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Drug related problems identified in medication reviews by Australian pharmacists


Stafford, AC and Tenni, PC and Peterson, GM and Jackson, SL and Hejlesen, A and Villesen, C and Rasmussen, M, Drug related problems identified in medication reviews by Australian pharmacists, Pharmacy World and Science: A Journal Devoted to Rational Drug Use, 31, (2) pp. 216-223. ISSN 0928-1231 (2009) [Refereed Article]

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DOI: doi:10.1007/s11096-009-9287-y


Objective In Australia, accredited pharmacists perform medication reviews for patients to identify and resolve drug-related problems. We analysed the drug-related problems identified in reviews for both home-dwelling and residential care-facility patients. The objective of this study was to examine the number and nature of the drug-related problems identified and investigate differences between each type of review. Setting Australian patients living at home or in residential care-facilities. Method We collected a nation-wide sample of medication reviews conducted between 1998 and 2005. These reviews had been self-selected by pharmacists and submitted as part of the reaccreditation process to the primary body responsible for accrediting Australian pharmacists to perform medication reviews. The drug-related problems identified in each review were classified by type and drugs involved. Main outcome measure The number and nature of drug-related problems identified in pharmacist-conducted medication reviews. Results There were 1,038 drug-related problems identified in 234 medication reviews (mean 4.6 (2.2) problems per review). The number of problems was higher (4.9 2.0 vs. 3.9 2.2; P < 0.001) in reviews for home-dwelling patients compared with care-facility residents. The number of clinically-significant problems was higher (2.1 1.1 vs. 1.5 0.7; P < 0.001) for home-dwelling patients. Oral hypoglycaemics and analgesics/antipyretics were significantly more likely to be associated with problems in home-dwelling patients than in residential care-facility patients. Conclusion These data illustrate the prevalence of drug-related problems and the ability of pharmacists to identify these problems in the Australian models of medication review. The nature and frequency of problems varied between reviews for home-dwelling and care-facility patients. Such information may be used to better focus the training of practitioners based on the most frequently encountered health problems and the nature of common drug-related problems in the two settings.

Item Details

Item Type:Refereed Article
Keywords:Australia, drug related problems, medication related problems, medication review, pharmaceutical care, pharmacist
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Health services and systems not elsewhere classified
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Evaluation of health and support services not elsewhere classified
UTAS Author:Stafford, AC (Dr Andrew Stafford)
UTAS Author:Tenni, PC (Dr Peter Tenni)
UTAS Author:Peterson, GM (Professor Gregory Peterson)
UTAS Author:Jackson, SL (Dr Shane Jackson)
ID Code:58711
Year Published:2009
Web of Science® Times Cited:51
Deposited By:Pharmacy
Deposited On:2009-10-20
Last Modified:2012-03-05
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