Application of a prescribing indicators tool to assist in identifying drug-related problems in a cohort of older Australians

The International Journal of Pharmacy Practice
Benjamin J BasgerRebekah J Moles

Abstract

Drug-related problems (DRPs) are common in older people, resulting in a disproportionate number of serious medication adverse events. Pharmacist-led interventions have been shown to be effective in identifying and reducing DRPs such as medication interactions, omission of recommended medications and use of ineffective medications. In 2008 we proposed a prescribing indicators tool to assist in identifying DRPs as part of the Australian medication review process. The objective was to apply the proposed prescribing indicators tool to a cohort of older Australians, to assess its use in detecting potential DRPs. The prescribing indicators tool was applied in a cross-sectional observational study to 126 older (aged ≥65 years) English-speaking Australians taking five or more medications, as they were being discharged from a small private hospital into the community. Indicators were unmet when prescribing did not adhere to indicator tool guidelines. We found a high incidence of under-treatment, and use of inappropriate medications. There were on average 18 applicable indicators per patient, with each patient having on average seven unmet indicators. The use of a prescribing indicators tool for commonly used medications and common medic...Continue Reading

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Citations

Sep 5, 2013·Drugs & Aging·Colin M CurtainGregory M Peterson
Aug 25, 2015·International Journal of Clinical Pharmacy·Benjamin J BasgerTimothy F Chen
Feb 14, 2014·Australasian Journal on Ageing·Elizabeth ManiasAlexandra Smykowsky
Aug 11, 2017·The International Journal of Pharmacy Practice·Gracia NiclósVicent Rodilla
May 28, 2019·International Journal of Clinical Pharmacy·Domenica DisalvoMeera Agar
Sep 24, 2019·Journal of the American Medical Informatics Association : JAMIA·Guan N GuoSiaw-Teng Liaw
Jan 24, 2015·The Annals of Pharmacotherapy·Benjamin J BasgerTimothy F Chen
Jan 6, 2019·European Journal of Clinical Pharmacology·Daniela FialováUNKNOWN EUROAGEISM H2020 project and WG1b group “Healthy clinical strategies for healthy aging” of the EU COST Action IS 1402
Oct 4, 2017·Pharmacy : Journal of Pharmacy, Education and Practice·Lene Juel KjeldsenCharlotte Olesen
Jul 2, 2020·Clinical Interventions in Aging·Sirasa RuangritchankulLeonard C Gray

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