Immediate or deferred adjustment of drug regimens in multidose drug dispensing systems

Mertens, Bram J.; Kwint, Henk-Frans; Marum, Rob J. van; Bouvy, Marcel L.

doi:10.1016/j.sapharm.2018.05.008

Cited by 14 publications

(8 citation statements)

References 15 publications

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“…When the MDD pharmacy is not notified about these prescriptions the home care services might have to manually correct the MDD bags, which is a timeconsuming process that is also prone to errors [44][45][46].…”

Section: Notifications About All Changesmentioning

confidence: 99%

From paper-based to electronic prescribing of multidose drug dispensing — effects on pharmacy workload

Jøsendal¹,

Bergmo²

2022

Linköping Electronic Conference Proceedings

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Section: Notifications About All Changesmentioning

confidence: 99%

From paper-based to electronic prescribing of multidose drug dispensing — effects on pharmacy workload

Jøsendal¹,

Bergmo²

2022

Linköping Electronic Conference Proceedings

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“…MDD also introduced four new phases within the medication process not present with ordinary prescribing: processing the MDD module; sending the MDD file to the supplier; filling the MDD bag; and adjustment of the MDD bag. Mertens et al (2018b) evaluated the MDD process in community pharmacies. Over a 3-week period, 261 MDD adjustments involving 364 drug changes were documented.…”

Section: Changes In Prescribing Dispensing and Administering Proceduresmentioning

confidence: 99%

Medication Safety in Municipal Health and Care Services

2022

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“…Previous studies indicate that patients using ADD services are often cognitively impaired and frail, even more commonly than non-ADD users [ 14 , 18 , 20 ], making them vulnerable to medication-induced risks and harm. While ADD the service is a logistics process, it needs to be integrated with preventive medication risk management interventions to ensure safety and appropriateness of the medication use [ 14 , 22 , 23 , 30 , 31 ].…”

Section: Introductionmentioning

confidence: 99%

“…The findings also suggest that the ADD service may improve medication safety by reducing documentation errors in primary care medication records, and by decreasing medication use [14,17,18]. However, there is growing evidence that ADD services as currently implemented do not prevent medication-related risks and problems in primary care [19][20][21][22][23][24][25][26][27]. Several studies among home care clients using ADD dispensed medicines indicate that the use of high-risk medicines and potentially inappropriate medicines (PIMs) is common [19,28].…”

Section: Introductionmentioning

confidence: 99%

Integrating medication risk management interventions into regular automated dose dispensing service of older home care clients – a systems approach

et al. 2021

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Background Automated dose dispensing (ADD) services have been implemented in many health care systems internationally. However, the ADD service itself is a logistic process that requires integration with medication risk management interventions to ensure safe and appropriate medication use. National policies and regulations guiding ADD in Finland have recommended medication reconciliation, review, and follow-up for suitable risk management interventions. This implementation study aimed to develop a medication management process integrating these recommended risk management interventions into a regular ADD service for older home care clients. Methods This study applied an action research method and was carried out in a home care setting, part of primary care in the City of Lahti, Finland. The systems-approach to risk management was applied as a theoretical framework. Results The outcome of the systems-based development process was a comprehensive medication management procedure. The medication risk management interventions of medication reconciliation, review and follow-up were integrated into the medication management process while implementing the ADD service. The tasks and responsibilities of each health care professional involved in the care team became more explicitly defined, and available resources were utilized more effectively. In particular, the hospital pharmacists became members of the care team where collaboration between physicians, pharmacists, and nurses shifted from parallel working towards close collaboration. More efforts are needed to integrate community pharmacists into the care team. Conclusion The transition to the ADD service allows implementation of the effective medication risk management interventions within regular home care practice. These systemic defenses should be considered when national ADD guidelines are implemented locally. The same applies to situations in which public home care organizations responsible for services e.g., municipalities, purchase ADD services from private service providers.

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Immediate or deferred adjustment of drug regimens in multidose drug dispensing systems

Cited by 14 publications

References 15 publications

From paper-based to electronic prescribing of multidose drug dispensing — effects on pharmacy workload

From paper-based to electronic prescribing of multidose drug dispensing — effects on pharmacy workload

Medication Safety in Municipal Health and Care Services

Integrating medication risk management interventions into regular automated dose dispensing service of older home care clients – a systems approach

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