alexa Improving Safety in the Medicines Use Process for Disabled Persons in Residential Facilities. Results from a Pilot Study | OMICS International
ISSN: 2380-5439

Journal of Health Education Research & Development
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

Improving Safety in the Medicines Use Process for Disabled Persons in Residential Facilities. Results from a Pilot Study

Linda Aagaard Thomsen1*, Charlotte Rossing1, Hans Trier2, Mette Faber3 and Hanne Herborg1
1Pharmakon, Danish College for Pharmacy Practice, Denmark
2Danish Society for Patient Safety, Denmark
3Director of Department of Integrated Health Care, Bispebjerg Hospital, Denmark
Corresponding Author : Linda Aagaard Thomsen
Head of R&D department Pharmakon
Danish College for Pharmacy Practice, Denmark
Tel: +45 4820 6379
E-mail: [email protected]
Received February 21, 2014; Accepted May 29, 2014; Published May 31, 2014
Citation: Thomsen LA, Rossing C, Trier H, Faber M, Herborg H (2014) Improving Safety in the Medicines Use Process for Disabled Persons in Residential Facilities. Results from a Pilot Study. J Biosafety Health Educ 2:114. doi:10.4172/2332-0893.1000114
Copyright: © 2014 Thomsen LA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Related article at
DownloadPubmed DownloadScholar Google

Abstract

Background: Persons with severe disability often require long-term or life-long placement in residential facilities. Although they often need complex medical treatment, most residential facilities in Denmark do not have staff with health care training. Objective: To improve knowledge on medication safety issues in residential facilities for persons with severe disability (mental illness or physical / intellectual disability) and to test if two clinical pharmacy services could be delivered to residential facilities by community pharmacies in order to improve safety. Setting: Four residential facilities with 47 residents and a pharmacist from the four community pharmacies delivering medicines to these facilities. Method: The pilot study aimed at development and assessment of feasibility of an intervention with two pharmaceutical care services: a quality improvement service supporting the residential facility in quality development of routines for handling medicines, and a pharmaceutical care oriented ‘medicines care’ service aimed at quality improvement of residents’ medication therapy. The ‘medicines care’ service included a technical medication review conducted by a community pharmacist, a ‘medicines care’ meeting at the residential facility, and if needed, a ‘multidisciplinary medicines management conference’. Main outcome measure: Number of completed services, characteristics of and solutions to identified medication therapy problems, suggested changes to routines for handling medicines and implementation thereof, the involved actors’ satisfaction with the intervention, and rated changes in staff’s knowledge and self-efficacy. Results: The quality improvement service resulted in 45 suggestions for changes towards safer routines for handling medicines, mostly concerning administration of medicines. Sixty-six medication therapy problems were identified in 30 of the 47 residents receiving the ‘medicines care’ service. Adverse drug reactions were the most frequent problems (31.8%). Of the 50 suggestions for solving medication therapy problems, 14 were implemented by the facilities, whereas 36 required involvement of the prescriber. The prescribers gave feedback on 22 suggestions of which they accepted 19 (86.4%). One multidisciplinary medicines management conference was conducted. Conclusion: The study generated important knowledge on safety issues in residential facilities, and revealed a number of medication therapy problems for the residents. The pharmaceutical care services were implementable and demonstrated a potential to improve safety, but this has to be confirmed in a larger prospective trial.

Keywords

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version