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Joshua T. Swan, PharmD, MPH, FCCM, BCPS

Associate Professor of Pharmacy in Surgery, Academic Institute
Associate Clinical Member, Research Institute
Houston Methodist

Dr. Joshua Swan is an active clinician, clinical researcher, and educator. After graduating with a Doctor of Pharmacy from the University of Mississippi in 2009, Dr. Swan moved to Houston, Texas to conduct two years of postgraduate clinical training in hospital pharmacy and critical care medicine at Houston Methodist Hospital. In July 2011, Dr. Swan became a tenure-track Assistant Professor of Pharmacy Practice at Texas Southern University and a Clinical Pharmacist Specialist in the Department of Pharmacy at Houston Methodist Hospital. He conducts clinical research in collaboration with the Texas Southern University College of Pharmacy and Health Sciences, Houston Methodist Hospital Department of Pharmacy, and Houston Methodist Hospital Department of Surgery. He provides clinical pharmacy care and conducts a majority of his research in the Surgical Intensive Care Unit at Houston Methodist Hospital.

In 2013, Dr. Swan joined the Center of Outcomes Research in the Department of Surgery at the Houston Methodist Research Institute where he conducts clinical studies to improve the outcomes of surgical intensive care unit patients. Dr. Swan served on the American Society of Health-System Pharmacists New Practitioners Forum Science and Research Advisory Group from 2011 to 2013 and is currently a member of the Board of Directors for the Texas Chapter of the Society of Critical Care Medicine since 2013.

Description of Research

Dr. Swan’s research program focuses on clinical research and health services research aimed at improving the outcomes and healthcare of patients admitted to the intensive care unit. Current research efforts include evaluation of chlorhexidine bathing to prevent healthcare-associated infections in the surgical intensive care, performance improvement of delirium screening and documentation in the surgical intensive care unit, and performance improvement efforts to improve the quality of pharmacy resident major research projects within the Houston Methodist Hospital Department of Pharmacy.

Areas Of Expertise

Delirium Chlorhexidine Health-care associated infections Performance improvement Acute kidney injury Adverse drug events
Education & Training

MPH, University of Texas Health Science Center Houston
Residency, Houston Methodist Hospital
PharmD, University of Mississippi
BS, University of Mississippi

Impact of Chlorhexidine Bathing on Antimicrobial Utilization in Surgical Intensive Care Unit
Bui, LN, Swan, JT, Perez, KK, Johnson, ML, Chen, H, Colavecchia, AC, Rizk, E & Graviss, EA 2020, Journal of Surgical Research, vol. 250, pp. 161-171.

Incidence of chemotherapy-induced peripheral neuropathy within 12 weeks of starting neurotoxic chemotherapy for multiple myeloma or lymphoma: a prospective, single-center, observational study
Ajewole, VB, Cox, JE, Swan, JT, Chikermane, SG, Lamoth, B, Iso, T, Okolo, LO, Ford, CL, Schneider, AM, Hobaugh, EC & Baker, KR 2020, Supportive Care in Cancer, vol. 28, no. 4, pp. 1901-1912.

Prevalence of Cognitive Impairment Among Elderly Patients Upon Hospital Admission Using Mini-Cog™ Assessments Performed by Advanced Pharmacy Practice Experience Students
Bui, NA, Adeola, M, Azad, R, Swan, JT, Agarwal, KS, Sharma, M, Liebl, MG & Taffet, G 2020, Journal of Pharmacy Practice, vol. 33, no. 1, pp. 21-29.

Adherence to guideline recommendations for human rabies immune globulin patient selection, dosing, timing, and anatomical site of administration in rabies postexposure prophylaxis
Hwang, GS, Rizk, E, Bui, LN, Iso, T, Sartain, EI, Tran, AT & Swan, JT 2020, Human Vaccines and Immunotherapeutics, vol. 16, no. 1, pp. 51-60.

Value of pharmacy services in an outpatient, preoperative, anesthesia clinic
Haddad, N, Paranjpe, R, Rizk, E, Basit, SA, McNamara, C, Okoro, E, Gilmore, J, Liebl, M & Swan, JT 2020, Journal of the American Pharmacists Association.

Prioritization of quality indicators for opioid stewardship
Rizk, E, Swan, JT & Fink, E 2019, American Journal of Health-System Pharmacy, vol. 76, no. 19, pp. 1458-1459.

Quality indicators to measure the effect of opioid stewardship interventions in hospital and emergency department settings
Rizk, E, Swan, JT, Cheon, O, Colavecchia, AC, Bui, LN, Kash, BA, Chokshi, SP, Chen, H, Johnson, ML, Liebl, MG & Fink, E 2019, American Journal of Health-System Pharmacy, vol. 76, no. 4, pp. 225-235.

Disparate outcomes observed within Kidney Disease: Improving Global Outcomes (KDIGO) acute kidney injury stage 1
Sparrow, HG, Swan, JT, Moore, LW, Gaber, AO & Suki, WN 2019, , Kidney international.

Chlorhexidine bathing and Clostridium difficile infection in a surgical intensive care unit
Bui, LN, Swan, JT, Shirkey, BA, Olsen, RJ, Long, SW & Graviss, EA 2018, The Journal of surgical research, vol. 228, pp. 107-111.

Evaluation of Carotid Ultrasonography Screening Among Kidney Transplant Candidates: A Single-Center, Retrospective Study
Rossitter, CW, Vigo, RB, Gaber, AO, Swan, JT & Suki, WN 2017, Transplantation Direct, vol. 3, no. 3, pp. e135.

Agitation in Mechanically Ventilated ICU Patients
Swan, JT 2016, . in B Boucher & C Haas (eds), Critical Care Self-Assessment Program, 2016 Book 3.: Pain and Sedation/Support and Prevention. American College of Clinical Pharmacy, Lenexa, KS, pp. 27 - 56.

Validity and Reliability of a Systematic Database Search Strategy to Identify Publications Resulting from Pharmacy Residency Research Projects
Kwak, N, Swan, JT, Thompson-Moore, N & Liebl, MG 2016, , Journal of Pharmacy Practice, vol. 29, no. 4, pp. 406-414.

Effect of Chlorhexidine Bathing Every Other Day on Prevention of Hospital-Acquired Infections in the Surgical ICU: A Single-Center, Randomized Controlled Trial
Swan, JT, Ashton, CM, Bui, LN, Pham, VP, Shirkey, BA, Blackshear, JE, Bersamin, JB, Pomer, RML, Johnson, ML, Magtoto, AD, Butler, MO, Tran, SK, Sanchez, LR, Patel, JG, Ochoa, RA, Hai, SA, Denison, KI, Graviss, EA & Wray, NP 2016, , Critical Care Medicine, vol. 44, no. 10, pp. 1822-1832.

Effect of delirium motoric subtypes on administrative documentation of delirium in the surgical intensive care unit
Bui, LN, Pham, VP, Shirkey, BA & Swan, JT 2017, , Journal of Clinical Monitoring and Computing, vol. 31, no. 3, pp. 631-640.

The value of pharmacy residency training for health systems: An annotated bibliography
Swan, JT, Giouroukakis, M, Shank, BR, Crona, DJ, Berger, K & Wombwell, E 2014, , Journal of Pharmacy Practice, vol. 27, no. 4, pp. 399-411.

Use of a pharmacy protocol to convert standard rituximab infusions to rapid infusion shortens outpatient infusion clinic visits
Swan, JT, Zaghloul, HA, Cox, JE & Murillo, JR 2014, , Pharmacotherapy, vol. 34, no. 7, pp. 686-694.

Decreasing inappropriate unable-to-assess ratings for the confusion assessment method for the intensive care unit
Swan, JT 2014, , American Journal of Critical Care, vol. 23, no. 1, pp. 60-69.

Incidence of cholinesterase inhibitor therapy initiation among hospitalized patients
Swan, JT, Wagle, KC, Thompson-Moore, N & Taffet, G 2013, , Journal of hospital medicine, vol. 8, no. 6, pp. 304-308.

Antipsychotic use and diagnosis of delirium in the intensive care unit
Swan, JT, Fitousis, K, Hall, JB, Todd, SR & Turner, KL 2012, , Critical Care, vol. 16, no. 3, R84.

Systematic review and meta-analysis of immunosuppressant therapy clinical trials in membranous lupus nephritis
Swan, JT, Riche, DM, Riche, KD & Majithia, V 2011, Journal of Investigative Medicine, vol 59, no. 2, pp. 246-258. DOI: 10.231/JIM.0b013e318204c965