ArticleScandinavian journal of primary health care2018
Variations in drug-related problems detected by multidisciplinary teams in Norwegian nursing homes and home nursing care.
Article in Scandinavian journal of primary health care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Prevalence of adverse drug reactions in the primary care setting: A systematic review and meta-analysis.PloS one · 2021Pooled it
- Comparison of drug-related problem risk assessment tools for older adults: a systematic review.European journal of clinical pharmacology · 2020Pooled it
- Navigating safety in practice: a qualitative study of how health care personnel organize medication management in Norwegian home care services.BMC health services research · 2026Article
- Medication Self-Management for Home Care Users Receiving Multidose Drug Dispensing: Qualitative Interview Study.JMIR aging · 2024Article
- Evaluation of a pharmacist-led intervention to reduce drug-related problems in patients included in a home healthcare program: study protocol for a pragmatic randomized clinical trial.BMC geriatrics · 2024Article
- Quality of Municipal Long-Term Care in Different Models of Care: A Cross-Sectional Study From Norway.Health services insights · 2023Article
- Determine the impact of a structured pharmacist-led medication review - a controlled intervention study to optimise medication safety for residents in long-term care facilities.BMC geriatrics · 2022Article
- Home care service employees' contribution to patient safety in clients with dementia who use dietary supplements: a Norwegian survey.Scandinavian journal of primary health care · 2021Article
- Mapping of drug-related problems among older adults conciliating medical and pharmaceutical approaches.European geriatric medicine · 2021Review
- Challenges Faced by Health Professionals in Obtaining Correct Medication Information in the Absence of a Shared Digital Medication List.Pharmacy (Basel, Switzerland) · 2021Article
- High Prevalence of Multimorbidity and Polypharmacy in Elderly Patients With Chronic Pain Receiving Home Care are Associated With Multiple Medication-Related Problems.Frontiers in pharmacology · 2021Article
- Drug-disease interactions in Swedish senior primary care patients were dominated by non-steroid anti-inflammatory drugs and hypertension - a population-based registry study.Scandinavian journal of primary health care · 2020Article
- A Stepwise Pharmacist-Led Medication Review Service in Interdisciplinary Teams in Rural Nursing Homes.Pharmacy (Basel, Switzerland) · 2019Article
- Structured follow-up of frail home-dwelling older people in primary health care: is there a special need, and could a checklist be of any benefit? A qualitative study of experiences from registered nurses and their leaders.Journal of multidisciplinary healthcare · 2019Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTraditionally, nursing homes have been associated with suboptimal drug therapy and drug-related problems (DRPs). In contrast, less is known about drug safety in homecare. The aim of this study was to describe and compare DRPs in older persons across two care settings: nursing homes and home nursing care.
designCross-sectional study using descriptive and inferential statistics.
settingNursing homes (n = 5) and home nursing care units (n = 8) across nine municipalities in the middle of Norway.
participantsMultidisciplinary medication reviews for 61 nursing home residents and 93 patients receiving home nursing care performed over the 2013-2014 period, were mapped and examined (N = 154).
main outcome measuresDRPs classified by a Norwegian Classification Tool.
resultsIn all, 740 DRPs were detected in the total sample, 227 in nursing homes and 513 in home nursing care. DRPs were significantly higher among patients receiving home-based care (Mean =5.5) compared to patients in nursing homes (Mean =3.7, p = 0.002). Among the problem categories, the need for additional drug was most frequent in nursing homes (p = 0.001), while documentation discrepancies reached the highest numbers in patients receiving home nursing care (p = 0.000). Additionally, patients in home nursing care had more problems concerning adverse reactions (p = 0.060); however, this was not statistically significant. Differences in DRP categories leading to changes in the patients' medication lists were also discovered.
conclusionsThe frequency of unclear documentation and adverse reactions found in the homecare setting is alarming. This is an important issue given the trend in aged care towards caring people in their own homes. Further research is warranted to explore how different care settings may influence the safety of pharmacotherapy for older persons. Key Points Drug related problems are a significant cause of concern among patients receiving home nursing care as well as for patients living in nursing homes. The findings of this study showed that: •Significantly more DRPs were detected among patients receiving home nursing care than patients living in nursing homes. •While patients living in nursing homes were often undermedicated, documentation discrepancies were more frequent in home nursing care. •DRP categories leading to changes on the medication lists differed between the settings.
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