A Novel Medicines Management Pathway

Blennerhassett, Jenny; Cusack, Brigitte M; Smith, Carlene; Green, Louise; Tribe, Kate

doi:10.1002/j.2055-2335.2006.tb00601.x

Cited by 3 publications

(3 citation statements)

References 16 publications

(16 reference statements)

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“…Data were extracted from nine controlled studies (Table 1), 20-28 34 observational or uncontrolled studies with a focus on MRPs (Table 2), [29][30][31][32][33][34][35][36][37][38][39][40][41][42][43] and other clinical, humanistic and economic outcomes (Table 3), 10,44-61 11 qualitative (including interviews and focus groups) and nine survey research studies (Table 4). 11,13,[62][63][64][65][66][67][68][69][70][71][72][73][74][75][76][77][78][79] Methodological quality of studies…”

Section: Resultsmentioning

confidence: 99%

“…This included CMRs which involved pharmacist 22,44,53 Findings of qualitative work also supported these referral pathways, with stakeholders highlighting the use of pharmacists, nursing staff and other health providers as sources for CMR referrals. 63,64 Studies also reported CMRs undertaken by an accredited pharmacist working in a medical practice, 10,33,42,45 or as part of an ACAT (n ¼ 2), 23,51 community mental health team (n ¼ 1), 35,63 or palliative care team (n ¼ 1). 36 Six studies involved face-to-face case-conferences between the GP and pharmacist after CMR.…”

Section: Participant Characteristicsmentioning

confidence: 98%

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Clinical medication review in Australia: A systematic review

Jokanovic

Tan

Bosch

et al. 2016

Research in Social and Administrative Pharmacy

108

122

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Section: Resultsmentioning

confidence: 99%

Section: Participant Characteristicsmentioning

confidence: 98%

Clinical medication review in Australia: A systematic review

Jokanovic

Tan

Bosch

et al. 2016

Research in Social and Administrative Pharmacy

108

122

View full text Add to dashboard Cite

“…In NSW a 'Heartlink' medication management pathway for patients with chronic heart failure was developed involving a community liaison pharmacist and medication management review facilitator [ 48 ]. On hospital admission, patient consent was obtained for the hospital pharmacist to communicate with the patient's preferred community pharmacy to obtain a complete medication history.…”

Section: Resultsmentioning

confidence: 99%

Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008

Semple

Roughead

2009

Aust N Z Health Policy

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Background: This paper presents Part 2 of a literature review examining medication safety in the Australian acute care setting. This review was undertaken for the Australian Commission on Safety and Quality in Health Care, updating the 2002 national report on medication safety. Part 2 of the review examined the Australian evidence base for approaches to build safer medication systems in acute care.

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A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: what works for whom and why?

2020

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BackgroundMedication reviews for people transitioning from one healthcare setting to another potentially improve health outcomes, although evidence for outcome benefits varies. It is unclear when and why medication reviews performed by pharmacists in primary care for people who return from hospital to the community lead to beneficial outcomes.ObjectiveA realist synthesis was undertaken to develop a theory of what works, for whom, why and under which circumstances when pharmacists conduct medication reviews in primary care for people leaving hospital.MethodsThe realist synthesis was performed in accordance with Realist And MEta-narrative Evidence Syntheses: Evolving Standards reporting standards. An initial programme theory informed a systematic literature search of databases (PubMed, Embase, Cumulative Index of Nursing and Allied Health Literature, International Pharmaceutical Abstracts, OpenGrey, Trove), augmented by agency and government sources of information. Documents were synthesised by exploring interactions between contexts, intervention, outcomes and causal mechanisms.ResultsThe synthesis identified 9 contexts in which 10 mechanisms can be activated to influence outcomes of pharmacist medication reviews conducted in primary care postdischarge. For a medication review to take place these include trust patients have in healthcare professionals, their healthcare priorities postdischarge, capacity to participate, perceptions of benefit and effort, and awareness required by all involved. For the medication review process, mechanisms which issue an invitation to collaborate between healthcare professionals, enable pharmacists employing clinical skills and taking responsibility for medication review outcomes were linked to more positive outcomes for patients.ConclusionsMedication reviews after hospital discharge seem to work successfully when conducted according to patient preferences, programmes promote coordination and collaboration between healthcare professionals and establish trust, and pharmacists take responsibility for outcomes. Findings of this realist synthesis can inform postdischarge medication review service models.

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A Novel Medicines Management Pathway

Cited by 3 publications

References 16 publications

Clinical medication review in Australia: A systematic review

Clinical medication review in Australia: A systematic review

Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008

A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: what works for whom and why?

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