Medication-related problems identified by pharmacists in an enhanced medication therapy management model.
Am J Manag Care
; 27(16 Suppl): S292-S299, 2021 09.
Article
en En
| MEDLINE
| ID: mdl-34529368
ABSTRACT
OBJECTIVES:
To describe the types of clinically actionable medication-related problems (MRPs) identified and the types of resolving recommendations issued by pharmacists using an advanced clinical decision support system (CDSS) for Medicare Part D beneficiaries. STUDYDESIGN:
Retrospective cross-sectional study.METHODS:
We examined frequencies of MRPs and recommendations for beneficiaries who received a first-ever medication safety review (MSR) during plan years 2018-2019. MRPs were considered clinically actionable if implementation of a recommendation would alter the medication regimen.RESULTS:
Pharmacists identifiedâ ≥â 1 clinically actionable MRP for 82.4% (18,703/22,696) beneficiaries receiving an MSR. Among these beneficiaries, 36,455 MRPs were identified (mean [SD] number of MRPs 1.9â [1.0]). "Adverse drug reaction" (nâ =â 14,788; 40.6%), "drug interaction" (nâ =â 9716; 26.7%), and "medication use without indication" (nâ =â 6496; 17.8%) represented 85.0% of all MRPs. "Start alternative therapy" was most frequently recommended to resolve "adverse drug reactions" (6724/14,788; 45.5%), followed by "change time of administration" to resolve "drug interactions" (5189/9716; 53.4%) and "discontinue medication" to resolve "drug use without indication" (5718/6496; 88.0%). Overall, "start alternative therapy" (nâ =â 12,219) and "discontinue medication" (nâ =â 12,059) made up 66.6% of all recommendations.CONCLUSIONS:
In Medicare Part D beneficiaries, pharmacists using an advanced CDSS identified a substantial number of MRPs pertaining to medication safety and issued recommendations to decrease the risk of adverse drug events.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Administración del Tratamiento Farmacológico
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Medicare Part D
Tipo de estudio:
Guideline
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Observational_studies
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Prevalence_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Aged
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Humans
País como asunto:
America do norte
Idioma:
En
Año:
2021
Tipo del documento:
Article