Evidence map›Paper›PMID 24736895›Full record

ArticleInternational journal of clinical pharmacy2014

Large scale implementation of clinical medication reviews in Dutch community pharmacies: drug-related problems and interventions.

Thomas G H Kempen, Caroline H P A van de Steeg-van Gompel, Petra Hoogland, Yuqian Liu, Marcel L Bouvy

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Article in International journal of clinical pharmacy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

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21citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

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  13. Identifying Drug-Therapy Problems among Syrian Refugees in Zaatari Refugee Camp.International journal of environmental research and public health · 2022
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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Thomas G H KempenDivision of Pharmacoepidemiology and Clinical Pharmacology, Department of Pharmaceutical Sciences, Utrecht University, Universiteitsweg 99, 3584 CG, Utrecht, The Netherlands, thomasg.h.kempen@gmail.com.
Caroline H P A van de Steeg-van Gompel
Petra Hoogland
Yuqian Liu
Marcel L Bouvy

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResearch on the benefits of clinical medication reviews (CMRs) performed by pharmacists has been conducted mostly in controlled settings and has been widely published. Less is known of the effects after large scale implementation in community pharmacies. An online CMR tool enabled the systematic registration of drug-related problems (DRPs) and implemented interventions derived from CMRs in daily practice.

objectiveTo describe the effects of CMRs on pharmacy practice after large-scale implementation in the Netherlands.

setting268 community pharmacies. Pharmacists were trained on CMRs with a patient centred approach.

methodRetrospective analyses of DRPs, pharmacists' proposals and implemented interventions recorded between January 1st and September 1st 2012.

main outcome measureFrequencies of DRPs, intervention proposals, implemented interventions, and drugs involved.

results4,579 CMRs were analysed. On average 2.9 (SD 2.1) DRPs per review were identified. 4,123 (31 %) of the DRPs led to medication changes. Stopping a drug (16 %) was more frequent than starting a drug (8.1 %). Drugs related to cardiovascular risk management, diabetes and osteoporosis were most frequently involved.

conclusionThis study is the largest analysis of pharmacists-initiated CMRs in the Netherlands to date. The findings demonstrate the potential to reduce medication-related errors through pharmacist involvements in complex pharmacotherapy and the positive impact on the quality of drug therapy through making necessary medication changes. The data also support the need for large-scale implementation of pharmacists-initiated CMRs in the presence of proper training programmes.

Indexed as

Community Pharmacy ServicesHumansMedication Therapy ManagementNetherlandsRetrospective Studies

Identifiers

PMID24736895

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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.