Impact of Computer‐Based and Pharmacist‐Assisted Medication Review Initiated in the Emergency Department
OBJECTIVES Whether early medication reconciliation and integration can reduce polypharmacy and potentially inappropriate medication (PIM) in the emergency department (ED) remains unclear. Polypharmacy and PIM have been recognized as significant causes of adverse drug events in older adults. Therefor...
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| Published in | Journal of the American Geriatrics Society (JAGS) Vol. 67; no. 11; pp. 2298 - 2304 |
|---|---|
| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Hoboken, USA
John Wiley & Sons, Inc
01.11.2019
Wiley Subscription Services, Inc |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0002-8614 1532-5415 1532-5415 |
| DOI | 10.1111/jgs.16078 |
Cover
| Abstract | OBJECTIVES
Whether early medication reconciliation and integration can reduce polypharmacy and potentially inappropriate medication (PIM) in the emergency department (ED) remains unclear. Polypharmacy and PIM have been recognized as significant causes of adverse drug events in older adults. Therefore, this pilot study was conducted to delineate this issue.
DESIGN
An interventional study.
SETTING
A medical center in Taiwan.
PARTICIPANTS
Older ED patients (aged ≥65 years) awaiting hospitalization between December 1, 2017, and October 31, 2018 were recruited in this study. A multidisciplinary team and a computer‐based and pharmacist‐assisted medication reconciliation and integration system were implemented.
MEASUREMENTS
The reduced proportions of major polypharmacy (≥10 medications) and PIM at hospital discharge were compared with those on admission to the ED between pre‐ and post‐intervention periods.
RESULTS
A total of 911 patients (pre‐intervention = 243 vs post‐intervention = 668) were recruited. The proportions of major polypharmacy and PIM were lower in the post‐intervention than in the pre‐intervention period (−79.4% vs −65.3%; P < .001, and − 67.5% vs −49.1%; P < .001, respectively). The number of medications was reduced from 12.5 ± 2.7 to 6.9 ± 3.0 in the post‐intervention period in patients with major polypharmacy (P < .001).
CONCLUSION
Early initiation of computer‐based and pharmacist‐assisted intervention in the ED for reducing major polypharmacy and PIM is a promising method for improving geriatric care and reducing medical expenditures. J Am Geriatr Soc 67:2298–2304, 2019 |
|---|---|
| AbstractList | OBJECTIVES
Whether early medication reconciliation and integration can reduce polypharmacy and potentially inappropriate medication (PIM) in the emergency department (ED) remains unclear. Polypharmacy and PIM have been recognized as significant causes of adverse drug events in older adults. Therefore, this pilot study was conducted to delineate this issue.
DESIGN
An interventional study.
SETTING
A medical center in Taiwan.
PARTICIPANTS
Older ED patients (aged ≥65 years) awaiting hospitalization between December 1, 2017, and October 31, 2018 were recruited in this study. A multidisciplinary team and a computer‐based and pharmacist‐assisted medication reconciliation and integration system were implemented.
MEASUREMENTS
The reduced proportions of major polypharmacy (≥10 medications) and PIM at hospital discharge were compared with those on admission to the ED between pre‐ and post‐intervention periods.
RESULTS
A total of 911 patients (pre‐intervention = 243 vs post‐intervention = 668) were recruited. The proportions of major polypharmacy and PIM were lower in the post‐intervention than in the pre‐intervention period (−79.4% vs −65.3%; P < .001, and − 67.5% vs −49.1%; P < .001, respectively). The number of medications was reduced from 12.5 ± 2.7 to 6.9 ± 3.0 in the post‐intervention period in patients with major polypharmacy (P < .001).
CONCLUSION
Early initiation of computer‐based and pharmacist‐assisted intervention in the ED for reducing major polypharmacy and PIM is a promising method for improving geriatric care and reducing medical expenditures. J Am Geriatr Soc 67:2298–2304, 2019 OBJECTIVESWhether early medication reconciliation and integration can reduce polypharmacy and potentially inappropriate medication (PIM) in the emergency department (ED) remains unclear. Polypharmacy and PIM have been recognized as significant causes of adverse drug events in older adults. Therefore, this pilot study was conducted to delineate this issue.DESIGNAn interventional study.SETTINGA medical center in Taiwan.PARTICIPANTSOlder ED patients (aged ≥65 years) awaiting hospitalization between December 1, 2017, and October 31, 2018 were recruited in this study. A multidisciplinary team and a computer‐based and pharmacist‐assisted medication reconciliation and integration system were implemented.MEASUREMENTSThe reduced proportions of major polypharmacy (≥10 medications) and PIM at hospital discharge were compared with those on admission to the ED between pre‐ and post‐intervention periods.RESULTSA total of 911 patients (pre‐intervention = 243 vs post‐intervention = 668) were recruited. The proportions of major polypharmacy and PIM were lower in the post‐intervention than in the pre‐intervention period (−79.4% vs −65.3%; P < .001, and − 67.5% vs −49.1%; P < .001, respectively). The number of medications was reduced from 12.5 ± 2.7 to 6.9 ± 3.0 in the post‐intervention period in patients with major polypharmacy (P < .001).CONCLUSIONEarly initiation of computer‐based and pharmacist‐assisted intervention in the ED for reducing major polypharmacy and PIM is a promising method for improving geriatric care and reducing medical expenditures. J Am Geriatr Soc 67:2298–2304, 2019 Whether early medication reconciliation and integration can reduce polypharmacy and potentially inappropriate medication (PIM) in the emergency department (ED) remains unclear. Polypharmacy and PIM have been recognized as significant causes of adverse drug events in older adults. Therefore, this pilot study was conducted to delineate this issue.OBJECTIVESWhether early medication reconciliation and integration can reduce polypharmacy and potentially inappropriate medication (PIM) in the emergency department (ED) remains unclear. Polypharmacy and PIM have been recognized as significant causes of adverse drug events in older adults. Therefore, this pilot study was conducted to delineate this issue.An interventional study.DESIGNAn interventional study.A medical center in Taiwan.SETTINGA medical center in Taiwan.Older ED patients (aged ≥65 years) awaiting hospitalization between December 1, 2017, and October 31, 2018 were recruited in this study. A multidisciplinary team and a computer-based and pharmacist-assisted medication reconciliation and integration system were implemented.PARTICIPANTSOlder ED patients (aged ≥65 years) awaiting hospitalization between December 1, 2017, and October 31, 2018 were recruited in this study. A multidisciplinary team and a computer-based and pharmacist-assisted medication reconciliation and integration system were implemented.The reduced proportions of major polypharmacy (≥10 medications) and PIM at hospital discharge were compared with those on admission to the ED between pre- and post-intervention periods.MEASUREMENTSThe reduced proportions of major polypharmacy (≥10 medications) and PIM at hospital discharge were compared with those on admission to the ED between pre- and post-intervention periods.A total of 911 patients (pre-intervention = 243 vs post-intervention = 668) were recruited. The proportions of major polypharmacy and PIM were lower in the post-intervention than in the pre-intervention period (-79.4% vs -65.3%; P < .001, and - 67.5% vs -49.1%; P < .001, respectively). The number of medications was reduced from 12.5 ± 2.7 to 6.9 ± 3.0 in the post-intervention period in patients with major polypharmacy (P < .001).RESULTSA total of 911 patients (pre-intervention = 243 vs post-intervention = 668) were recruited. The proportions of major polypharmacy and PIM were lower in the post-intervention than in the pre-intervention period (-79.4% vs -65.3%; P < .001, and - 67.5% vs -49.1%; P < .001, respectively). The number of medications was reduced from 12.5 ± 2.7 to 6.9 ± 3.0 in the post-intervention period in patients with major polypharmacy (P < .001).Early initiation of computer-based and pharmacist-assisted intervention in the ED for reducing major polypharmacy and PIM is a promising method for improving geriatric care and reducing medical expenditures. J Am Geriatr Soc 67:2298-2304, 2019.CONCLUSIONEarly initiation of computer-based and pharmacist-assisted intervention in the ED for reducing major polypharmacy and PIM is a promising method for improving geriatric care and reducing medical expenditures. J Am Geriatr Soc 67:2298-2304, 2019. Whether early medication reconciliation and integration can reduce polypharmacy and potentially inappropriate medication (PIM) in the emergency department (ED) remains unclear. Polypharmacy and PIM have been recognized as significant causes of adverse drug events in older adults. Therefore, this pilot study was conducted to delineate this issue. An interventional study. A medical center in Taiwan. Older ED patients (aged ≥65 years) awaiting hospitalization between December 1, 2017, and October 31, 2018 were recruited in this study. A multidisciplinary team and a computer-based and pharmacist-assisted medication reconciliation and integration system were implemented. The reduced proportions of major polypharmacy (≥10 medications) and PIM at hospital discharge were compared with those on admission to the ED between pre- and post-intervention periods. A total of 911 patients (pre-intervention = 243 vs post-intervention = 668) were recruited. The proportions of major polypharmacy and PIM were lower in the post-intervention than in the pre-intervention period (-79.4% vs -65.3%; P < .001, and - 67.5% vs -49.1%; P < .001, respectively). The number of medications was reduced from 12.5 ± 2.7 to 6.9 ± 3.0 in the post-intervention period in patients with major polypharmacy (P < .001). Early initiation of computer-based and pharmacist-assisted intervention in the ED for reducing major polypharmacy and PIM is a promising method for improving geriatric care and reducing medical expenditures. J Am Geriatr Soc 67:2298-2304, 2019. |
| Author | Huang, Chien‐Cheng Chen, Jung‐Fang Kao, Pei‐Hsin Hsieh, Hsing‐Chun Chu, Li‐Ling Tsai, Kang‐Ting Lin, Hung‐Jung Liu, Ying‐Ling Hsu, Chien‐Chin Su, Hui‐Chen |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31335969$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1177/0091415016685330 10.1016/j.ejim.2013.10.006 10.1017/S1041610217002940 10.2146/sp120009 10.1001/jama.2016.16201 10.1111/j.1532-5415.2008.01648.x 10.1093/jamia/ocx107 10.1016/j.ajem.2017.07.008 10.2165/00002512-200926040-00005 10.2165/00002512-200320110-00003 10.1097/MD.0000000000006943 10.1177/1062860615574327 10.1016/j.cger.2018.04.006 10.2196/ijmr.5462 10.1007/s11065-010-9154-6 |
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| References_xml | – volume: 21 start-page: 41 year: 2011 end-page: 53 article-title: Sleep and sleep disorders in older adults publication-title: Neuropsychol Rev. – volume: 31 start-page: 315 year: 2016 end-page: 322 article-title: Automated communication tools and computer‐based medication reconciliation to decrease hospital discharge medication errors publication-title: Am J Med Qual – volume: 36 start-page: 143 year: 2018 end-page: 146 article-title: Emergency geriatric assessment: a novel comprehensive screen tool for geriatric patients in the emergency department publication-title: Am J Emerg Med. – volume: 70 start-page: 453 year: 2013 end-page: 456 article-title: ASHP statement on the pharmacist's role in medication reconciliation publication-title: Am J Health Syst Pharm. – volume: 96 year: 2017 article-title: Implementing a novel model for hospice and palliative care in the emergency department: an experience from a tertiary medical center in Taiwan publication-title: Medicine (Baltimore) – volume: 25 start-page: 49 year: 2014 end-page: 55 article-title: Risk factors associated with adverse drug events among older adults in the emergency department publication-title: Eur J Intern Med. – volume: 34 start-page: 415 year: 2018 end-page: 433 article-title: Common medication management approaches for older adults in the emergency department publication-title: Clin Geriatr Med. – volume: 25 start-page: 482 year: 2018 end-page: 495 article-title: Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer‐assisted tool with automated electronic integration of population‐based community drug data: the RightRx project publication-title: J Am Med Inform Assoc. – volume: 316 start-page: 2115 year: 2016 end-page: 2125 article-title: US emergency department visits for outpatient adverse drug events, 2013‐2014 publication-title: JAMA. – volume: 56 start-page: 875 year: 2008 end-page: 880 article-title: Quality of pharmacotherapy and outcomes for older veterans discharged from the emergency department publication-title: J Am Geriatr Soc. – volume: 30 start-page: 957 year: 2018 end-page: 965 article-title: Sedative‐hypnotic drug use among community‐dwelling elderly in Taiwan publication-title: Int Psychogeriatr – volume: 85 start-page: 3 year: 2017 end-page: 17 article-title: Sedative‐hypnotic use among older adults participating in anxiety research publication-title: Int J Aging Hum Dev – volume: 26 start-page: 345 year: 2009 end-page: 354 article-title: Polypharmacy among disabled Taiwanese elderly: a longitudinal observational study publication-title: Drugs Aging. – volume: 5 year: 2016 article-title: An observational study to evaluate the usability and intent to adopt an artificial intelligence‐powered medication reconciliation tool publication-title: Interact J Med Res – volume: 225 start-page: 959 year: 2016 end-page: 960 article-title: An assessment of the application of Pharma Cloud System to the national health insurance program of Taiwan and the result in hospitals publication-title: Stud Health Technol Inform – volume: 20 start-page: 817 year: 2003 end-page: 832 article-title: Reduction of polypharmacy in the elderly: a systematic review of the role of the pharmacist publication-title: Drugs Aging – volume: 41 start-page: 176 year: 2016 end-page: 178 article-title: Value of the pharmacist in the medication reconciliation process publication-title: P & T. – ident: e_1_2_6_22_1 doi: 10.1177/0091415016685330 – ident: e_1_2_6_20_1 – ident: e_1_2_6_4_1 doi: 10.1016/j.ejim.2013.10.006 – ident: e_1_2_6_23_1 doi: 10.1017/S1041610217002940 – ident: e_1_2_6_19_1 doi: 10.2146/sp120009 – ident: e_1_2_6_3_1 doi: 10.1001/jama.2016.16201 – ident: e_1_2_6_6_1 doi: 10.1111/j.1532-5415.2008.01648.x – ident: e_1_2_6_16_1 – volume: 225 start-page: 959 year: 2016 ident: e_1_2_6_13_1 article-title: An assessment of the application of Pharma Cloud System to the national health insurance program of Taiwan and the result in hospitals publication-title: Stud Health Technol Inform – ident: e_1_2_6_14_1 doi: 10.1093/jamia/ocx107 – ident: e_1_2_6_10_1 doi: 10.1016/j.ajem.2017.07.008 – ident: e_1_2_6_11_1 doi: 10.2165/00002512-200926040-00005 – volume: 41 start-page: 176 year: 2016 ident: e_1_2_6_18_1 article-title: Value of the pharmacist in the medication reconciliation process publication-title: P & T. – ident: e_1_2_6_5_1 doi: 10.2165/00002512-200320110-00003 – ident: e_1_2_6_8_1 doi: 10.1097/MD.0000000000006943 – ident: e_1_2_6_9_1 – ident: e_1_2_6_15_1 doi: 10.1177/1062860615574327 – ident: e_1_2_6_2_1 doi: 10.1016/j.cger.2018.04.006 – ident: e_1_2_6_7_1 – ident: e_1_2_6_17_1 doi: 10.2196/ijmr.5462 – ident: e_1_2_6_21_1 doi: 10.1007/s11065-010-9154-6 – ident: e_1_2_6_12_1 |
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Whether early medication reconciliation and integration can reduce polypharmacy and potentially inappropriate medication (PIM) in the emergency... Whether early medication reconciliation and integration can reduce polypharmacy and potentially inappropriate medication (PIM) in the emergency department (ED)... OBJECTIVESWhether early medication reconciliation and integration can reduce polypharmacy and potentially inappropriate medication (PIM) in the emergency... |
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| SubjectTerms | Aged Aged, 80 and over computer Drug Utilization Review - methods emergency department Emergency Service, Hospital - statistics & numerical data Female Geriatric Assessment Hospitalization Humans Inappropriate Prescribing - prevention & control Inappropriate Prescribing - statistics & numerical data Integration Male medication reconciliation Medication Reconciliation - methods Medication Reconciliation - trends Medication Therapy Management - organization & administration older patient Older people Patients pharmacist Pharmacists Pharmacy Service, Hospital - organization & administration Polypharmacy Potentially Inappropriate Medication List - trends Prospective Studies Taiwan |
| Title | Impact of Computer‐Based and Pharmacist‐Assisted Medication Review Initiated in the Emergency Department |
| URI | https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fjgs.16078 https://www.ncbi.nlm.nih.gov/pubmed/31335969 https://www.proquest.com/docview/2315010042 https://www.proquest.com/docview/2263342404 |
| Volume | 67 |
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