"Take ten minutes": a dedicated ten minute medication review reduces polypharmacy in the elderly.
AffiliationGeneral Practice Training Unit, Waterford Regional Hospital, Dunmore Rd,, Waterford. firstname.lastname@example.org
MetadataShow full item record
CitationIr Med J. 2010 Sep;103(8):236-8.
JournalIrish medical journal
AbstractMultiple and inappropriate medications are often the cause for poor health status in the elderly. Medication reviews can improve prescribing. This study aimed to determine if a ten minute medication review by a general practitioner could reduce polypharmacy and inappropriate prescribing in elderly patients. A prospective, randomised study was conducted. Patients over the age of 65 (n = 50) underwent a 10-minute medication review. Inappropriate medications, dosage errors, and discrepancies between prescribed versus actual medication being consumed were recorded. A questionnaire to assess satisfaction was completed following review. The mean number of medications taken by patients was reduced (p < 0.001). A medication was stopped in 35 (70%) patients. Inappropriate medications were detected in 27 (54%) patients and reduced (p < 0.001). Dose errors were detected in 16 (32%). A high level of patient satisfaction was reported. A ten minute medication review reduces polypharmacy, improves prescribing and is associated with high levels of patient satisfaction.
- Prescribing patterns and predictors of high-level polypharmacy in the elderly population: A prospective surveillance study from two teaching hospitals in India.
- Authors: Harugeri A, Joseph J, Parthasarathi G, Ramesh M, Guido S
- Issue date: 2010 Jun
- Polypharmacy management in Medicare managed care: changes in prescribing by primary care physicians resulting from a program promoting medication reviews.
- Authors: Fillit HM, Futterman R, Orland BI, Chim T, Susnow L, Picariello GP, Scheye EC, Spoeri RK, Roglieri JL, Warburton SW
- Issue date: 1999 May
- Polypharmacy and prescribing quality in older people.
- Authors: Steinman MA, Landefeld CS, Rosenthal GE, Berthenthal D, Sen S, Kaboli PJ
- Issue date: 2006 Oct
- Prevalence of the prescribing of potentially inappropriate medications at ambulatory care visits by elderly patients covered by the Taiwanese National Health Insurance program.
- Authors: Lai HY, Hwang SJ, Chen YC, Chen TJ, Lin MH, Chen LK
- Issue date: 2009 Aug
- Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients.
- Authors: Gizzi LA, Slain D, Hare JT, Sager R, Briggs F 3rd, Palmer CH
- Issue date: 2010 Apr