Pharmacy-led interventions to reverse and prevent prescribing cascades in primary care: a proof-of-concept study
International Journal of Clinical Pharmacy,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 15, 2025
Prescribing
cascades
occur
in
clinical
practice
when
a
medication
causes
an
adverse
drug
reaction
(ADR),
which
is
addressed
by
prescribing
additional
medication.
The
aim
was
to
provide
proof-of-concept
for
pharmacy-led
interventions
reverse
or
prevent
cascades.
Two
community
pharmacies
each
tested
two
approaches.
To
cascades,
ten
were
selected
from
literature.
Dispensing
records
screened
identify
patients
with
these
who
started
medications
associated
five
of
telephoned
one
month
after
their
first
dispensing
discuss
ADRs.
Pharmacists
assessed
the
need
intervene
together
prescribers.
Primary
outcome
proportion
treatment
change
initiated.
Secondary
outcomes
time
investment,
potential
cost-savings,
and
pharmacists'
experiences.
24
included.
For
eight
prescriber
consulted,
resulting
reversal
three
Forty-four
included
Six
them
experienced
ADR
that
could
lead
cascade.
conducted
this.
estimated
investment
possibly
intervention
4.5
h
reversing
approach
4.8
preventing
approach,
while
follow-up
actions
required
1.8
0.5
h,
respectively.
Both
approaches
be
cost-saving.
considered
both
relevant
but
identified
knowledge
gap
on
how
some
Pharmacy-led
may
more
efficient
screening
methods
tools
are
needed
before
further
implementation.
Language: Английский
Healthy Lifestyle in Old Age
Sociology of power,
Journal Year:
2024,
Volume and Issue:
36(2), P. 55 - 77
Published: July 22, 2024
The
article
is
devoted
to
understanding
a
healthy
lifestyle
in
old
age,
significant
limitations
and
differences
that
arise
with
age
redefine
many
basic
ideas
about
health.
begins
by
identifying
aging,
which
are
questioned
clarified
through
an
analytical
analysis
of
dense
interviews
(the
author’s
terminology
for
qualitative
interviews,
the
closest
analogue
Russian-speaking
environment
in-depth
interviews)
people.
Field
work
took
place
Republic
Khakassia
three
cities:
Abakan,
Chernogorsk
Abaza.
A
total
12
were
conducted
older
people
receiving
long-term
care
services.
Based
on
received
narratives,
five
conditions
accompanying
aging
identified:
living
illness;
accepting
limitations;
loneliness;
support
withdrawal
from
others;
emotional
depression.
Through
critical
life
world
four
signs
attention
man,
need
value
presence
goal
man.
Modern
social
policy
Russia
based
only
one
component
“attention
elderly”
(although
other
components
also
declared
law),
organization
care,
development
implementation
rehabilitation
means,
creation
accessible
environment.
But
most
important
elements
remain
formation
man
among
loved
ones
(relatives
others),
joint
agreement,
goal-setting
promotion
as
such.
proposes
agenda
further
research
more
accurately
shape
domestic
policies
field
aging.
Language: Английский
Editor’s view: tackling geriatric giants
Age and Ageing,
Journal Year:
2024,
Volume and Issue:
53(7)
Published: July 1, 2024
Language: Английский
Yonder: Prescribing cascades, teacher wait time, online services for mental health conditions, and community deep vein thrombosis pathways
British Journal of General Practice,
Journal Year:
2024,
Volume and Issue:
74(746), P. 420 - 420
Published: Aug. 29, 2024
health
conditions,
and
community
deep
vein
thrombosis
pathways
Language: Английский
Pharmacists communicating medication changes at hospital discharge: a retrospective cohort study
Prescriber,
Journal Year:
2024,
Volume and Issue:
35(6), P. 35 - 39
Published: Nov. 1, 2024
Transition
of
care
between
healthcare
settings
is
a
recognised
risk
factor
for
medication‐related
harm,
and
good
communication
providers
about
medicines
at
these
transition
points
has
the
potential
to
reduce
that
harm.
This
article
discusses
role
pharmacists
in
transferring
information
from
hospital
primary
care,
contributing
compliance
with
national
electronic
discharge
standards,
finds
cardiac
are
most
frequently
commented
on.
Language: Английский