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https://www.um.edu.mt/library/oar/handle/123456789/48355
Title: | Clinical pharmacist implementation of a medication assessment tool for long-term management of atrial fibrillation in older persons |
Authors: | Gauci, Marise Wirth, Francesca Azzopardi, Lilian M. Serracino-Inglott, Anthony |
Keywords: | Atrial fibrillation -- Treatment Disease management -- Malta Drug utilization -- Malta Therapeutics -- Malta Drugs -- Prescribing -- Malta Pharmaceutical services -- Malta Pharmacists -- Malta Medical audit -- Malta |
Issue Date: | 2019 |
Publisher: | Rogers Publishing Ltd.,Les Editions Rogers Limitee |
Citation: | Gauci, M., Wirth, F., Azzopardi, L. M., & Serracino-Inglott, A. (2019). Clinical pharmacist implementation of a medication assessment tool for long-term management of atrial fibrillation in older persons. Pharmacy Practice, 17(1), 1-7 |
Abstract: | Background: Optimisation of drug therapy is important in the older population and may be facilitated by medication assessment tools (MATs). Objective: The purpose of the study was to evaluate whether appropriateness of drug therapy and clinical pharmacist intervention documentation improved following implementation of a previously developed MAT for the long-term management of atrial fibrillation (MAT-AF). Methods: Adherence to MAT-AF review criteria and clinical pharmacist intervention documentation was assessed by the researcher pre-MAT implementation in 150 patients aged ≥60 years admitted to a rehabilitation hospital with a diagnosis of atrial fibrillation. MAT-AF was introduced as a clinical tool in the hospital for identification of pharmaceutical care issues in atrial fibrillation patients. Adherence to MAT-AF and pharmacist intervention documentation were assessed by the researcher post-MAT implementation for a further 150 patients with the same inclusion criteria. Logistic regression analysis and measurement of odds ratio was used to identify differences in adherence to MAT-AF pre- and post-MAT implementation. The differences between two population proportions z-test was used to compare pharmacist intervention documentation pre- and post-MAT implementation. Results: Adherence to MAT-AF criteria increased from 70.9% pre-implementation to 89.6% post-implementation. MAT-AF implementation resulted in a significant improvement in prescription of anticoagulant therapy (OR 4.07, p<0.001) and monitoring of laboratory parameters for digoxin (OR 10.40, p<0.001). Clinical pharmacist intervention documentation improved significantly post-implementation of MAT-AF (z-score 20.249, p<0.001). Conclusions: Implementation of MAT-AF within an interdisciplinary health care team significantly improved the appropriateness of drug therapy and pharmacist intervention documentation in older patients with atrial fibrillation. |
URI: | https://www.um.edu.mt/library/oar/handle/123456789/48355 |
Appears in Collections: | Scholarly Works - FacM&SPha |
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File | Description | Size | Format | |
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Clinical_pharmacist_implementation_of_a_medication_assessment_tool_for_long_term_management_of_atrial_fibrillation_in_older_persons.pdf | 767.59 kB | Adobe PDF | View/Open |
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