Australasian journal on ageing · 2010
Medication-related problems in patients referred to aged care and memory clinics at a tertiary care hospital.
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Elliott Rohan A, Woodward Michael C
Аннотация
AIM: To investigate the prevalence of medication-related problems (MRPs) in patients attending aged care and memory disorder clinics and explore the potential role of a clinical pharmacist to obtain medication histories and identify unresolved MRPs.
METHODS: The clinical pharmacist interviewed patients and reviewed their medication regimens in the outpatient clinics. Clinical significance of pharmacist-identified MRPs was rated by an independent expert panel using validated criteria.
RESULTS: Forty-six patients (mean age 82 years) were reviewed. They took a median of nine medications, of which three were not recorded in the medical record. One hundred and thirteen MRPs (median 2.0 per patient) were identified by the pharmacist. Independent review rated 35% of MRPs as high or extreme risk. Thirty-seven (33%) MRPs related to medications not recorded in the medical record.
CONCLUSIONS: Medication-related problems were present for most patients. Involvement of a clinical pharmacist resulted in a more comprehensive medication history and identified unresolved MRPs.
METHODS: The clinical pharmacist interviewed patients and reviewed their medication regimens in the outpatient clinics. Clinical significance of pharmacist-identified MRPs was rated by an independent expert panel using validated criteria.
RESULTS: Forty-six patients (mean age 82 years) were reviewed. They took a median of nine medications, of which three were not recorded in the medical record. One hundred and thirteen MRPs (median 2.0 per patient) were identified by the pharmacist. Independent review rated 35% of MRPs as high or extreme risk. Thirty-seven (33%) MRPs related to medications not recorded in the medical record.
CONCLUSIONS: Medication-related problems were present for most patients. Involvement of a clinical pharmacist resulted in a more comprehensive medication history and identified unresolved MRPs.
Предметные рубрики MeSH
Age FactorsAgedAged, 80 and overAgingCross-Sectional StudiesDrug InteractionsDrug-Related Side Effects and Adverse ReactionsFemaleHealth BehaviorHealth Knowledge, Attitudes, PracticeHumansInappropriate PrescribingInterviews as TopicMaleMedical History TakingMedication AdherenceMedication ErrorsMemory DisordersOutpatient Clinics, HospitalPharmacistsPolypharmacyReferral and ConsultationRisk AssessmentRisk FactorsVictoria