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Residential Aged Care Pharmacist: An Australian Pilot Trial Exploring the Impact on Quality Use of Medicines Indicators

Background: This pilot study aimed to assess whether an on-site pharmacist could influence indicators of quality use of medicines in residential aged care. Methods: A pharmacist was embedded in a residential aged care home for six months. A similar control site received usual care. Polypharmacy, dru...

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Autores principales: McDerby, Nicole, Kosari, Sam, Bail, Kasia, Shield, Alison, Peterson, Gregory, Naunton, Mark
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235891/
https://www.ncbi.nlm.nih.gov/pubmed/32326013
http://dx.doi.org/10.3390/medicines7040020
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author McDerby, Nicole
Kosari, Sam
Bail, Kasia
Shield, Alison
Peterson, Gregory
Naunton, Mark
author_facet McDerby, Nicole
Kosari, Sam
Bail, Kasia
Shield, Alison
Peterson, Gregory
Naunton, Mark
author_sort McDerby, Nicole
collection PubMed
description Background: This pilot study aimed to assess whether an on-site pharmacist could influence indicators of quality use of medicines in residential aged care. Methods: A pharmacist was embedded in a residential aged care home for six months. A similar control site received usual care. Polypharmacy, drug burden index, antipsychotic and benzodiazepine use, hospital admission rates and length of stay, and emergency department presentation rates were outcomes used to indicate medication use quality. Data were extracted from participating resident health records. Results: Fifty-eight residents at the study site and 39 residents at the control site were included in the analysis. There was a reduction in the proportion of residents at the study site who had at least one hospital admission at follow-up (28% to 12%, p < 0.01), but no significant difference in other outcomes. Conclusions: This pilot study suggests that a residential care pharmacist may positively influence indicators of medication use quality in aged care; however, further research is needed to expand on these findings.
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spelling pubmed-72358912020-05-28 Residential Aged Care Pharmacist: An Australian Pilot Trial Exploring the Impact on Quality Use of Medicines Indicators McDerby, Nicole Kosari, Sam Bail, Kasia Shield, Alison Peterson, Gregory Naunton, Mark Medicines (Basel) Article Background: This pilot study aimed to assess whether an on-site pharmacist could influence indicators of quality use of medicines in residential aged care. Methods: A pharmacist was embedded in a residential aged care home for six months. A similar control site received usual care. Polypharmacy, drug burden index, antipsychotic and benzodiazepine use, hospital admission rates and length of stay, and emergency department presentation rates were outcomes used to indicate medication use quality. Data were extracted from participating resident health records. Results: Fifty-eight residents at the study site and 39 residents at the control site were included in the analysis. There was a reduction in the proportion of residents at the study site who had at least one hospital admission at follow-up (28% to 12%, p < 0.01), but no significant difference in other outcomes. Conclusions: This pilot study suggests that a residential care pharmacist may positively influence indicators of medication use quality in aged care; however, further research is needed to expand on these findings. MDPI 2020-04-20 /pmc/articles/PMC7235891/ /pubmed/32326013 http://dx.doi.org/10.3390/medicines7040020 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
McDerby, Nicole
Kosari, Sam
Bail, Kasia
Shield, Alison
Peterson, Gregory
Naunton, Mark
Residential Aged Care Pharmacist: An Australian Pilot Trial Exploring the Impact on Quality Use of Medicines Indicators
title Residential Aged Care Pharmacist: An Australian Pilot Trial Exploring the Impact on Quality Use of Medicines Indicators
title_full Residential Aged Care Pharmacist: An Australian Pilot Trial Exploring the Impact on Quality Use of Medicines Indicators
title_fullStr Residential Aged Care Pharmacist: An Australian Pilot Trial Exploring the Impact on Quality Use of Medicines Indicators
title_full_unstemmed Residential Aged Care Pharmacist: An Australian Pilot Trial Exploring the Impact on Quality Use of Medicines Indicators
title_short Residential Aged Care Pharmacist: An Australian Pilot Trial Exploring the Impact on Quality Use of Medicines Indicators
title_sort residential aged care pharmacist: an australian pilot trial exploring the impact on quality use of medicines indicators
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235891/
https://www.ncbi.nlm.nih.gov/pubmed/32326013
http://dx.doi.org/10.3390/medicines7040020
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