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Related Concept Videos

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Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
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Designing a dosage regimen, which refers to the manner of drug administration, is a complex process involving the selection of drug dose, route, and frequency. This process is underpinned by pharmacokinetic parameters derived from tests and population averages. These parameters are then tailored to patient-specific variables such as diagnosis, demographics, and allergy status. Once therapy commences, therapeutic response monitoring is critical and achieved through clinical and physical...
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Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
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Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
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Process evaluation for the Care Homes Independent Pharmacist Prescriber Study (CHIPPS).

Linda Birt1, Lindsay Dalgarno2, David J Wright3

  • 1The Queen's Building, School of Health Sciences, University of East Anglia, Norwich Research Park, Norwich, NR4 7TJ, UK. Linda.birt@uea.ac.uk.

BMC Health Services Research
|October 3, 2021
PubMed
Summary
This summary is machine-generated.

Pharmacist independent prescribers (PIPs) integrating into care homes improved medicine management and resident safety, with widespread deprescribing observed. Effective implementation depended on pre-established communication between PIPs and general practitioners (GPs).

Keywords:
Care homesDeprescribingImplementationOlder people medicationPharmacistPrimary care

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Area of Science:

  • Gerontology
  • Health Services Research
  • Pharmacy Practice

Background:

  • Medicines management in care homes presents significant challenges.
  • The CHIPPS trial evaluated integrating pharmacist independent prescribers (PIPs) into care homes.
  • This study reports on the parallel mixed-methods process evaluation of the CHIPPS intervention.

Purpose of the Study:

  • To determine the effectiveness of integrating PIPs into care homes for medicines management.
  • To evaluate the implementation process and stakeholder perceptions of the intervention.
  • To identify facilitators and barriers to the successful integration of PIPs in care homes.

Main Methods:

  • A cluster randomised controlled trial involving 25 triads (care homes, GPs, PIPs).
  • Data collected via pharmaceutical care plans, pharmacist activity logs, online questionnaires, and semi-structured interviews.
  • Quantitative data analysed descriptively; qualitative data analysed thematically.

Main Results:

  • All stakeholders reported benefits and no safety concerns with PIPs managing medicines.
  • PIPs reported increased knowledge and valued engagement time; 566 clinical interventions were recorded, with significant deprescribing.
  • Medication changes reduced falls risk for a quarter of residents; implementation was most effective with established communication pathways.

Conclusions:

  • The integration of PIPs into care homes was generally implemented as intended and well-received.
  • Contextual factors influenced PIP engagement, highlighting the importance of established communication.
  • The intervention demonstrated potential for improving medication safety and resident quality of life in care homes.