Drug-related problems identified in medication reviews by Australian pharmacists

被引：62

作者：

Stafford, Andrew C. ^{[1
]}

Tenni, Peter C. ^{[1
]}

Peterson, Gregory M. ^{[1
]}

Jackson, Shane L. ^{[1
]}

Hejlesen, Anne ^{[2
]}

Villesen, Christine ^{[2
]}

Rasmussen, Mette ^{[2
]}

机构：

[1] Univ Tasmania, Sch Pharm, Unit Medicat Outcomes Res & Educ, Hobart, Tas 7001, Australia

[2] Univ Copenhagen, Fac Pharmaceut Sci, Dept Pharmacol & Pharmacotherapy, Helsingor, Denmark

来源：

PHARMACY WORLD & SCIENCE | 2009年 / 31卷 / 02期

关键词：

Australia; Drug-related problems; Medication-related problems; Medication review; Pharmaceutical care; Pharmacist; NURSING-HOME RESIDENTS; CONTROLLED TRIAL; COMMUNITY; ISSUES;

D O I：

10.1007/s11096-009-9287-y

中图分类号：

R9 [药学];

学科分类号：

1007 ;

摘要：

Objective In Australia, accredited pharmacists perform medication reviews for patients to identify and resolve drug-related problems. We analysed the drug-related problems identified in reviews for both home-dwelling and residential care-facility patients. The objective of this study was to examine the number and nature of the drug-related problems identified and investigate differences between each type of review. Setting Australian patients living at home or in residential care-facilities. Method We collected a nation-wide sample of medication reviews conducted between 1998 and 2005. These reviews had been self-selected by pharmacists and submitted as part of the reaccreditation process to the primary body responsible for accrediting Australian pharmacists to perform medication reviews. The drug-related problems identified in each review were classified by type and drugs involved. Main outcome measure The number and nature of drug-related problems identified in pharmacist-conducted medication reviews. Results There were 1,038 drug-related problems identified in 234 medication reviews (mean 4.6 (+/- 2.2) problems per review). The number of problems was higher (4.9 +/- A 2.0 vs. 3.9 +/- A 2.2; P < 0.001) in reviews for home-dwelling patients compared with care-facility residents. The number of clinically-significant problems was higher (2.1 +/- A 1.1 vs. 1.5 +/- A 0.7; P < 0.001) for home-dwelling patients. Oral hypoglycaemics and analgesics/antipyretics were significantly more likely to be associated with problems in home-dwelling patients than in residential care-facility patients. Conclusion These data illustrate the prevalence of drug-related problems and the ability of pharmacists to identify these problems in the Australian models of medication review. The nature and frequency of problems varied between reviews for home-dwelling and care-facility patients. Such information may be used to better focus the training of practitioners based on the most frequently encountered health problems and the nature of common drug-related problems in the two settings.

引用

页码：216 / 223

页数：8

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