OBJECTIVES: To establish the feasibility and the specific tasks of a multidisciplinary team approach for medical review in four nursing homes for the elderly in Italy. METHODS: Prospective study conducted between November 2012 and September 2013. Review of therapies was performed by seven clinical pharmacists and four nurses using composite criteria for drug discrepancy evaluation with subsequent submission to 31 physicians. RESULTS: The rate of prevalence of drug discrepancies recorded for 2556 medications reviewed in 333 patients was 34.1% (871/2556). Of these, only 35.5% (309/871) were accepted by clinicians. The highest clinician acceptance rates were observed for drug substitutions (91.3%, 211/231) and dosing regimen modifications (96.4%, 53/55). A significant decrease in the mean number of medications prescribed per patient (from 7.7±2.8 to 7.3±2.7, p<0.05) was observed. CONCLUSIONS: Interventions aimed at improving interactions between pharmacists and physicians and awareness among physicians of major pharmacological interactions should be encouraged.
OBJECTIVES: To establish the feasibility and the specific tasks of a multidisciplinary team approach for medical review in four nursing homes for the elderly in Italy. METHODS: Prospective study conducted between November 2012 and September 2013. Review of therapies was performed by seven clinical pharmacists and four nurses using composite criteria for drug discrepancy evaluation with subsequent submission to 31 physicians. RESULTS: The rate of prevalence of drug discrepancies recorded for 2556 medications reviewed in 333 patients was 34.1% (871/2556). Of these, only 35.5% (309/871) were accepted by clinicians. The highest clinician acceptance rates were observed for drug substitutions (91.3%, 211/231) and dosing regimen modifications (96.4%, 53/55). A significant decrease in the mean number of medications prescribed per patient (from 7.7±2.8 to 7.3±2.7, p<0.05) was observed. CONCLUSIONS: Interventions aimed at improving interactions between pharmacists and physicians and awareness among physicians of major pharmacological interactions should be encouraged.
Authors: Stephane Steurbaut; Lies Leemans; Tinne Leysen; Eva De Baere; Pieter Cornu; Tony Mets; Alain G Dupont Journal: Ann Pharmacother Date: 2010-08-24 Impact factor: 3.154
Authors: Maria Ángeles Allende Bandrés; Mercedes Arenere Mendoza; Fernando Gutiérrez Nicolás; Miguel Ángel Calleja Hernández; Fernando Ruiz La Iglesia Journal: Int J Clin Pharm Date: 2013-07-24
Authors: Arnold Geoffrey Zermansky; David Phillip Alldred; Duncan Robert Petty; David K Raynor; Nick Freemantle; Joanne Eastaugh; Peter Bowie Journal: Age Ageing Date: 2006-08-12 Impact factor: 10.668
Authors: N D Barber; D P Alldred; D K Raynor; R Dickinson; S Garfield; B Jesson; R Lim; I Savage; C Standage; P Buckle; J Carpenter; B Franklin; M Woloshynowych; A G Zermansky Journal: Qual Saf Health Care Date: 2009-10