Journal of Clinical Medicine,
Год журнала:
2023,
Номер
13(1), С. 3 - 3
Опубликована: Дек. 19, 2023
The
progressive
aging
and
comorbidities
of
the
population
have
led
to
an
increase
in
number
patients
with
polypharmacy
attended
emergency
department.
Drug-related
problems
(DRPs)
become
a
major
cause
admission
these
units,
as
well
high
rate
short-term
readmissions.
Anticoagulants,
antibiotics,
antidiabetics,
opioids
been
shown
be
most
common
drugs
involved
this
issue.
Inappropriate
has
pointed
out
one
causes
visits.
Different
ways
conducting
chronic
medication
reviews
at
discharge,
primary
care
coordination,
phone
contact
discharge
reduce
new
hospitalizations
room
visits
due
DRPs,
they
are
key
elements
for
improving
quality
provided
by
services.
Frontiers in Child and Adolescent Psychiatry,
Год журнала:
2024,
Номер
3
Опубликована: Ноя. 20, 2024
Introduction
Psychotropic
medication
can
be
effective
at
stabilizing
emotional
and
behavioural
disturbances
associated
with
physiological
processes
in
children
youth.
When
benefits,
indication
or
adverse
effects
are
queried,
deprescribing
should
considered.
Current
guidelines
for
mainly
adults/elderly
largely
theoretical,
not
practical,
especially
polypharmacy.
Methods
At
a
tertiary
center
youth
complex
needs,
physicians
on
staff
have
expertise
conducting
assessments
of
efficacy,
side
effect
burden,
safety
concerns.
Deprescribing
is
routinely
undertaken
the
context
inpatient
outpatient
services
partnership
children/youth
their
families.
A
qualitative
initiative
leveraged
specialized
eight
(six
psychiatrists
two
pediatricians).
Results
Emerging
themes
were
review,
timing,
stepwise
approach,
setting
conditions
(inpatient
outpatient),
recurring
subcategories
patient/family
engagement
as
well
underlying
importance
continuity
care
psychosocial/behavioural
supports.
Discussion
The
findings
from
this
expert
focus
group
serve
step
towards
supporting
prescribing
clinicians
mindful
when
medications
no
longer
best
interest
young
patients.
Journal of Clinical Medicine,
Год журнала:
2023,
Номер
13(1), С. 3 - 3
Опубликована: Дек. 19, 2023
The
progressive
aging
and
comorbidities
of
the
population
have
led
to
an
increase
in
number
patients
with
polypharmacy
attended
emergency
department.
Drug-related
problems
(DRPs)
become
a
major
cause
admission
these
units,
as
well
high
rate
short-term
readmissions.
Anticoagulants,
antibiotics,
antidiabetics,
opioids
been
shown
be
most
common
drugs
involved
this
issue.
Inappropriate
has
pointed
out
one
causes
visits.
Different
ways
conducting
chronic
medication
reviews
at
discharge,
primary
care
coordination,
phone
contact
discharge
reduce
new
hospitalizations
room
visits
due
DRPs,
they
are
key
elements
for
improving
quality
provided
by
services.
