Reviewing Potentially Inappropriate Medication in Hospitalized Patients Over 65 Using Explicit Criteria: A Systematic Literature Review

Alshammari, Hesah; Al-Saeed, Eman; Ahmed, Zamzam; Aslanpour, Zoe

doi:10.2147/dhps.s303101

Cited by 20 publications

(18 citation statements)

References 71 publications

(394 reference statements)

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“…Therefore, medical institutions and healthcare institutions should apply such evaluation criteria to reduce the prevalence of PIM use and improve the outcomes of care. 26…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, medical institutions and healthcare institutions should apply such evaluation criteria to reduce the prevalence of PIM use and improve the outcomes of care. 26 As the population ages and the number of long-term care facilities increases, the quality of care in long-term care facilities becomes crucial. Many studies have suggested that the prevalence of PIM use in long-term care facilities is approximately 60%.…”

Section: Discussionmentioning

confidence: 99%

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Potentially inappropriate medication in long-term care wards of a veteran hospital in Taiwan: Investigation using a spreadsheet-based rapid assessment tool

Wang

Shen

Chen

2023

Journal of the Chinese Medical Association

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Background: Multimorbidity and polypharmacy increase in the aging population and are accompanied by the use of potentially inappropriate medications (PIMs) and adverse drug events (ADEs). This study developed a rapid assessment tool to investigate PIM use among patients in long-term care wards. Methods: We retrospectively collected the data of patients in long-term care wards of a veteran hospital in Taiwan between July 2019 and June 2020. The patients with chronic diseases and medications were selected. The data, including gender, age, diagnosis, and medications, were deidentified. Nonchronic disease diagnosis and short-term and topical use medications were excluded. We used Microsoft Excel (Microsoft Corporation, Redmond, Washington, USA) and the 2019 version of the Beers Criteria to establish a rapid assessment tool. The correlations between the prevalence of PIM use and age, the number of diagnoses, and the number of medications were analyzed using SPSS version 23. Results: A total of 176 patients were included in this study, of which 76.7% (n = 135) were male and 23.3% (n = 41) were female. The average age of men was 82.1 years and that of women was 83.4 years. The average number of diagnoses for men was 5.5, and that for women was 7.3. The average number of medications for men was 5.8, and that for women was 6.5. The prevalence of PIM use was 59.1% (n = 104). Logistic regression revealed that the prevalence of PIM use may be associated with the number of medications (p < 0.001; odds ratio = 1.378). Decision tree analysis revealed that patients who simultaneously used more than four medications exhibited a higher risk of PIM. Conclusion: PIM use is a key factor causing ADEs among older adults. Therefore, comprehensive assessment of PIM use is necessary. This study designed a rapid assessment tool to simultaneously integrate and evaluate medications. Future studies may investigate the effectiveness of the proposed assessment tool.

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“…Therefore, medical institutions and healthcare institutions should apply such evaluation criteria to reduce the prevalence of PIM use and improve the outcomes of care. 26…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Potentially inappropriate medication in long-term care wards of a veteran hospital in Taiwan: Investigation using a spreadsheet-based rapid assessment tool

Wang

Shen

Chen

2023

Journal of the Chinese Medical Association

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“…The influence of polypharmacy in particular is highly relevant, as polypharmacy poses a risk for patients since not all prescribed medications are necessarily appropriate. Several methods have been developed to detect such inappropriate medication; however, it is essential to keep in mind the influence of the number of medications alone on self-reported medication use [ 42 , 43 , 44 ], to detect potentially harmful medication regimes.…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Self-Reported Medication Use in the Survey of Health Aging and Retirement in Europe (SHARE) Dataset

Schönenberg

Prell

2021

Healthcare

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The validity of self-reported medication use in epidemiological studies is an important issue in healthcare research. Here we investigated factors influencing self-reported medication use for multiple diagnoses in the seventh wave of the Survey of Health Aging and Retirement in Europe (SHARE) dataset in n = 77,261 participants (ages: mean = 68.47, standard deviation = 10.03 years). The influence of mental, physical, and sociodemographic parameters on medication self-report was analyzed with logistic regressions and mediation models. Depression, memory function, and polypharmacy influenced the self-report of medication use in distinct disorders to varying degrees. In addition, sociodemographic factors, knowledge about diagnosis, the presence of several chronic illnesses, and restrictions of daily instrumental activities explained the largest proportion of variance. In the mediation model, polypharmacy had an indirect effect via depression and memory on self-reported medication use. Factors influencing medication self-report vary between different diagnoses, highlighting the complexity of medication knowledge. Therefore, it is essential to assess the individual parameters and their effect on medication behavior. Relying solely on medication self-reports is insufficient, as there is no way to gage their reliability. Thus, self-reported medication intake should be used with caution to indicate the actual medication knowledge and use.

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“…In some countries it has been estimated that approximately 6–7% of hospital admissions are medication-related, with over two-thirds of these considered preventable and thus potentially due to errors [ 1 ]. Indeed, the risk of experiencing a medication error may be especially high among elderly patients since they are often treated with more medications [ 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

Medication Dispensing by Pharmacy Technicians Improves Efficiency and Patient Safety at a Geriatric Ward at a Danish Hospital: A Pilot Study

Kjeldsen,

Schlünsen,

Meijers

et al. 2023

Pharmacy

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Background: This study aims to evaluate medication dispensing by pharmacy technicians at a geriatric inpatient ward at a Danish hospital. Methods: Four pharmacy technicians were trained in delivering a dispensing service at a geriatric ward. At baseline, the ward nurses recorded the time spent dispensing the medication and the number of interruptions. Similar recordings were completed twice during the period in which the pharmacy technicians delivered the dispensing service. Satisfaction among the ward staff with the dispensing service was assessed by a questionnaire. Reported medication errors were collected during the dispensing service period and compared to a similar time period during the previous two years. Results: The time spent on dispensing medications was on average reduced with 1.4 h per day ranging from 4.7 to 3.3 h per day when the pharmacy technicians performed the service. Interruptions during the dispensing process decreased from a daily average of more than 19 times to an average of 2–3 per day. The nursing staff reported positive feedback on the medication dispensing service provided, especially about easing their workload. There was a tendency toward decreased reporting of medication errors. Conclusion: The medication dispensing service performed by the pharmacy technicians reduced time spent on dispensing medication and increased patient safety by reducing interruptions during the process and decreasing the number of medication errors reported.

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Reviewing Potentially Inappropriate Medication in Hospitalized Patients Over 65 Using Explicit Criteria: A Systematic Literature Review

Cited by 20 publications

References 71 publications

Potentially inappropriate medication in long-term care wards of a veteran hospital in Taiwan: Investigation using a spreadsheet-based rapid assessment tool

Potentially inappropriate medication in long-term care wards of a veteran hospital in Taiwan: Investigation using a spreadsheet-based rapid assessment tool

Factors Influencing Self-Reported Medication Use in the Survey of Health Aging and Retirement in Europe (SHARE) Dataset

Medication Dispensing by Pharmacy Technicians Improves Efficiency and Patient Safety at a Geriatric Ward at a Danish Hospital: A Pilot Study

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