Unnecessary Medicines Stored in Homes of Patients at Risk of Medication Misadventure

Vuong, Tam; Marriott, Jennifer Lillian

doi:10.1002/j.2055-2335.2006.tb00879.x

Cited by 15 publications

(15 citation statements)

References 17 publications

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“…Medications that were expired or no longer required by the patients were removed from patients' homes with their permision. 40 Any difficulties, problems or potential problems experienced by the patients were rectified or highlighted for primary care provider intervention.…”

Section: Clp Servicementioning

confidence: 99%

Implementation of a community liaison pharmacy service: a randomised controlled trial

Vuong

Marriott

Kong

et al. 2008

International Journal of Pharmacy Practice

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Objective The aim of this study was to provide a pharmacy service to improve continuity of patient care across the primary‐secondary care interface. Setting The study involved patients discharged from two acute‐care tertiary teaching hospitals in Melbourne, Australia, returning to independent living. Methods Consecutive patients admitted to both hospitals who met the study criteria and provided consent were recruited. Recruited patients were randomised to receive either standard care (discharge counselling, provision of compliance aids and communication with primary healthcare providers when necessary) or the intervention (standard care and a home visit from a community liaison pharmacist (CLP) within 5 days of discharge). Participant medication was reviewed during the visit according to set protocols and compliance and medication understanding was measured. All participants were telephoned 8–12weeks after discharge to assess the impact of the intervention on adherence and medication knowledge. Key findings The CLP visited 142 patients with a mean time of 4.2 days following hospital discharge (range = 1–14 days). Consultations lasted 15–105 min (mean, 49 min; SD, ± 21 min). The CLPs retrospectively coded 766 activities and interventions that occurred during home visits, subsequently categorised into three groups: counselling and education, therapeutic interventions and other interventions. No statistical difference was detected in the number of medications patients reported taking at follow‐up: the mean value was 7.72 (SD, ± 3.27) for intervention patients and 7.55 (SD, ± 3.27) for standard‐care patients (P = 0.662). At follow‐up self‐perceived medication understanding was found to have improved in intervention patients (P < 0.001) and significant improvements from baseline in medication adherence were found in both standard‐care (P < 0.022) and intervention (P < 0.005) groups; however, adherence had improved more in intervention patients. Conclusion The community liaison pharmacy service provided critical and useful interventions and support to patients, minimising the risk of medication misadventure when patients were discharged from hospital to home.

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Section: Clp Servicementioning

confidence: 99%

Implementation of a community liaison pharmacy service: a randomised controlled trial

Vuong

Marriott

Kong

et al. 2008

International Journal of Pharmacy Practice

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“…The main reasons are that most of this medication lack the scientific research and clinical trials required to examine the safety of these drugs in each age group separately. Vuong & Marriott (2006) added that, children's vital organs are not developed or fully grown therefore the exposure to certain medications may lead to toxic side effects as the body is unable to metabolize the medication fully. These drugs increase the presence of active compounds in the body for a prolonged period and increase in their levels in the body, producing toxic effects.…”

Section: Introduction Methodsmentioning

confidence: 99%

Medication Safety in Hospital

Alreshidi¹

2016

Int Curr Pharm J

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The World Health Organization has recommended the adoption of basic applications in healthcare facilities to enhance medication safety over the years, but it remains unclear if these recommendations are adhered to by hospitals. We assessed the availability of primary medication safety practices in Saudi Arabian hospitals. Survey were carried out in 70 hospitals to identify the presence of core medication safety practices in Saudi Arabian hospitals and revealed that there were room and opportunity for improvement, even for cheap interventions. According to the study, only about 29% of the Saudi Arabian hospitals had a proper functioning drug safety committee, and 10% had a designated medication safety officer. It was also revealed that only 32% of the hospitals had the list of LASA authorized drugs, and 51% had a list of error-prone abbreviations and medical terms. Saturated electrolytes were also found as floor stock in 60% of all hospitals.Alreshidi, International Current Pharmaceutical Journal, December 2016, 6(1): 6-8http://www.icpjonline.com/documents/Vol6Issue1/02.pdf

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“…Various reports across the globe revealed that, there is wastage of drugs and unnecessary holding of drugs, including those that were expired. 6,7 Expired drugs may not give the potential cure expected, consequently increasing the duration of morbidity. Improper storage of drugs can lead to potential loss of effectiveness.…”

Section: Introductionmentioning

confidence: 99%

Is our Community Ready for Self-medication to Go Mainstream: A Cross-Sectional Study on Medication Use among Households in a Village in Kanyakumari District of South India?

Ashok

2018

IJoPCCM

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Introduction: Self-care is increasingly being realized as the need of the hour across the globe. One of the essential components of self-care is Self-medication. The factors that favor the adoption of self-care and self-medication are present in India too. However, the big question is "are Indians ready for such a change"? Hence, a study on the profile of medication use was done among households in a village in Kanyakumari district. Methods: A cross-sectional study was conducted during January and February 2016. A total sample of 100 households was selected by simple random sampling. A pretested structured questionnaire was used to collect data. The quantitative variables were expressed in frequencies and percentages and associations tested using Chi-square or Fisher's exact test. Results: Among the 100 households studied, 28 had drugs that were not being used currently. Paracetamol was the single most commonly stocked medicine (60.7%). 49% of the households have practiced selfmedication, i.e. used over the counter (OTC) medication in the past one year. The majority of the instances of self-medication were for simple ailments such as fever, cough, etc. Only 59% of households have the practice of always checking the expiry date of drugs before they consume them. Only 28% have the habit of always checking the names and doses when they buy drugs at the pharmacy. 36% of households usually keep the drugs in paper covers given at the pharmacy. Conclusion: Self-medication to a certain extent is already being practiced by the general population. However, after examining the practice of medication use and storage, we conclude that the general public in our study area is not ready to employ self-medication to the fullest extent of its intended use.

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Unnecessary Medicines Stored in Homes of Patients at Risk of Medication Misadventure

Cited by 15 publications

References 17 publications

Implementation of a community liaison pharmacy service: a randomised controlled trial

Implementation of a community liaison pharmacy service: a randomised controlled trial

Medication Safety in Hospital

Is our Community Ready for Self-medication to Go Mainstream: A Cross-Sectional Study on Medication Use among Households in a Village in Kanyakumari District of South India?

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