Effect of a Pharmacist-Driven Medication Management Intervention Among Older Adults in an Inpatient Setting

Overview

Journal Drugs Aging

Specialties Geriatrics
Pharmacology

Date 2019 Jan 24

PMID 30671871

Citations 6

Authors

Sara Alosaimy

Alka Vaidya

Kevin Day

Gretchen Stern

Affiliations

Soon will be listed here.

Abstract

Background: Older adults have a seven times greater risk than younger adults of being hospitalized due to an adverse drug event.

Objective: The objective of this study was to compare the number of potentially inappropriate medications (PIMs) on admission to the number of PIMs on discharge following pharmacist intervention.

Patients And Methods: This was a prospective, single-center pilot study performed at a tertiary medical center. Eighty-two adults aged 65 years or older on five or more medications who were admitted to the general medicine floor between December 2016 and May 2017 were included in the analysis. Pharmacists completed a review of prior admission medications and identified PIMs. Recommendations for PIMs were communicated to the medical team and documented in the patient's electronic medical record. PIMs were measured by the use of validated screening tools and an assessment of patient-specific parameters.

Results: Fifty-two percent of our patients were taking at least one PIM. The average number of PIMs on admission was found to be 0.84 ± 1.12. Pharmacist intervention resulted in a statistically significant reduction to an average of 0.56 ± 0.91 PIMs (P < 0.01). The mean time to complete the medication therapy management (MTM) process was 49.39 ± 16.2 min per patient.

Conclusion: While pharmacist-driven MTM significantly reduced PIMs in our study, the implementation of this model in the inpatient setting faces several challenges.

Citing Articles

Impact of medication therapy management programs on potentially inappropriate medication use in older adults: A systematic review.

Rao P, Hung A J Manag Care Spec Pharm. 2023; 30(1):3-14.

PMID: 38153866 PMC: 10775773. DOI: 10.18553/jmcp.2024.30.1.03.

Impact of medication therapy management (MTM) service model on multi-morbidity (MMD) patients with hypertension: a pilot RCT.

Li N, Song J, Zhang M, Lv X, Hua H, Chang Y BMC Geriatr. 2023; 23(1):10.

PMID: 36609228 PMC: 9824935. DOI: 10.1186/s12877-023-03725-4.

Prevalence and Predictors of Potentially Inappropriate Medications Among Patients Aged ≥65 Years on Hospital Admissions in Kuwait.

Alshammari H, Al-Saeed E, Ahmed Z, Aslanpour Z Clin Interv Aging. 2022; 17:1025-1036.

PMID: 35822127 PMC: 9271279. DOI: 10.2147/CIA.S328693.

Evaluation of outcomes of medication therapy management (MTM) services for patients with chronic obstructive pulmonary disease (COPD).

Liu M, Liu J, Geng Z, Bai S Pak J Med Sci. 2021; 37(7):1832-1836.

PMID: 34912403 PMC: 8613032. DOI: 10.12669/pjms.37.7.4518.

Reviewing Potentially Inappropriate Medication in Hospitalized Patients Over 65 Using Explicit Criteria: A Systematic Literature Review.

Alshammari H, Al-Saeed E, Ahmed Z, Aslanpour Z Drug Healthc Patient Saf. 2021; 13:183-210.

PMID: 34764701 PMC: 8572741. DOI: 10.2147/DHPS.S303101.

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