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A pilot integrated qualification program to improve medication use in a long-term care facility: a hybrid effectiveness-implementation study
Lima, Felipe Augusto dos Santos Oliveira; do Nascimento, Mariana Martins Gonzaga; Rezende, Cristiane de Paula; dos Santos, Marina Dias; Farnese, Luciana Raid; Faria, Samilla Dornellas; Santos, Aline Silva de Assis; Ferreira, Sabrina Gonçalves; Doria, Gabriela Oliveira Buzelin; Ramalho-de-Oliveira, Djenane.
Affiliation
  • Lima, Felipe Augusto dos Santos Oliveira; Programa de Pós-graduação em Medicamentos e Assistência Farmacêutica (PPGMAF). Universidade Federal de Minas Gerais (UFMG). Belo Horizonte.
  • do Nascimento, Mariana Martins Gonzaga; Centro de Estudos em Atenção Farmacêutica. Faculdade de Farmácia. Universidade Federal de Minas Gerais (UFMG). Belo Horizonte.
  • Rezende, Cristiane de Paula; Programa de Pós-graduação em Medicamentos e Assistência Farmacêutica (PPGMAF). Universidade Federal de Minas Gerais (UFMG). Belo Horizonte.
  • dos Santos, Marina Dias; Far-me Farmacoterapia Otimizada. Belo Horizonte.
  • Farnese, Luciana Raid; Far-me Farmacoterapia Otimizada. Belo Horizonte.
  • Faria, Samilla Dornellas; Far-me Farmacoterapia Otimizada. Belo Horizonte.
  • Santos, Aline Silva de Assis; Programa de Pós-graduação em Medicamentos e Assistência Farmacêutica (PPGMAF). Universidade Federal de Minas Gerais (UFMG). Belo Horizonte.
  • Ferreira, Sabrina Gonçalves; Centro de Estudos em Atenção Farmacêutica. Faculdade de Farmácia. Universidade Federal de Minas Gerais (UFMG). Belo Horizonte.
  • Doria, Gabriela Oliveira Buzelin; Centro de Estudos em Atenção Farmacêutica. Faculdade de Farmácia. Universidade Federal de Minas Gerais (UFMG). Belo Horizonte.
  • Ramalho-de-Oliveira, Djenane; Centro de Estudos em Atenção Farmacêutica. Faculdade de Farmácia. Universidade Federal de Minas Gerais (UFMG). Belo Horizonte.
Article in En | LILACS-Express | LILACS | ID: biblio-1359088
Responsible library: BR1851.9
ABSTRACT

Objective:

to describe the implementation and to assess the effectiveness of a pilot integrated qualification program to improve the medication use in a long-term care facility (LTCF).

Methods:

This was a type 1 hybrid effectiveness-implementation study. A pilot integrated qualification program to improve the medication use in a LTCF was carried out by implementing a new drug distribution system and a comprehensive medication management (CMM) service according to the following four

steps:

I) implementation of the drug distribution system followed by the evaluation of the health team's opinion; II) prescription review with the identification of potential drug therapy problems (PDTPs); III) provision of the CMM service according to the framework of Pharmaceutical Care practice within one year; and, IV) evaluation of the effectiveness of the program through the comparison of clinical and laboratory parameters (blood pressure, glycated hemoglobin and lipid fractions) using the t-test or Wilcoxon signed-rank test.

Results:

In step I, the distribution system was fully outsourced to a company that furnished all solid oral dosage forms in individual boxes containing a plastic coil with multiple envelopes for 30 days. In step II, 180 PDTPs were identified, and all patients presented with at least one of them. In step III, after the first assessment of the CMM Service, 43 actual drug therapy problems (DTPs) were identified. After one year of service provision, 96 DTPs were identified and 75.8% of them were resolved (n=72). In step IV, a statistically significant difference was observed between the initial and final minimum and maximum systolic and diastolic blood pressure (p<0,05).

Conclusions:

The pilot integrated qualification program had a positive impact on the clinical parameters. The global population is rapidly aging, making this type of study important to exemplify a multifaceted strategy to improve the quality of drug therapy for institutionalized patients.
Key words
Full text: 1 Index: LILACS Type of study: Evaluation_studies / Sysrev_observational_studies Language: En Journal: Rev. ciênc. farm. básica apl Journal subject: FARMACOLOGIA Year: 2022 Type: Article
Full text: 1 Index: LILACS Type of study: Evaluation_studies / Sysrev_observational_studies Language: En Journal: Rev. ciênc. farm. básica apl Journal subject: FARMACOLOGIA Year: 2022 Type: Article