Evidence map›Paper›PMID 39555326›Full record

ArticleExploratory research in clinical and social pharmacy2024

Impact of pharmacist-led interventions in identifying and resolving drug related problems and potentially inappropriate prescriptions among rural patients: A pilot study.

Salvador Gutiérrez-Igual, Rut Lucas-Domínguez, José Sendra-Lillo, Alberto Martí-Rodrigo, Isabel Romero Crespo, M Carmen Montesinos

Abstract read
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Article in Exploratory research in clinical and social pharmacy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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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

5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Salvador Gutiérrez-IgualMuy Ilustre Colegio Oficial de Farmacéuticos de Valencia (MICOF), Valencia, Spain.
Rut Lucas-DomínguezDepartment of History of Science and Information Science, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain.
José Sendra-LilloMuy Ilustre Colegio Oficial de Farmacéuticos de Valencia (MICOF), Valencia, Spain.
Alberto Martí-RodrigoMuy Ilustre Colegio Oficial de Farmacéuticos de Valencia (MICOF), Valencia, Spain.
Isabel Romero CrespoMuy Ilustre Colegio Oficial de Farmacéuticos de Valencia (MICOF), Valencia, Spain.
M Carmen MontesinosChair for the Rational Use of Medicines, MICOF-University of Valencia, Valencia, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Drug-related problems are a major problem that can lead to increased morbidity, mortality, and healthcare costs due to heightened medical visits, hospital readmissions, or emergency room visits. In rural areas, new tools for clinical pharmacy services, such as medication review, could decrease this problem. Objective: To analyze the prevalence of clinically relevant drug-related problems (DRPs) and potentially inappropriate prescriptions (PIPs) identified by new medication review software (Revisem®) in rural pharmacies. The effectiveness of resolving DRPs and PIPs in patients who received pharmacist-led intervention (PLI) was also evaluated. Methods: A prospective, multicenter, observational pilot study in 17 rural pharmacies from the Valencian region (Spain) was conducted over a period of 6 months. Revisem®, a type 1 medication review software, was developed and implemented to detect and resolve drug-related issues (DRPs and PIPs). The clinical history of 135 polymedicated patients was recorded, as well as the PLI conducted after the identification of incidences. The mean number of DRPs and PIPs before and after PLI were analyzed and compared. Findings: A total of 1545 drug-related issues were detected in 135 patients (86 women). 1166 were DRPs and 379 were PIPs. Interactions were the most common incidence (43.7 %), with furosemide and omeprazole being the drugs with the highest number of significant interactions. In the before-after intervention study, the mean number of incidents detected per patient by Revisem® decreased from 9.7 ± 6.9 to 8.8 ± 6.9 ( Conclusion: The impact of pharmacist-led interventions in rural pharmacies allowed the detection of a high number of drug-related issues and significantly reduced the number of DRPs and PIPs, preventing negative health outcomes.

Indexed as

Clinical pharmacy servicesDrug-related problemsMedication reviewPotentially inappropriate prescriptionsRural health

Identifiers

PMID39555326
PMCPMC11567914

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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.