoners
Residents and Students
Leadership
Patients
![Page 11: Do Clinicians Back the Backgrounders? - CADTH.ca · At each presentation delivered the expectation of pharmacists to: ... • 55% decrease in docusate use without a significant laxative](https://reader035.vdocument.in/reader035/viewer/2022081514/5fe14c2afc4bd95dfc1899af/html5/thumbnails/11.jpg)
How are the backgrounders shared?
In person, 46%
By email, 31%
By fax, 2%
16% Other, 21%
Don’t distribute
Post on notice board/put in nursing info binder
With order/patient chart
Pneumatic tube
![Page 12: Do Clinicians Back the Backgrounders? - CADTH.ca · At each presentation delivered the expectation of pharmacists to: ... • 55% decrease in docusate use without a significant laxative](https://reader035.vdocument.in/reader035/viewer/2022081514/5fe14c2afc4bd95dfc1899af/html5/thumbnails/12.jpg)
Other backgrounder observations • Topics with a “call to action” were more popular, and
likely more impactful, than general ones • Frontline feedback prior to publishing greatly
improved relatability • While it seemed like small changes, still experienced
pushback within the team to get started
![Page 13: Do Clinicians Back the Backgrounders? - CADTH.ca · At each presentation delivered the expectation of pharmacists to: ... • 55% decrease in docusate use without a significant laxative](https://reader035.vdocument.in/reader035/viewer/2022081514/5fe14c2afc4bd95dfc1899af/html5/thumbnails/13.jpg)
Select Results • 50% decrease in injectable Vitamin B12 use • 55% decrease in docusate use without a significant laxative
increase Feedback • Mostly positive • Concerns that we were oversimplifying issues
![Page 14: Do Clinicians Back the Backgrounders? - CADTH.ca · At each presentation delivered the expectation of pharmacists to: ... • 55% decrease in docusate use without a significant laxative](https://reader035.vdocument.in/reader035/viewer/2022081514/5fe14c2afc4bd95dfc1899af/html5/thumbnails/14.jpg)
Summary • Progress can be made by changing approach • Be concise, be directive • End user feedback greatly improves the final product
![Page 15: Do Clinicians Back the Backgrounders? - CADTH.ca · At each presentation delivered the expectation of pharmacists to: ... • 55% decrease in docusate use without a significant laxative](https://reader035.vdocument.in/reader035/viewer/2022081514/5fe14c2afc4bd95dfc1899af/html5/thumbnails/15.jpg)
Acknowledgements Project design and write up
• Dr. Micheal Guirguis • Julia Jin
Backgrounder development Drug Stewardship Team
• Dr. Lauren Breese • Darren Pasay • Dr. Micheal Guirguis
Drug Utilization & Evaluation Team Drug Use Advisory Panel
![Page 16: Do Clinicians Back the Backgrounders? - CADTH.ca · At each presentation delivered the expectation of pharmacists to: ... • 55% decrease in docusate use without a significant laxative](https://reader035.vdocument.in/reader035/viewer/2022081514/5fe14c2afc4bd95dfc1899af/html5/thumbnails/16.jpg)
Contact Information: : [email protected]
:@jeremyslobodan : (403)352-7648
Antimicrobial Stewardship Backgrounders available at www.ahs.ca http://www.albertahealthservices.ca/info/Page11608.aspx