Pharmacist Identification of Medication Therapy Problems Involving Cognition Among Older Adults Followed by a Home-Based Care Team

Levine, Allison; Emonds, Erin E.; Smith, Marie; Rickles, Nathaniel M.; Kuchel, George A.; Steffens, David C.; Ohlheiser, Alis; Fortinsky, Richard H.

doi:10.1007/s40266-020-00821-7

Cited by 11 publications

(27 citation statements)

References 44 publications

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“…Two studies provide particularly informative comparisons. First, one study, like ours, found that safety was the most common type of DTP (Levine et al, 2021 ). It was a study of n = 105 people aged >65 receiving home-based team care for dementia, delirium or depression (3 Ds) in Connecticut, in which researchers focused on medications treating or exacerbating cognition (Levine et al, 2021 ).…”

Section: Discussionmentioning

confidence: 70%

Risk factors for drug therapy problems among Cambodian Americans with complex needs: a cross-sectional, observational study

Wagner

Bermúdez‐Millán

Berthold

et al. 2022

Health Psychology and Behavioral Medicine

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Background Pharmaceutical drug therapy problems (DTPs) are a major public health problem. We examined patient-level risk factors for DTPs among Cambodian Americans. Methods Community health workers (CHWs) verbally administered surveys and completed a detailed medication review form with participants. A doctoral-level pharmacist reviewed the form with the patient and CHW to determine DTP number and type (appropriateness, effectiveness, safety, and adherence). Results Participants ( n = 63) averaged 55 years old, 6 years of education, 52% were married, 87% spoke Khmer at home, with modal household income <$20,000 (41%). The percentage of participants with DTPs was: 45% appropriateness, 25% effectiveness, 64% safety, and 30% adherence, averaging 3.7 DTPs per patient. In multiple regressions, patient characteristics uniquely predicted each type of DTP. In a multiple regression controlling for number of medications, being married reduced total DTPs (IRR = 0.70) and being depressed increased total DTPs (IRR = 1.26). Conclusions Vulnerable patients should be prioritized for pharmacist/CHW teams to identify DTPs. Trial registration:

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Section: Discussionmentioning

confidence: 70%

Risk factors for drug therapy problems among Cambodian Americans with complex needs: a cross-sectional, observational study

Wagner

Bermúdez‐Millán

Berthold

et al. 2022

Health Psychology and Behavioral Medicine

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“…Patients were followed up between 12 and 24 months. This follow-up was organized in person or by phone with the nurse (45), pharmacist (49) or community health educator (35). (34,39,41).…”

Section: Results Of Individual Studiesmentioning

confidence: 99%

“…Building trust among healthcare professionals and between the professionals is essential for effective collaboration (36). Six interventions of selected studies included a specialist physician but only geriatrics and psychiatrist in Levine study (45) were included in a multidisciplinary consultation meeting. Epileptologist, and emergency department clinician only performed consultation with patient and referrals to other healthcare professionals.…”

Section: Discussionmentioning

confidence: 99%

“…After removal of the 24 duplicates and 9 protocols, 33 articles were assessed for eligibility. In the end, 16 articles were selected and included in the systematic review (32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48). Figure 1 shows the article selection process.…”

Section: Study Selectionmentioning

confidence: 99%

“…Three research team published a process evaluation article (50-52) from three of the selected interventions (34,37,46). Six studies did not evaluate implementation (36,41,(43)(44)(45)53).…”

Section: Quality Appraisalmentioning

confidence: 99%

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Intervention of pharmacist included in multidisciplinary team to reduce adverse drug event: a systematic review

ZAIJ

MAIA

Leguelinel-Blache

et al. 2023

Preprint

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Background Preventable harm in healthcare is a growing public health challenge. In addition to the economic costs of safety failures, adverse drug events (ADE) may lead to complication or even death. Multidisciplinary care team involving a pharmacist appears to be an adequate response to prevention of adverse drug event. This systematic review aims to identify and describe multidisciplinary planned team-based care involving at least one pharmacist to limit or prevent adverse drug events in the adult patients. Methods To determine the type of interprofessional collaboration to prevent adverse drug event in which a pharmacist was involved, we conducted a systematic review of the literature of randomized controlled trials. Two independent reviewers screened trials in three databases: Medline, Web of Science, ScienceDirect. Prospective studies of at least three different health professionals’ interventions, one of whom was a pharmacist in the last five years were included. Two reviewers performed data extraction and quality appraisal independently. We used TIDieR checklist to appraise articles quality. Results In total 803 citations were retrieved, 34 were analysed and 16 full-text articles were reviewed. Only 3 studies published an implementation evaluation. More than half of the interventions (62%) targeted elderly patients including 6 whom lived in nursing homes. Studies outcomes were heterogeneous, and we did not perform a statistical analysis of the impact of these interventions. Most teams are composed of a physician/pharmacist/nurse trio (94%; 100%; 88%). Half of the teams were composed of the primary care physician. Other professionals were included such as physical therapists (25%), social worker (19%), occupational therapists (12%), and community health educator (6%). Multidisciplinary medication review was the most common intervention and was generally structured in four steps: data collection and baseline assessment, appraisal report by health professionals, a multidisciplinary medication review meeting and a patient follow-up. Conclusions The most common multidisciplinary intervention to prevent ADE in the adult population is the multidisciplinary drug review meeting at least the physician/pharmacist/nurse trio. Interventions target mostly elderly people in nursing homes, although complex chronic patients could benefit from this type of assessment. Trial registration PROSPERO registration: CRD42022334685

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Role of Artificial Intelligence in Clinical and Hospital Pharmacy

Belagodu Sridhar,

Karattuthodi,

Parakkal

2024

Nutritional Neurosciences

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Pharmacist Identification of Medication Therapy Problems Involving Cognition Among Older Adults Followed by a Home-Based Care Team

Cited by 11 publications

References 44 publications

Risk factors for drug therapy problems among Cambodian Americans with complex needs: a cross-sectional, observational study

Risk factors for drug therapy problems among Cambodian Americans with complex needs: a cross-sectional, observational study

Intervention of pharmacist included in multidisciplinary team to reduce adverse drug event: a systematic review

Role of Artificial Intelligence in Clinical and Hospital Pharmacy

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