TY - JOUR
T1 - Medicine-related problems
T2 - A recurrent issue among residents living in nursing homes
AU - Dorj, Gereltuya
AU - Lim, Renly
AU - Ellett, Lisa Kalisch
AU - Kelly, Thu Lan
AU - Andrade, Andre
AU - Widagdo, Imaina
AU - Pratt, Nicole
AU - Bilton, Rebecca
AU - Roughead, Elizabeth
PY - 2022/8/29
Y1 - 2022/8/29
N2 - Aim: To examine the incidence and nature of medicine-related problems over time experienced by nursing home residents.Method: We analyzed records collected in the Reducing Medicine-Induced Deterioration and Adverse Events (ReMInDAR) trial. The trial pharmacists provided services to reduce medicine-induced deterioration and adverse reactions for residents every 8-weeks over a year. The problems identified by the pharmacists were documented in reports and subsequently classified independently by research pharmacists using the D.O.C.U.M.E.N.T system. The number and type of problems at each service and time to develop a new problem post first session were assessed. All analyses were performed using R software (Version 4.1.1). Results: The cohort was 115 nursing home residents who received 575 services. In the 12-months, a total of 673 medicine-related problems or symptom reports were identified in 112 residents. Most residents (75%) experienced a new medicine-related problem by the fourth month post the first assessment. After the first session, the proportion of residents with a new medicine-related problem or symptom report declined at each repeated pharmacy session (59% at visit 2 vs. 28% at visit 6, p < 0.01).Conclusion: Residents living in nursing homes frequently experience medicine-related problems. Our results suggest clinical pharmacist services performed every 4-months may have the potential to reduce the medicine-related problems in nursing homes.
AB - Aim: To examine the incidence and nature of medicine-related problems over time experienced by nursing home residents.Method: We analyzed records collected in the Reducing Medicine-Induced Deterioration and Adverse Events (ReMInDAR) trial. The trial pharmacists provided services to reduce medicine-induced deterioration and adverse reactions for residents every 8-weeks over a year. The problems identified by the pharmacists were documented in reports and subsequently classified independently by research pharmacists using the D.O.C.U.M.E.N.T system. The number and type of problems at each service and time to develop a new problem post first session were assessed. All analyses were performed using R software (Version 4.1.1). Results: The cohort was 115 nursing home residents who received 575 services. In the 12-months, a total of 673 medicine-related problems or symptom reports were identified in 112 residents. Most residents (75%) experienced a new medicine-related problem by the fourth month post the first assessment. After the first session, the proportion of residents with a new medicine-related problem or symptom report declined at each repeated pharmacy session (59% at visit 2 vs. 28% at visit 6, p < 0.01).Conclusion: Residents living in nursing homes frequently experience medicine-related problems. Our results suggest clinical pharmacist services performed every 4-months may have the potential to reduce the medicine-related problems in nursing homes.
KW - adverse effects
KW - inappropriate prescribing
KW - long-term care
KW - medication reconciliation
KW - medication therapy management
KW - medicine-related problems
KW - pharmacy services
KW - prescription drug misuse
UR - http://www.scopus.com/inward/record.url?scp=85138266144&partnerID=8YFLogxK
U2 - 10.3389/fphar.2022.978871
DO - 10.3389/fphar.2022.978871
M3 - Article
AN - SCOPUS:85138266144
SN - 1663-9812
VL - 13
JO - Frontiers in Pharmacology
JF - Frontiers in Pharmacology
M1 - 978871
ER -