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Reducing polypharmacy in extended care

R C Hamdy1, S W Moore, K Whalen

  • 1Veterans Affairs Medical Center, Mountain Home, TN, USA.

Southern Medical Journal
|May 1, 1995
PubMed
Summary
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This study shows a systematic review of pharmacy records effectively reduced polypharmacy in a long-term care facility. The intervention significantly lowered the number of patients on multiple medications, improving prescribing habits and patient care.

Area of Science:

  • Geriatrics
  • Clinical Pharmacy
  • Health Services Research

Background:

  • Polypharmacy, the use of multiple medications, is a significant issue in long-term care.
  • It increases the risk of adverse drug events, drug interactions, and healthcare costs.

Purpose of the Study:

  • To assess the feasibility of reducing polypharmacy in a long-term care institution.
  • To evaluate the impact of a systematic medication review on prescribing habits and patient outcomes.

Main Methods:

  • A 5-year prospective study involving a systematic review of pharmacy records in a 550-bed institution.
  • Regular identification of patients on more than 10 medications, followed by physician notification and medication review based on guidelines.

Main Results:

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  • The number of patients taking 10 or more medications decreased from 67 to 9.
  • The average number of medications per patient reduced from 5.5 to 4.6.
  • The program demonstrated long-lasting positive effects on physicians' prescribing practices.

Conclusions:

  • Systematic review of pharmacy records is a feasible and effective method for reducing polypharmacy in long-term care.
  • This intervention can lead to improved patient care through reduced drug interactions and potential cost savings.