Effectiveness of a pharmacist-led medication review programme on medication appropriateness and hospital readmissions among geriatric in-patients in Hong Kong
| Autor: | Patrick Kc Chiu, Angela Wk Lee, Tammy Yw See, Felix Hw Chan |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Medication review
Hospital readmission medicine.medical_specialty business.industry Mortality rate Pharmacist General Medicine Emergency department Intervention group Regional hospital 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Intervention (counseling) Emergency medicine medicine 030212 general & internal medicine business |
| Zdroj: | Hong Kong Medical Journal. |
| ISSN: | 1024-2708 |
| Popis: | INTRODUCTION Elderly patients are at risk of drug-related problems. This study aimed to determine whether a pharmacist-led medication review programme could reduce inappropriate medications and hospital readmissions among geriatric in-patients in Hong Kong. METHODS This prospective controlled study was conducted in a geriatric unit of a regional hospital in Hong Kong. The study period was from December 2013 to September 2014. Two hundred and twelve patients were allocated to receive either routine care (104) or pharmacist intervention (108) that included medication reconciliation, medication review, and medication counselling. Medication appropriateness was assessed by a pharmacist using the Medication Appropriateness Index. Recommendations made by the pharmacist were communicated to physicians. RESULTS At hospital admission, 51.9% of intervention and 58.7% of control patients had at least one inappropriate medication (P=0.319). Unintended discrepancy applied in 19.4% of intervention patients of which 90.7% were due to omissions. Following pharmacist recommendations, 60 of 93 medication reviews and 32 of 41 medication reconciliations (68.7%) were accepted by physicians and implemented. After the program and at discharge, the proportion of subjects with inappropriate medications in the intervention group was significantly lower than that in the control group (28.0% vs 56.4%; P |
| Databáze: | OpenAIRE |
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