Medication in older patients reviewed multiple ways (MORE) study

• DOI: 10.1007/s11096-019-00879-3
• Publication Date: 2019-07-13T06:02:46Z
• Authors: N. A. Zwietering; D. Westra; B. Winkens; H. Cremers; P. H. M. van der Kuy; K. P. Hurkens
• Keywords: Contraindication; Outpatient clinic

Background Polypharmacy in older patients can lead to potentially inappropriate prescribing. The risk of the latter calls for effective medication review ensure proper usage and safety. Objective Provide insight on similarities differences done multiple ways that may future possibilities optimize review. Setting This study was conducted Zuyderland Medical Centre, second largest teaching hospital Netherlands. Method descriptive compares quantity content remarks identified by performed a geriatrician, outpatient pharmacist, Clinical Decision Support System. is categorized seven categories possible pharmacotherapeutic problems: 'indication without medication', 'medication indication', 'contra-indication/interaction/side-effect', 'dosage problem', 'double 'incorrect medication' 'therapeutic drug monitoring'. Main outcome measure Number Results System (1.8 ± 0.8 vs. 0.9 0.9, p < 0.001) pharmacist = 0.045) both noted significantly more than geriatricians. provided problem' 'contraindication/interaction/side effects' geriatrician (p 0.050), while did indication' 0.001). monitoring' whereas reported ≤ 0.007). Conclusion Medication provides different insights should be combined create comprehensive report profiles.