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Medication-Related Problems Identified Through Continuous Medication Monitoring
Amber M Goedken1, Sharon Huang2, Randal P McDonough3
1College of Pharmacy, University of Iowa, Iowa City, IA 52242, USA. amber-goedken@uiowa.edu.
Pharmacy (Basel, Switzerland)
|August 22, 2018
Summary
Community pharmacists using Continuous Medication Monitoring (CoMM) identified over 8,000 medication-related problems, with nonadherence being the most common issue. This monitoring helps detect potential patient health risks.
Area of Science:
- Pharmacy Practice
- Medication Safety
- Patient Care
Background:
- Community pharmacists play a crucial role in patient medication management.
- Systematic monitoring of prescriptions and refills is essential for identifying medication-related problems.
- Continuous Medication Monitoring (CoMM) offers a structured approach to proactive patient care.
Purpose of the Study:
- To describe the types of medication-related problems identified through Continuous Medication Monitoring (CoMM).
- To identify the drug classes most frequently associated with these medication-related problems.
- To evaluate the effectiveness of community pharmacists in detecting potential issues via CoMM.
Main Methods:
- A 12-month pilot study was conducted in a single independent U.S. community pharmacy.
- Dispensing and clinical records were analyzed to identify medication-related problems.
- Data included patients with at least one prescription and one identified medication-related problem.
Main Results:
- A total of 8,439 medication-related problems were identified for 1,566 patients.
- The average number of problems per patient was 5.4.
- Nonadherence accounted for over 63% of the identified problems, with central nervous system and analgesic drug classes being most involved.
Conclusions:
- Community pharmacists performing CoMM can systematically identify a significant number of medication-related problems.
- CoMM facilitates the detection of issues that might otherwise go unnoticed.
- This systematic approach enhances medication safety and patient outcomes in community pharmacy settings.
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