Evidence map›Paper›PMID 19750234›Full record

ArticleClinical interventions in aging2009

Potential prescription patterns and errors in elderly adult patients attending public primary health care centers in Mexico City.

José Antonio Corona-Rojo, Marina Altagracia-Martínez, Jaime Kravzov-Jinich, Laura Vázquez-Cervantes, Edilberto Pérez-Montoya, Consuelo Rubio-Poo

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Article in Clinical interventions in aging, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

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7citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Ambulatory Medication Safety in Primary Care: A Systematic Review.Journal of the American Board of Family Medicine : JABFM
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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

José Antonio Corona-RojoDivision of Biological Sciences and Health, Metropolitan Autonomous University, Campus Xochimilco, Xochimilco, México.
Marina Altagracia-Martínez
Jaime Kravzov-Jinich
Laura Vázquez-Cervantes
Edilberto Pérez-Montoya
Consuelo Rubio-Poo

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSix out of every 10 elderly persons live in developing countries.

objectiveTo analyze and assess the drug prescription patterns and errors in elderly outpatients attending public health care centers in Mexico City, Mexico. MATERIALS AND

methodsA descriptive and retrospective study was conducted in 2007. Fourteen hundred prescriptions were analyzed. Prescriptions of ambulatory adults aged >70 years who were residents of Mexico City for at least two years were included. Prescription errors were divided into two groups: (1) administrative and legal, and (2) pharmacotherapeutic. In group 2, we analyzed drug dose strength, administration route, frequency of drug administration, treatment length, potential drug-drug interactions, and contraindications. Variables were classified as correct or incorrect based on clinical literature. Variables for each drug were dichotomized as correct (0) or incorrect (1). A Prescription Index (PI) was calculated by considering each drug on the prescription. SPSS statistical software was used to process the collected data (95% confidence interval; p <0.05).

resultsThe drug prescription pattern in elderly outpatients shows that 12 drugs account for 70.72% (2880) of prescribed drugs. The most prescribed drugs presented potential pharmacotherapeutic errors (as defined in the present study). Acetylsalicylic acid-captopril was the most common potential interaction (not clinically assessed). Potential prescription error was high (53% of total prescriptions). Most of the prescription errors were due to omissions of dosage, administration route, and length of treatment and may potentially cause harm to the elderly outpatients.

conclusionsA high number of potential prescription errors were found, mainly due to omissions. The drug prescription pattern of the study population is mainly constituted by 12 drugs. The results indicate that prescription quality depends on the number of prescribed drugs per prescription (p < 0.000).

Indexed as

Community Health CentersDrug PrescriptionsPublic HealthAgedAged, 80 and overFemaleHumansLogistic ModelsMaleMedication ErrorsMexicoOutpatientsPractice Patterns, Physicians'Retrospective StudiesUrban PopulationelderlyerrorMexicooutpatientspatternprescription

Identifiers

PMID19750234
PMCPMC2739633

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.