Shorten Kable This Question & Answer Guide (With Explanation)

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Original Question

Shorten “Kable et al. (2023): This study examined the impact of a pharmacist-led safe medication strategy on people with dementia (PWD) during unplanned hospital admissions. Conducted in two regional hospitals in New South Wales, Australia, between 2017 and 2019, the intervention combined medication reconciliation and review by pharmacists. Clinical audit tools were used to collect data on polypharmacy, potentially inappropriate medications (PIMs), and anticholinergic burden scores from medical records at admission, discharge, and 3 months post-discharge. The study involved 628 participants, 278 participants pre-intervention and 350 post-interventions. Differences noted were a higher percentage of males at the control site, older average age at the intervention site, and more indigenous admissions at the control site. Of those admitted from home, 66% returned home, discharges to RACF increased by 69%, and 5.1% died during the index admission. In the intervention group, 90% of participants received at least one relevant pharmacist medication recommendation, showing the significant impact of the pharmacist’s role. Usual care/phase one rates were 11-33%. The study also found a similar significant correlation between severity and impact scores with ρ = 0.73 and p <0.001.

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