Prevalence of medication-related problems in complex chronic patients and opportunities for improvement
Objective: To estimate the prevalence of medication-related problems in patients treated in continuous care units and to identify the therapeutic areas in which these problems were more concentrated. Method: Observational descriptive prospective study. Review of clinical histories and outpatient...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Grupo Aula Médica
2018-09-01
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| Series: | Farmacia Hospitalaria |
| Subjects: | |
| Online Access: | http://www.aulamedica.es/fh/pdf/10899.pdf |
| Summary: | Objective: To estimate the prevalence of medication-related problems in patients treated in continuous care units and to identify the therapeutic areas in which these problems were more concentrated.
Method: Observational descriptive prospective study. Review of clinical histories and outpatient treatment by a hospital pharmacist. Communicating medication-related problems detected to the responsible doctor. Analysis of the therapeutic areas in which the problems were most concentrated.
Results: 85 patients were reviewed, and 368 potential medication-related problems were identified. The areas with the most prevalent medication- related problems were the long-term use of hypnotics, sub-optimal analgesia, optimizable antidepressant treatment, statins in patients older than 75 years in primary prevention and in those with high-intensity doses in secondary prevention, patients with heart failure without angiotensin-converting enzyme inhibitors, and proton-pump inhibitors without indication.
Conclusions: Training interventions should be implemented and computer assistance should be developed to help avoid the most prevalent medication-related problems.
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| ISSN: | 1130-6343 2171-8695 |