Author: Cheruku Jabili
Daily appraisal of patient’s progress
Do you agree with me when I claim that all of the pharmaceuticals, we encounter daily are all safe, have no adverse effects, and may be used at any time, in any dose, and combination with anything?
Everybody occasionally runs into situations where they are supposed to take many medications and have no choices but to do so.
At that point, we are all wondering the same things about those prescriptions, such as:
We also expect that any medical professional can handle our pressure and relieve our burden. With the burdening and rush with patients, physicians are not able to keep track of the time and constantly pressurized to fill in the daily quota. Pharmacy professionals now play a significant role in medication therapy management [ MTM].
The clinical pharmacist is a crucial member of the healthcare team and makes a substantial contribution to patient care in both primary care and hospital settings. The job of the pharmacist has changed during the last few decades. The drug supply profile is shifting in favor of patient-centered care in order to address pharmacotherapeutic concerns and improve patients’ quality of life.
Therefore, in addition to identifying, resolving, and preventing prospective and actual issues linked to pharmacotherapy, the clinical pharmacist must engage in activities that promote the rational and reasonable use of medications. Now that their value as members of healthcare teams and in providing individualized patient care has been acknowledged.
It is acknowledged that medication errors and inappropriate prescribing are significant issues for the healthcare system, both clinically and financially. Particularly in certain groups including the elderly, young children, and pregnant women, they can have a major impact on patient morbidity and mortality as well as contribute to adverse drug reactions (ADRs) and adverse drug events (ADEs).
Medication errors alone result in 1.3 million injuries and at least one death every year in the United States of America. Although the prevalence of medication-related adverse events are thought to be comparable between low- and middle-income nations and high- income countries, the impact is nearly twice as great in terms of the years of healthy life lost.
Medication mistakes can occur for a variety of reasons, including healthcare worker exhaustion, patient misinformation, staff shortages, overcrowding, and inadequate training. Any one of these factors—or a combination of them—can have an impact on how pharmaceuticals are prescribed, dispensed, consumed, and monitored, which may lead to serious injury, disability, or even death.
A recent meta-analysis revealed that ADEs may occur in 16.88% of patients during hospitalization, whereas a major study found that ADRs accounted for 6.5% of hospital admissions.
By longer hospital stays and raising healthcare costs, ADEs may result in greater healthcare costs. A hospital stays for 16 patients who have an ADE is extended by an average of 2 days at a cost of an extra $2,000–$2,500. Medication errors costs healthcare systems a lot of money, yet many of them are preventable.(1)
This can result in more serious consequences, particularly if the issue is overlooked or discovered after the medication has finished entering the patient’s system. During a patient’s hospital stay, about 1 in 5 medicine doses are given inappropriately. Handwritten prescriptions that are difficult to read are a common reason for errors. (2)
Errors might be caused by incomplete or missing data regarding concurrent prescriptions, previous dose-response relationships, laboratory readings, and allergy sensitivities. Prescription errors can happen when the wrong medication or dose is chosen, or when a regimen is excessively complicated. Sound-alike names might lead to mistakes when prescriptions are conveyed verbally. Similarly, when prescriptions are written by hand, medications with names that seem similar may be given out mistakenly.
Drug Therapy Monitoring
It involves going over, the patient’s prescription schedule to make sure the course of
treatment is appropriate, safe, efficient, and affordable.
Drug therapy optimization and a reduction in medication-related errors or issues during prescribing, dispensing, and administration
How it can be accomplished?
Drug therapy monitoring is only achievable with the collaboration of the scientists, nurses, physicians, technical staff and pharmacists. The medical staff should be instructed by the community pharmacist on how to use medications rationally for better clinical results.
What is it’s importance –
Examining patient compliance, assessing if the intended treatment goals are being met, monitoring drug-related issues, and ensuring the usage is appropriate, rational, and ethical.
What comes under DTM –
Clinical Review –
One of the essential elements of medication review is a clinical review, which ideally ought to be done every day. It is the evaluation of the patient’s progress to determine the effectiveness of the treatment. As previously said in the section on the assessment of treatment goals, the therapeutic aim for the particular condition should be distinctly identified before the review.
The clinical review’s main objectives are:
Do all types of medications require a clinical review?
Yes, every drug needs a clinical review, but only a relatively small number of drug classes truly demand rigorous clinical testing.
Why Clinical Review?
To determine whether or not the targeted goals are being attained, the data should be analyzed.
In what we are lacking?
because there aren’t as many of them.
If these are properly adhered to, a clinical review can be conducted more effectively:
What … Are your medications or treatment still causing you anxiety.
You are in the capable hands of pharmacists who are only concerned with your well-being, so don’t worry.
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