Impact of a pilot community pharmacy system redesign on reducing over-the-counter medication misuse in older adults

Gilson, Aaron M.; Stone, Jamie A.; Morris, Ashley O.; Brown, Roger; Xiong, Ka Zang; Jacobson, Nora; Holden, Richard J.; Albert, Steven M.; Phelan, Cynthia H.; Pigarelli, Denise L. Walbrandt; Breslow, Robert M.; Welch, Lauren; Chui, Michelle A.

doi:10.1016/j.japh.2021.04.007

Cited by 8 publications

(6 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To examine the Senior Section's effectiveness of reducing medication misuse in older adults, a preposttest including 87 older adults from three pharmacies was conducted [12]. Participants were asked to choose a hypothetical scenario about either sleep, pain or cough/cold or allergy symptoms.…”

Section: Pharmacy Involved Interventions To Elevate Safe Otc Use Amon...mentioning

confidence: 99%

“…Lastly, drug-label misuse was present when the patients' reported use exceeded the daily dosage, exceeded single dose, deviated from recommended dose timing/frequency, duration of use or for an inappropriate indication. Following the implementation of Senior Section, OTC medication misuse decreased for seven of eleven categories including drug-age, overall drug-drug, drug-drug type C and X, drug-disease, exceeds daily dosages, and exceeds single dosage [12]. A continuation of Senior Section involving an adaptation phase, an effectiveness phase and a sustainment phase is currently underway in conjunction with pharmacy leadership and staff of a regional Midwest integrated health system [74].…”

Section: Pharmacy Involved Interventions To Elevate Safe Otc Use Amon...mentioning

confidence: 99%

“…We define OTC medication misuse as: 1) drug -age misuse (use of a medication that is discouraged for older adults based on for example Beers Criteria), 2) drug-drug misuse (use of two or more medications that interact), 3) drug -disease misuse (use of a medication that is contraindicated due to a current health condition), 4) drug-label misuse (deviation from label instructions) [12].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Elevating Safe Use of Over-The-Counter Medications in Older Adults: A Narrative Review of Pharmacy Involved Interventions and Recommendations for Improvement

Lehnbom,

Berbakov,

Hoffins

et al. 2023

Drugs Aging

Self Cite

View full text Add to dashboard Cite

Over-the-counter (OTC) medications are products that have been made easily accessible to allow patients to treat common ailments without a prescription and cost a doctor's visit. These medications are generally considered safe, however, there is still a potential for these medications to lead to adverse health outcomes. Older adults (ages 50+) are especially susceptible to these adverse health outcomes, due to age-related physiological changes, a higher prevalence of comorbidities, and prescription medication use. Many OTC medications are sold in pharmacies, which provides pharmacists and technicians with the opportunity to help guide safe selection and use for these medications. Therefore, community pharmacies are the ideal setting for OTC medication safety interventions. This narrative review summarizes the findings of pharmacy-involved interventions that promote safe OTC medication use for older adults.

show abstract

Section: Pharmacy Involved Interventions To Elevate Safe Otc Use Amon...mentioning

confidence: 99%

Section: Pharmacy Involved Interventions To Elevate Safe Otc Use Amon...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Elevating Safe Use of Over-The-Counter Medications in Older Adults: A Narrative Review of Pharmacy Involved Interventions and Recommendations for Improvement

Lehnbom,

Berbakov,

Hoffins

et al. 2023

Drugs Aging

Self Cite

View full text Add to dashboard Cite

show abstract

“…The Senior Section TM , is located proximal to the prescription department and contains OTC medications to manage pain, sleep, and cough / cold / allergy symptoms. The intervention is described in detail elsewhere, including how the intervention was developed using participatory design (Reddy et al, 2019), and how we measured the ways that this intervention impacted OA's selection of OTC medications while in the community pharmacy (Gilson et al, 2021;Shah et al, 2020). Notably, one approach we took to test our community pharmacy intervention was to compare rates of OTC medication misuse among OA participants pre-/post-intervention.…”

Section: Applying the Framework: The First Iterationmentioning

confidence: 99%

“…Inter-Rater Reliability Assessment. The results of this entire evaluation of OA misuse of OTC medications for this study are described elsewhere (Gilson et al, 2021). The MAT's misuse evaluation concordance rates for each batch of participants are described in Table 2.…”

Section: Applying the Framework: The First Iterationmentioning

confidence: 99%

A Field Study: Partnering with Pharmacists to Develop a Tool for Evaluating Misuse of Over-the-Counter Medications among Older Adults in the Community Pharmacy

Morris

Stone

Xiong

et al. 2022

Proceedings of the Human Factors and Ergonomics Society Annual

Self Cite

View full text Add to dashboard Cite

Safe over the counter (OTC) medication use by older adults (OAs, aged 65+) is difficult to achieve because of age-related physiologic complexities, and millions of OAs in the US who are at risk of experiencing a major adverse drug event linked to an OTC medication. Our interdisciplinary team studies how we can improve OTC safety in OAs by developing human factors-based, community pharmacy interventions. Testing the effectiveness of our interventions on improving OTC safety necessitated the development of a framework that captures the ways OTC medication misuse can occur and designing and implementing a tool that can be used to evaluate for potential misuse, which can be used by researchers and healthcare professionals to understand misuse in OAs. This paper shares the results of our efforts and discusses the implications of our work for other HF practitioners that may be interested applying our approach to their research.

show abstract

Generating creative solutions to address over-the-counter medication safety in older adults using invisible design

Morris¹,

Berbakov²,

Gilson³

et al. 2023

Human Factors in Healthcare

View full text Add to dashboard Cite

Impact of a pilot community pharmacy system redesign on reducing over-the-counter medication misuse in older adults

Cited by 8 publications

References 33 publications

Elevating Safe Use of Over-The-Counter Medications in Older Adults: A Narrative Review of Pharmacy Involved Interventions and Recommendations for Improvement

Elevating Safe Use of Over-The-Counter Medications in Older Adults: A Narrative Review of Pharmacy Involved Interventions and Recommendations for Improvement

A Field Study: Partnering with Pharmacists to Develop a Tool for Evaluating Misuse of Over-the-Counter Medications among Older Adults in the Community Pharmacy

Generating creative solutions to address over-the-counter medication safety in older adults using invisible design

Contact Info

Product

Resources

About