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

Associate Professor of Surgery, Academic Institute
Associate Member, Research Institute
Program Director, Clinical Pharmacy Fellowship in Outcomes Research, Department of Surgery
Houston Methodist

Clinical Pharmacy Fellowship in Outcomes Research

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. From 2011 to 2016, Dr. Swan was an Assistant Professor of Pharmacy Practice at Texas Southern University and a Clinical Pharmacist Specialist in the Department of Pharmacy at Houston Methodist Hospital. In 2013, Dr. Swan joined the Center of Outcomes Research in the Department of Surgery at Houston Methodist. In 2016, he joined Houston Methodist System Pharmacy as an Administrative Specialist in Drug Information, Formulary Management, and Research to oversee the drug information rotation for PGY1 residents and hospital and health-system rotation for fourth-year pharmacy students and support system formulary policy decisions and implementation. Dr. Swan developed and served as the inaugural chair of the Houston Methodist Pharmacy Research Committee from 2015-2019. In 2017, he developed the Houston Methodist Clinical Pharmacy Fellowship in Outcomes Research that is one of a few fellowships in the country that meet American College of Clinical Pharmacy research fellowship training guidelines.

The national reputation of his research has been recognized by the American Society of Health-System Pharmacists through a 2009 Literature Award and 2015 Excellence in Medication Safety award. The national reputation of his research is recognized by the Society of Critical Care Medicine through a 2014 travel grant from the Surgery Section for a top podium abstract, young investigator award from the Pharmacy Section in 2016, presidential citation in 2016, and induction as a Fellow in 2019. Dr. Swan previously served on the American Society of Health-System Pharmacists New Practitioners Forum Science and Research Advisory Group and on the Board of Directors for the Texas Chapter of the Society of Critical Care Medicine.

Description of Research

  • Detection, prevention, and treatment of medication-related organ damage (specifically brain and kidneys)
  • Detection, prevention, and treatment of medication-related harm for surgical, critically ill, and elderly patients
  • Use of pharmacovigilance to support ongoing clinical pharmacy initiatives
  • Expansion of clinical pharmacy services
  • Optimizing healthcare delivery by improving efficiency, reducing waste, and minimizing costs
  • Improve healthcare delivery and clinical outcomes for patients who receive care from the Department of Surgery and the JC Walter Jr Transplant Center of Excellence

Areas Of Expertise

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

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

Dexmedetomidine or Propofol for Sedation in Mechanically Ventilated Adults with Sepsis
MENDS2 Study Investigators 2021, , The New England journal of medicine.

Viable Hemostasis Obtained With Prothrombin Complex Concentrate in Patients Who Refuse Standard Allogeneic Blood Transfusion and Undergo Complex Cardiac Surgery: A Case Series
Iso, T, Rizk, E, Harris, JE, Salazar, E, Heyne, K, Herrera, E, Varisco, J & Swan, JT 2020, , A&A practice, vol. 14, no. 9, pp. e01276.

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.

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, vol. 60, no. 6, pp. e264-e278.

Opioid-Sparing Effect of Liposomal Bupivacaine and Intravenous Acetaminophen in Colorectal Surgery
Rizk, E, Haas, EM & Swan, JT 2020, , The Journal of surgical research.

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.

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.

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.