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Comparison of reducing high fall risk related medication in General Medical Unit at Alfred Hospital (with intervention) versus in Aged Care Unit at Caulfield Hospital (without intervention)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmaceutical Biosciences.
2014 (English)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [en]

Introduction: Falls are one of the major adverse events and a public challenge for countries with ageing population. Alfred Health implemented a strategy to minimise falls and fall related injuries, specifically targeting medications associated with an increased risk of falls. This ongoing project was implemented in The Alfred Hospital’s general medical unit. Aim: To compare the incidence of prescribing high falls risk medicines in a cohort of older patients (≥65 years of age); firstly, at the point of discharge or transfer from the Alfred General Medical Unit and secondly, at the point of discharge from Aged Care Unit at Caulfield Hospital in 2013 and 2014. Methodology: The study was performed at the Alfred’s General Medical Unit and Aged Care Unit at Caulfield Hospital in Melbourne, Australia. Fall risk related medication was collected retrospectively in two study groups (the Alfred’s General Medical Unit and Aged Care Unit at Caulfield Hospital) and also, in Aged Care Unit in 2013 versus 2014. Results: A total of 1077 inpatient from the Alfred’s General Medical Unit and 360 inpatients from Aged Care Unit at Caulfield Hospital were included. Number of high fall risk medication in Aged Care Unit at Caulfield Hospital that were ceased or dose reduced was higher in Aged Care Unit at Caulfield (median (interquartile range) 0.33(0.67) than the Alfred’s General Medical Unit 0.00(0.00) (p<0.0001). Conclusion: Aged Care Unit at Caulfield Hospital had significant reduction of prescribing of fall risk medication at the point of discharge in comparison to the Alfred’s General Medical Unit. No significant reduction had been shown of high fall risk medication in the cohort from 2013 versus 2014 in Aged Care Unit at Caulfield Hospital.  

Place, publisher, year, edition, pages
2014. , 37 p.
Keyword [en]
Fall risk medication
National Category
Geriatrics
Identifiers
URN: urn:nbn:se:uu:diva-261686OAI: oai:DiVA.org:uu-261686DiVA: diva2:850943
External cooperation
The Alfred Hospital
Subject / course
Pharmacotherapy
Educational program
Master of Science Programme in Pharmacy
Supervisors
Examiners
Available from: 2016-09-12 Created: 2015-09-02 Last updated: 2016-09-12Bibliographically approved

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