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Related Experiment Videos

Monitoring drug use in palliative care

R G Twycross1, S Bergl, S John

  • 1University of Oxford, UK.

Palliative Medicine
|January 1, 1994
PubMed
Summary

A new system monitors palliative care drug use, revealing common analgesics and laxatives. Analysis identified potential duplicate prescribing, suggesting simplified drug regimens for better patient care.

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Area of Science:

  • Pharmacology
  • Health Informatics
  • Palliative Care Medicine

Background:

  • Effective drug management is crucial in palliative care.
  • Monitoring drug use aids in identifying prescribing patterns and potential issues.
  • Existing systems may not adequately capture the nuances of polypharmacy in this setting.

Purpose of the Study:

  • To develop and evaluate a computerized system for monitoring drug use in palliative care.
  • To analyze drug prescribing patterns in patients receiving palliative care.
  • To identify instances of duplicate prescribing and suggest regimen simplification.

Main Methods:

  • A computerized system utilizing British National Formulary (BNF) and departmental formulary (DF) categories was developed.
  • Drug data from 385 patients over five years in a palliative care unit were analyzed.
  • Prescribing patterns, common drug categories, and duplicate prescriptions were examined.

Main Results:

  • The median number of drugs per patient was five, with 97% from the DF.
  • Analgesics were the most common drug category.
  • Seventeen percent of patients had potentially questionable duplicate prescriptions, particularly with laxatives, hypnotics, and anxiolytics.

Conclusions:

  • The developed system efficiently monitors palliative care drug use.
  • Analysis highlights the need for quantitative data to guide prescribing practices.
  • Identifying duplicate prescribing offers opportunities to simplify medication regimens and improve care.

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