Welcome to the Current Issues section of the International Journal of Ambulatory Care and Industrial Pharmacy (IJACIP). Here, you will find the latest research articles, reviews, and case studies that have been published in our most recent issue. Each article is peer-reviewed and selected for its contribution to the fields of ambulatory care and industrial pharmacy.
Featured Articles in the Latest Issue
- Volume 2(Issue 2) JULY – DECEMBER 2025
Research Articles
Evaluation of Stability and Potencies of Compounded Suspensions in Oncology Day Care
Vol.2(2); Pages:1-9. Published on September 2025
Abstract
Custom-made oral formulations can be frequently needed by patients under ambulatory oncology in case of unavailable commercial liquid formulations. In this work, the stability, potency and formulary of extemporaneously compounded oral suspension of capecitabine and cyclophosphamide using oral vehicle bases were compared. The physical, chemical and microbiological stability of the formulations was determined at refrigerator and room temperature with a maximum period of 30 days. The findings indicated that none of the suspensions lost more than 90% of its potency, and there was no remarkable variation in pH and microbial formations. Subsequent responses to 40 patients evaluated as caregivers presented an excellence level of acceptability and dose accuracy. The results favor the usability of the pharmacy-compounded oral suspension as safe and effective administration in the outpatient oncology care environment thus offers the patient a viable alternative when unable to take tablets or cannot respond to standardized and standardized treatment.
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Enhancing medication Safety and waste reduction: Unit dose dispensing in ambulatory surgery
Vol.2(2); Pages:10-21. Published on September 2025
Abstract
Unit dose dispensing has been known to provide an improvement in the safety of medication in cases of inpatient operation but has not been much applied in ambulatory surgical clinics. The proposed implementation and outcome evaluation study was a research interested in examining the impact of the implementation of unit dose dispensing system on two ambulatory surgery centers. In a span of 8 weeks, the effect on drug errors, dispensing time and drug wastage was measured in the study. Findings identified a decrease of medication errors of 42.3 percent (p < 0.01), a 23 percent increase in dispensing efficiency, and 37.8 percent reduction in the waste of pharmaceuticals. The surveys of staff members also proved more satisfaction with workflow performance and medication safety. These results indicate that significant clinical and operational gains could be achieved by modifying hospital-based dispensing processes in the ambulatory surgical practice for enhanced drug safety, enhanced efficiency of the dispensing process, and eliminated waste, in effect contributing toward more sustainable and effective outpatient surgical practice.
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Evaluating Drive-Through Pharmacy Operations in Cities and Rural Areas: A Cross-National Estimation Study
Vol.2(2); Pages:22-32. Published on October 2025
Abstract
Drive-through pharmacy services have been used increasingly in the ambulatory care setting because of the COVID-19 pandemic. This qualitative research represented a comparative study designed to assess patient satisfaction, operational issues and service results in rural and urban clinics in Denmark and Oman. The information was gathered in accordance with 428 patient surveys and 15 guided staff interviews. It was found that urban locations were characterized by a greater throughput of patients whereas rural centers performed better when it comes to personalized communication and treatment of patients. In both the contexts more than eighty nine percent of the patients were favorable to taking services through the drive-through as opposed to the traditional counter-based services with one of the primary reasons cited to be that it is fast, convenient, and there is a lesser risk of getting infected. Nonetheless, the centers at rural areas had a problem with efficient provision of the services and in the cities, health centers suffered due to the patient peak hours. Part of the findings of the study exposes the need to develop context-specific pharmacy models that would incorporate needs of operation and preferences of patients and proposes policy reforms to continue drive-though services even after pandemic years.
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Stability and Regulatory Compliance of High-Risk Sterile Preparations in Ambulatory Oncology Pharmacies
Vol.2(2); Pages:33-42. Published on October 2025
Abstract
The challenges of sterile compounding in ambulatory oncology settings are unique especially during the preparation of high-alert chemotherapeutic agents where the strict adherence to the requirements of a regulatory body is needed to keep patients safe. This quality and stability risk assessment analysis was selected on the basis of the physical, chemical stability, microbial integrity and documentation compliance of the six most common sterile preparations that are compounded in ambulatory oncology pharmacies, among them paclitaxel, cisplatin and gemcitabine. During a 14-day preliminary testing time, the preparations were tested under the USP and EU GMP Annex 1 requirements using a set of HPLC (High-Performance Liquid Chromatography), sterility, and particle testings. The findings revealed 100 percent potency acceptance limit and no microbial growth or physical degradation was observed in refrigerated conditions of all the tested CSPs. In addition, 92 percent of the files of preparation were in complete audit conformity with the requirements of the regulator. Twelve pharmacy employees were interviewed in order to determine that documentation complexity and resource constraints were major impediments to the pursuit of optimum compliance to the regulatory provisions. The analysis highlights the need to address the quality assurance processes by adopting simplified systems, standardized procedures of compounding, and extensive education of pharmacy staff to meet regulatory requirements and achieve safe sterile compounding practices in ambulatory oncology unit.
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Development and Evaluation of a Pharmacist-Guided Adherence Monitoring Tool in Ambulatory Hypertension Care
Vol.2(2); Pages:43-52. Published on November 2025
Abstract
Inadequate compliance with the antihypertensive treatment is one of the main obstacles to optimal control of blood pressure in ambulatory care. The purpose of this work was to design and test a digital pill monitoring system combining the features of a pharmacist-led adherence monitoring system and patient counseling and motivation interviewing. It took place in 10 weeks and was carried out in conjunction with 2 ambulatory clinics and 128 clients that had uncontrolled hypertension. The compliance was observed with the help of smart pill caps that have connections with a mobile platform. The medication possession ratio (MPR), as a measure of baseline adherence, was only 62.3%; thus, adherence had improved greatly post-intervention to 84.7% (p < 0.001). What is more, 67 percent of patients reached their target blood pressure (<140 / 90 mmHg), which had been only 38 percent of them at baseline. Satisfaction with pharmacist involvement was high as reported by patients and among health care providers communication was better about challenges on medications. The intervention was properly combined with any existing processes, and it needed very few resources. This paper shows that the use of pharmacy-led digital interventions to enhance the outcome of chronic disease management is feasible and effective at least in resources-limited settings in ambulatory care.
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Explore our latest issue to stay informed on cutting-edge research, innovative practices, and emerging trends in the industry. Whether you are a researcher, clinician, or industry professional, our current issue provides valuable insights that can inform and enhance your work.
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