Journal of Research in Pharmacy Practice

Artificial Intelligence Decision Support Systems and Liability for Medical Injuries

. Lise Aagaard

Volume 9, Issue 3 , July 2020, , Pages 125-127

Abstract

Pain monitoring and medication assessment in elderly nursing home residents with dementia

. Mette Marie Tang; . Morten Gill Wollsen; . Lise Aagaard

Volume 5, Issue 2 , April 2016, , Pages 126-131

Abstract

Objective: To monitor pain intensity, pain symptoms, and medication use in elderly with dementia.Methods: Nursing home residents above 65 years of age, diagnosed with dementia, and ... Read More Objective: To monitor pain intensity, pain symptoms, and medication use in elderly with dementia.Methods: Nursing home residents above 65 years of age, diagnosed with dementia, and showing pain symptoms were included in the study. The patients’ mental status was monitored through a mini‑mental state examination score and observations of pain symptoms using Part 1 of the Mobilization‑Observation‑Behaviour‑Intensity‑Dementia‑2 (MOBID‑2) pain scale. Community pharmacists reviewed the patients’ medication use, and the prescriptions were compared with guidelines for treatment of geriatric patients. Alterations to the patients’ medicine use were forwarded to the general practitioners.Findings: Sixty‑one nursing home residents diagnosed with dementia were identified, 15 of these fulfilled the inclusion criteria, and 12 agreed to participate in the study. The mean age was 87 years of age (range: 77–96), and 42% of the residents were males. The patients’ overall pain intensity was 83% for observations on the numeric pain rating scale (NRS) >0 and 67% for NRS ≥3. Most painful were the situations in which the residents were to mobilize their legs, turn around to both sides of the bed, and when sitting on the bed. The medication reviews identified a total of 95 individual prescriptions, and 33% of these were for nervous system medications, followed by medicines for the treatment of alimentary tract and metabolism disorders (31% of total). Eleven prescriptions for pain medicine were identified; the majority of these were for paracetamol and opioids. Seventeen proposals to patients’ medication use were suggested, but the general practitioners accepted only 6% of these.Conclusion: This study indicates that the MOBID‑2 pain scale in combination with medication reviews can be used as a tool for optimization of patients’ medication use. However, we recommend the conduction of a larger‑scale study in multiple settings, to validate our results and the generalizability of the findings.

Identification of possible adverse drug reactions in clinical notes: The case of glucose-lowering medicines

. Pernille Warrer; . Peter Bjødstrup Jensen; . Lise Aagaard; . Lars Juhl Jensen; . Søren Brunak; . Malene Hammer Krag; . Peter Rossing; . Thomas Almdal; . Henrik Ullits Andersen; . Ebba Holme Hansen

Volume 4, Issue 2 , April 2015, , Pages 64-72

Abstract

Objective: Through manual review of clinical notes for patients with type 2 diabetes mellitus attending a Danish diabetes center, the aim of the study was to identify adverse drug reactions(ADRs) ... Read More

Medication reconciliation and prescribing reviews by pharmacy technicians in a geriatric ward

. Thomas Croft Buck; . Louise Smed Gronkjaer; . Marie-Louise Duckert; . Jens-Ulrik Rosholm; . Lise Aagaard

Volume 2, Issue 4 , October 2013, , Pages 145-150

Abstract

Objective: Incomplete medication histories obtained on hospital admission are responsible for more than 25% of prescribing errors. This study aimed to evaluate whether pharmacy technicians ... Read More Objective: Incomplete medication histories obtained on hospital admission are responsible for more than 25% of prescribing errors. This study aimed to evaluate whether pharmacy technicians can assist hospital physicians’ in obtaining medication histories by performing medication reconciliation and prescribing reviews. A secondary aim was to evaluate whether the interventions made by pharmacy technicians could reduce the time spent by the nurses on administration of medications to the patients.Methods: This observational study was conducted over a 7 week period in the geriatric ward at Odense University Hospital, Denmark. Two pharmacy technicians conducted medication reconciliation and prescribing reviews at the time of patients’ admission to the ward. The reviews were conducted according to standard operating procedures developed by a clinical pharmacist and approved by the Head of the Geriatric Department.Findings: In total, 629 discrepancies were detected during the conducted medication reconciliations, in average 3 for each patient. About 45% of the prescribing discrepancies were accepted and corrected by the physicians. “Medication omission” was the most frequently detected discrepancy (46% of total). During the prescribing reviews, a total of 860 prescription errors were detected, approximately one per medication review. Almost all of the detected prescription errors were later accepted and/or corrected by the physicians. “Dosage and time interval errors” were the most frequently detected error (48% of total). The time used by nurses for administration of medicines was reduced in the study period.Conclusion: This study suggests that pharmacy technicians can contribute to a substantial reduction in medication discrepancies in acutely admitted patients by performing medication reconciliation and focused medication reviews. Further randomized, controlled studies including a larger number of patients are required to elucidate whether these observations are of significance and of importance for securing patient safety.

Side effects reported by European consumers for medications for erectile dysfunction

. Lise Aagaard; . Ebba Holme Hansen

Volume 2, Issue 2 , April 2013, , Pages 93-95

Abstract

Objective: To characterise consumer adverse drug reaction (ADR) reports for phosphodiesterase type 5 (PDE5) inhibitors.Methods: We included ADR reports submitted by adults to the ... Read More

Side effects of antineoplastic and immunomodulating medications reported by European consumers

. Lise Aagaard; . Ebba Holme Hansen

Volume 2, Issue 1 , January 2013, , Pages 44-49

Abstract

Objective: To characterize adverse drug reactions (ADRs) reported by European (EU) consumer for antineoplastic and immunomodulating medications.Methods: ADRs reported by consumers ... Read More

Journal of Research in Pharmacy Practice

Articles in Press

Current Issue

Volume 11 (2022)

Volume 10 (2021)

Volume 9 (2020)

Volume 8 (2019)

Volume 7 (2018)

Volume 6 (2017)

Volume 5 (2016)

Volume 4 (2015)

Volume 3 (2014)

Volume 2 (2013)

Volume 1 (2012)

Author = . Lise Aagaard

Artificial Intelligence Decision Support Systems and Liability for Medical Injuries

Abstract

Pain monitoring and medication assessment in elderly nursing home residents with dementia

Abstract

Identification of possible adverse drug reactions in clinical notes: The case of glucose-lowering medicines

Abstract

Medication reconciliation and prescribing reviews by pharmacy technicians in a geriatric ward

Abstract

Side effects reported by European consumers for medications for erectile dysfunction

Abstract

Side effects of antineoplastic and immunomodulating medications reported by European consumers

Abstract