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Introduction. In residential aged care facilities (RACFs), there is little evidence concerning pharmacist interventions to prevent adverse drug events (ADEs) .

Aims. This study aimed to investigate the effectiveness of pharmacist’s interventions to reduce ADEs in older people permanently living in RACFs.

Methods. We performed a systematic search of MEDLINE via PubMed, Embase, Cochrane Central Register of Controlled Trials, and PsycINFO from the start to July 2020. We investigated pharmacist-led study designs that used a control group, or before and after studies conducted in RACFs.

Results. We found 23 studies from 3826 records. There were 7 single-component and 16 multicomponent pharmacist-led interventions aiming to reduce ADEs in older residents. The most frequent single-component pharmacist-led intervention was medication review. Medication review and the provision of education to healthcare professionals were the most common elements in many pharmacist-led multicomponent interventions. Ten studies (43%) reported substantial reductions in ADEs following pharmacist’s interventions either as a single intervention or as a part of a multicomponent intervention. Many interventions were designed to reduce falls (39%).

Discussion. The review shows that pharmacist’s interventions can reduce the occurrence of ADEs in RACFs. Medication review and educational programs, such as academic detailing, either as a single component or a part of multicomponent interventions, were the most common methods employed to reduce drug-related harm in older residents of RACFs. The lack of a positive association between interventions and ADEs in some studies suggests that targeted and customised pharmacist’s interventions are required to reduce drug-related harm in older residents.

Item Type:	Conference Extract
Keywords:	interventions, drug-related harms, DRP, RACF, older residents, pharmacist
Research Division:	Biomedical and Clinical Sciences
Research Group:	Pharmacology and pharmaceutical sciences
Research Field:	Clinical pharmacy and pharmacy practice
Objective Division:	Health
Objective Group:	Clinical health
Objective Field:	Efficacy of medications
UTAS Author:	Ali, S (Mr Sheraz Ali)
UTAS Author:	Salahudeen, MS (Dr Mohammed Salahudeen)
UTAS Author:	Bereznicki, LRE (Professor Luke Bereznicki)
UTAS Author:	Curtain, CM (Mr Colin Curtain)
ID Code:	148777
Year Published:	2021
Deposited By:	Pharmacy
Deposited On:	2022-02-09
Last Modified:	2022-02-09
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