• The burden of cost- admission versus discharge medications

      Akintola, A; Youssef, M; Oh, S; Byrne, D; Liston, R (Irish Medical Journal, 2014-06)
      Sir, Avoiding unnecessary polypharmacy prevents potential drug-drug interactions culminating in adverse drug events. 1 Medication review is an important opportunity for rationalizing a patientâ s treatment to maximize therapy for established chronic disease and minimize the potential for drug-drug and drug-disease interaction. A secondary consideration is the potential for a drug review to identify the possibility of cost saving by noting those occasions where generic substitution could occur without detriment to the patients overall therapy. We completed an audit of drug costs of medications for patients on admission and on discharge from an acute general hospital. The charts of the first 94 medical patients admitted into an acute general hospital starting from January 1st 2012 were sourced from Hospital In-Patient Enquiry (HIPE) and a pre-designed questionnaire was completed for each of these patients. The cost of medications per patient was calculated using the MIMMS manual appropriate for the period of admission and discharge. We examined the patient demographics, source of referral, LOS (length of stay), admission diagnosis, past medical history and names of medications and their individual costs.
    • Do we need community geriatrics?

      O'Hanlon, S; Liston, R; Kerry General Hospital, Tralee, Co Kerry. sohanlon@gmail.com (2012-01-30)
      Community geriatrics has evolved as a specific aspect of geriatric medicine in the UK. In Ireland there is uncertainty as to how it should be planned. This is the first national survey of consultants, specialist registrars and general practitioners to seek their opinions. Most consultants and GPs reported already having a community aspect to their current practice, e.g. nursing home visits or community hospital visits, whereas most SpRs did not. Forty three of 62 respondents (69%) agreed that there is a need for community geriatricians and that there should be integration with hospital medicine. Fifty seven of 62 respondents (92%) felt that there would be a beneficial effect on GP services, though some expressed concern about work overlap. Thirteen of the 25 SpRs (52%) in training hoped to begin practice in community geriatrics in the future.