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Pamela A . Foral, PharmD, BCPS

Professor

Pamela Foral

Contact

School of Pharmacy and Health Professions
Pharmacy
Pharmacy Faculty
Pharmacy Practice
Department of Medicine
Infectious Diseases Divisions
Faculty - Pharmacy, OT, PT
HLSB - Hixson Lied Science Building

Pamela A . Foral, PharmD, BCPS

Professor

Teaching Interests

  • FCCP

Research Focus

Infectious Diseases and Antimicrobial Stewardship

Department

Pharmacy Practice

Position

Professor

Books

  • Joint Commission journal on quality and patient safety Joint Commission Resources
    Davis EM, Nystrom KK, FORAL PA, Christensen CM, Ward AR, McCoy TA. Case Study: A data-driven pilot test of a pharmacist-driven medication reconciliation process. In: Piscoran S, ed. Medication Reconciliation Handbook. Illinois: Joint Commission Resources and American Society of Health-System Pharmacists 2006: 175-185. 2006
  • McGraw-Hill
    Nystrom KK, FORAL PA. Nausea and Vomiting. In: Schwinghammer TL, editor. Pharmacotherapy Casebook: A Patient-Focused Approach, Sixth Edition. New York, NY: The McGraw-Hill Companies, Inc. April 2005. 2005
  • McGraw-Hill
    Nystrom KK, FORAL PA. Nausea and Vomiting. In: Schwinghammer TL, editor. Pharmacotherapy Casebook: A Patient-Focused Approach, Sixth Edition. New York, NY: The McGraw-Hill Companies, Inc. April 2005. 2005
  • Butterwoth-Heinemann
    FORAL PA, Malesker MA, Hopkins H. Medication Effect on Sleep. In: Bowman TJ, editor. Review of Sleep Medicine. Butterworth-Heinemann: Burlington, MA 2003;94-99. 2003
  • Butterwoth-Heinemann
    FORAL PA, Malesker MA, Hopkins H. Medication Effect on Sleep. In: Bowman TJ, editor. Review of Sleep Medicine. Butterworth-Heinemann: Burlington, MA 2003;94-99. 2003
  • McGraw-Hill
    Nystrom KK, FORAL PA. Nausea and Vomiting: Family Ties. In: Schwinghammer TL, editor. Pharmacotherapy Casebook: A Patient-Focused Approach, Fifth Edition. New York, NY: The McGraw-Hill Companies, Inc. 2002:111-113. 2002
  • McGraw-Hill
    Nystrom KK, FORAL PA. Nausea and Vomiting: Family Ties. In: Schwinghammer TL, editor. Pharmacotherapy Casebook: A Patient-Focused Approach, Fifth Edition. New York, NY: The McGraw-Hill Companies, Inc. 2002:111-113. 2002

Articles

  • Open Forum Infectious Diseases
    Sutton JD, Carico R, Burk M, Jones MM, Wei X, Neuhauser MM, Goetz MB, Echevarria KL,Spivak ES, Cunningham FE, for the Skin and Soft Tissue Infection Medication Use Evaluation Group (FORAL P). Inpatient management of uncomplicated skin and soft tissue infections in 34 Veterans Affairs Medical Center: A medication use evaluation.  Major Article. Open Forum Infectious Diseases, January 2020;7(1)1-10. https://doi.org/10.1093/ofid/ofz554.  2020
  • Infectious Diseases
    Sutton JD, Carico R, Burk M, Jones MM, Wei X, Neuhauser MM, Goetz MB, Echevarria KL, Spivak ES, Cunningham FE, for the Skin and Soft Tissue Infection Medication Use Evaluation Group (FORAL P). Inpatient management of uncomplicated skin and soft tissue infections in 34 Veterans Affairs Medical Center: A medication use evaluation. Major Article. Open Forum Infectious Diseases, January 2020;7(1)1-10. https://doi.org/10.1093/ofid/ofz554. Co-author, 5% contribution of writing and revision; 100% collected and submitted data from Omaha VA site, p. 1-10 2020
  • Cureus
    Nguyen M, Bendi VS, Guduru M, Olson E, Vivekanandan R, FORAL PA, Velagapudi M.Postpartum invasive Group A Streptococcus infection: Case report and mini-review. Cureus 2018;10(8):e3184.  doi:10.7759/cureus.3184  2018
  • Cureus
    Nguyen M, Bendi VS, Guduru M, Olson E, Vivekanandan R, FORAL PA, Velagapudi M. Postpartum invasive Group A Streptococcus infection: Case report and mini-review. Cureus 2018;10(8):e3184. doi:10.7759/cureus.3184. Co-author, 15% contribution of writing 2018
  • Clinical Infectious Diseases
    Spivak ES, Burk M, Zhang R, Jones MM, Neuhauser MM, Goetz MB, Cunningham FE, for the Management of Urinary Tract Infections Medication Use Evaluation Group (FORAL P). Management of bacteriuria in Veterans Affairs hospitals. Clinical Infectious Diseases 2017;65(15):910-917. doi: 10.1093/cid/cix474. 2017
  • American Journal of Sports Medicine
    Velagapudi M, Ratnaraj F, Krishnan M, Gujjula NR, Gorby G, FORAL PA, Bendi VS, Vivekanandan R. Otogenic temporal lobe abscess: A mini-review. Journal of Spine & Neurosurgery 2017;6(2):1-3. 2017
  • Krantz A, Ratnaraj F, Velagapudi M, Krishnan M, Gujjula NR, FORAL PA, Preheim L. Streptococcus gordonii empyema: A case report and review of empyema. Cureus 2017;9(4):e1159. doi:10.7759/cureus.1159 2017
  • Clinical Infectious Diseases
    Spivak ES, Burk M, Zhang R, Jones MM, Neuhauser MM, Goetz MB, Cunningham FE, for the Management of Urinary Tract Infections Medication Use Evaluation Group (FORAL P). Management of bacteriuria in Veterans Affairs hospitals. Clinical Infectious Diseases 2017;65(15):910-917. doi: 10.1093/cid/cix474. Co-author, 5% contribution of writing and revision; 100% collected and submitted data from Omaha VA site, p. 910-917 2017
  • J Spine Neurosurgery
    Velagapudi M, Ratnaraj F, Krishnan M, Gujjula NR, Gorby G, FORAL PA, Bendi VS, Vivekanandan R. Otogenic temporal lobe abscess: A mini-review. Journal of Spine & Neurosurgery 2017;6(2):1-3.Co-author,15% contribution of writing and revision, p. 1-3 2017
  • Cureus
    Krantz A, Ratnaraj F, Velagapudi M, Krishnan M, Gujjula NR, FORAL PA, Preheim L. Streptococcus gordonii empyema: A case report and review of empyema. Cureus 2017;9(4):e1159. doi:10.7759/cureus.1159. Co-author,15% contribution of writing and revision 2017
  • Journal of the American Osteopathic Association
    FORAL P, Anthone J, Destache C, Vivekanandan R, Preheim L, Gorby G, Horne J, Dobronski L, Syed J, Mindru C, Ali M, Ali K, Neemann K, Bittner M. Education and communication in an interprofessional antimicrobial stewardship program. The Journal of the American Osteopathic Association 2016;116(9):588-593. (Invited) 2016
  • J Am Osteo Assoc.
    FORAL P, Anthone J, Destache C, Vivekanandan R, Preheim L, Gorby G, Horne J, Dobronski L, Syed J, Mindru C, Ali M, Ali K, Neemann K, Bittner M. Education and communication in an interprofessional antimicrobial stewardship program. The Journal of the American Osteopathic Association 2016;116(9):588-593. (Invited)Primary corresponding author; 80% contribution of writing, 100% of submission and revision, p. 588-593 2016
  • Hospital Pharmacist
    Davis EM, FORAL PA, Dull RB, Smith AN. Review of insulin therapy and pen use in hospitalized patients.
    48(5), p. 396-405 2013
  • Consultant Pharmacist
    Foral, P., Dewan, N., Malesker, M. Insomnia: a therapeutic review for pharmacists
    26, p. 332-341 2011
  • Consultant Pharmacist
    Foral, P., Knezevich, J., Dewan, N., Malesker, M. Medication-induced sleep disturbances
    26, p. 414-425 2011
  • Consultant Pharmacist
    FORAL P, Knezevich J, Dewan N, Malesker M. Medication induced sleep disturbances.
    26(5), p. 414-425 2011
  • Consultant Pharmacist
    FORAL P, Dewan N, Malesker M. Insomnia: A Therapeutic Review for Pharmacists.
    26(5), p. 332-341 2011
  • American Journal of Pharmaceutical Education
    Foral, Pamela A., Turner, Paul D., Monaghan, Michael S., Walters, Ryan W., Merkel, Jennifer J., Lipschultz, Jeremy H., Lenz, Thomas L. Faculty and Student Expectations and Perceptions of E-mail Communication in a Campus and Distance Doctor of Pharmacy Program
    74, p. 191-191 2010
  • Medical Devices: Evidence and Research
    Davis, E.M., Sexson, E. L., Spangler, M. L., Foral, P. A., An Evaluation of Pre-filled Insulin Pens: a focus on the Next Generation FlexPen®.
    3, p. 41-50 2010
  • Hospital Pharmacy
    Nystrom, K. K., Foral, P. A., Christensen, C. M., Destache, C. J., Davis, Estella M. Rotation Students' Perceptions of Clinical Workload Documentation Using a Personal Digital Assistant
    44, p. 968 2009
  • American Journal of Health-System Pharmacy
    Davis, Estella M., Christensen, Carla M., Nystrom, Kelly K., Foral, Pamela A., Destache, Chris Patient satisfaction and costs associated with insulin administered by pen device or syringe during hospitalization
    65, p. 1347-1357 2008
  • American Journal of Critical Care
    Malesker, M. A., Foral, P. A., McPhillips, A. C., Christensen, K. J., Chang, J. A., Hilleman, D. E. An efficiency evaluation of protocols for tight glycemic control in intensive care units
    16, p. 589-598 2007
  • Southern Medical Journal
    Foral, P. A., Ineck, J. R., Nystrom, K. K. Oxycodone accumulation in a hemodialysis patient
    100, p. 212-214 2007
  • Hospital Pharmacy
    Nystrom, K. K., Foral, P. A., Wilson, A. F., Christensen, C. M., Miller, C. K. Personal digital assistant (PDA) clinical intervention documentation system: Development, implementation, and comparison to a previous paper-based system
    41, p. 143-150 2006
  • Pharmacotherapy
    Lenz, T. L., Foral, P. A., Malesker, M. A., Hunter, C. B., Hilleman, D. E. Impact of nesiritide on health care resource utilization and complications in patients with decompensated heart failure
    24, p. 1137-1146 2004
  • Chest
    Foral, P. A., Malesker, M. A., Huerta, G., Hilleman, D. E. Nebulized opioids use in COPD
    125, p. 691-694 2004
  • Drugs of Today
    Foral, P. A., Nystrom, K. K., Wilson, A. F., Christensen, C. M. Gastrointestinal-related adverse effects of COX-2 inhibitors
    39, p. 939-948 2003
  • Consultant Pharmacist
    Foral, P. A., Hopkins, H., Holstein, S., Wright, C., Malesker, M. A., Heineman, S. M. Medications as a cause of sleep disturbances
    17, p. 417-426 2002
  • Pharmacotherapy
    Foral, P. A., Wilson, A. F., Nystrom, K. K. Gastrointestinal bleeds associated with rofecoxib
    22, p. 384-386 2002
  • Annals of Pharmacotherapy
    Foral, P. A., Heineman, S. M. Vancomycin removal during a plasma exchange transfusion
    35, p. 1400-1402 2001
  • Pharmacotherapy
    Hilleman, D. E., Heineman, S. M., Foral, P. A. Pharmacoeconomic assessment of HMG-CoA reductase inhibitor therapy: An analysis based on the CURVES study
    20, p. 819-822 2000

Publications

  • FORAL P, Anthone J, Horne J, Dobronski L, Syed J, Destache C, Vivekanandan R, Preheim L, Gorby G, Bittner M. Incorporating Interprofessional Practice Education and Motivational Interviewing Techniques in Antimicrobial Stewardship Programs at Two Academic Medical Centers. Open Forum Infect Dis
    (Fall 2015) 2 (suppl 1), p. S166 2015
  • Pharmacotherapy
    FORAL P, Jamieson E, Bittner M, Gorby G, Horowitz E, Ali K, Neemann K, Vivekanandan R, Mindru C, Ali M, Hrdy M, Horne J, Dobronski L, Preheim L. Provider acceptance and impact of a consultative, non-coercive antimicrobial stewardship program at a Veterans Affairs medical center.
    34, p. e194 2014
  • Pharmacotherapy
    Smith AN, FORAL PA, Knezevich JT, Monaghan MS. Development of criteria for clinical activities for pharmacy practice faculty at annual evaluations. Abstracts and Index of Authors. Pharmacotherapy 2013:33:e194.
    33, p. 194 2013
  • International Pharmaceutical Abstracts
    Cernik B, FORAL PA, Hrdy M, Destache C. Evaluating the appropriateness of an antimicrobial intravenous to oral conversion protocol compared to antimicrobial stewardship recommendations in a veterans affairs health care system. ASHP Midyear Clinical Meeting
    46(DEC), p. 3-157 2013

Editing and Reviews

  • Doody Publishing Inc.
    FORAL PA. Antibiotic Essentials, Sixteenth Edition. Doody’s Review Service (on-line). Available: http://www.doody.com. 2019
  • Doody Publishing Inc.
    FORAL PA. Mayo Clinic Antimicrobial Therapy: Quick Guide, 3rd Edition. Doody’s ReviewService (on-line). Available: http://www.doody.com.   2019
  • Doody Publishing Inc.
    FORAL PA. Risking Antimicrobial Resistance. Doody’s Review Service (on-line). Available:http://www.doody.com.   2018
  • Doody Publishing Inc.
    FORAL PA. Drug Interactions in Infectious Diseases: Mechanisms and Models of DrugInteractions, 4th Edition. Doody’s Review Service (on-line). Available: http://www.doody.com.                                   2018
  • FORAL PA. Review of Antibiotic Essentials 2017, 15th Edition. Doody’s Review Service (on-line). Available: http://www.doody.com. 2017
  • FORAL PA. Review of Antibiotic Essentials 2015, 14th Edition. Doody’s Review Service (on-line). Available: http://www.doody.com. 2015
  • FORAL PA. Review of Drug Interactions in Infectious Diseases, 3rd Edition. Doody’s Review Service (on-line). Available: http://www.doody.com. (Accessed May 3, 2013). 2013
  • FORAL PA. Antibiotic Essentials 2013, 12th Edition. Doody’s Review Service (on-line). Available: http://www.doody.com. (Accessed November 26, 2013). 2013
  • FORAL PA. Review of Antibiotics: Pocketcard Set 2013, 2nd Edition. Doody’s Review Service (on-line). Available: http://www.doody.com. (Accessed September 6, 2013). 2013
  • FORAL PA. Review of Antibiotics: Pocketcard Set 2012. Doody’s Review Service (on-line). Available: http://www.doody.com. (Accessed July 27, 2012). 2012
  • FORAL PA. Review of Antimicrobial Chemotherapy, 6th Edition. Doody’s Review Service (on-line). Available: http://www.doody.com. (Accessed May 25, 2012). 2012
  • FORAL PA Johns Hopkins ABX Guide 2012: Diagnosis and Treatment of Infectious Diseases, 3rd Edition. Doody’s Review Service (on-line). Available: http://www.doody.com. (Accessed March 9, 2012). 2012

Presentations

  • FORAL PA, Jones RM, Fuji KT, Skrabal M, Coover KL, Ryan-Haddad AM, White ND. Evaluation of an Introductory Pharmacy Practice Experience to reinforce student learning and increase student confidence immediately prior to Advanced Pharmacy Practice Experiences amid a COVID-19 pandemic. 2020 Annual Meeting of the American College of Clinical Pharmacy, Dallas, Texas (Virtual), October 28, 2020. Poster 2020
  • Foral PA, Bernier T, Ertle L, Thio A, Sankey A, Baxter K, Grammar A, Mitchell-Bueso A, Specht W, Horne J. Evaluation of initiation and de-escalation of anti-MRSA therapy with vancomycin in patients with suspected community-onset infections at a VA Medical Center: An opportunity for antimicrobial stewardship. 2020 Annual Meeting of the American College of Clinical Pharmacy, Dallas, Texas (Virtual), October 2427, 2020. Poster 2020
  • INVITED Presentation: FORAL P. Alternatives to fluoroquinolones. Veterans Affairs Nebraska-Western Iowa Health Care System, VA Infectious Diseases Fellow Physicians, Omaha, Nebraska, November 15, 2019, 30 min. 2019
  • INVITED Presentation: FORAL P. Alternatives to fluoroquinolones. Veterans Affairs Nebraska- Western Iowa Health Care System, VA Emergency Department Physicians, Omaha, Nebraska, November 12, 2019, 30 min. 2019
  • FORAL PA; Horne J; Gorby G; Bittner M. An evaluation of a sustained antimicrobial stewardship program (ASP) and antimicrobial stewardship education to medical and pharmacy trainees at a VA Medical Center. 2019 Annual Meeting of the American College of Clinical Pharmacy, Hilton Midtown, New York, New York, October 27, 2019. Sun-92. Poster 2019
  • FORAL PA; Bernier T; Horne J; Gorby G; Bittner M. Evaluation of management of purulent and nonpurulent skin and soft tissue infections at a VA Medical Center: An opportunity for antimicrobial stewardship. 2019 Annual Meeting of the American College of Clinical Pharmacy, Hilton Midtown, New York, New York, October 27, 2019. Sun-91. Poster 2019
  • INVITED Presentation: FORAL P. Alternatives to fluoroquinolones. Veterans Affairs Nebraska-Western Iowa Health Care System, Multiple presentations to: VA Hospitalist Physicians, Emergency Department Physcians and Infectious Diseases Fellow Physicans; Omaha, Nebraska, August - November  2019, 30 min.  2019
  • FORAL PA, Jorgensen D. Invited Presentation: “Reflection and Discernment – Skills for Decision Making”; P1 Professional Formation Retreat, Creighton University, Omaha, Nebraska; August 16, 2018. 2018
  • Destache C, FORAL PA. Invited Panelist: “Antimicrobial Stewardship Panel Presentation”; Alpha Alpha of Rho Chi 2018 Summer Seminar, Creighton University, Omaha, Nebraska; June 27, 2018. 2018
  • FORAL PA. Current Anti-infective Drugs for Treating Infections Due to Resistant Bacteria. Infectious Diseases Spring Symposium 2018, Omaha, Nebraska. April 28, 2018. Invited live and live webinar presentation. Medical physician, nursing, pharmacist and medical assistant continuing education program; 1-hour presentation. 2018
  • FORAL PA. Extended-pulsed fidaxomicin versus vancomycin for Clostridium difficile infection in patients 60 years and older (EXTEND): a randomized, controlled, open-label, phase 3b/4 trial. Invited Journal Club Presentation. Omaha/Lincoln Infectious Diseases Pharmacy Journal Club. Omaha, Nebraska, January 17, 2018; ½ hour. 2018
  • FORAL P, Saunders J, Davis E, Packard K, Duggins K, Hrdy M, Horne J, Destache C. A multicenter evaluation of cardiovascular implantable electronic device (CIED) infection management. IDWeek 2017, San Diego, California, October 7, 2017. Poster 1924. Abstract: FORAL P, Saunders J, Davis E, Packard K, Duggins K, Hrdy M, Horne J, Destache C. A multicenter evaluation of cardiovascular implantable electronic device (CIED) infection management. Open Forum Infect Dis. Oct 2017. 4 (suppl1):S558, https://doi.org/10.1093/ofid/ofx163.1454. 2017
  • FORAL P, Dalke B, Brondum A, Hrdy M, Horne J, Destache C. A novel vancomycin standardized calculations method achieved therapeutic trough goals in obese and non-obese patients in a Veterans Affairs health care system. IDWeek 2017, San Diego, California, October 5, 2017. Poster 817. 2017
  • Sodoro J, FORAL PA. Appropriate use of fluoroquinolones: To use or not to use. Veterans Affairs Nebraska-Western Iowa Health Care System Clinical Pharmacy Retreat 2017, Lincoln, Nebraska. April 28 and May 3, 2017. Pharmacist continuing education program; 1 hour presentations. 2017
  • FORAL PA. Rabies: Evaluation and treatment. Nursing Primary Care Competencies. Veterans Affairs Nebraska-Western Iowa Health Care System, Omaha, Nebraska, May 2017; 20 min. 2017
  • FORAL PA. Antimicrobial stewardship program and patient education. Staff nursing education on multiple patient care units. Veterans Affairs Nebraska-Western Iowa Health Care System, Omaha, Nebraska, April – May 2017. 2017
  • Sodoro J, FORAL PA. Appropriate use of fluoroquinolones: To use or not to use. Veterans Affairs Nebraska-Western Iowa Health Care System Clinical Pharmacy Retreat 2017, Lincoln, Nebraska. April 28 and May 3, 2017. Pharmacist continuing education program; 1-hour presentations. 2017
  • Participant: Student Society of Health-System Pharmacy Speed Networking Event; Creighton University; Omaha, Nebraska; April 12, 2017. 2017
  • FORAL PA. Antimicrobial stewardship program and patient education. Staff nursing education on multiple patient care units. Veterans Affairs Nebraska-Western Iowa Health Care System,Omaha, Nebraska, April – May 2017. 2017
  • FORAL PA. Efficacy of oral vancomycin in preventing recurrent Clostridium difficile infection in patients treated with systemic antimicrobial agents. Invited Journal Club Presentation. Omaha/Lincoln Infectious Diseases Pharmacy Journal Club. Omaha, Nebraska, February 22, 2017; ½ hour. 2017
  • INVITED Presentation: FORAL P, Frazer J. Fluoroquinolone safety, appropriate use and alternatives. Veterans Affairs Nebraska-Western Iowa Health Care System, Med Staff Meeting, Omaha, Nebraska, September 2016, 20 min. 2016
  • FORAL PA. Pharmacokinetics workshop. Staff development for PGY1 pharmacy residents, Veterans Affairs Nebraska-Western Iowa Health Care System, Omaha, Nebraska, June 2016. 2016
  • FORAL PA. Combination of vancomycin and β-lactam therapy for methicillin-resistant Staphylococcus aureus bacteremia: A pilot multicenter randomized controlled trial. Invited Journal Club Presentation. Omaha/Lincoln Infectious Diseases Pharmacy Journal Club. Omaha, Nebraska, February 10, 2016; ½ hour. 2016
  • FORAL P, Anthone J, Horne J, Dobronski L, Syed J, Destache C, Vivekanandan R, Preheim L, Gorby G, Bittner M. Incorporating Interprofessional Practice Education and Motivational Interviewing Techniques in Antimicrobial Stewardship Programs at Two Academic Medical Centers. IDWeek 2015, San Diego, California, October 8, 2015. P 428 2015
  • Dorbronski L, FORAL P, Hemrick K, Bittner M. Adherence to Clostridium difficile treatment guidelines improved after intensification of an antimicrobial stewardship program with trends toward shorter length of stay and lower mortality at a Veterans Affairs health care system. Fellow Poster Presentation, Creighton University Medical Center, Omaha, Nebraska, May 15, 2015. 2015
  • Dorbronski L, FORAL P, Hemrick K, Bittner M. Adherence to Clostridium difficile treatment guidelines improved after intensification of an antimicrobial stewardship program with trends toward shorter length of stay and lower mortality at a Veterans Affairs health care system. SHEA Spring 2015 Conference: Science Guiding Prevention, Orlando, Florida, May 14-16, 2015. 2015
  • INVITED Presentation: Dorbronski L, FORAL P. Adherence to Clostridium difficile treatment guidelines improved after intensification of an antimicrobial stewardship program with trends toward shorter length of stay and lower mortality at a Veterans Affairs health care system. Medicine Grand Rounds. Creighton University Medical Center, Omaha, Nebraska, March 2015; 1 hour. 2015
  • INVITED Presentation: Dorbronski L, FORAL P. Adherence to Clostridium difficile treatment guidelines improved after intensification of an antimicrobial stewardship program with trends toward shorter length of stay and lower mortality at a Veterans Affairs health care system. Medicine Grand Rounds. Creighton University Medical Center, Omaha, Nebraska, March 2015; 1 hour. 2015
  • FORAL PA, Jamieson E, Bittner M, Gorby G, Horowitz E, Ali K, Neeman K, Vivekanandan R, Mindru C, Ali M, Hrdy M, Horne J, Dobronski L, Preheim L. Provider acceptance and impact of a consultative, non-coercive antimicrobial stewardship program at a Veterans Affairs medical center. 2014 Annual Meeting of the American College of Clinical Pharmacy, Austin, Texas, October 15, 2014. 2014
  • FORAL PA, Nissen S. Standardization of vancomycin calculations and optimizing patient care. 5th Annual NWI Clinical Pharmacy Retreat, Lincoln, Nebraska. April 27 and April 29, 2014. Pharmacist continuing education program; 1 hour presentations. 2014
  • Smith AN, FORAL PA, Knezevich JT, Monaghan MS. Development of criteria for clinical activities for pharmacy practice faculty at annual evaluations. 2013 Annual Meeting of the American College of Clinical Pharmacy, Albuquerque, NM, October 15, 2013. 2013
  • INVITED Presentation: Preheim L, Anthone J, FORAL P. Antimicrobial stewardship programs: Implementation and impact at CUMC and VA. Surgery Residents Grand Rounds. Creighton University Medical Center, Omaha, Nebraska, April 2013; 1 hour. 2013
  • INVITED Presentation: Preheim L, Anthone J, FORAL P. Antimicrobial stewardship programs: Implementation and impact at CUMC and VA. Surgery Residents Grand Rounds. Creighton University Medical Center, Omaha, Nebraska, April 2013; 1 hour. 2013
  • FORAL PA. Probiotics for the prevention of Clostridium difficile-associated diarrhea; a systematic review and meta-analysis. Invited Journal Club Presentation. Omaha/Lincoln Infectious Diseases Pharmacy Journal Club. Omaha, NE, February 20, 2013; ½ hour. 2013
  • INVITED Presentation: Preheim L, Anthone J, FORAL P. Antimicrobial stewardship programs: Implementation and impact at CUMC and VA. Family Medicine Grand Rounds. Creighton University Medical Center, Omaha, Nebraska, January 2013; 1 hour. 2013
  • Cernik B, FORAL P, Hrdy M, Preheim L, Bittner M, Gorby G, Destache C, Ali K, Neemann K. Evaluating the appropriateness of an antimicrobial intravenous to oral conversion protocol compared to antimicrobial stewardship recommendations in a veterans affairs health care system. 46th Annual ASHP Midyear Clinical Meeting and Exhibits, Las Vegas, Nevada, December 3, 2012. P 3-157 2012
  • INVITED Presentation: Preheim L, Anthone J, FORAL P. Antimicrobial stewardship programs: Implementation and impact at CUMC and VA. Medical Residents Research Seminar. Creighton University Medical Center, Omaha, Nebraska, October 2012; 1 hour. 2012
  • INVITED Presentation: FORAL PA. Rabies: Post deployment; Risk, exposure and treatment. Omaha Medicine Staff, Veterans Affairs Nebraska-Western Iowa Health Care System, Omaha, Nebraska, June 2012; 20 min. 2012
  • Davis EM, Stang J, FORAL PA, Baker TM, Destache D. Factors associated with early readmission of cardiothoracic surgical patients. 2012 ACCP Virtual Poster Symposium. May 23, 2012. 2012
  • INVITED Presentation: Preheim L, Destache C, Anthone J, FORAL P. Antimicrobial stewardship enhanced patient outcomes and decreased microbial resistance, Surgery Residents Grand Rounds, Creighton University Medical Center, Omaha, Nebraska, February 2012; 1 hour. 2012
  • INVITED Presentation: Preheim L, Destache C, Anthone J, FORAL P. Antimicrobial stewardship enhanced patient outcomes and decreased microbial resistance, Medical Residents Grand Rounds, Creighton University Medical Center, Omaha, Nebraska, November 2011; 1 hour. 2012
  • Anderson JM, FORAL PA, Nystrom KK, Davis EM, Schmidt DP. Piloting clinical pharmacy services in the emergency department of a community hospital. 45th Annual ASHP Midyear Clinical Meeting and Exhibits, New Orleans, Louisiana, December 5, 2011. 2011
  • Pick AM, Elsasser GN, FORAL P. A faculty-initiated mentoring program for fourth year pharmacy students seeking postgraduate training. 112th American Association of Colleges of Pharmacy Annual Meeting and Seminars, San Antonio, Texas, July 11, 2011. 2011
  • Herdzina AM, Davis EM, FORAL P, Nystrom KK, Baker TM, Christensen CM. Pharmacist discharge counseling: The impact on cardiac surgery patients. 45th Annual ASHP Midyear Clinical Meeting and Exhibits, Anaheim, California, December 7, 2010. 2010
  • Raber M, Nystrom KK, FORAL P, Davis EM, Christensen CM. Development of a pharmacy technician chemotherapy competency in a community hospital. 45th Annual ASHP Midyear Clinical Meeting and Exhibits, Anaheim, California, December 6, 2010. 2010
  • Davis E, FORAL P, Baker T, Herdzina A, Destache C, Hardy K. Identification of factors associated with early readmission of cardiothoracic surgical patients in a community hospital. 2010 Annual Meeting of the American College of Clinical Pharmacy, Austin, Texas, October 18, 2010. 2010
  • FORAL PA, Merkel JJ, Turner PD, Lenz TL, Monaghan MS, Walters RW. Email communication: Faculty and students’ expectations and perceptions of accessibility and response time. 2010 Annual Meeting of the American College of Clinical Pharmacy, Austin, Texas, October 18, 2010. 2010
  • FORAL PA, Merkel JJ, Turner PD, Lenz TL, Monaghan MS, Walters RW. Email communication: Faculty and students’ expectations and perceptions of accessibility and response time. 2010 Annual Meeting of the American College of Clinical Pharmacy, Austin, Texas, October 18, 2010. 2010
  • Herink M, Christensen C, FORAL P, Davis E, Nystrom K. Establishing pharmacist involvement in parenteral nutrition: Evaluation at a community hospital. 44th Annual ASHP Midyear Clinical Meeting and Exhibits, Las Vegas, Nevada, December 8, 2009. 2009
  • Gerber C, FORAL P, Davis E, Christensen C, Nystrom K. Pilot evaluation of pharmacist- driven medication reconciliation. 44th Annual ASHP Midyear Clinical Meeting and Exhibits, Las Vegas, Nevada, December 8, 2009. 2009
  • FORAL P, Manning R, Davis E, Bruckner A, Christensen C. Implementation of a novel glucose reporting tool in an intensive care unit with an electronic intensive care unit. 44th Annual ASHP Midyear Clinical Meeting and Exhibits, Las Vegas, Nevada, December 7, 2009 2009
  • Merkel JJ, FORAL PA, Turner PD, Lenz TT, Monaghan MS, Walters RW. Email vs. face-to- face: Faculty and students’ perceptions of approachability and comfort level. 110th American Association of Colleges of Pharmacy Annual Meeting and Seminars, Boston, Massachusetts, July 19, 2009. 2009
  • Kim J, Nystrom K, Meyer R, Christensen C, Davis E, FORAL P. Evaluating the productivity, demand, and reimbursement of an anticoagulation clinic. 43rd Annual ASHP Midyear Clinical Meeting and Exhibits, Orlando, Florida, December 9, 2008. 2008
  • Davis E, Krueger B, FORAL P, Christensen C, Nystrom K. Decompensated congestive heart failure: treatment with an ultrafiltration device and analysis of anticoagulation methods. 43rd Annual ASHP Midyear Clinical Meeting and Exhibits, Orlando, Florida, December 9, 2008.   2008
  • Pogge E, Davis E, Vuchetich P, FORAL PA, Nystrom K, Christensen C. Developing an advanced student internship program at a community hospital. 43rd Annual ASHP Midyear Clinical Meeting and Exhibits, Orlando, Florida, December 9, 2008. 2008
  • FORAL PA, Merkel JJ, Turner PD, Monaghan MS, Walters RW. Email vs. face-to-face: faculty and students’ perceptions of tone and content. 2008 Annual Meeting of the American College of Clinical Pharmacy, Louisville, Kentucky, October 22, 2008 2008
  • Ryan-Haddad A, Doll J, Sexson E, Nystrom K, Faulkner M, Coover K, Begley K, Davis E, Tilleman J, Christensen C, FORAL P, Bruckner A. Enhancing the health fair experience for older adults through the health report card and student health fair guides. 109th American Association of Colleges of Pharmacy Annual Meeting and Seminars, Chicago, Illinois, July 19, 2008. 2008
  • FORAL PA, Pekarek A, Davis EM, Nystrom KK, Christensen CM, Destache C. Pharmacist’s potential impact for polypharmacy patients in a community based clinic. 42nd Annual ASHP Midyear Clinical Meeting and Exhibits, Las Vegas, Nevada, December 4, 2007. 2007
  • FORAL PA, Malesker MM, Hilleman DE, Christensen KJ, McPhillips AC. Nursing satisfaction survey concerning tight glycemic control protocols in the ICU. 42nd Annual ASHP Midyear Clinical Meeting and Exhibits, Las Vegas, Nevada, December 4, 2007. 2007
  • Nystrom KK, Williams L, Madsen L, Destache C, Davis EM, Christensen CM, FORAL PA. Assessment of venous thromboembolism (VTE) prophylaxis in oncology patients at a community hospital. 42nd Annual ASHP Midyear Clinical Meeting and Exhibits, Las Vegas, Nevada, December 3, 2007. 2007
  • Davis EM, Christensen CM, Nystrom KK, FORAL PA, Destache C. Patient satisfaction and cost-savings observed with insulin pens in a hospital setting. 2007 Annual Meeting of the American College of Clinical Pharmacy, Denver, Colorado, October 15, 2007. 2007
  • Davis EM, Christensen CM, Nystrom KK, FORAL PA, Destache C. Patient satisfaction and cost-savings observed with insulin pens in a hospital setting. 2007 Annual Meeting of the American College of Clinical Pharmacy, Denver, Colorado, October 15, 2007. 2007
  • Hrdy M, Christensen CM, Davis EM, Nystrom KK, FORAL PA, Destache C. Immunizations rates and physician preferences regarding birth doses of hepatitis B at a community hospital. 16th Pediatric Pharmacy Conference and Annual Meeting, Portsmouth, VA, September 29, 2007. 2007
  • Currier S, Christensen, CM, Veit L, Nystrom KK, Davis EM, FORAL PA, Wallingford B, Destache C. Smoking cessation program for post-partum women: Preliminary results of a pilot. 18th International Nursing Research Congress Focusing on Evidence-Based Practice. Vienna, Austria, July 2007. 2007
  • Christensen CM, Veit L, Nystrom KK, Davis EM, FORAL PA, Currier S, Wallingford B, Destache C. Early effectiveness of a post partum smoking cessation program. 41st Annual ASHP Midyear Clinical Meeting and Exhibits, Anaheim, California, December 5, 2006. 2006
  • Davis EM, Christensen CM, Nystrom KK, FORAL PA, Destache C. Nursing satisfaction of prefilled, disposable insulin pens compared to conventional insulin use in a community hospital. 41st Annual ASHP Midyear Clinical Meeting and Exhibits, Anaheim, California, December 5, 2006. 2006
  • Nystrom KK, Kerhli J, Davis EM, Christensen CM, FORAL PA, Destache C. A review of febrile neutropenia management in a community hospital. 41st Annual ASHP Midyear Clinical Meeting and Exhibits, Anaheim, California, December 4, 2006. 2006
  • Malesker MA, Chang J, FORAL PA, Hilleman DE, Christensen K. An analysis of variations in a tight glycemic control protocol. 41st Annual ASHP Midyear Clinical Meeting and Exhibits, Anaheim, California, December 4, 2006. 2006
  • FORAL PA, Malesker Ma, McPhillips AC, Christensen KJ, Hilleman DE. A time-motion analysis of tight glycemic control protocols in the intensive care unit. 2006 Annual Meeting of the American College of Clinical Pharmacy, St. Louis, Missouri, October 28, 2006. 2006
  • Nystrom KK, FORAL PA, Davis EM, Christensen CM, Ward A, McCoy TA. Justifying a medication reconciliation program at a community health system. 40th Annual ASHP Midyear Clinical Meeting and Exhibits, Las Vegas, Nevada, December 5, 2005. 2005
  • Christensen CM, Nystrom KK, FORAL PA, Davis EM, Ward A, Strasheim LR. Evaluation of potential medication errors in a neonatal intensive care unit. 2005 Annual Meeting of the American College of Clinical Pharmacy, San Francisco, California, October 24, 2005. 2005
  • Vanden Bosch AC, FORAL PA. Developing and delivering a clinical pharmacokinetics course from a distance. The Virtual Frontier: Developing and Delivering Health Science Education from a Distance, Creighton University School of Pharmacy and Health Professions, Omaha, Nebraska, June 21, 2005. 2005
  • FORAL PA, Nystrom KK, Christensen C, Davis E, Heineman SM. Evaluation of HMG-CoA reductase inhibitor (statin) utilization in the inpatient setting. 2005 ASHP Summer Meeting, Boston, Massachusetts, June 13, 2005. 2005
  • Malesker MA, Lenz TL, FORAL PA, Hunter CB Hilleman DE. Pharmacoeconomic analysis of nesiritide use in decompensate heart failure: A multi-center study. 2005 Spring Practice and Research Form of the American College of Clinical Pharmacy, Myrtle Beach, South Carolina, April 10, 2005. 2005
  • Hilleman DE, Faulkner MA, FORAL PA, Nystrom K, Lucas D. Cost-effectiveness evaluation of a population-based treat-to-target study of HMG-CoA reductase inhibitor. 39th Annual ASHP Midyear Clinical Meeting and Exhibits, Orlando, Florida. December 6, 2004. 2004
  • Nystrom KK, FORAL PA, Christensen CM, Hayes MM, Davis EM. Pharmacy student survey of views on clinical workload documentation and personal digital assistant (PDA) usage. 39th Annual ASHP Midyear Clinical Meeting and Exhibits, Orlando, Florida. December 6, 2004. 2004
  • Christensen CM, Louie KR, Nystrom KK, FORAL PA, Davis EM. Ordering neonatal parenteral nutrition: the value of technology. 39th Annual ASHP Midyear Clinical Meeting and Exhibits, Orlando, Florida. December 6, 2004. 2004
  • FORAL PA, Heineman S. COPD: Burden of illness and clinical management. Omaha, Nebraska, September 2, 2004; two 1-hour continuing education presentations. 2004
  • Hilleman DE, Faulkner MA, FORAL PA, Nystrom K. Pharmacoeconomic evaluation of tiotropium in COPD. 39th Annual ASHP Midyear Clinical Meeting and Exhibits, Orlando, Florida. December 6, 2004. 2004
  • FORAL PA, Nystrom KK, Wilson AF, Christensen CM, Ward A. Staffing requirements and compensation days for pharmacy practice residencies in the Midwest. 38th Annual ASHP Midyear Clinical Meeting and Exhibits, New Orleans, Louisiana. December 10, 2003. 2003
  • Christensen CM, Sbaiti AM, FORAL PA, Wiedower AC, Wendel PJ. Once daily gentamicin dosing and pharmacokinetics in postpartum women. 38th Annual ASHP Midyear Clinical Meeting and Exhibits, New Orleans, Louisiana. December 9, 2003. 2003
  • Nystrom KK, FORAL PA, Wilson AF, Milbrath JA, Smith EC. Evaluation of the diagnosis of depression and the use of antidepressant therapy in breast, colorectal and prostate cancer patients in a community hospital. 38th Annual ASHP Midyear Clinical Meeting and Exhibits, New Orleans, Louisiana. December 9, 2003. 2003
  • Lenz TL, FORAL PA, Malesker MA, Lucas BD, Hunter CB, Wadibia EC, Hilleman DE. Pharmacoeconomic analysis of nesiritide use in decompensated heart failure. 38th Annual ASHP Midyear Clinical Meeting and Exhibits, New Orleans, Louisiana. December 9, 2003. 2003
  • Ward AR, Wilson AF, Schoening SK, Nystrom KK, FORAL PA. Implementation of an internally managed prescription drug benefit for health-system employees. 38th Annual ASHP Midyear Clinical Meeting and Exhibits, New Orleans, Louisiana. December 8, 2003; 1 hour presentation. 2003
  • Hilleman DE, Lenz TL, Malesker MA, FORAL PA, Hunter CB. Pharmacoeconomic analysis of nesiritide in decompensated heart failure: A multi-center study. American Heart Association Scientific Session 2003, Orlando, FL. November 10, 2003. 2003
  • FORAL PA. Breaking news in asthma management, treatment, and prevention. Asthma Across the Continuum Conference 2003, Lincoln, Nebraska. September 26, 2003. Nursing and respiratory therapy continuing education program; 1 hour presentation. 2003
  • Lenz TL, FORAL PA, Malesker MA, Wadibia EC, Lucas BD, Hunter CB, Hilleman DE. Impact of nesiritide on complications and health-care resources in decompensated heart failure. Heart Failure Society of America, 7th Annual Scientific Meeting, Las Vegas, NV. September 22, 2003. 2003
  • Nystrom KK, FORAL PA, Wilson AF, Heineman S. The handheld devices: Improving pharmacy in the palm of your hand and update on documentation system. Omaha, Nebraska. July 30, 2003; 1 hour presentation 2003
  • Hilleman DE; FORAL PA. Pharmacoeconomic evaluation of tiotropium in COPD. American College of Clinical Pharmacy: 2003 Spring Practice and Research Forum/Updates in Therapeutics, Palm Springs, California. April 28, 2003. 2003
  • Heineman S, FORAL PA, Nystrom KK, Wilson AF. The handheld devices: Improving pharmacy in the palm of your hand. Creighton University – SPAHP, Omaha, Nebraska March 21, 2003; 1 hour presentation. 2003
  • FORAL PA, Hromek CA, Nystrom KK, Wilson AF, Peters MH. Process improvement initiative to improve aspirin use in the myocardial infarction patient. 37th Annual ASHP Midyear Clinical Meeting and Exhibits, Atlanta, Georgia. December 11, 2002. 2002
  • Wilson AF, Nystrom KK, FORAL PA. Levofloxacin medication use evaluation and cost savings associated with pharmacist interventions. 37th Annual ASHP Midyear Clinical Meeting and Exhibits, Atlanta, Georgia. December 11, 2002. 2002
  • Ward A, Wilson AF, FORAL PA, Nystrom KK. Robotic technology in the inpatient setting. Eastern Nebraska Pharmacist Network, Omaha, Nebraska; November 13, 2002; 1 hour presentation 2002
  • Hromek C, FORAL P, Heck P, Schwedhelm KK, Peters MH, Dunbar TE, Birdwell M. Practice improvement for the myocardial infarction population. American College of Nurse Practitioners National Clinical Symposium, Albuquerque, New Mexico. October 12, 2002. 2002
  • FORAL PA, Nystrom KK, Wilson AF. Residents’ documentation of clinical interventions utilizing personal digital assistant technology. 2002 ASHP Residency Preceptors Conference, San Diego, CA. August 17-18, 2002; two 1-hour presentations. 2002
  • Nystrom KK, FORAL PA, Wilson AF. Fentanyl patch medication use evaluation in a community hospital. 36th Annual ASHP Midyear Clinical Meeting and Exhibits, New Orleans, Louisiana. December 5, 2001. 2001
  • Wilson AF, FORAL PA, Nystrom KK. Evaluation and impact of clinical pharmacy interventions at a community hospital. 36th Annual ASHP Midyear Clinical Meeting and Exhibits, New Orleans, Louisiana. December 5, 2001. 2001
  • FORAL PA, Ward A. Implementing a pharmacy practice residency in a community hospital; Eastern Nebraska Pharmacist Network, Omaha, Nebraska; March 14, 2001; 1 hour presentation. 2001
  • FORAL PA, Heineman SM, Jaeckel S, Mo YS, Pullappally S. Warfarin protocol implementation and evaluation in hospitalized cardiac patients. 35th Annual ASHP Midyear Clinical Meeting and Exhibits, Las Vegas, Nevada; December 5, 2000. 2000
  • FORAL PA, Heineman SM, Baum NA, Hill BM. Dolasetron substitution program and drug use evaluation. 35th Annual ASHP Midyear Clinical Meeting and Exhibits, Las Vegas, Nevada; December 5, 2000. 2000
  • Heineman SM, FORAL PA. Cefotetan-induced hemolysis, 35th Annual ASHP Midyear Clinical Meeting and Exhibits, Las Vegas, Nevada; December 5, 2000. 2000
  • Heineman S, Faulkner M, FORAL P, Hilleman DE. Comparative diagnostic accuracy of adenosine, dipyridamole and dobutamine myocardial perfusion imaging: a meta-analysis, 2000 Spring Practice and Research Forum of the American College of Clinical Pharmacy, Monterey, California; April 4, 2000. 2000
  • FORAL PA. A case report of vancomycin removal during a plasma exchange transfusion in a sickle cell anemia patient. 34th Annual ASHP Midyear Clinical Meeting and Exhibits, Orlando, Florida; December 9, 1999. 1999
  • FORAL PA. Antibiotic and infectious disease course session 9: Case study: Intra-abdominal infections. Continuing Education Series, Nebraska Health System Hospital, Omaha, Nebraska, May 25, 26, 1999; 1 hour presentation. 1999
  • Malesker MA, Malone PM, Luckritz TC, (FORAL) MERKEL PA, Lang PJ. Antibiotic utilization in COPD patients. 31st Annual ASHP Midyear Clinical Meeting, New Orleans, Louisiana, December 8-12, 1996. 1996
  • (FORAL) MERKEL PA, Elsberry VA, Roe DJ. Population estimation of vancomycin clearance in children, 29th Annual ASHP Midyear Clinical Meeting, Miami, Florida, December 1994. 1994
  • FORAL PA, Elsberry VA, Roe DJ: Population estimation of vancomycin clearance in children, Western States Conference, Asilomar, California, May 1994; ½ hour presentation. 1994
  • (FORAL) MERKEL PA. Brucellosis: Clinical presentation and treatment, Continuing Education Program for pharmacists, residents, faculty, students, University Medical Center, Tucson, Arizona, May 1994; 1 hour presentation. 1994

Other

  • Veterans Affairs national multi-site medication use evaluation: Evaluation of management of skin and soft tissue infection for veterans in the inpatient setting. PBM VAMedSAFE and VAASTF. Veterans Affairs Nebraska-Western Iowa Health Care System, October 2017 – January 2020. 100% participation as principal investigator for my site in this national multi-site project. 100% collected and submitted the data. 5% manuscript review prior to submission, publication in peer-reviewed journal.

  • Veterans Affairs national multi-site medication use evaluation: Evaluation of management of urinary tract infections for veterans in the inpatient setting. Veterans Affairs Nebraska-Western Iowa Health Care System, May 2015 – 2017. 100% participation as principal investigator for my site in this national multi-site project. 100% collected and submitted the data, 5% manuscript review prior to submission, publication in peer-reviewed journal

  • Incorporating interprofessional practice education and motivational interviewing techniques in antimicrobial stewardship programs at two academic medical centers. Creighton University School of Pharmacy and Health Professions, Creighton University School of Medicine, Veterans Affairs Nebraska-Western Iowa Health Care System, and CHI Health Creighton University Medical Center, May 2015 – 2016. 80% participation as principal investigator. Lead in project development, collected and analyzed data, submitted and presented results at a national poster presentation and subsequent invited publication in peer reviewed journal.

Awards

  • Fellow of the American College of Clinical Pharmacy, Induction
    American College of Clinical Pharmacy

Consulting

  • Invited Focus Group Participation
    2013 ACCP Annual Meeting, Albuquerque, New Mexico
    Board of Pharmacy Specialties
    2013 - 2013