Prevalence of medication-related problems in complex chronic patients and opportunities for improvement

Farmacia hospitalaria : órgano oficial de expresión científica de la Sociedad Española de Farmacia Hospitalaria
Marta Guerro-PradoMiguel Ángel Catalá-Pindado

Abstract

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. 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. 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. Training interventions should be implemented and computer assistance should be developed to help avoid the most prevalent medication-related problems.

Citations

Sep 19, 2019·European Journal of Clinical Pharmacology·Mª Ángeles Parro MartínT Bermejo Vicedo

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