دورية أكاديمية
Drug-Related-Problem Outcomes and Program Satisfaction from a Comprehensive Brown Bag Medication Review.
| العنوان: | Drug-Related-Problem Outcomes and Program Satisfaction from a Comprehensive Brown Bag Medication Review. |
|---|---|
| المؤلفون: | O'Connell MB; Department of Pharmacy Practice, Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, Detroit, Michigan., Chang F; School of Pharmacy, University of Waterloo, Waterloo, Ontario, Canada., Tocco A; Pharmacy Department, Bronson Methodist Hospital, Kalamazoo, Michigan., Mills ME; Veteran Affairs Healthcare System, Ann Arbor, Michigan., Hwang JM; Henry Ford Health System and Health Alliance Plan Ambulatory Clinical Pharmacy Programs, Grosse Pointe, Michigan., Garwood CL; Department of Pharmacy Practice, Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, Detroit, Michigan.; Rosa Parks Wellness Institute for Senior Health and Harper University Hospital, Detroit Medical Center, Detroit, Michigan., Khreizat HS; Henry Ford Health System and Health Alliance Plan Ambulatory Clinical Pharmacy Programs, Novi, Michigan., Gupta NS; School of Pharmacy, University of Waterloo, Waterloo, Ontario, Canada.; Valley Plaza Pharmasave, Hanmer, Ontario, Canada. |
| المصدر: | Journal of the American Geriatrics Society [J Am Geriatr Soc] 2015 Sep; Vol. 63 (9), pp. 1900-5. Date of Electronic Publication: 2015 Aug 27. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Blackwell Science Country of Publication: United States NLM ID: 7503062 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-5415 (Electronic) Linking ISSN: 00028614 NLM ISO Abbreviation: J Am Geriatr Soc Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Malden, MA : Blackwell Science Original Publication: New York [etc.] |
| مواضيع طبية MeSH: | Patient Satisfaction*, Drug-Related Side Effects and Adverse Reactions/*epidemiology, Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Middle Aged ; Program Evaluation |
| مستخلص: | Objectives: To classify and quantify drug-related problems (DRPs), determine acceptance of DRP recommendations, and assess medication review satisfaction. Design: Comprehensive brown bag medication reviews. Setting: Six senior centers and three senior high-rises. Participants: Individuals aged 60 and older (mean age 75.9 ± 8.5) taking five or more medications (n = 85). Measurements: Two investigators independently classified DRPs using modified Pharmaceutical Care Network Europe classification scheme and severity of medication error and value of service scales. Two other investigators adjudicated classification differences. Satisfaction surveys were administered immediately and 3 months after review. A DRP recommendation implementation survey was completed at least 3 months after the review. Results: Participants had a mean of 4.3 ± 2.8 DRPs (range 0-10). DRPs were classified as adverse reactions (30%), treatment effectiveness (28%), treatment costs (13%), information need (8%), and other (21%). Causes included drug selection (40%), wrong dosage (23%), participant problems (e.g., adherence, lack of medication knowledge, 16%), drug use process problems (12%), drug formulation (0.5%), treatment duration (0.5%), and other (7%). Interventions required drug changes (44%), prescriber input (37%), individual counseling (18%), or other (1%). DRP severities were significant (59%) or minor (35%). Participants expressed satisfaction with the program because they were able to ask questions, trusted the answers, and knew more about their medications. After 3 months, they had implemented 63% of the DRP recommendations. Conclusion: Older adults found the medication review helpful and implemented 63% of the DRP recommendations. (© 2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society.) |
| فهرسة مساهمة: | Keywords: drug-related problems; elderly; medication therapy management; pharmacists; pharmacy services |
| تواريخ الأحداث: | Date Created: 20150828 Date Completed: 20151217 Latest Revision: 20150922 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1111/jgs.13597 |
| PMID: | 26313706 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1532-5415 |
|---|---|
| DOI: | 10.1111/jgs.13597 |