A Pharmacist–Physician Intervention Model Using a Computerized Alert System to Reduce High-Risk Medication Use in Elderly Inpatients

Abstract

The intervention model reduced high-risk medication use in older inpatients. Most of the vulnerable inpatients identified by CAS alerts would not have otherwise had a geriatric medication review.

Impact of pharmacists on outcomes for patients with psychiatric or neurologic disorders

“…* Some of the studies are underpowered to detect a difference and do not show statistically significant outcomes. 31,33,56,69,70,72 Psychiatric pharmacists also show statistically significant benefits on patient-level outcomes in at least 5 peer-reviewed publications by providing services, including medication reviews, patient education, à patient and/or data evaluation for medication safety and efficacy, 26,31,35,37,40,41,47 and independent management of medication therapy upon referral. 50,[76][77][78][79]81 Twenty (31.3%) of the included studies have at least 1 BCPP author with formal advanced training in psychiatry/ neurology.…”

Knowledge Translation Strategy to Reduce the Use of Potentially Inappropriate Medications in Hospitalized Elderly Adults

“…A pharmacist reviewed the CAS alerts, evaluated their clinical relevance, analyzed the individual's pharmacotherapy, and developed a geriatric phamacotherapeutic plan to be discussed with the treating physician. In a pilot study, conducted at one of the two CHUS sites, the clinical relevance of the alerts was 74.5%, and the interventions led to a change in at least one targeted medication in 77.7% of the interventions …”

“…In a pilot study, conducted at one of the two CHUS sites, the clinical relevance of the alerts was 74.5%, and the interventions led to a change in at least one targeted medication in 77.7% of the interventions. 27…”

Protecting Our Elderly Patients from Adverse Drug Reactions

“…2 As one example, Quebec-based pharmacists demonstrated that a computerized review of individual patients' health care records using selected Beers criteria could identify patients for whom inappropriate medications had been prescribed. 3 In that study, computerization of patient screening allowed the pharmacists to efficiently identify patients at risk of ADRs and intervene to adjust their therapy.…”