A Preliminary Review of the Medication Management Service Conducted by Pharmacists in Haemodialysis Patients of Singapore General Hospital:

Proceedings of Singapore Healthcare

ChenLi Li¹ 

关键词: Drug-related problems;    Interventions;    Medication management service;    Pharmacist;   

DOI  :  10.1177/201010581302200204

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Background:Patients with end-stage renal disease (ESRD) are at risk of developing drug-related problems (DRPs) due to polypharmacy, multiple co-morbidities and frequent medication changes.Objective:To evaluate the prevalence of DRPs identified and the types of interventions made by Medication Management Service (MMS) pharmacists.Methodology:Renal MMS was set up to conduct comprehensive medication review and medication reconciliation in haemodialysis patients. A pharmacist review was arranged for selected patients prior to the renal physician's appointment. A written report on the findings and proposed recommendations after the pharmacist's review was submitted to the referring physician to aid clinical decision making. This acted as a method of communication between the patient's dialysis centre, pharmacist and attending renal physician.Results:A total of 30 patients were enrolled into the service within a period of five months. Each patient had, on average, 3.1 DRPs. The three most common DRPs were non-a...

【 授权许可】

CC BY