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Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
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Medication review practices in European countries.

A Bulajeva1, L Labberton2, S Leikola3

  • 1Division of Social Pharmacy, University of Helsinki, P.O. Box 56, 00014 Finland.

Research in Social & Administrative Pharmacy : RSAP
|March 26, 2014
PubMed
Summary
This summary is machine-generated.

Medication review procedures are increasingly common in Europe. However, comprehensive clinical reviews remain rare due to limited patient information access, highlighting a need for improved data sharing to enhance patient safety.

Keywords:
Clinical medication reviewCollaborative practiceEuropean countriesMedication reviewMedication safetyRational drug use

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Area of Science:

  • Pharmaceutical policy
  • Healthcare services research
  • Medication safety

Background:

  • Medication review procedures aim to enhance rational and safe medication use globally.
  • Previous assessments have not comprehensively compared the similarities, comprehensiveness, or effectiveness of these procedures across different countries.

Purpose of the Study:

  • To explore and compare medication review practices across European countries.
  • To assess the comprehensiveness and types of medication review procedures implemented in Europe.

Main Methods:

  • An online survey was distributed to 32 European countries in May 2011.
  • Informants were identified via the Pharmaceutical Group of the European Union and validated through the Pharmaceutical Care Network Europe.
  • The survey evaluated medication review comprehensiveness based on settings, patient data access, patient involvement, documentation, physician collaboration, quality control, and training.

Main Results:

  • 64% of responding European countries (25 out of 32) reported having at least one type of medication review procedure.
  • Prescription (Type I) and adherence (Type II) medication reviews were most prevalent in community settings.
  • Comprehensive Type III clinical medication reviews, requiring patient clinical information access, were infrequent, established in only 6 countries.

Conclusions:

  • Medication review procedures are becoming widespread in European healthcare.
  • Enhancing the comprehensiveness of clinical medication reviews necessitates improved access to patient clinical information for healthcare professionals.
  • This inventory can facilitate international cooperation and benchmarking for medication review practice development.