Comprehensive identification of medication‐related problems occurring prior to, during and after emergency department presentation: An Australian multicentre, prospective, observational study

Taylor, Simone E; Mitri, Elise; Harding, Andrew M; Taylor, David; Weeks, Adrian; Abbott, Leonie; Lambros, Pani; Lawrence, Dona; Strumpman, Dana; Senturk-Raif, Reyhan; Louey, Stephen; Crisp, Hamish; Tomlinson, Emily; Manias, Elizabeth

doi:10.1111/1742-6723.13439

Cited by 10 publications

(12 citation statements)

References 14 publications

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“…Pharmacists also adapt known frameworks-or develop their own-to reflect the key medication classes or quality improvement initiatives their organization or practice site is focusing on, instead of utilizing an established framework. 8,21,[41][42][43] The nomenclature used for MTPs has evolved over time.…”

Section: History Of Medication Therapy Problem Identificationmentioning

confidence: 99%

“…• The number of medications each patient is taking 7,9,[11][12][13]18,20,22,25,41,48,51,56,[58][59][60] • The number of medical conditions diagnosed for each patient [9][10][11][12][13]20,22,25,31,48,51,60 • The intervention recommended by the pharmacist for each MTP (eg, initiate new medication, change dose, conduct medication monitoring, provide patient education) 6,7,9,10,12,18,22,24,31-33,55,56…”

Section: The Length Of the Interventions Described In The Studies Lasted Any-mentioning

confidence: 99%

“…(eg, A1c, BP, international normalized ratio [INR]) [11][12][13]16,18,61 • Each patient's insurance provider(s) 10,12,19,41,48 12,17,39 This framework has also been tied to SNOMED CT codes which helps justify payment for services and is in line with medical documentation. 15 It is important to note, however, that currently there is limited data on the connection of MTP documentation to payment or routine use of SNOMED codes.…”

Section: The Length Of the Interventions Described In The Studies Lasted Any-mentioning

confidence: 99%

“…Some examples of MTP severity scales include: severe-moderate-mild, a numerical potential for harm scale, a simple binary severe (requiring immediate action) vs not severe, or a prioritized list. 7,41,48,56,57,59 We recommend a simplified scale of severe vs not severe or high priority (requires immediate action) vs moderate or low priority to guide MTP prioritization and intervention.…”

Section: The Length Of the Interventions Described In The Studies Lasted Any-mentioning

confidence: 99%

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Medication therapy problem documentation and reporting: A review of the literature and recommendations

Armistead

Cruz

Levitt

et al. 2021

J Am Coll Clin Pharm

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Pharmacists are increasingly using medication therapy problem (MTP) metrics to monitor their clinical impact and demonstrate their value to health care organizations and commercial payers. Although the practice of documenting and resolving MTPs is well reported in the literature, there remains great diversity in how MTPs are categorized, documented, and reported. We conducted a review of the literature to gain key insights into the MTP classification systems, methods of MTP documentation, and MTP-related outcomes that are reported in the literature, as well as the elements of MTP documentation that are commonly employed in practice. Ninety-one articles were identified. These insights were used to develop a set of recommendations to help standardize the practice of MTP documentation in the profession. This review highlights the findings from these studies and outlines a set of recommendations for identifying, categorizing, documenting, and monitoring MTPs that can be applied across care settings. The recommendations include clearly defining the purpose for documenting MTPs; using an established, standardized MTP categorization framework and applying that framework consistently in practice; establishing a clear process for identifying and resolving MTPs; systematizing the documentation and reporting process; tracking the resolution of MTPs identified; and monitoring MTP data and assessing impact. MTP identification, documentation, and reporting are an important strategy for capturing, monitoring, and sharing the unique contributions of pharmacists in providing patient care. Although additional research is needed to clearly demonstrate the relationship between MTPs and humanistic, clinical, and economic outcomes, MTP resolution may be a useful process metric to demonstrate the value-added role of the pharmacist in the delivery of team-based, patient-centered care.clinical pharmacy services, drug, health care, medication therapy management, outcome and process assessment | INTRODUCTIONThe primary goal of health care is to improve the health and wellbeing of patients. Medications play a significant role in the prevention and treatment of short-term and long-term therapy disease, and pharmacists are uniquely poised as highly educated and trained medication specialists to optimize medication use and improve the health of patients. 1 Through the provision of comprehensive medication management (CMM), pharmacists helps ensure patients' medications are appropriate, effective, and safe, and that patients are adhering to

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Section: History Of Medication Therapy Problem Identificationmentioning

confidence: 99%

Section: The Length Of the Interventions Described In The Studies Lasted Any-mentioning

confidence: 99%

Section: The Length Of the Interventions Described In The Studies Lasted Any-mentioning

confidence: 99%

Section: The Length Of the Interventions Described In The Studies Lasted Any-mentioning

confidence: 99%

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Medication therapy problem documentation and reporting: A review of the literature and recommendations

Armistead

Cruz

Levitt

et al. 2021

J Am Coll Clin Pharm

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“…However, the overall incidence of serious ADR (causing hospitalization) in the US was reported to be 6.7% (95% CI 5.2%-8.2%) in the meta-analysis performed by Lazarou et al already in 1998(Lazarou et al, 1998. Other previous studies evaluated similar settings, but with different study design, such as the one by Taylor et al (2020), which is a prospective study that evaluates problems related to medication before, during and after the patient goes to the emergency department. This study does not analyze urgent hospital admissions caused by ADRs, which is the main objective of our study.…”

Section: Discussion Adverse Drug Reactionsmentioning

confidence: 97%

Urgent Hospital Admissions Caused by Adverse Drug Reactions and Medication Errors—A Population-Based Study in Spain

et al. 2020

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Background: Adverse drug reactions (ADR) are a public health issue, due to their great impact on morbidity, mortality, and economic cost.Objective: We aimed to study the percentage of patients admitted urgently as a result of an ADR, considered serious adverse event, or medication error. Also, we intended to identify possible risk factors which would lead to improvements in the prescription and use of medications.Methods: This is a retrospective observational study conducted during February 2019, including patients admitted through the emergency department in our hospital. We evaluated the medical records of those with suspected ADR diagnoses to perform a descriptive analysis of the demographic characteristics. Moreover, after applying the Spanish Pharmacovigilance System causality algorithm, we performed a descriptive analysis of the identified ADR and the drugs involved. We also investigated those cases suspected of being a medication error.Results: During the study period, 847 patients were urgently hospitalized. From those, 71 (29 women and 42 men) were admitted due to an ADR (8.4%, 95% CI 6.5%-10.3%). The mean age was 73 ± 15.9 years old and the mean number of prescribed medications was 7.3 ± 3.6 drugs/patient on admission. The most frequent ADR were opportunistic infections due to antineoplastic and immunomodulator drugs, and bleeding due to antiaggregants and anticoagulants. Five suspected medication errors occurred, being the incidence 0.6% (95% CI 0.08%-1.12%) of total admissions. Conclusions: 8.4% of urgent admissions were attributed to an ADR. Age (75% of patients were ≥ 65 years old), comorbidities and polymedication were the main risk

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Standard of practice for pharmacy services specialising in transitions of care

Phillips,

Criddle,

Jordan

et al. 2024

Pharmacy Practice and Res

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Comprehensive identification of medication‐related problems occurring prior to, during and after emergency department presentation: An Australian multicentre, prospective, observational study

Cited by 10 publications

References 14 publications

Medication therapy problem documentation and reporting: A review of the literature and recommendations

Medication therapy problem documentation and reporting: A review of the literature and recommendations

Urgent Hospital Admissions Caused by Adverse Drug Reactions and Medication Errors—A Population-Based Study in Spain

Standard of practice for pharmacy services specialising in transitions of care

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