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Residential aged care pharmacist: an Australian pilot trial exploring the impact on quality use of medicines indicators

Citation

McDerby, N and Kosari, S and Bail, K and Shield, A and Peterson, G and Naunton, M, Residential aged care pharmacist: an Australian pilot trial exploring the impact on quality use of medicines indicators, Medicines, 7, (4) pp. 1-7. ISSN 2305-6320 (2020) [Refereed Article]


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Copyright 2020 The Authors. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/

DOI: doi:10.3390/medicines7040020

Abstract

Background: This pilot study aimed to assess whether an on-site pharmacist could influence indicators of quality use of medicines in residential aged care.

Methods: A pharmacist was embedded in a residential aged care home for six months. A similar control site received usual care. Polypharmacy, drug burden index, antipsychotic and benzodiazepine use, hospital admission rates and length of stay, and emergency department presentation rates were outcomes used to indicate medication use quality. Data were extracted from participating resident health records.

Results: Fifty-eight residents at the study site and 39 residents at the control site were included in the analysis. There was a reduction in the proportion of residents at the study site who had at least one hospital admission at follow-up (28% to 12%, p < 0.01), but no significant difference in other outcomes.

Conclusions: This pilot study suggests that a residential care pharmacist may positively influence indicators of medication use quality in aged care; however, further research is needed to expand on these findings.

Item Details

Item Type:Refereed Article
Keywords:aged care, drug burden index, hospitalisation, medication, nursing home, pharmacist, polypharmacy
Research Division:Biomedical and Clinical Sciences
Research Group:Pharmacology and pharmaceutical sciences
Research Field:Clinical pharmacy and pharmacy practice
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Evaluation of health and support services not elsewhere classified
UTAS Author:Peterson, G (Professor Gregory Peterson)
ID Code:138749
Year Published:2020
Deposited By:Pharmacy
Deposited On:2020-04-27
Last Modified:2021-01-29
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