Opportunities for pharmacists to optimise quality use of medicines in a Sri Lankan hospital: an observational, prospective, cohort study.
Background Quality use of medicines ( QUM) has been identified as a priority in Sri Lanka. Aim To identify opportunities to optimise QUM, and evaluate medication appropriateness and medication information exchanged with patients and carers on discharge in a Sri Lankan tertiary care hospital. Methods...
| Publicado en: | Journal of Pharmacy Practice & Research Vol. 47; no. 2; pp. 121 - 131 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Apr2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=122538939&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 122538939 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1445937X 6CKV jtl: Journal of Pharmacy Practice & Research issn: 1445937X maglogo: N pubinfo: dt: Apr2017 vid: 47 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 122538939 122538939 122538939 10.1002/jppr.1302 122538939 ppf: 121 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Opportunities for pharmacists to optimise quality use of medicines in a Sri Lankan hospital: an observational, prospective, cohort study. aug: au: Perera, Dhineli Michelle Patricia Coombes, Judith Ann Shanika, Lelwala Guruge Thushani Dawson, Andrew Lynch, Catherine Mohamed, Fahim De Silva, Hithanadura Asita Jayamanne, Shaluka Francis Peters, Nimali Buddhima Myers, Brooke Coombes, Ian David affil: Department of Pharmacy, Austin Health, Melbourne Australia sug: subj: Medication Management Evaluation Drug Utilization Evaluation Professional-Patient Relations Evaluation Human Sri Lanka Nonexperimental Studies Prospective Studies Systematic Random Sample Inpatients Interviews Medication Compliance Caregivers Communication Descriptive Statistics Pharmacists Psychosocial Factors Tertiary Health Care ab: Background Quality use of medicines ( QUM) has been identified as a priority in Sri Lanka. Aim To identify opportunities to optimise QUM, and evaluate medication appropriateness and medication information exchanged with patients and carers on discharge in a Sri Lankan tertiary care hospital. Methods An observational, prospective, cohort study of patients systematically sampled from two medical wards. A research pharmacist determined their pre-admission medication regimen via interview at time of discharge. Issues of poor adherence and discrepancies between the pre- and post-admission medication regimens were recorded. Drug-related problems were categorised into opportunities to optimise drug therapy. The appropriateness of discharge medications was evaluated using a validated tool. The patient or carer was interviewed after discharge regarding the quality of medicine information exchanged in hospital. Results The 578 recruited patients were taking 1756 medications prior to admission, and 657 (37.4%) of these medications were not continued during admission. Opportunities to optimise drug therapy were identified on 1496 occasions during admission (median, 2.0 opportunities/patient), 215 opportunities, (14.4%) were resolved spontaneously by the medical team prior to discharge. The median score for appropriateness of medications on discharge was 1.5 per patient (interquartile range, 0.0-3.5). Of 427 patients surveyed after discharge, 52% recalled being asked about their medications on admission to hospital, 75% about previous adverse medication reactions and 39% recalled being informed about changes to their medications on discharge. Conclusion Significant opportunities exist for pharmacists to enhance quality use of medicines for patients in the current hospital-based healthcare system in Sri Lanka. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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