The impact of a multifaceted intervention to reduce potentially inappropriate prescribing among discharged older adults: a before-and-after study

Journal of Pharmaceutical Policy and Practice
Muhammad Eid AkkawiMohd Aznan Md Aris

Abstract

Potentially inappropriate prescribing (PIP) is associated with the incidence of adverse drug reactions, drug-related hospitalization and other negative outcomes in older adults. After hospitalization, older adults might be discharged with several types of PIPs. Studies have found that the lack of healthcare professionals' (HCPs) knowledge regarding PIP is one of the major contributing factors in this issue. The purpose of this study is to investigate the impact of a multifaceted intervention on physicians' and clinical pharmacists' behavior regarding potentially inappropriate medication (PIM) and potential prescribing omission (PPO) among hospitalized older adults. This is a before-and-after study that took place in a tertiary Malaysian hospital. Discharge medications of patients ≥65 years old were reviewed to identify PIMs/PPOs using version 2 of the STOPP/START criteria. The prevalence and pattern of PIM/PPO before and after the intervention were compared. The intervention targeted the physicians and clinical pharmacists and it consisted of academic detailing and a newly developed smartphone application (app). The study involved 240 patients before (control group) and 240 patients after the intervention. The prevalence of PIM...Continue Reading

References

Nov 1, 1994·Journal of Clinical Epidemiology·M CharlsonJ Gold
Apr 13, 2005·Archives of Internal Medicine·Josh F PetersonDavid W Bates
Jan 20, 2007·Journal of the American Geriatrics Society·Joseph V AgostiniSharon K Inouye
Jul 16, 2010·Journal of Evaluation in Clinical Practice·Ravishankar RamaswamyBarbara Roehl
Aug 9, 2011·Archives of Gerontology and Geriatrics·Chien-Liang LiuLiang-Kung Chen
Jul 12, 2012·BMC Medical Informatics and Decision Making·Abu Saleh Mohammad MosaLincoln Sheets
Mar 2, 2013·The Cochrane Database of Systematic Reviews·David P AlldredPat Spoor
Aug 27, 2013·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Sture RognstadJørund Straand
Oct 10, 2013·Korean journal of family medicine·Sang-Jin LeeDong-Yop Han
Nov 5, 2014·Journal of the American Geriatrics Society·Josh F PetersonJames S Powers
Nov 28, 2014·International Journal of Clinical Pharmacy·Dvora FrankenthalYehuda Lerman
May 28, 2015·Srpski arhiv za celokupno lekarstvo·Darko IlićSlobodan Janković
Oct 9, 2015·Journal of the American Geriatrics Society·UNKNOWN By the American Geriatrics Society 2015 Beers Criteria Update Expert Panel
Apr 28, 2014·Journal of Law and the Biosciences·Komal Karnik
Apr 20, 2017·Geriatrics & Gerontology International·Marta Gutiérrez-ValenciaNicolás Martínez-Velilla
Apr 30, 2019·Revista clínica española·R Fernández RegueiroJ Morís de la Tassa

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Software Mentioned

Plus65
Statistical Package for the Social Sciences
SPSS Statistics

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