Saija Leikola (Curriculum Vitae as PDF): Medication review practices at community pharmacy
In Finland there are several medication review models varying from siple reviews to comprehensive clinical reviews. This presentation describes the different procedures, as well as related continuing education trainings. Also, experiences of implementing medication review services in the healt care system and their uptake in Finland are discussed.
Bjarke Abrahamsen (Curriculum Vitae as PDF): Cost-utility analysis of a medication review service in the Region of Southern Denmark – protocol and evaluation of implementation
Polypharmacy is increasing in a growing elderly population. One way to assess the quality of the patient’s medication is to conduct medication reviews which can result in better adherence, patient safety and a more rational pharmacotherapy. However, attempts to evaluate the economic impact of medication reviews have so far lacked conclusive results. To investigate the economic impact of medication reviews of elderly polypharmacy patients at the community pharmacy, we initiated an extended cost-utility study in 2016. Over a six-month period, pharmacies in the Region of Southern Denmark conducted 1,000 medication reviews. Using patients’ unique identification number, patients were followed for 12 months, and data related to any contact with the healthcare system would be used for the cost-utility analysis. To facilitate the implementation of the medication review service, pharmacies received a comprehensive package of support. This presentation will present the protocol of our study together with our support the pharmacies received throughout the study period to facilitate the implementation of medication review service in the participating pharmacies.
Afonso Miguel Cavaco (Curriculum Vitae as PDF): Clinical communication skills – important aspect of medication review
Pharmacists have been performing medication reviews as part of their professional duties, aiming to optimize the clinical effectiveness of medicines taken by patients. The review is best achieved through an interview with the patient. The pharmacist looks for accessing information, usually medication-related, through a conversation with the patient. This requires both therapeutic, as well as, communication abilities. Although widely recognized as a key element in healthcare, communication skills are usually less covered in pharmacy education and training. This presentation aims to address and debate how communication skills are essential to take full advantage of direct patient interaction when performing medication reviews. Knowing that caring for others is a mainly a behavioral competence, it is aimed to contribute to participants’ awareness of how critical human relationships are in achieving enhanced patient care.
Moira Kinnear (Curriculum Vitae as PDF): Medication review practices at hospital pharmacy
For more than 20 years we have trained pharmacists to deliver pharmaceutical care to individual patients through the process of medication review. Within the hospital setting, this process starts with medicines reconciliation which is recognised globally to improve patient safety. The process identifies, documents and communicates an accurate list of medicines (prescribed, over the counter or complimentary). Several national organisations have issued guidance and directives to support implementation of this practice when people move from one care setting to another. The process requires trained healthcare professionals with the necessary knowledge, skills and experience. Successful models employ systems for managing this process through a multidisciplinary team approach. Within available resources, it is challenging to establish and implement a system which ensures all patients benefit from potential harm reduction. Within the multidisciplinary team, there is a need to identify and remove barriers to a safe and efficient system. Staff engagement, ownership for roles and responsibilities, training and inter-professional collaborative working, together with clinical and management leadership are key to success. When people are moved between wards or to other healthcare settings, communication among healthcare providers with regards continuation or changes to medicines is necessary and unless information is successfully transferred there is a risk that the potential reduction in medication errors is not realised. Clinical pharmacists assign a priority code through application of risk criteria on initial review. The priority code is used to communicate the frequency of future medication review required during the hospital stay and can be modified if circumstances change. Electronic records facilitate sharing of pharmaceutical care issues to maintain continuity of care and inform communication on discharge. Medication review by hospital pharmacists is required throughout a hospital stay. Patients are likely to benefit most where systems are in place to support collaborative practice, communication and prioritisation.
Mitja Kos (Curriculum Vitae as PDF): Collaborative medication review practice in primary care
Jamie Wilkinson (Curriculum Vitae as PDF): Comprehensive Medication review – what and why?
The Pharmaceutical Group of the European Union (PGEU) is the association representing the 400.000 community pharmacists from 31 European countries. In this presentation, an outline of the role community pharmacists play in primary care is provided, along with an overview of the demand for Access to healthcare services in primary care. With a growing demand for services and shrinking healthcare budgets, community pharmacists across Europe are developing and implementing innovative services and activities in order to address such demands and provide more patient-facing clinical services in addition to the safe, rational and effective dispensing of medicines. As such, this presentation also includes a description of the varikus services and activities which are provided by community pharmacists, with a specific focus on comprehensive medication reviews for chronic patients and related services for patients starting a new medication. Finally, the barriers, facilitators, vision and next steps for the pharmacy profession are presented.
Veera Bobrova (Curriculum Vitae as PDF)
Ruth Kalda (Curriculum Vitae as PDF)
Marja Airaksinen (Curriculum Vitae as PDF)
Daniela Fialová (Curriculum Vitae as PDF)
Sari Maarit Dimitrow (Curriculum Vitae as PDF)
Ulrika Gillespie (Curriculum Vitae as PDF)