<HTML xmlns="http://www.w3.org/TR/REC-html40" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:v="urn:schemas-microsoft-com:vml" xmlns:w="urn:schemas-microsoft-com:office:word"><head><META content="text/html; charset=us-ascii" http-equiv="Content-Type">
<META content="text/html; charset=us-ascii" HTTP-EQUIV="Content-Type">
<meta content="Microsoft Word 12 (filtered medium)" name=Generator>
<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]-->
<title>Re: [Pharmwaste] Sampling of med take back items</title>
<style>
<!--
/* Font Definitions */
@font-face
{font-family:Calibri;
panose-1:2 15 5 2 2 2 4 3 2 4;}
@font-face
{font-family:Tahoma;
panose-1:2 11 6 4 3 5 4 4 2 4;}
@font-face
{font-family:"Goudy Old Style";
panose-1:2 2 5 2 5 3 5 2 3 3;}
@font-face
{font-family:"Monotype Corsiva";
panose-1:3 1 1 1 1 2 1 1 1 1;}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0in;
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"Times New Roman","serif";}
a:link, span.MsoHyperlink
{mso-style-priority:99;
color:blue;
text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
{mso-style-priority:99;
color:purple;
text-decoration:underline;}
p
{mso-style-priority:99;
mso-margin-top-alt:auto;
margin-right:0in;
mso-margin-bottom-alt:auto;
margin-left:0in;
font-size:12.0pt;
font-family:"Times New Roman","serif";}
span.EmailStyle18
{mso-style-type:personal-reply;
font-family:"Times New Roman","serif";
color:#1F497D;}
.MsoChpDefault
{mso-style-type:export-only;
font-size:10.0pt;}
@page Section1
{size:8.5in 11.0in;
margin:1.0in 1.0in 1.0in 1.0in;}
div.Section1
{page:Section1;}
-->
</style>
<!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1" />
</o:shapelayout></xml><![endif]-->
</head><BODY>
<DIV>
<DIV>
<DIV>
<div class=Section1>
<p class=MsoNormal><span style='font-size:11.0pt;color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;color:#1F497D'><o:p> </o:p></span></p>
<div>
</DIV>
<DIV><BR><BR></DIV>
<DIV STYLE="FONT-SIZE: 9pt; FONT-FAMILY: Courier New"><EM><FONT FACE="Arial" SIZE="2">The Department of Environmental Protection values your feedback as a customer. DEP Secretary Michael W. Sole is committed to continuously assessing and improving the level and quality of services provided to you. Please take a few minutes to comment on the quality of service you received. Simply click on <A HREF="http://survey.dep.state.fl.us/?refemail=Laurie.Tenace@dep.state.fl.us" TARGET="_blank">this link to the DEP Customer Survey</A>. Thank you in advance for completing the survey.</FONT></EM></DIV>
<DIV STYLE="FONT-SIZE: 9pt; FONT-FAMILY: Courier New"><EM><FONT FACE="Arial" SIZE="2"></FONT></EM></DIV>
<DIV STYLE="FONT-SIZE: 9pt; FONT-FAMILY: Courier New">
<p class=MsoNormal style='margin-left:.5in'><b><span style='font-size:10.0pt;
font-family:"Tahoma","sans-serif"'>From:</span></b><span style='font-size:10.0pt;
font-family:"Tahoma","sans-serif"'> Rod Larson [mailto:larsonr@husson.edu] <br>
<b>Sent:</b> Friday, January 22, 2010 8:39 AM<br>
<b>To:</b> Stevan Gressitt; Jaramillo, Jeanie; pharmwaste@lists.dep.state.fl.us<br>
<b>Cc:</b> John Schloss; Len Kaye; Jennifer_Crittenden@umit.maine.edu<br>
<b>Subject:</b> Re: [Pharmwaste] Sampling of med take back items<o:p></o:p></span></p>
</div>
</div>
<p class=MsoNormal style='margin-left:.5in'><o:p> </o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:
12.0pt;margin-left:.5in'><span style='font-size:11.0pt;font-family:"Calibri","sans-serif"'>I
recently participated in the last count in Maine. I think a sampling with
extrapolation will certainly work. The technique won’t matter as much as
making note of what was done (e.g., random, every 10th envelope). Of
course, the larger the sample size, the more powerful the results will be.
Thus, as much sampling should be done as time allows, and the sampling
technique should be consistent and well-documented. <br>
<br>
One thing I noticed in the most recent count is that we only counted controlled
substances. The rest was just roughly estimated. Thus, the data
derived from the controlled substances will be pretty good, but the rest is not
nearly as useful when it comes to studying adherence and waste. I propose
that all medications (at least those in capsule and tablet form) be accurately
counted. An automatic pill counter might be a good investment (or see if
we can borrow one for the counts), and would speed up the process quite a bit.
This will make a much more robust database and allow for a much greater
opportunity to extract useful information out of the project. <br>
<br>
Rod<br>
<br>
<br>
On 1/22/10 7:37 AM, "Stevan Gressitt" <<a href="Stevan.Gressitt@maine.gov">Stevan.Gressitt@maine.gov</a>> wrote:</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:
12.0pt;margin-left:.5in'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>Your internal consistency idea looks good. I am not the
mathematician or statistician, but I suspect there is enough horsepower on this
list to advise. It might also be interesting to see the difference in
consistency at 1/10 1/20 1/100 depending on sixze as we all who are trying to
sample will probably do best if we adopt a “best practice” <br>
<br>
</span><span style='font-size:11.0pt;font-family:"Calibri","sans-serif"'><br>
</span><span style='font-size:10.0pt;font-family:"Goudy Old Style","serif";
color:#993366'>Stevan Gressitt, M.D., Medical Director<br>
Office of Adult Mental Health Services<br>
Department of Health and Human Services<br>
Marquardt Building, 2nd Floor<br>
11 State House Station<br>
32 Blossom Lane<br>
Augusta, ME 04333-0011<br>
Ph: (207)287-4273<br>
Fax: (207)287-1022<br>
Cell Phone: (207) 441-0291<br>
E-Mail : <a href="stevan.gressitt@maine.gov">stevan.gressitt@maine.gov</a><br>
</span><u><span style='font-size:9.0pt;font-family:"Goudy Old Style","serif";
color:blue'><a href="http://www.maine.gov/dhhs/mh/">http://www.maine.gov/dhhs/mh/</a><br>
</span></u><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:navy'><br>
</span><b><i><span style='font-size:8.0pt;font-family:"Goudy Old Style","serif"'>Confidentiality
Notice</span></i></b><span style='font-size:8.0pt;font-family:"Goudy Old Style","serif"'>:
This e-mail message, including any attachments, is for the sole use of the
intended recipient(s). It may contain confidential and privileged
information. Any unauthorized review, copy, use, disclosure, or
distribution is prohibited. If you are not the intended recipient, please
note that any dissemination, distribution or copying of this is strictly
prohibited. Please contact me by reply e-mail or telephone and destroy
all copies of<b><i> </i></b>this message<span style='color:blue'>.<br>
</span>The Department of Health and Human Services (DHHS) does not discriminate
on the basis of disability, race, color, creed, gender, sexual orientation,
age, or national origin, in admission to, access to, or operations of its
programs, services, or activities, or its hiring or employment practices.
This notice is provided as required by Title II of the Americans with
Disabilities Act of 1990 and in accordance with the Civil Rights Act of 1964 as
amended, Section 504 of the Rehabilitation Act of 1973, as amended, the Age
Discrimination Act of 1975, Title IX of the Education Amendments of 1972 and
the Maine Human Rights Act and Executive Order Regarding State of Maine
Contracts for Services. Questions, concerns, complaints or requests for
additional information regarding the ADA may be forwarded to DHHS’ ADA
Compliance/EEO Coordinators, 11 SHS-221 State Street, Augusta, Maine 04333,
207-287-4289 (V), 207-287-3488 (V), 1-800-606-0215 (TTY). <br>
<br>
</span><o:p></o:p></p>
<div align=center class=MsoNormal style='margin-left:.5in;text-align:center'>
<hr align=center size=2 width="100%">
</div>
<p style='mso-margin-top-alt:5.0pt;margin-right:0in;margin-bottom:12.0pt;
margin-left:.5in'><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> <a href="pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a>
[<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>]
<b>On Behalf Of </b>Jaramillo, Jeanie<br>
<b>Sent:</b> Wednesday, January 20, 2010 2:29 PM<br>
<b>To:</b> <a href="pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> [Pharmwaste] Sampling of med take back items<br>
</span><span style='font-size:11.0pt;font-family:"Calibri","sans-serif"'><br>
I had no luck with having our epidemiologist help with a sampling protocol.
He’s already being pulled in many different directions. I did want to
mention that our next event (3/27) will likely be the last one in which we
conduct a full inventory. We will be collating the items collected by
participant (i.e. these 20 items all came from car #1), which will be a little
more work this time around. I believe this will allow us to validate
sampling techniques that we could use for future events. For instance, we
could pull out the data from every Xth participant, summarize it, and
extrapolate it to the total number of participants and then compare that to the
full inventory. I’m sure there’s some statistical method to do that.
<br>
<br>
</span><span style='font-family:"Monotype Corsiva"'>Jeanie Jaramillo, PharmD<br>
Managing Director, Texas Panhandle Poison Center<br>
Assistant Professor, Texas Tech UHSC School of Pharmacy<br>
1501 S. Coulter St.
<br>
Amarillo, TX 79106<br>
P: (806) 354-1611<br>
C: (806) 672-0833<br>
F: (806) 354-1667<br>
Cisco IP: 30412<br>
<br>
</span><o:p></o:p></p>
</div>
</DIV></DIV></DIV></BODY></HTML>