Effects of Medication Review on Drug-Related Problems in Patients Using Automated Drug-Dispensing Systems

Kwint, Henk-Frans; Faber, Adrianne; Gussekloo, Jacobijn; Bouvy, Marcel L.

doi:10.2165/11586850-000000000-00000

Cited by 72 publications

(109 citation statements)

References 26 publications

Supporting

Mentioning

101

Contrasting

Unclassified

Order By: Relevance

“…This finding is in line with the idea of ADD as a preventive intervention targeted to patients with a higher risk of drug-related problems, medication errors, or inappropriate drug use. There is recent evidence that ADD patients’ quality of pharmacotherapy may be improved by regular medication reviews integrated with ADD [24]. Medication reviews may also reduce the risk of unchanged medications for unnecessarily long periods, once a patient is enrolled in the ADD procedure [15].…”

Section: Discussionmentioning

confidence: 99%

Automated dose dispensing service for primary healthcare patients: a systematic review

et al. 2013

View full text Add to dashboard Cite

BackgroundAn automated dose dispensing (ADD) service has been implemented in primary healthcare in some European countries. In this service, regularly used medicines are machine-packed into unit-dose bags for each time of administration. The aim of this study is to review the evidence for ADD’s influence on the appropriateness of medication use, medication safety, and costs in primary healthcare.MethodsA literature search was performed in April 2012 in the most relevant databases (n = 10), including the Medline, Embase, and Cochrane Library. The reference lists of the studies selected were manually searched. A study was included in the review if the study was conducted in primary healthcare or nursing home settings and medicines were dispensed in unit-dose bags.ResultsOut of 328 abstracts, seven studies met the inclusion and reporting quality criteria, but none applied a randomized controlled study design. Of the four controlled studies, one was a national register-based study. It showed that the patient group in the ADD scheme more often used three or more psychotropic drugs and anticholinergics than patients using the standard dispensing procedure, while women in the ADD group used less long-acting benzodiazepines and both genders had fewer drug-drug interactions. In another, regional controlled study, the ADD group consisted of patients with higher risk of inappropriate drug use, according to all indicators applied. The third controlled study indicated that ADD user drug treatments were more likely to remain unchanged than in patients using a standard dispensing procedure. A controlled study from Norway showed that ADD reduced discrepancies in the documentation of patient medication records. Costs were not investigated in any of the studies.ConclusionsA very limited number of controlled studies have explored ADD in primary healthcare. Consequently, the evidence for ADD’s influence on appropriateness and safety of medication use is limited and lacking in information on costs. The findings of this review suggest that patients using the ADD have more inappropriate drugs in their regimens, and that ADD may improve medication safety in terms of reducing the discrepancies in medication records. Further evidence is needed to draw sound conclusions on ADD’s outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Automated dose dispensing service for primary healthcare patients: a systematic review

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Within focus groups conducted post-trial, participating pharmacists also admitted to using the 'Other' sub-categories or not recording the intervention at all if they found the intervention hard to classify. The DOCUMENT classification system has recently gained some international acceptance, with Kwint et al [22] modifying the original PROMISe II DOCUMENT system (as shown in Table 1) for use in the Netherlands. Interestingly, the authors have made changes to the original DOCUMENT system that are similar to those made for PROMISe III.…”

Section: Discussionmentioning

confidence: 99%

DOCUMENT: a system for classifying drug-related problems in community pharmacy

et al. 2011

View full text Add to dashboard Cite

show abstract

“…10 De bekendste en meestgebruikte GDV in Nederland is de medicatie op rol ('Baxter'), waarbij de geneesmiddelen door een robot in plastic zakjes worden gedaan, die op een rol worden aangeleverd. [20][21][22] Er is een sterke groei van het aantal GDV-gebruikers:…”

Section: Optimaliseren Geneesmiddelengebruik Door Ouderenunclassified

Optimaliseren geneesmiddelengebruik door ouderen

Kwint

Faber²,

Gussekloo³

et al. 2015

HUISARTS WETENSCHAP

Self Cite

View full text Add to dashboard Cite

macotherapiegerelateerde problemen (FTP's), zoals onder-en overbehandeling, niet-effectieve behandeling, (risico op) bijwerkingen en interacties, beveelt de richtlijn ook aan aandacht te besteden aan ordeningsproblemen. 6,8 Er is sprake van een ordeningsprobleem als de patiënt problemen ervaart bij het overzicht, beheer en inname van zijn geneesmiddelen. [8][9][10] Deze patiënten kunnen worden ondersteund door het verpakken van de geneesmiddelen in geïndividualiseerde distributievormen (GDV's) [figuur 1], zoals medicatie op rol ('Baxter').Het proefschrift Improving appropriate medication use for older people in primary care bevat verschillende onderzoeken naar het optimaliseren van de kwaliteit van het geneesmiddelengebruik bij ouderen in de eerste lijn. 14 Het gaat vooral in op effecten van medicatiebeoordeling, waarbij we een aantal onderzoeken hebben uitgevoerd onder ouderen die gebruikmaken van medicatie op rol. MedicatiebeoordelingMedicatiebeoordeling beoogt de farmacotherapeutische be- ▪ Gebruikers van medicatie op rol rapporteren een hoge therapietrouw en een lage medicatiekennis. Bij deze gebruikers zien we relatief veel farmacotherapiegerelateerde problemen.

show abstract

Effects of Medication Review on Drug-Related Problems in Patients Using Automated Drug-Dispensing Systems

Cited by 72 publications

References 26 publications

Automated dose dispensing service for primary healthcare patients: a systematic review

Automated dose dispensing service for primary healthcare patients: a systematic review

DOCUMENT: a system for classifying drug-related problems in community pharmacy

Optimaliseren geneesmiddelengebruik door ouderen

Contact Info

Product

Resources

About