Rates of PRN Medication Administration in Australian Residential Aged Care
| Autor: | Lisa M. Clinnick, Justin P. Turner, Claire Keen, Carl M. J. Kirkpatrick, Beverly Adams, Taliesin E. Ryan-Atwood, J. Simon Bell, Samanta Lalic, Jenni Ilomäki, Leonie Picton |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
longitudinal medicine.medical_treatment aged care Analgesic PRN Appropriate use 03 medical and health sciences symbols.namesake Benzodiazepines 0302 clinical medicine nursing Pro re nata Interquartile range nurse-initiated medication Medicine Humans 030212 general & internal medicine Aged care Poisson regression Antipsychotic General Nursing Aged Psychotropic Drugs business.industry Health Policy Australia General Medicine Medication administration pro re nata Emergency medicine symbols Geriatrics and Gerontology business 030217 neurology & neurosurgery Antipsychotic Agents |
| Zdroj: | Journal of the American Medical Directors Association. 22(1) |
| ISSN: | 1538-9375 |
| Popis: | Objective To investigate administration of pro re nata (PRN) medications and nurse-initiated medications (NIMs) in Australian aged care services over a 12-month period. Design Twelve-month longitudinal audit of medication administrations. Setting and participants Three hundred ninety-two residents of 10 aged care services in regional Victoria, Australia. Methods Records of PRN and NIM administration were extracted from electronic and hard copy medication charts. Descriptive statistics were used to calculate medication administration per person-month. Poisson regression was used to estimate predictors of PRN administration. Results Over a median follow-up of 12 months (interquartile range 10–12 months), 93% of residents were administered a PRN medication and 41% of residents an NIM on 21,147 and 552 occasions, respectively. The mean number of any PRN administration was 5.85 per person-month. The most frequently administered PRN medications per person-month were opioids 1.54, laxatives 0.96, benzodiazepines 0.72, antipsychotics 0.48, paracetamol 0.46, and topical preparations 0.42. Three-quarters of residents prescribed a PRN opioid or PRN benzodiazepine and two-thirds of residents prescribed a PRN antipsychotic had the medication administered on 1 or more occasions over the follow-up. Conclusions and Implications Most residents were administered PRN medications. Administration was in line with Australian regulations and institutional protocols. However, the high frequency of PRN analgesic, laxative, and psychotropic medication administration highlights the need for regular clinical review to ensure ongoing safe and appropriate use. |
| Databáze: | OpenAIRE |
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