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Pharmacist’s interventions to reduce the occurrence of drug-related harms in older residents: a systematic review
conference contributionposted on 2023-05-24, 20:56 authored by Sheraz AliSheraz Ali, Mohammed SalahudeenMohammed Salahudeen, Luke BereznickiLuke Bereznicki, Colin CurtainColin Curtain
Introduction. In residential aged care facilities (RACFs), there is little evidence concerning pharmacist interventions to prevent adverse drug events (ADEs) .
Aims. This study aimed to investigate the effectiveness of pharmacist’s interventions to reduce ADEs in older people permanently living in RACFs.
Methods. We performed a systematic search of MEDLINE via PubMed, Embase, Cochrane Central Register of Controlled Trials, and PsycINFO from the start to July 2020. We investigated pharmacist-led study designs that used a control group, or before and after studies conducted in RACFs.
Results. We found 23 studies from 3826 records. There were 7 single-component and 16 multicomponent pharmacist-led interventions aiming to reduce ADEs in older residents. The most frequent single-component pharmacist-led intervention was medication review. Medication review and the provision of education to healthcare professionals were the most common elements in many pharmacist-led multicomponent interventions. Ten studies (43%) reported substantial reductions in ADEs following pharmacist’s interventions either as a single intervention or as a part of a multicomponent intervention. Many interventions were designed to reduce falls (39%).
Discussion. The review shows that pharmacist’s interventions can reduce the occurrence of ADEs in RACFs. Medication review and educational programs, such as academic detailing, either as a single component or a part of multicomponent interventions, were the most common methods employed to reduce drug-related harm in older residents of RACFs. The lack of a positive association between interventions and ADEs in some studies suggests that targeted and customised pharmacist’s interventions are required to reduce drug-related harm in older residents.
Publication titleAPSA 2021 Annual Conference Book of Oral Abstracts
Department/SchoolSchool of Pharmacy and Pharmacology
Event titleAPSA 2021 Annual Conference
Date of Event (Start Date)2021-12-06
Date of Event (End Date)2021-12-08