Polypharmacy in the Homebound Population

Cook, Erin Atkinson; Dueñas, María Emilia; Harris, Patricia A.

doi:10.1016/j.cger.2022.05.008

Cited by 4 publications

(2 citation statements)

References 36 publications

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“…Current studies demonstrating an effect of the COVID-19 pandemic's decrease in ME cases focus on the primary care and hospital settings and are limited with respect to community pharmacies [28]. On the other hand, some studies have shown an increase in MEs, primarily in the elderly, due to the chronicity of their diseases, polypharmacy, and functional deterioration, which are aggravated by staying at home [29].…”

Section: Discussionmentioning

confidence: 99%

Detection and Prevention of Medication Errors by the Network of Sentinel Pharmacies in a Southern European Region

Jambrina

Santomà

Rocher

et al. 2022

JCM

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A medication error (ME) is a drug-related problem that has been recognized as a common and serious threat to patient safety. The aim of this study was to detect and analyze ME reports occurring throughout the therapeutic process through the community’s pharmacies in order to improve the efficacy and safety of medications and contribute to the prevention of future MEs. This was a three-year descriptive, observational, and prospective study to detect and analyze the different MEs reported by the Catalan sentinel pharmacies network (Catalan SePhaNet). In total, 1394 notifications of MEs were reported (an incidence rate of 737.34 cases/100,000 inhabitants). MEs were detected more frequently in primary care centers. Most of the MEs reported were caused by an incorrect, incomplete, illegible, or verbal medical prescription (41.3%). Of the global notifications detected, 71.9% did not reach the patient (categories A and B). The drugs most frequently implicated in the reported ME cases were beta-lactam antibiotics. In 6.0% of the cases, the ME caused injury to the patient (categories E and F). In 72.0% of the global notifications, a pharmacist’s intervention avoided the ME. The importance of a community pharmacy and the role of a pharmacist were demonstrated in aspects related to patient and drug safety.

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Section: Discussionmentioning

confidence: 99%

Detection and Prevention of Medication Errors by the Network of Sentinel Pharmacies in a Southern European Region

Jambrina

Santomà

Rocher

et al. 2022

JCM

View full text Add to dashboard Cite

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“…Adverse events related to medications in primary care contribute significantly to hospital admissions and mortality rates. Such events can arise from individuals experiencing adverse drug reactions, which are typically not preventable, or from medication errors, which are often preventable [9,10]. For all these reasons there are needed conditions to consider for polypharmacy to make sense beyond clinical practice guidelines [9].…”

Section: Political and Structural Measures To Improve The Use Of Medi...mentioning

confidence: 99%

Polypharmacy in home care

Bayona-Huguet,

Bayona-Pizarro

2023

Primary Care Medicine - Theory and Practice

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Home care grows in conjunction with the phenomenon of polypharmacy (synonymous with polymedication) while emerging in parallel with aging and frailty as a real health issue added to comorbidities. It is a situation of drug use for which we do not have an agreed definition. Some authors define polypharmacy as the concomitant ingestion of four or more drugs in the last three months, while other authors raise the number to five different drugs. Polypharmacy is often the result of the sum of appropriate prescriptions of drugs of proven effectiveness in patients with various chronic conditions. In these cases, from the point of view of compliance with clinical practice guidelines, everything would be in order. However, the reality of this situation is far more complex due to the lack of knowledge of the interactions that more than two drugs can cause in patients, in terms of kinetics or dynamics of the active principles, as well as the potentiation of their adverse effects.

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