Pharmacy
Practice 2007; 5(2): 85-88.
available since
18-June-2007
Results
of chart reviews conducted to evaluate primary care patients seen
by second and third year family medicine residents for potential
adverse polypharmacy.
Objective:
To determine the prescribing patterns of family medicine residents
for patients aged more than 60 years with 2 or more chronic diseases
and seen at least twice in a 12 month timeframe.
Methods: This is a descriptive analysis which was based on chart
reviews. The setting was the University of Illinois-Rockford Family
Practice Residency. Patients aged 60 years with 2 or more chronic
diseases who were seen at least twice by second and third year
residents.
Results: Findings from this chart review include: 28.8% of the
prescribed medications were not effective for the documented condition,
26.3% of the prescribed doses were incorrect, and 44.5% of the
drugs prescribed were not the least expensive alternative.
Discussion: This preliminary study suggests a need for a focused
intervention with family medicine residents regarding inappropriate
polypharmacy issues with older patients.
Keywords:
Polypharmacy.
Aged. Drug Utilization Review. United States.