The Impact of a Structured Pharmacist Intervention on the Appropriateness of Prescribing in Older Hospitalized Patients

Abstract

This study indicated that DRPs are prevalent in older Irish hospitalized inpatients and that a specially developed SPRM intervention supported by a CDSS can improve both the appropriateness and accuracy of medication regimens of older hospitalized inpatients.

Yaşlılarda doğru ilaç kullanımı

“…Genel olarak, önceden belirlenmiş kriterler kullanılarak uygunsuz ilaç kullanımının, polifarmasi uygulamalarının, ilaç etkileşimleri ile advers ilaç reaksiyonlarının saptanması ve engellemesinin yaşlı hastalarda güvenli ve etkili bir tedaviye katkısı olduğu açıktır (9,10,38). Ancak spesifik olarak Türk ilaç pazarına adapte edilmiş, bir ulusal kılavuzun eksikliği dikkat çekicidir.…”

“…Diğer yandan tüm dünyada olduğu gibi ülkemizde de hekim ve eczacının reçete yazma ve karşılamaya ilişkin geleneksel rollerinin büyük ölçüde değiştiği ve bu bağlamda sorumlulukların paylaşımının da giderek arttığı bilinmektedir. Yaşlı hastalarda multidisipliner ekiplerin yaşlı hastaların tedavisindeki karmaşık ve zor süreci karşılamaya ve ortaya çıkan sorunları çözmeye daha fazla yatkın olduğu artık kabul edilmektedir (8)(9)(10).…”

Innovative Collaborative Practice to Optimize Pharmacotherapy for Frail Older Patients

“…32 No previous study has examined what a clinically meaningful reduction in the MAI would be, but previous work has shown that an increase in MAI is associated with worsening pain, an increase in emergency department visits, and an increase in hospital readmissions. 23 These results suggest that improvement in the MAI would provide some degree of patient benefit.…”

Protecting Our Elderly Patients from Adverse Drug Reactions

“…8 Investigators in Nova Scotia found that the STOPP/START screening tools were potentially more effective than the Beers criteria in identifying drug therapy that would put elderly patients at risk for an ADR, and their use may have measurable benefits in terms of subsequent patient well-being and health resource utilization. 9,10 Other researchers have shown that pharmacists can improve prescribing 11 and reduce subsequent ADRs 12 when they use a structured approach to identifying and interviewing patients with a view to assessing their drug therapy. In these studies, the pharmacists were assisted by computerized decision support software that utilized the assessment tools described above, evaluation of current laboratory data, and reconciliation of the patients' past and current therapy.…”