Pharmacist intervention acceptance for the reduction of potentially inappropriate drug prescribing in acute psychiatry.

Détails

ID Serval
serval:BIB_6DBE2E15EC6A
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Pharmacist intervention acceptance for the reduction of potentially inappropriate drug prescribing in acute psychiatry.
Périodique
International journal of clinical pharmacy
Auteur(s)
Hannou S., Voirol P., Pannatier A., Weibel M.L., Sadeghipour F., von Gunten A., Mall J.F., De Giorgi Salamun I.
ISSN
2210-7711 (Electronic)
Statut éditorial
Publié
Date de publication
12/2017
Peer-reviewed
Oui
Volume
39
Numéro
6
Pages
1228-1236
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Background Prescribing for the elderly is challenging. A previous observational study conducted in our geriatric psychiatry admission unit (GPAU) using STOPP/START criteria showed a high number of potentially inappropriate drug prescriptions (PIDPs). A clinical pharmacist was added to our GPAU as a strategy to reduce PIDPs. Objective The objective of the present study was to assess the impact of a clinical pharmacist on PIDPs by measuring acceptance rates of pharmacist interventions (PhIs). Setting This study was conducted at the GPAU of Lausanne University Hospital. Method The clinical pharmacist attended four GPAU meetings weekly. Complete medication reviews were performed daily. The clinical pharmacist conducted standard analyses based on clinical judgment and STOPP/START criteria assessment. A PhI was generated when a PIDP was detected. When a PhI was accepted, the PIDP was considered as eliminated. Acceptance rate of PhI was calculated (number of PhI accepted/total number of PhI). Main outcome measure PhIs acceptance rates. Results In a cohort of 102 patients seen between July 2013 and February 2014, a total of 697 PhIs (average 6.8/patient) were made based on standard evaluation (n = 479) and STOPP/START criteria (n = 243). The global acceptance rate was 68% (standard, 78%; STOPP/START, 47%). Conclusion Good PhIs acceptance rates demonstrated that a clinical pharmacist can reduce PIDPs in a GPAU. PhIs based on standard evaluation had a higher acceptance than those based on STOPP/START criteria, probably because they are better adapted to individual patients. However, these two evaluation approaches can be used in a complementary manner.
Mots-clé
Aged, Aged, 80 and over, Emergency Services, Psychiatric/statistics & numerical data, Female, Hospitals, University, Humans, Inappropriate Prescribing/statistics & numerical data, Male, Pharmacy Service, Hospital/statistics & numerical data, Potentially Inappropriate Medication List, Practice Patterns, Physicians', Clinical pharmacist, Potentially inappropriate drug prescribing, Prescribing, Psychogeriatry, STOPP and START criteria, Switzerland
Pubmed
Web of science
Création de la notice
26/09/2017 10:33
Dernière modification de la notice
20/08/2019 14:27
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