Springer eBooks, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 25
Published: Jan. 1, 2024
Language: Английский
BMJ Open, Journal Year: 2025, Volume and Issue: 15(1), P. e095584 - e095584
Published: Jan. 1, 2025
Objective To map instruments for assessing healthcare professionals’ knowledge, attitudes and practices regarding deprescribing. Introduction Deprescribing is essential improving patient outcomes by managing polypharmacy, reducing fall risks decreasing medication costs. However, there a limited exploration of perspectives about Methods analysis Studies involving professionals directly involved in the use process (nurses, pharmacists physicians) will be included, while those which it not possible to identify professional excluded. Any definition deprescribing, as well any stage deprescribing process, without clear employing whether validated or not, included. focusing on algorithms setting Data presented absolute relative frequencies, world heatmap, heatmaps, bar plots word cloud when appropriate. Ethics dissemination The findings from this review discussed with stakeholders processes. Additionally, results disseminated through publications conference presentations. Protocol registration https://osf.io/tgjyc/
Language: Английский
Citations
1
Pharmacy, Journal Year: 2024, Volume and Issue: 12(1), P. 39 - 39
Published: Feb. 19, 2024
Background: Medication review is a multifaceted service aimed at optimizing the use of medicines and enhancing health outcomes patients. Due to its complexity, it crucial clearly describe service, variants, components avoid confusion ensure better understanding medication among healthcare providers. Aim: This study aims bring clarity origins, definitions, abbreviations, types reviews, together with primary criteria that delineate key features this service. Method: A narrative approach was employed clarify diverse terminology associated “medication review” services. Relevant references were initially identified through searches on PubMed Google Scholar, complementing existing literature known authors. Results: The uncovers complicated sometimes convoluted history in different regions around world. initial optimization medicine had an economic purpose before evolving subsequently into more patient-oriented approach. selection outlined enhance Conclusions: underscores urgent need for comprehensive information standardization regarding content quality services, collectively referred as review”.
Language: Английский
Citations
7
Ageing Research Reviews, Journal Year: 2024, Volume and Issue: 95, P. 102237 - 102237
Published: Feb. 16, 2024
Deprescribing is an important intervention across different settings in medicine, but the literature supporting such a practice still conflicting. Therefore, we aimed to capture breadth of outcomes reported and assess strength evidence use deprescribing for health outcomes. Umbrella review systematic reviews searching Medline, Scopus, Web Science until 01 November 2023. The grading was carried out using GRADE studies, whilst data regarding were as narrative findings. Among 456 papers, 12 (six with meta-analysis) total 231 RCTs 44,193 patients included. In any setting, able significantly reduce number potentially inappropriate medications (PIMs) older (low certainty evidence) proportion participants having several or PIMs (moderate evidence). community, supported by high evidence, not more effective than standard care decreasing injurious falls, falls fallers. nursing home, associated lower (very low end-of-life situations, reduced mortality rate approximately 41% (high promising notable gap concerning its effects on substantial exists.
Language: Английский
Citations
6
Frontiers in Medicine, Journal Year: 2024, Volume and Issue: 10
Published: Jan. 4, 2024
Despite the increasing body of evidence supporting use simulation in medicine, a question remains: when should we introduce it into medical school's curriculum? We present experience and future perspectives MD program Medicine Surgery University Turin-MedInTo. Since its launch, MedInTo has been dedicated to integrating innovative teaching approaches at early stages curriculum. Herewith, describe case-based approach for our activities, which includes utilization emergency care training students integration virtual augmented reality technology. Dedicated surgical activities using virtual-augmented life-like simulator are also described.
Language: Английский
Citations
4
International Journal of Clinical Pharmacy, Journal Year: 2025, Volume and Issue: unknown
Published: Jan. 23, 2025
Language: Английский
Citations
0
Aging Medicine, Journal Year: 2025, Volume and Issue: 8(1)
Published: Feb. 1, 2025
ABSTRACT Objectives The increase in polypharmacy among older adults increases the risk of drug‐related problems, making multidisciplinary interventions essential. This study evaluated impact a consultation on medication management and outcomes outpatients. Methods prospective observational at Spanish teaching hospital involved geriatricians, clinical pharmacists, nurses. Older (≥ 75 years) with underwent review baseline 3 6 months. Data use, adherence to Screening Tool Person's Prescriptions (STOOP) criteria, anticholinergic burden were analyzed. Results included 104 (mean age 86.2 years; 66% female). An average 3.6 recommendations per participant was made (63.8% acceptance rate). Common problems adverse effects (20%), non‐adherence (18.1%), incorrect dose/regimen (14.4%). Interventions led an reduction 1.7 medications patient, 1.3 dosage or regimen changes 1.1 new prescriptions. mean number decreased from 9.6 8.9 months ( p < 0.001) remained below STOPP criteria violations patient dropped 1.2 1.0 = 0.036). Of 126 flagged by 68.3% addressed, 24.6% discontinued, mainly psychotropics, 89.3% these discontinuations maintained. 0.036) Conclusions A clinic effectively managed reducing load improving appropriateness highlighting importance proactive management. Trial Registration ClinicalTrials.gov : NCT05408598 (March 1, 2022)
Language: Английский
Citations
0
BMC Psychiatry, Journal Year: 2025, Volume and Issue: 25(1)
Published: March 6, 2025
Shared medication coordination (MedCo) is vital yet difficult to manage for residents living with severe mental disorders in residential care, where multidisciplinary teams provide support. A successful MedCo model one residence included three core components: "shared decision-making," "patient involvement" and "MedCo". This was effective but transfer other settings needed implementation adaptation. The aim of this study meet local requirements by achieving a good fit between intervention components social psychiatric context. methodology guided complex adaptation framework involving co-creation stakeholders gather iterative feedback. adapted through systematic four-phase process tested shared consultations. Ten took part the test, intervention's feasibility acceptability were assessed. ensured new Stakeholder input provided crucial content contextual insights, while planned adaptations laid foundation modulating individual model. Iterative during test phase refined intervention, leading near-routine performance tenth consultation. Residents gained stronger voice their healthcare, all ten had coordinated optimised. found feasible acceptable. For implementation, interventions require active stakeholder involvement. offers guideline diverse contexts, ensuring disorders.
Language: Английский
Citations
0
Drugs & Aging, Journal Year: 2025, Volume and Issue: unknown
Published: March 11, 2025
Polypharmacy is common amongst older people with dementia or mild cognitive impairment (MCI), increasing the risk of medication-related harm. Medicine optimisation and deprescribing to reduce polypharmacy considered feasible, safe can lead improved health. However, for those living MCI, this be challenging. This systematic review aimed summarise evidence on outcomes medicine interventions MCI. Literature was searched using CINAHL, Embase, Medline, PsychINFO, Web Science Cochrane Library from database inception January 2024. Papers reporting data specific MCI interventional research studies any design in setting were included. A narrative synthesis conducted owing heterogeneity study designs outcomes. Quality assessed Mixed Methods Appraisal Tool. total 32 papers 28 included, samples ranging 29 17,933 patients a mean patient age 74 88 years. Of studies, 60% undertaken long-term care settings. Involvement and/or carers limited. grouped as either incorporating medication component (n = 13), education 5) both 14). Studies primarily focussed outcomes, generally showing positive effect decreasing number improving appropriateness medications. Fewer reported clinical (behavioural psychological symptoms dementia, falls, quality life cognition) mixed findings. reduction no change mortality hospital attendance demonstrated safety few these The mixed. reduced increased medications, although less frequently reported, seemed showed an absence worsening highlights need further research, particularly at home, more focus greater involvement informal carers. protocol published International Prospective Register Systematic Reviews (PROSPERO) [Ref: CRD42023398139].
Language: Английский
Citations
0
Journal of Evidence-Based Medicine, Journal Year: 2025, Volume and Issue: 18(1)
Published: March 1, 2025
Inappropriate polypharmacy increases the risk of medication-related issues. Adequate management is a challenge involving different healthcare professionals, complex decision-making and ideally including patient involvement. The objective this scoping review was to provide an overview national recommendations for medication patients with in primary care. A clinical practice guidelines focusing on adults polypharmacy, applicable care performed. Databases (G-I-N, Turning Research into Practice PubMed), network, global report were screened published after 2000 English, Dutch, German, Spanish, French, or Russian. Raw data extracted duplicate using extraction framework strategies, involvement involvement, implementation. Qualitative content analysis used. Guideline quality assessed AGREE-II. study registered Open Science Framework. Eight originating from eight countries included. most common recommended strategy conducted by general practitioner and/or community pharmacist. Tasks target population differed per guideline. Most process, mostly elicit patient's experiences treatment goals. Few included advice implementation recommendations. Three out good (AGREE-II score >70% 5/6 domains). review, as Guidance task division less clear. This illustrates room guideline improvements.
Language: Английский
Citations
0
International Journal of Medical Informatics, Journal Year: 2025, Volume and Issue: unknown, P. 105899 - 105899
Published: March 1, 2025
Language: Английский
Citations
0