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ASHP Best Practices 2016-2017

ASHP Best Practices 2016-2017

Bruce Hawkins

(2016)

Additional Information

Book Details

Abstract

The most comprehensive set of quality guidelines available to the pharmacy profession.

More than half a century ago, ASHP® developed its earliest proposed practice standard—the Proposed Minimum Standards for Pharmacies in Hospitals.

Today, ASHP continues to foster concrete improvements in pharmacy practice and in the therapeutic use of drugs with its annual compilation of ASHP guidance documents: ASHP Best Practices. These guidance documents have stimulated improvements in pharmacy practice and operations, influenced accreditation standards, laws, and regulations (both in the United States and in other countries), and contributed to an awareness among consumers and policymakers of the vital patient care role of pharmacists.

INSIDE: ASHP positions and more than 70 ASHP guidance documents of varying scope that provide ongoing advice to practitioners and health systems to help improve the medication-use process, patient care and safety, and patient outcomes and quality of life.


Table of Contents

Section Title Page Action Price
Contents 3
Page Locator for Guidance Documents by Type and Title 14
Acknowledgments 17
Introduction 19
Mission Statement of the American Society of Health-System Pharmacists (ASHP) 22
Vision Statement of the American Society of Health-System Pharmacists (ASHP) 22
ASHP Policy Positions, Statements, Guidelines, and Technical Assistance Bulletins 23
Automation and Information Technology 25
Positions 26
Therapeutic Indication in Clinical Decision Support Systems (1608) 26
Automated Preparation and Dispensing Technology for Sterile Preparations (1617) 26
Online Pharmacy and Internet Prescribing (1529) 26
Risk Assessment of Health Information Technology (1418) 26
Interoperability of Patient-Care Technologies (1302) 26
Pharmacist’s Role in Health Care Information Systems (1211) 26
Clinical Decision Support Systems (1212) 26
Definition of Meaningful Use of Health Information Technology (1006) 27
Role of Pharmacists in Safe Technology Implementation(1020) 27
Electronic Health and Business Technology and Services(0712) 27
Electronic Information Systems (0507) 27
Computerized Prescriber Order Entry (0105) 27
Telepharmacy (9920) 27
Regulation of Automated Drug Distribution Systems (9813) 28
Statements\r 29
ASHP Statement on Bar-Code-Enabled Medication Administration Technology 29
ASHP Statement on Bar-Code Verification During Inventory, Preparation, and Dispensing of Medications 32
ASHP Statement on the Pharmacist’s Role in Clinical Informatics 35
ASHP Statement on the Pharmacist’s Role with Respect to Drug Delivery Systems and Administration Devices 39
ASHP Statement on the Pharmacy Technician’s Role in Pharmacy Informatics 41
ASHP Statement on Use of Social Media by Pharmacy Professionals 44
Guidelines 47
ASHP Guidelines on the Design of Database-Driven Clinical Decision Support: Strategic Directions for Drug Database and Electronic Health Records Vendors 47
ASHP Guidelines on Pharmacy Planning for Implementation of Computerized Provider-Order-Entry Systems in Hospitals and Health Systems 53
ASHP Guidelines on Remote Medication Order Processing 73
ASHP Guidelines on the Safe Use of Automated Compounding Devices for the Preparation of Parenteral Nutrition Admixtures 79
ASHP Guidelines on the Safe Use of Automated Dispensing Devices 84
Drug Distribution and Control 91
Positions\r 92
Redistribution of Unused Medications (0611) 92
Pharmaceutical Counterfeiting (0401) 92
Pharmacy Drug Theft (0303) 92
Pharmacist’s Role in Drug Procurement, Distribution, Surveillance, and Control (0232) 92
Optimizing the Medication-Use Process (9903) 92
Procurement\r 92
Guidelines 93
ASHP Guidelines on Managing Drug Product Shortages in Hospitals and Health Systems 93
ASHP Guidelines for Selecting Pharmaceutical Manufacturers and Suppliers 100
Preparation and Handling 102
Positions\r 102
Pharmaceutical Waste (0903) 102
Safe Disposal of Patients’ Home Medications (0614) 102
Safe and Effective Extemporaneous Compounding (0616) 102
Guidelines 103
ASHP Guidelines on Compounding Sterile Preparations 103
ASHP Guidelines on Handling Hazardous Drugs 123
ASHP Guidelines on Pharmacy-Prepared Ophthalmic Products 143
Technical Assistance Bulletin 145
ASHP Technical Assistance Bulletin on Compounding Nonsterile Products in Pharmacies 145
Distribution 152
Positions\r 152
Technician-Checking-\x0BTechnician Programs (0310) 152
Dispensing by Nonpharmacists and Nonprescribers (0010) 152
Statements 153
ASHP Statement on Pharmacist’s Responsibility for Distribution and Control of Drug Products 153
ASHP Statement on Unit Dose Drug Distribution 154
Technical Assistance Bulletin 155
ASHP Technical Assistance Bulletin on Hospital Drug Distribution and Control 155
ASHP Technical Assistance Bulletin on Repackaging Oral Solids and Liquids in Single Unit and Unit Dose Packages 164
ASHP Technical Assistance Bulletin on Single Unit and Unit Dose Packages of Drugs 166
Education and Training 169
Positions\r 170
Pharmacy Technician Training and Certification (1609) 170
Developing Leadership Competencies (1611) 170
Interprofessional Education and Training (1612) 170
Cultural Competency (1613) 170
Pharmacy Resident and Student Roles in New Practice Models (1316) 170
Education and Training in Health Care Informatics (1317) 170
Preceptor Skills and Abilities (1201) 170
Qualifications of Pharmacy Technicians in Advanced Roles (1203) 170
Quality of Pharmacy Education and Expansion of Colleges of Pharmacy (1108) 171
Residency Equivalency (1109) 171
Pharmacy Internships (1110) 171
State-Specific Requirements for Pharmacist Continuing Education (1111) 171
Innovative Residency Models (1112) 171
Employment Classification and Duty Hours of Pharmacy Residents (1008) 171
Pharmacy Student Experiences in Medically Underserved Areas (0913) 171
Pharmacy Expertise in the Preparation and Handling of Injectable Medications (0915) 171
Continuing Professional Development (0916) 172
Pharmacy Residency Training (0917) 172
Collaboration Regarding Experiential Education (0804) 172
Requirement for Residency (0701) 172
Residency Programs (0704) 172
ASHP Guidelines, Statements, and Professional Policies as an Integral Part of the Educational Process (0705) 172
Communication Among Health-System Pharmacy Practitioners, Patients, and Other Health Care Providers (0510) 172
Practice Sites for Colleges of Pharmacy (0315) 172
Licensure for Pharmacy Graduates of Foreign Schools(0323) 173
Public Funding for Pharmacy Residency Training (0325) 173
Residency Training for Pharmacists Who Provide Direct Patient Care (0005) 173
Career Counseling (8507) 173
Endorsed Documents 174
Definitions of Pharmacy Residencies and Fellowships 174
Ethics 177
Positions 178
Pharmacist Role in Capital Punishment (1531) 178
Pharmacist’s Role on Ethics Committees (1403) 178
Ethical Use of Placebos in Clinical Practice (1116) 178
Pharmacist’s Right of Conscience and Patient’s Right of Access to Therapy (0610) 178
Patient’s Right to Choose (0013) 178
ASHP Position on Assisted Suicide (9915) 178
Nondiscriminatory Pharmaceutical Care (9006) 178
Statements 179
ASHP Statement on Leadership as a Professional Obligation 179
ASHP Statement on Pharmacist’s Decision-making on Assisted Suicide 181
ASHP Statement on Professionalism 184
Guidelines 187
ASHP Guidelines on Pharmacists’ Relationships with Industry 187
Endorsed Document 188
Code of Ethics for Pharmacists 188
Formulary Management (Medication-Use Policy Development) 189
Positions 190
Pharmacogenomics (1104) 190
Medications Derived from Biologic Sources (0809) 190
Generic Substitution of Narrow Therapeutic Index Drugs (0817) 190
Expression of Therapeutic Purpose of Prescribing (0305) 190
Appropriate Dosing of Medications in Patient Populations with Unique Needs (0228) 190
Medication Formulary System Management (0102) 190
Gene Therapy (0103) 190
Role of Pharmacists and Business Leaders in Health Care Services and Policies (9819) 191
Standardization of Drug Medication Formulary Systems (9601) 191
Medical Devices (9106) 191
Therapeutic Interchange (8708) 191
Statements 192
ASHP Statement on the Pharmacy and Therapeutics Committee and the Formulary System 192
ASHP Statement on the Use of Medications for Unlabeled Uses 195
Guidelines 197
ASHP Guidelines on Medication-Use Evaluation 197
ASHP Guidelines on the Pharmacy and Therapeutics Committee and the Formulary System 200
Endorsed Document 210
Principles of a Sound Drug Formulary System 210
Government, Law, and Regulation 215
Positions\r 216
Drug Product Supply Chain Integrity (1602) 216
Timely Board of Pharmacy Licensing (1621) 216
Inclusion of Drug Product Shortages in State Price-gouging Laws (1622) 216
Pharmacist Participation in Health Policy Development (1501) 216
Pharmacist Recognition as a Healthcare Provider (1502) 216
Premarketing Comparative Clinical Studies (1506) 216
Funding, Expertise, and Oversight of State Boards of Pharmacy (1507) 216
Support for FDA Expanded Access (Compassionate Use) Program (1508) 217
Approval of Biosimilar Medications (1509) 217
Development of Abuse-Resistant Narcotics (1512) 217
Quality Patient Medication Information (1513) 217
Automatic Stop Orders (1405) 217
Federal and State Regulation of Compounding (1406) 217
340B Drug Pricing Program Sustainability (1407) 218
State Prescription Drug Monitoring Programs (1408) 218
Access to Oral Contraceptives Through an Intermediate Category of Drug Products (1410) 218
Expedited Pathways for FDA Drug Approval (1411) 218
FDA Oversight of Laboratory-Developed Tests (1412) 218
Regulation of Telepharmacy Services (1310) 218
Regulation of Centralized Order Fulfillment (1311) 219
DEA Scheduling of Hydrocodone Combination Products (1314) 219
DEA Scheduling of Controlled Substances (1315) 219
Pharmacy Technicians (1216) 219
Stable Funding for HRSA Office of Pharmacy Affairs (1219) 219
Globalization of Clinical Trials (1223) 219
Medical Marijuana (1101) 220
Agricultural Use of Hormone and Prohormone Therapies (1102) 220
Direct-to-Consumer Clinical Genetic Tests (1103) 220
Poison Control Center Funding (1121) 220
Health Insurance Coverage for U.S. Residents (1001) 220
Risk Evaluation and Mitigation Strategies (1002) 221
FDA Authority on Recalls (1003) 221
Postmarketing Comparative Clinical and Pharmacoeconomic Studies (1004) 221
Regulation of Home Medical Equipment Medication Products and Devices (1007) 221
Preservation of Antimicrobials for Medical Treatment (1009) 221
Use of Surrogate Endpoints for FDA Approval of Drug Uses (1011) 221
Regulation of Interstate Pharmacy Practice (0909) 222
Regulation of Dietary Supplements (0811) 222
Medicare Prescription Drug Benefit (0813) 222
Federal Review of Anticompetitive Practices by Drug Product Manufacturers (0814) 222
FDA Authority to Prohibit Reuse of Brand Names (0719) 222
Minimum Effective Doses (0602) 222
Postmarketing Safety Studies (0515) 222
Mandatory Registry of Clinical Trials (0516) 223
Importation of Pharmaceuticals (0413) 223
Intermediate Category of Drugs (0220) 223
Greater Access to Less Expensive Generic Drugs (0222) 223
FDA’s Public Health Mission (0012) 223
Generic Pharmaceutical Testing (9010) 224
Statements 225
ASHP Statement on Criteria for an Intermediate Category of Drug Products 225
ASHP Statement on the Over-the-Counter Availability of Statins 228
ASHP Statement on Principles for Including Medications and Pharmaceutical Care in Health Care Systems 231
Medication Misadventures 233
Positions\r 234
Statutory Protection for Medication-Error Reporting (1505) 234
Support for Second Victims (1524) 234
Standardization of Small-Bore Connectors to Avoid Wrong-Route Errors (1530) 234
Just Culture (1115) 234
Just Culture and Reporting Medication Errors (1021) 234
Minimizing the Use of Abbreviations (0604) 234
Drug Names, Labeling, and Packaging Associated with Medication Errors (0020) 234
Medication Errors and Risk Management (0021) 235
Medication Misadventures (9805) 235
Human Factors Concepts (9609) 235
Statements 236
ASHP Statement on Reporting Medical Errors 236
ASHP Statement on the Role of the Medication Safety Leader 237
Guidelines 241
ASHP Guidelines on Adverse Drug Reaction Monitoring and Reporting 241
ASHP Guidelines on Preventing Medication Errors in Hospitals 244
ASHP Guidelines on Preventing Medication Errors with Chemotherapy and Biotherapy 253
Medication Therapy and Patient Care 279
Organization and Delivery of Services 280
Positions\r 280
Patient Experience (1616) 280
Integrated Approach for the Pharmacy Enterprise (1618) 280
Preventing Exposure to Allergens (1619) 280
Patient Adherence Programs as Part of Health Insurance Coverage (1504) 280
Complementary and Alternative Medicine in Patient Care (1511) 280
Impact of Insurance Coverage Design on Patient Care Decision (1520) 280
Pharmacist’s Role in Population Health Management (1523) 280
Standardization of Doses (1525) 281
Standardization of Oral Liquid Medication Concentrations (1401) 281
Documentation of Patient-Care Services in the Permanent Health Record (1419) 281
Standardization of Intravenous Drug Concentrations (1306) 281
Medication Overuse (1312) 281
Drug-Containing Devices (1313) 281
Qualifications and Competencies Required to Prescribe Medications (1202) 281
Transitions of Care (1208) 281
Pharmacist Prescribing in Interprofessional Patient Care (1213) 282
Pharmacist’s Role in Team-Based Care (1215) 282
Collaborative Drug Therapy Management (1217) 282
Medication Adherence (1222) 282
Patient-Reported Outcomes Tools (1107) 282
Pharmacist Accountability for Patient Outcomes (1114) 282
Pharmacists’ Role in Medication Reconciliation (1117) 283
Medication Therapy Management (1005) 283
Patient Access to Pharmacy Services in Small and Rural Hospitals (1022) 283
Scope and Hours of Pharmacy Services (1023) 283
Health-System Use of Medications and Administration Devices Supplied Directly to Patients (0806) 283
Pharmacist’s Leadership Role in Anticoagulation Therapy Management (0816) 283
Standard Drug Administration Schedules (0707) 283
Universal Influenza Vaccination (0601) 284
Health Care Quality Standards and Pharmacy Services (0502) 284
Health-System Facility Design (0505) 284
Mandatory Tablet Splitting for Cost Containment (0525) 284
Performance Improvement (0202) 284
Pharmacy Benefits for the Uninsured (0101) 284
Pharmacist Validation of Information Related to Medications (9921) 284
Collaborative Drug Therapy Management Activities (9801) 284
Medication Administration by Pharmacists (9820) 285
Statements 286
ASHP Statement on Confidentiality of Patient Health Care Information 286
ASHP Statement on the Health-System Pharmacist’s Role in National Health Care Quality Initiatives 287
ASHP–SHM Joint Statement on Hospitalist–Pharmacist Collaboration 289
ASHP Statement on Pharmaceutical Care 293
ASHP Statement on the Roles of Pharmacy Technicians 296
Guidelines 299
ASHP Guidelines on Documenting Pharmaceutical Care in Patient Medical Records 299
ASHP Guidelines on Pharmacist-Conducted Patient Education and Counseling 302
ASHP Guidelines on the Pharmacist’s Role in the Development, Implementation, and Assessment of Critical Pathways 305
ASHP Guidelines on a Standardized Method for Pharmaceutical Care 311
Specific Practice Areas 314
Positions\r 314
Safety of Intranasal Route as an Alternative Route of Administration (1601) 314
Stewardship of Drugs with Potential for Abuse (1603) 314
Appropriate Use of Antipsychotic Drug Therapies (1604) 314
Safety of Epidural Steroid Injections (1605) 314
Drug Dosing in Renal Replacement Therapy (1606) 314
Use of Methadone to Treat Pain (1607) 314
Controlled Substance Diversion and Patient Access (1614) 314
Naloxone Availability (1510) 314
Safety and Effectiveness of Ethanol Treatment for Alcohol Withdrawal Syndrome (1514) 315
Chemotherapy Parity (1516) 315
Documentation of Penicillin Allergy as a Component of Antimicrobial Stewardship (1517) 315
Prescription Drug Abuse (1526) 315
Pharmacist’s Role in Urgent and Emergency Situations (1527) 315
Appropriate Use of Testosterone (1536) 315
Safe Use of Radiopharmaceuticals (1402) 315
Safe Use of Fentanyl Transdermal System Patches (1404) 315
Education About Performance-Enhancing Substances (1305) 315
Pharmacists’ Role in Immunization (1309) 316
Pharmacist’s Role in Accountable Care Organizations (1214) 316
Criteria for Medication Use in Geriatric Patients (1221) 316
Tobacco and Tobacco Products (1224) 316
Safe and Effective Use of IV Promethazine (1105) 316
Pain Management (1106) 317
Pharmacist’s Role in Providing Care for an Aging Population (0902) 317
Pharmacist Role in the Health Care (Medical) Home (0908) 317
Safe and Effective Use of Heparin in Neonatal Patients (0912) 317
Pharmacist Support for Dying Patients (0307) 317
Interventions to Reduce High-Risk Behavior in Intravenous Drug Users (9711) 317
Primary and Preventive Care (9407) 317
Statements 318
ASHP Statement on the Pharmacist’s Role in Antimicrobial Stewardship and Infection Prevention and Control 318
ASHP Statement on the Pharmacist’s Role in Clinical Pharmacogenomics 321
ASHP Statement on the Pharmacist’s Role in Clinical Pharmacokinetic Monitoring 324
ASHP Statement on the Pharmacist’s Role in Medication Reconciliation 326
ASHP Statement on the Pharmacist’s Role in Primary Care 329
ASHP Statement on the Pharmacist’s Role in Substance Abuse Prevention, Education, and Assistance 332
ASHP Statement on Pharmacy Services to the Emergency Department 336
ASHP Statement on Racial and Ethnic Disparities in Health Care 339
ASHP Statement on the Role of Health-System Pharmacists in Emergency Preparedness 344
ASHP Statement on the Role of Health-System Pharmacists in Public Health 346
ASHP Statement on the Use of Dietary Supplements 351
Guidelines 356
ASHP Guidelines on Emergency Medicine Pharmacist Services 356
ASHP Guidelines on Pharmacist Involvement in HIV Care 371
ASHP Guidelines on the Pharmacist’s Role in Immunization 395
ASHP Guidelines on the Pharmacist’s Role in Palliative and Hospice Care 401
ASHP Guidelines on the Pharmacist’s Role in Providing Drug Information 416
ASHP Guidelines for Providing Pediatric Pharmaceutical Services in Organized Health Care Systems 421
ASHP Guidelines on Surgery and Anesthesiology Pharmaceutical Services 424
Pharmaceutical Industry 433
Drug Products, Labeling, and Packaging 434
Positions\r 434
Protecting Workers from Exposure to Hazardous Drugs (1615) 434
Excipients in Drug Products (1528) 434
Nonproprietary Naming of Biological Products (1535) 434
Ensuring Effectiveness, Safety, and Access to OrphanDrug Products (1413) 434
Standardized Clinical Drug Nomenclature (0920) 434
Standardizing Prefixes and Suffixes in Drug Product Names (0720) 434
Mandatory Labeling of the Presence of Latex (0501) 434
Ready-to-Use Packaging for All Settings (0402) 434
Unit Dose Packaging Availability (0309) 435
Drug Shortages (0002) 435
Pediatric Dosage Forms (9707) 435
Use of Color to Identify Drug Products (9608) 435
Expiration Dating of Pharmaceutical Products (9309) 435
Tamper-Evident Packaging on Topical Products (9211) 435
Drug Nomenclature (9011) 435
Codes on Solid Dosage Forms of Prescription Drug Products (8709) 435
Elimination of Apothecary System (8613) 435
Size, Color, and Shape of Drug Products (8310) 435
Marketing 436
Positions\r 436
Promotion of Off-Label Uses (1620) 436
Ban on Direct-to-Consumer Advertising for Prescription Drugs and Medication-Containing Devices (1624) 436
Identification of Prescription Drug Coverage and Eligibility for Patient Assistance Programs (1521) 436
Manufacturer-Sponsored Patient Assistance Programs (1420) 436
Pharmaceutical Distribution Systems (1016) 436
Restricted Drug Distribution (0714) 436
Drug Samples (9702) 437
Guideline 438
ASHP Guidelines for Pharmacists on the Activities of Vendors’ Representatives in Organized Health Care Systems 438
Pharmacy Management 441
Positions\r 442
Disposition of Illicit Substances (1522) 442
Pharmacy Department Business Partnerships (1416) 442
Integration of Pharmacy Services in Multifacility Health Systems (1417) 442
Proliferation of Accreditation Organizations (1303) 442
Workload Monitoring and Reporting (0901) 442
Pharmacist Leadership of the Pharmacy Department (0918) 442
Pharmacy Staff Fatigue and Medication Errors (0504) 443
Statements 444
ASHP Statement on the Roles and Responsibilities of the Pharmacy Executive 444
ASHP Statement on Standards-Based Pharmacy Practice in Hospitals and Health Systems 448
Guidelines 450
ASHP Guidelines on Medication Cost Management Strategies for Hospitals and Health Systems 450
ASHP Guidelines on Outsourcing Pharmaceutical Services 465
ASHP Guidelines on Outsourcing Sterile Compounding Services 472
Compensation and Reimbursement 484
Positions\r 484
Payer Processes for Payment Authorization and Coverage Verification (1301) 484
Drug Product Reimbursement (1304) 484
Revenue Cycle Compliance and Management (1205) 484
Value-Based Purchasing (1209) 484
Reimbursement for Unlabeled Uses of FDA-Approved Drug Products (0206) 484
Human Resources 485
Positions\r 485
Career Opportunities for Pharmacy Technicians (1610) 485
Credentialing, Privileging, and Competency Assessment (1415) 485
Financial Management Skills (1207) 485
Board Certification for Pharmacists (1225) 485
Professional Socialization (1113) 485
Credentialing and Privileging by Regulators, Payers, and Providers for Collaborative Drug Therapy Management (0905) 485
Intimidating or Disruptive Behaviors (0919) 486
Education, Prevention, and Enforcement Concerning Workplace Violence (0810) 486
Appropriate Staffing Levels (0812) 486
Image of and Career Opportunities for Hospital and Health-System Pharmacists (0703) 486
Influenza Vaccination Requirements to Advance Patient Safety and Public Health (0615) 486
Staffing for Safe and Effective Patient Care (0201) 486
Pharmacist Recruitment and Retention (0218) 487
Professional Development as a Retention Tool (0112) 487
Drug Testing (9103) 487
Employee Testing (9108) 487
Guidelines 488
ASHP Guidelines on the Recruitment, Selection, and Retention of Pharmacy Personnel 488
Report 494
ASHP Long-Range Vision for the Pharmacy Work Force in Hospitals and Health Systems 494
Practice Settings 505
Positions\r 506
Home Intravenous Therapy (1623) 506
Use of Two Patient Identifiers in the Outpatient Setting (1024) 506
Guidelines 507
ASHP Guidelines on Evaluating and Using Home or Alternate-Site Infusion Service Providers 507
ASHP Guidelines on Home Infusion Pharmacy Services 512
ASHP Guidelines: Minimum Standard for Ambulatory Care Pharmacy Practice 527
ASHP Guidelines: Minimum Standard for Pharmacies in Hospitals 541
ASHP Guidelines on Pharmacy Services in Correctional Facilities 552
Research 559
Positions\r 560
Research on Drug Use in Obese Patients (1515) 560
Institutional Review Boards and Investigational Use of Drugs (0711) 560
Clinical Investigations of Drugs Used in Elderly and Pediatric Patients (0229) 560
Statement 561
ASHP Statement on Pharmaceutical Research in Organized Health-Care Settings 561
Guidelines 562
ASHP Guidelines on Clinical Drug Research 562
ASHP Guidelines for Pharmaceutical Research in Organized Health-Care Settings 569
ASHP Therapeutic Position Statements 571
ASHP Therapeutic Position Statement on the Cessation of Tobacco Use 572
ASHP Therapeutic Position Statement on the Institutional Use of 0.9% Sodium Chloride Injection to Maintain Patency of Peripheral Indwelling Intermittent Infusion Devices 588
ASHP Therapeutic Position Statement on the Role of Pharmacotherapy in Preventing Venous Thromboembolism in Hospitalized Patients 591
ASHP Therapeutic Position Statement on Strategies for Identifying and Preventing Pneumococcal Resistance 608
Therapeutic Monitoring of Vancomycin in Adult Patients: A Consensus Review of the American Society of Health-System Pharmacists, the Infectious Diseases Society of America, and the Society of Infectious Diseases Pharmacists 615
ASHP Therapeutic Position Statement on the Use of Second-Generation Antipsychotic Medications in the Treatment of Adults with Psychotic Disorders 631
ASHP Therapeutic Guidelines 645
Clinical Practice Guidelines for Antimicrobial Prophylaxis in Surgery 646
Clinical Practice Guidelines for Sustained Neuromuscular Blockade in the Adult Critically Ill Patient 732
Index 749