An evaluation of medication review reports across different settings

Freeman, Christopher R., Cottrell, W. Neil, Kyle, Greg, Williams, Ian D. and Nissen, Lisa (2013) An evaluation of medication review reports across different settings. International Journal of Clinical Pharmacy, 35 1: 5-13. doi:10.1007/s11096-012-9701-8

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Author Freeman, Christopher R.
Cottrell, W. Neil
Kyle, Greg
Williams, Ian D.
Nissen, Lisa
Title An evaluation of medication review reports across different settings
Journal name International Journal of Clinical Pharmacy   Check publisher's open access policy
ISSN 2210-7703
2210-7711
Publication date 2013-02
Year available 2012
Sub-type Article (original research)
DOI 10.1007/s11096-012-9701-8
Volume 35
Issue 1
Start page 5
End page 13
Total pages 9
Place of publication Dordrecht, Netherlands
Publisher Springer
Collection year 2013
Language eng
Formatted abstract
Background: There is a growing body of evidence which supports that a pharmacist conducted medication review increases the health outcomes for patients. A pharmacist integrated into a primary care medical centre may offer many potential advantages in conducting medication reviews in this setting however research describing this is presently limited.

Objective: To compare medication review reports conducted by pharmacists practicing externally to a medical centre to those medication review reports conducted by an integrated practice pharmacist. The secondary objective was to compare medication review reports conducted by pharmacists in the patient's home to those conducted in the medical centre. Setting A primary care medical centre, Brisbane, Australia

Method: A retrospective analysis of pharmacist conducted medication reviews prior to and after the integration of a pharmacist into a medical centre. Main outcome measures Types of drug related problems identified by the Pharmacists, recommended intervention for drug related problems made by the pharmacist, and the extent of implementation of pharmacist recommendations by the general practitioner.

Results: The primary drug related problem reported in the practice pharmacist phase was Additional therapy required as compared to Precautions in the external pharmacist phase. The practice pharmacist most frequently recommended to add drug with Additional monitoring recommended most often in the external pharmacists. During the practice pharmacist phase 71 % of recommendations were implemented and was significantly higher than the external pharmacist phase with 53 % of recommendations implemented (p < 0.0001). Two of the 23 drug related problem domains differed significantly when comparing medication reviews conducted in the patient's home to those conducted in the medical centre.
Keyword Australia
Drug related problems
General Practice
HMR
Medication review
Pharmacist
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online: 26 September 2012.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Discipline of General Practice Publications
Official 2013 Collection
School of Medicine Publications
School of Pharmacy Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 9 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 15 times in Scopus Article | Citations
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