Y a-t-il un pharmacien dans la salle d’hémodynamie? Expérience de l’Institut universitaire de cardiologie et de pneumologie de Québec
Bibliographic record
Abstract
Resume Objectifs : Cet article vise a decrire l’implantation du pharmacien dans le secteur d’hemodynamie a l’Institut universitaire de cardiologie et de pneumologie de Quebec (Hopital Laval) ainsi qu’a decrire les differentes activites cliniques qu’il realise. Mise en contexte : De nombreuses etudes demontrent les avantages de la presence d’un pharmacien a l’urgence, en oncologie, dans les cliniques d’insuffisance cardiaque, d’hypertension et de dyslipidemie. L’Institut universitaire de cardiologie et de pneumologie de Quebec est l’un des rares centres hospitaliers en Amerique du Nord ou le pharmacien detient une place active dans un departement d’hemodynamie. Resultats et discussion : Depuis 2002, le pharmacien exerce en hemodynamie differentes tâches cliniques, telles l’analyse des dossiers des patients subissant une intervention coronarienne percutanee, la realisation d’histoires medicamenteuses, la prestation de conseils aux patients, la gestion des hypo- et hyperglycemies apres les procedures, la reprise de l’anticoagulation, l’ajustement des medicaments en presence d’insuffisance renale et beaucoup plus encore. Recemment, une ordonnance collective permettant au pharmacien de prescrire la medication usuelle du patient pour la duree de son hospitalisation et d’optimiser la therapie medicamenteuse des usagers a ete approuvee par le Conseil des medecins, dentistes et pharmaciens (CMDP) de l’hopital. Conclusion : Le role qu’occupe maintenant le pharmacien en hemodynamie est un excellent exemple d’optimisation des connaissances et des aptitudes du pharmacien en milieu hospitalier a appliquer des soins pharmaceutiques au sein d’une equipe multidisciplinaire. Les hemodynamiciens affirment que les nombreuses activites cliniques du pharmacien contribuent a maximiser la pharmacotherapie des patients du secteur d’hemodynamie. Abstract Objective: The purpose of this article is to describe the implantation of a pharmacist in the interventional hemodynamics sector of the Institut universitaire de cardiologie et de pneumologie de Quebec (Hopital Laval) and to describe the different clinical activities undertaken. Context: Numerous studies have demonstrated the advantages of having of a pharmacist in the emergency department, in oncology, and in the heart failure, hypertension and dyslipidemia clinics. The Institute universitaire de cardiologie et de pneumologie de Quebec is one of the rare hospitals in North America where a pharmacist has an active role in the department of interventional hemodynamics. Results and discussion: Since 2002, the pharmacist in interventional hemodynamics has had a variety of clinical tasks such as analyzing the charts of patients undergoing percutaneous coronary intervention, performing medication histories, counselling patients, managing post-procedure hypo- and hyperglycemia, restarting anticoagulation, adjusting drug dosing in renal impairment, and much more. Recently, a collective order allowing the pharmacist to prescribe a patient`s usual medication during their hospitalization has been approved by the hospital’s Council of Physicians, Dentists and Pharmacists. Conclusion: The current role of the pharmacist in interventional hemodynamics is an excellent example of the optimization of the knowledge and skills of a hospital pharmacist in the application of pharmaceutical care within a multidisciplinary team setting. Hemodynamics specialists confirm that the numerous clinical activities of the pharmacist contribute to maximize patient pharmacotherapy in the interventional hemodynamics sector. Key words: pharmacist; interventional hemodynamics; drug related problem; pharmaceutical care; clinical pharmacy.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.005 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.003 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.007 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".