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[Medication errors and non-compliance in polymedicated elderly patients].

L C Fernández Lisón1, B Barón Franco, B Vázquez Domínguez

  • 1Servicio de Farmacia Hospitalaria, Hospital Don Benio-Villanueva, Badajoz. luis.fernanezl@ses.juntaex.es

Farmacia Hospitalaria : Organo Oficial De Expresion Cientifica De La Sociedad Espanola De Farmacia Hospitalaria
|December 15, 2006
PubMed
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Medication errors and non-adherence are prevalent in polymedicated elderly patients. Multidisciplinary interventions are crucial to reduce these medication errors and improve therapy adherence.

Area of Science:

  • Geriatric Medicine
  • Clinical Pharmacy
  • Pharmacoeconomics

Background:

  • Polymedication in elderly patients (> 65 years) is common.
  • Polypharmacy increases the risk of medication errors and non-adherence.
  • Assessing medication errors and adherence is vital for patient safety.

Purpose of the Study:

  • To detect and describe medication errors in polymedicated elderly outpatients.
  • To evaluate adherence to pharmacotherapy in this population.
  • To identify factors associated with medication errors and non-adherence.

Main Methods:

  • A descriptive, observational phone survey study.
  • Inclusion of polymedicated elderly outpatients (> 5 drugs, > 65 years).
  • Collection of sociodemographic, clinical, and pharmacotherapeutic data, including functional and mental status.

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Main Results:

  • Medication errors were detected in 42.5% of 73 responders (mean 1.77 errors/patient).
  • Common errors included inappropriate administration frequency and therapeutic duplicity.
  • Non-adherence was observed in 43.8% of patients, with a positive relationship between error number and drug number/adherence.

Conclusions:

  • A high percentage of medication errors and non-adherence exists in polymedicated elderly patients.
  • Multidisciplinary actions are necessary to mitigate these issues.
  • Improving medication management is essential for this vulnerable population.