Document Detail


A review of pharmacist recommendations in an aged care facility.
MedLine Citation:
PMID:  21616022     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The aim of this study was to analyse the types of and rationale for the clinical recommendations made by the pharmacist in a rural aged care facility to improve patient safety. The classes of drugs associated with the pharmacist's recommendations were also identified. A related aim was to determine their degree of acceptance by medical practitioners. A retrospective, cross-sectional study design was used to review 56 aged care residents' case notes over a 12-month period. The main outcome measures included: the types of and reasons for recommendations made by the pharmacist; classes of drugs associated with the pharmacist's recommendations; and the implementation rate of the pharmacist's recommendations by the medical practitioner. A total of 196 recommendations were made by the pharmacist to the residents' existing medications. The main types of recommendations were alteration to residents' monitoring (49%), discontinuation of drug treatment (19%) followed by initiation of drug treatment (17%). The main reasons for the recommendations were to reduce potential side-effects (45%), symptom control (32%) and to increase drug efficacy (19%). Analysis of medical practitioners' case notes estimated that 70% of the pharmacist's recommendations were being implemented by the residents' medical practitioner. This case notes analysis reinforces the importance of doctor-pharmacist collaboration in the management of residents' medications in aged care facilities.
Authors:
Hanan Khalil
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Australian journal of primary health     Volume:  17     ISSN:  1448-7527     ISO Abbreviation:  Aust J Prim Health     Publication Date:  2011  
Date Detail:
Created Date:  2011-05-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101123037     Medline TA:  Aust J Prim Health     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  35-9     Citation Subset:  IM    
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