Research Square (Research Square),
Год журнала:
2023,
Номер
unknown
Опубликована: Ноя. 2, 2023
Abstract
Background
Implementing
a
full-sample
prescription
review
system
has
become
imperative
for
hospitals
to
address
the
limitations
of
post-review
practices
and
ensure
patient
medication
safety.
Objective
To
investigate
preliminary
application
impact
theprescription
pre-review
(PPRS)and
its
rules
maintenance
in
our
hospital,
while
also
evaluating
pharmaceutical
service
value
resulting
from
implementation
pre-review.
Methods
We
incorporated
levels
prescribing
warnings
into
PPRS,
establishing
maintaining
database
appropriate
practices.
In
addition,
we
evaluated
rationality
intravenous
infusion
prescriptions
key
monitored
drug
before
after
briefly
irrational
prescriptions.
Results
A
comprehensive
range
7
warning
was
established,
reflective
degree
irrationality.
Besides,
total
3015
user
were
created
regulate
behavior.The
number
proportion
unreasonable
during
January
March
2023
demonstrated
noteworthy
reduction
when
compared
corresponding
period
2022.
Moreover,
continuous
evaluation
systematic
alert
indicated
remarkable
monthly
decline.
Conclusion
The
introduction
PPRS
ushered
paradigm
shift
rationality.
This
transformative
played
pivotal
role
standardizing
doctor's
patterns,
thereby
promoting
rational
utilization
drugs
clinical
practice.
By
ensuring
safety,
elevating
quality
care,
enhancing
pharmacists,
emerged
as
catalyst
positive
change
healthcare
setting.
Journal of Integrated Care,
Год журнала:
2023,
Номер
32(1), С. 18 - 30
Опубликована: Дек. 1, 2023
Purpose
Older
people
living
in
nursing
homes
have
complex
care
needs
and
frequently
need
specialists’
advice
support
that
can
be
challenging
to
deliver
a
rural
setting.
The
aim
of
this
paper
is
describe
model
integrated
area
supported
by
nurse
case
manager.
Design/methodology/approach
A
real-world
evidence
study
Ribes
de
Freser
home,
was
conducted
between
specific
timeframes
2019
2022,
comparing
the
casemix
outcomes
traditional
with
interdisciplinary
model.
Findings
led
significant
reduction
transfers
emergency
department,
hospitalisations,
outpatient
medical
visits
number
medicines.
In
addition,
residents
receiving
end-of-life
at
home
showed
substantial
increase.
Originality/value
This
contributes
valuable
supporting
implementation
an
manager
homes,
particularly
contexts,
where
access
specialist
staff
may
limited.
findings
highlight
potential
benefits
person-centred
for
older
adults,
addressing
their
improving
settings.
Research Square (Research Square),
Год журнала:
2023,
Номер
unknown
Опубликована: Апрель 12, 2023
Abstract
Background
Hospital-based
Residential
Aged-care
Support
Service
(RaSS)
teams
typically
consist
of
doctors
and
nurses
who
provide
emergency
hospital
substitutive
care
to
residents
residential
aged
facilities
(RACF).
While
evidence
supports
the
role
community
pharmacist-led
medication
reviews
in
RACFs,
there
is
limited
literature
evaluating
pharmacists
integrated
into
support
teams.
The
purpose
this
study
was
analyse
effect
RaSS
on
polypharmacy,
drug
burden
index,
potentially
inappropriate
medications
potential
prescribing
omissions
for
living
RACFs.
Methods
Residents
were
referred
a
pharmacist
review
over
12-month
period.
Medication-related
problems
recommendations
identified
by
communicated
resident’s
general
practitioner
medical
review.
Residents’
histories
obtained
at
baseline
one-month
post-intervention.
number
prescribed
RACF
residents,
their
associated
indices,
medications,
post-intervention
compared
evaluate
effects
reviews.
Results
175
with
mean
age
84
years
hospital-based
Median
time
evaluation
29
days.
total
reduced
from
18
17
(p<0.001).
index
score
1.53
(at
baseline)
1.35
There
more
that
experienced
decrease
(p<0.001)
(p=0.008)
those
had
an
increase.
Conclusions
This
suggests
performed
embedded
services
may
improve
use
practices
care.
Future
research
needs
be
prioritised
corroborate
this.
Research Square (Research Square),
Год журнала:
2023,
Номер
unknown
Опубликована: Ноя. 2, 2023
Abstract
Background
Implementing
a
full-sample
prescription
review
system
has
become
imperative
for
hospitals
to
address
the
limitations
of
post-review
practices
and
ensure
patient
medication
safety.
Objective
To
investigate
preliminary
application
impact
theprescription
pre-review
(PPRS)and
its
rules
maintenance
in
our
hospital,
while
also
evaluating
pharmaceutical
service
value
resulting
from
implementation
pre-review.
Methods
We
incorporated
levels
prescribing
warnings
into
PPRS,
establishing
maintaining
database
appropriate
practices.
In
addition,
we
evaluated
rationality
intravenous
infusion
prescriptions
key
monitored
drug
before
after
briefly
irrational
prescriptions.
Results
A
comprehensive
range
7
warning
was
established,
reflective
degree
irrationality.
Besides,
total
3015
user
were
created
regulate
behavior.The
number
proportion
unreasonable
during
January
March
2023
demonstrated
noteworthy
reduction
when
compared
corresponding
period
2022.
Moreover,
continuous
evaluation
systematic
alert
indicated
remarkable
monthly
decline.
Conclusion
The
introduction
PPRS
ushered
paradigm
shift
rationality.
This
transformative
played
pivotal
role
standardizing
doctor's
patterns,
thereby
promoting
rational
utilization
drugs
clinical
practice.
By
ensuring
safety,
elevating
quality
care,
enhancing
pharmacists,
emerged
as
catalyst
positive
change
healthcare
setting.
