Table 3 Clinical medication review activities
From: The role of on-site pharmacist in residential aged care facilities: findings from the PiRACF study
Clinical medication review recommendations and outcomes | Count (% of total) |
|---|---|
Number of PIMs identified and discussed with prescribers: | |
Number of medication review identifying 1 PIM | 310 (30.6) |
Number of medication review identifying 2 PIMs | 123 (12.1) |
Number of medication review identifying 3 PIMs or more | 66 (6.5) |
Not specified | 379 (37.4) |
Total | 878 (100%) |
Recommendations related to PIMs accepted by prescribers | |
Medication(s) deprescribed | 249 (47.5) |
Decrease in dose recommended and accepted | 89 (17.0) |
Alternative medication(s) recommended and accepted | 24 (4.6) |
Not specified | 162 (30.9) |
Total | 524 (100%) |
Recommendations made not related to PIMs | 1025 |
Recommendations not related to PIMs accepted by prescribers | |
Medication(s) deprescribed | 253 (55.5) |
Alternative medication(s) recommended and accepted | 47 (10.3) |
Decrease in dose recommended and accepted | 81 (17.8) |
Increase in dose recommended and accepted | 45 (9.9) |
Change(s) in dosage form recommended and accepted | 30 (6.6) |
Total | 456 (100%) |
Who pharmacists communicated with while conducting medication review | |
GP | 453 (43.8) |
RACF staff | 306 (29.6) |
Resident | 75 (7.2) |
Staff at GP reception | 54 (5.2) |
Residents’ family | 49 (4.7) |
Community pharmacy | 40 (3.9) |
Nurse practitioner | 40 (3.9) |
Hospital | 6 (0.6) |
Other | 12 (1.2) |
Total | 1035 |