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Published on: July 2, 2013
Prevalence of medication-related problems in complex chronic patients and opportunities for improvement
Marta Guerro-Prado1, María Adelina Olmo-Revuelto1, Miguel Ángel Catalá-Pindado1
1Servicio de Farmacia, Hospital Universitario Río Hortega, Valladolid.. maguerropr@saludcastillayleon.es.
Objective:
To estimate the prevalence of medication-related problems in patients treated in continuous care units and to identify the therapeutic areas in which these problems were more concentrated.
Method:
Observational descriptive prospective study. Review of clinical histories and outpatient treatment by a hospital pharmacist. Communicating medication-related problems detected to the responsible doctor. Analysis of the therapeutic areas in which the problems were most concentrated.
Results:
85 patients were reviewed, and 368 potential medication-related problems were identified. The areas with the most prevalent medication- related problems were the long-term use of hypnotics, sub-optimal analgesia, optimizable antidepressant treatment, statins in patients older than 75 years in primary prevention and in those with high-intensity doses in secondary prevention, patients with heart failure without angiotensin-converting enzyme inhibitors, and proton-pump inhibitors without indication.
Conclusions:
Training interventions should be implemented and computer assistance should be developed to help avoid the most prevalent medication-related problems.
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