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Exploring medication safety structures and processes in nursing homes: a cross-sectional study.

Lauriane Favez1,2, Franziska Zúñiga1, Carla Meyer-Massetti3,4,5

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International Journal of Clinical Pharmacy
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Medication safety in nursing homes is supported by electronic health records and regular medication reviews. However, collaboration with pharmacists is limited, impacting overall medication safety processes for residents.

Keywords:
Clinical pharmacyInterprofessional collaborationMedication safetyNursing homes

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Area of Science:

  • Gerontology
  • Health Services Research
  • Pharmacy Practice

Background:

  • Medication safety is crucial for preventing adverse events in nursing home residents.
  • Interprofessional collaboration and medication reviews are known factors influencing medication safety.

Purpose of the Study:

  • Assess the relationship between facility/unit organization and medication use processes.
  • Determine the extent of medication safety processes in nursing homes.
  • Explore the involvement of pharmacies and pharmacists in nursing home medication processes.

Main Methods:

  • Cross-sectional multicenter survey of 118 Swiss nursing homes (2018-2019).
  • Data collected on facility/unit characteristics, pharmacy services, and medication safety structures/processes.
  • Descriptive statistics were utilized for analysis.

Main Results:

  • Most nursing homes (93.2%) utilize electronic health records supporting medication safety.
  • Electronic data exchange with external partners (pharmacies, physicians) is limited (10.2-46.3%).
  • Pharmacist involvement primarily focuses on logistical support; medication reviews occur in two-thirds of facilities.

Conclusions:

  • Swiss nursing homes have implemented various structures and processes for medication safety.
  • Collaboration with pharmacists in nursing homes remains a significant area for improvement.