Farmacia hospitalaria : organo oficial de expresion cientifica de la Sociedad Espanola de Farmacia Hospitalaria · 2018
Prevalence of medication-related problems in complex chronic patients and opportunities for improvement.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод в очереди
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Guerro-Prado Marta, Olmo-Revuelto María Adelina, Catalá-Pindado Miguel Ángel
Аннотация
OBJECTIVE: To estimate the prevalence of medication-related problems in patients treated in continuous care units and to identify the therapeutic areas in which these problems were more concentrated.
METHOD: Observational descriptive prospective study. Review of clinical histories and outpatient treatment by a hospital pharmacist. Communicating medication-related problems detected to the responsible doctor. Analysis of the therapeutic areas in which the problems were most concentrated.
RESULTS: 85 patients were reviewed, and 368 potential medication-related problems were identified. The areas with the most prevalent medication- related problems were the long-term use of hypnotics, sub-optimal analgesia, optimizable antidepressant treatment, statins in patients older than 75 years in primary prevention and in those with high-intensity doses in secondary prevention, patients with heart failure without angiotensin-converting enzyme inhibitors, and proton-pump inhibitors without indication.
CONCLUSIONS: Training interventions should be implemented and computer assistance should be developed to help avoid the most prevalent medication-related problems.
METHOD: Observational descriptive prospective study. Review of clinical histories and outpatient treatment by a hospital pharmacist. Communicating medication-related problems detected to the responsible doctor. Analysis of the therapeutic areas in which the problems were most concentrated.
RESULTS: 85 patients were reviewed, and 368 potential medication-related problems were identified. The areas with the most prevalent medication- related problems were the long-term use of hypnotics, sub-optimal analgesia, optimizable antidepressant treatment, statins in patients older than 75 years in primary prevention and in those with high-intensity doses in secondary prevention, patients with heart failure without angiotensin-converting enzyme inhibitors, and proton-pump inhibitors without indication.
CONCLUSIONS: Training interventions should be implemented and computer assistance should be developed to help avoid the most prevalent medication-related problems.