Deprescribing of Medicines in Care Homes - A Five-Year Evaluation of Primary Care Pharmacist Practices
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(1) Background: This project evaluates the outcomes of a novel pharmacy-led model of deprescribing unnecessary medications for care home patients. A feasibility study was conducted in 2015 to explore exposure to inappropriate polypharmacy in patients residing in care homes over a one-year timescale. The aim of this study was to present the results of this ongoing service evaluation over a five-year period. (2) Methods: Data collection and risk assessment tools developed during the feasibility study were used to measure the prevalence, nature, and impact of deprescribing interventions by primary care pharmacists over a five-year period. A random sample of approximately 5% of safety interventions were screened twice yearly by the pharmacist leads as part of standard practice. (3) Results: Over a period of five years there were 23,955 interventions (mean 2.3 per patient) reported from the 10,405 patient reviews undertaken. Deprescribing accounted for 53% of total estimated financial drug savings, equating to £431,493; and 16.1% of all interventions were related to safety. (4) Conclusions: Medication reviews in care homes, undertaken by primary care pharmacists who are linked to GP practices, generate a wide range of interventions commonly involving deprescribing, which contributes significantly to the continuous optimisation of the prescribing and monitoring of medicines.
Alves, A., Green, S. and James, D.H. (2019) 'Deprescribing of Medicines in Care Homes—A Five-Year Evaluation of Primary Care Pharmacist Practices', Pharmacy, 7(3), 105. DOI: 10.3390/pharmacy7030105.
Article published in Pharmacy on 03 August 2019, available open access at: https://doi.org/10.3390/pharmacy7030105.
Cardiff Metropolitan University (Grant ID: Cardiff Metropolian (Internal))
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