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Related Concept Videos

Therapeutic Drug Monitoring: Affecting Factors01:29

Therapeutic Drug Monitoring: Affecting Factors

Therapeutic Drug Monitoring (TDM) is the clinical practice of measuring specific drug levels in a patient's blood or body tissues to manage and optimize therapy. TDM is crucial for drugs with narrow therapeutic windows, like warfarin and phenytoin, where incorrect doses can lead to treatment failure or severe side effects. This monitoring ensures the dosage administered is within a safe and effective range. The factors affecting therapeutic drug monitoring include:Patient-Specific Factors:a.
Drug Therapy01:28

Drug Therapy

The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
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Therapeutic Drug Monitoring: Overview and Classification01:16

Therapeutic Drug Monitoring: Overview and Classification

Therapeutic Drug Monitoring (TDM) is a clinical practice that measures specific drug levels in a patient's blood at designated intervals to ensure the drug concentration stays within a therapeutic range. This monitoring is crucial for optimizing individual dosage regimens, enhancing therapeutic efficacy, and minimizing drug-related toxicity. TDM is vital for drugs with narrow therapeutic windows, significant variability in pharmacokinetics, and a clear correlation between plasma levels and...
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Designing a dosage regimen, which refers to the manner of drug administration, is a complex process involving the selection of drug dose, route, and frequency. This process is underpinned by pharmacokinetic parameters derived from tests and population averages. These parameters are then tailored to patient-specific variables such as diagnosis, demographics, and allergy status. Once therapy commences, therapeutic response monitoring is critical and achieved through clinical and physical...
Therapeutic Drug Monitoring: Drug Analysis Methods01:26

Therapeutic Drug Monitoring: Drug Analysis Methods

Therapeutic Drug Monitoring (TDM) is a clinical practice that measures specific drug levels in a patient's blood or body tissues to tailor drug therapy effectively. This monitoring is critical for managing drugs with narrow therapeutic indices like digoxin and phenytoin, ensuring they are both safe and effective. For instance, monitoring theophylline levels in asthma patients involves precision and sensitivity to adjust doses according to individual responses to therapy, ensuring efficacy and...
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Updated: May 22, 2026

A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
07:31

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School of pharmacy-based medication therapy management program: development and initial experience.

Annie Lam1, Peggy Soule Odegard, Jacqueline Gardner

  • 1School of Pharmacy, University of Washington, Seattle, WA 98195, USA. aylam@u.washington.edu

Journal of the American Pharmacists Association : Japha
|May 24, 2012
PubMed
Summary
This summary is machine-generated.

A university pharmacy developed a collaborative model for medication therapy management (MTM) services. This campus-community approach improved patient care and reduced MTM caseloads, despite lower-than-expected pharmacy collaboration.

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Area of Science:

  • Pharmacy Practice and Education
  • Health Services Research
  • Medication Therapy Management

Background:

  • Medication Therapy Management (MTM) services are crucial for optimizing patient outcomes.
  • Collaborative models between academic institutions and community pharmacies can enhance MTM delivery.
  • There is a need for effective training and practice platforms for MTM services.

Purpose of the Study:

  • To describe a novel school of pharmacy-community pharmacy collaborative model for MTM services.
  • To evaluate the feasibility and outcomes of a campus-based MTM practice for training and service delivery.
  • To assess the impact of the collaborative model on patient care, cost avoidance, and trainee development.

Main Methods:

  • Establishment of a campus-based MTM pharmacy (UW Pharmacy Cares) as a Class A, nondispensing pharmacy.
  • Collaboration with six community pharmacies through business associate agreements.
  • Provision of comprehensive medication reviews (CMRs) and MTM training to faculty and student pharmacists.
  • Data collection on collaborating pharmacies, patient encounters, CMRs conducted, and estimated cost avoidance (ECA).

Main Results:

  • Five faculty pharmacists provided CMR services to 17 patients, conducting 17 CMRs and generating 50 additional claims.
  • Total estimated cost avoidance (ECA) reached $54,250, averaging $3,191.19 per patient.
  • Seven student pharmacists received CMR interview training.

Conclusions:

  • The campus-community practice model successfully addressed unmet patient care needs and reduced MTM caseloads.
  • The model facilitated faculty professional development and provided valuable training experiences for student pharmacists.
  • While community pharmacy collaboration interest was lower than anticipated, the model demonstrated significant value in MTM delivery and cost savings.