Multidisciplinary intervention to identify and resolve drug-related problems in Norwegian nursing homes

被引:62
|
作者
Halvorsen, Kjell H. [1 ,3 ]
Ruths, Sabine [1 ,2 ]
Granas, Anne Gerd [3 ]
Viktil, Kirsten K. [4 ,5 ]
机构
[1] Univ Bergen, Sect Gen Practice, Dept Publ Hlth & Primary Hlth Care, N-5018 Bergen, Norway
[2] Uni Hlth, Res Unit Gen Practice, Bergen, Norway
[3] Univ Bergen, Ctr Pharm, Dept Publ Hlth & Primary Hlth Care, N-5018 Bergen, Norway
[4] Univ Oslo, Dept Pharmacotherapeut, Oslo, Norway
[5] Univ Oslo, Diakonhjemmet Hosp Pharm, Oslo, Norway
关键词
Drug-related problems; drug utilization review; nurses; nursing homes; physicians; patient care team; pharmacists; RANDOMIZED CONTROLLED-TRIAL; ELDERLY-PATIENTS; MEDICATION USE; RESIDENTS; PRESCRIPTIONS; OUTCOMES; REVIEWS; CARE;
D O I
10.3109/02813431003765455
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective. To describe an innovative team intervention to identify and resolve DRPs (drug-related problems) in Norwegian nursing homes. Design. Descriptive intervention study. Setting. Three nursing homes in Bergen, Norway. Subjects. A total of 142 long-term care patients (106 women, mean age 86.9 years). Results. Systematic medication reviews performed by pharmacists in 142 patients revealed altogether 719 DRPs, of which 504 were acknowledged by the patients' physician and nurses, and 476 interventions were completed. "Unnecessary drug" and "Monitoring required" were the most frequently identified DRPs. Drugs for treating the nervous system and the alimentary tract and metabolism were most commonly questioned. Conclusions. The multidisciplinary team intervention was suitable to identify and resolve drug-related problems in nursing home settings. Systematic medication reviews and involvement of pharmacists in clinical teams should therefore be implemented on a regular basis to achieve and maintain high-quality drug therapy.
引用
收藏
页码:82 / 88
页数:7
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