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Medication safety programs in primary care: a scoping review.

Hanan Khalil1, Monica Shahid, Libby Roughead

  • 11Monash Rural Health, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Australia 2The Centre for Chronic Disease Management: a Joanna Briggs Institute Centre of Excellence, Clayton, Australia 3Sansom Institute for Health Research, School of Pharmacy and Medical Sciences, University of South Australia, Adelaide, Australia.

JBI Database of Systematic Reviews and Implementation Reports
|October 17, 2017
PubMed
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This scoping review maps medication safety programs in primary care, finding varied approaches like education and informatics. Key outcomes measured include medication errors and adverse events, highlighting the need for multi-faceted interventions.

Area of Science:

  • Healthcare Quality and Safety
  • Primary Care Medicine
  • Pharmaceutical Sciences

Background:

  • Medication safety is crucial in healthcare, yet primary care programs lack systematic review.
  • Existing reviews focus on hospital settings or specific interventions, not comprehensive primary care programs.
  • This review addresses the gap by mapping medication safety initiatives in primary care.

Purpose of the Study:

  • To examine the characteristics of medication safety programs in primary care settings.
  • To map evidence on outcome measures used to assess program effectiveness.
  • To improve patient safety through better understanding of primary care medication management.

Main Methods:

  • A scoping review methodology was employed.

Related Experiment Videos

  • A three-step search strategy was utilized.
  • Included nine quantitative studies published in English, focusing on medication safety programs and their outcomes in primary care.

    • Main Results:

    • Nine studies were included, investigating diverse medication safety programs over an eight-year period.
    • Programs were classified into organizational, professional, or patient components.
    • Interventions ranged from complex team-based approaches to educational and computerized systems.

    Conclusions:

    • Medication safety programs in primary care are multi-faceted, incorporating education, quality improvement, informatics, and patient engagement.
    • Common outcome measures include medication error incidence, adverse events, and drug-related problems.
    • Effective programs likely require a combination of strategies targeting different aspects of medication management.