Drug-Related Problem Classification Systems

Mil, Foppe van; Westerlund, LO Tommy; Hersberger, Kurt E.; Schaefer, Marion

doi:10.1345/aph.1d182

Cited by 239 publications

(239 citation statements)

References 16 publications

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“…Irrelevante porque é entendido por todos, mas crucial porque nem sempre a compreensão é tão clara como parece. Nos incidentes com medicamentos, outros observam o fato de forma semelhante, quando estudam as conceituações para o termo "drug-related problem" 39 .…”

Section: Discussionunclassified

“…Assim, em-bora o termo PRM pareça ser auto-explicativo, observam-se diferentes conotações. Em conformidade com a proposta patrocinada pela OMS, a maioria das definições enfatiza a prevenção e inclui os PRMs potenciais, outros analisam somente os PRM reais, outros, ainda, se concentram na perspectiva do paciente ou no resultado da farmacoterapia 39 .…”

Section: Sobre a Terminologia Problema Relacionado A Medicamentosunclassified

“…Todavia, a consideração da "falta de uso" do medicamento ("untreated indication" ou "indication without a drug") como causa de EAM tem sido alvo de discussão. Para alguns pesquisadores esta situação não diz respeito a medicamentos, pois não se verifica o seu uso 39 . Para outros, esta circunstân-cia poderia ser comparada à categoria de EAM potenciais ou, ainda, erro de prescrição 58 .…”

Section: Sobre a Terminologia Evento Adverso A Medicamentounclassified

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Terminologia de incidentes com medicamentos no contexto hospitalar

2008

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Section: Discussionunclassified

Section: Sobre a Terminologia Problema Relacionado A Medicamentosunclassified

Section: Sobre a Terminologia Evento Adverso A Medicamentounclassified

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Terminologia de incidentes com medicamentos no contexto hospitalar

2008

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“…However, this term or some of its equivalents (Medication Related Problem, Drug-Related Problem) are far from being universally accepted. Some authors have found up to 14 different classifications, some of which have no definition or have not been validated [40][41][42]. On other cases, it has also been used in the context of pharmacovigilance, not only in its definition but as a system for classifying adverse drug reactions [43,44].…”

Section: Construction Of the Knowledge Object (Pcas)mentioning

confidence: 99%

“…), communicative aspects (lack of information, communication, education, etc. ), and only in the case of PCNE explicitly recognize economic problems (the medicine is more expensive than necessary) [32,42].…”

Section: Construction Of the Knowledge Object (Pcas)mentioning

confidence: 99%

Towards a transformation in the pharmacist care paradigm: A scoping study

López

Orozco

2017

Rev. colomb. cienc. quim. farm.

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SummaryIntroduction: In a paper published by Hepler, it is mentioned that the Pharmaceutical Care constitutes a change in the paradigm of the profession, an affirmation that it is necessary to clarify since apparently, this concept is not used from the philosophy or the social sciences. Methodology: A scoping study was performed from systematics reviews of literature and meta-analysis published in MEDLINE, EMBASE and LILACS, which the role of the pharmacist in the different settings of health care was studied. It was not restricted by language or date of publication. Results: The selection process identifies 86 reviews published between 1998 and 2014, of which 84.9% are Systematic Review (SR). It was studied all care settings 23.3%, community 22.1%, and ambulatory setting 22.1%. According to the title, 65% referring to the role of the pharmacist, 21% with pharmaceutical care or other related terms and 14% with clinical pharmacy services. There is no uniformity in the concepts of pharmaceutical care or drugs related problems. Conclusions: It is necessary to construct the knowledge object of pharmaceutical care activities from a paradigm that allows another understanding of pharmacist interventions, construct values in the patientpharmacist relationship supported in Latin American bioethics and a methodology of research that transcends the findings of the performed studies using the designs of classical epidemiology.

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Medication‐related problems in geriatric psychiatry—a retrospective cohort study

Heck

Ihlefeld

Krause

et al. 2022

Int J Geriat Psychiatry

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Objectives: Information on medication-related problems (MRPs) in elderly psychiatric patients is scarce. In the present study, we analyzed the frequency and characteristics of MRPs in patients ≥60 years treated on the gerontopsychiatric ward of Hannover Medical School in 2019. Methods: Taking advantage of an interdisciplinary approach, two independent investigators screened hospital discharge letters of 230 psychiatric inpatients for clinically relevant MRPs, followed by validation through an interdisciplinary expert panel. Drug interactions as a subset of MRPs were analyzed with the aid of two different drug interaction programs. Results: 230 patients (63.0% female, mean age 73.7 � 8.4 years, median length of stay 18 days) were prescribed a median of 6 drugs. In total, 2180 MRPs were detected in the study population and 94.3% of the patients exhibited at least one MRP. Patients displayed a median of 7 MRPs (interquartile range 3-15). Pharmacodynamic interactions accounted for almost half of all MRPs (48.1%; 1048/2180).The number of drugs prescribed and the number of MRPs per patient showed a strong linear relationship (adjusted R 2 = 0.747). Conclusion:An exceedingly high proportion of elderly psychiatric inpatients displayed clinically relevant MRPs in the present study, which may be explained by the multimorbidity prevalent in the study population and the associated polypharmacy.The number of drug interactions was largely in accordance with previous studies. As a novel finding, we detected that a considerable proportion of elderly psychiatric inpatients were affected by potential prescribing omissions, potentially inappropriate duplicate prescriptions, and insufficient documentation.

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Drug-Related Problem Classification Systems

Cited by 239 publications

References 16 publications

Terminologia de incidentes com medicamentos no contexto hospitalar

Terminologia de incidentes com medicamentos no contexto hospitalar

Towards a transformation in the pharmacist care paradigm: A scoping study

Medication‐related problems in geriatric psychiatry—a retrospective cohort study

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