Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE credits
Integrated Medicines Management (IMM) at medical ward.
Author: Skare, Erik.
Supervisior: Lagerkrantz, Ronny.
Examinator: Nielsen, Elisabeth.
Magister of Clinical Pharmacy 2016.
Department of Pharmaceutical Biosciences, division of Pharmacokinetics and drug therapy.
Faculty of Pharmacy, Uppsala University, Sweden.
Background and objective:
Sykehusapotekene HF introduced IMM- method in Norway in 2010. The aim of this study is to survey the incidence of drug related problems (LRP) among medical patients and the extent to which these are accepted by the treating health professional. Secondary goal is to survey LRP according to drug administration, age and renal function.
Descriptive, quantitative study. Patients underwent drug accordance and drug examination pursuant to validated IMM- method. Patients were grouped according to I: MDD (Ia), non- MDD (Ib), II: age ≥ 65 years (IIa), age < 65 years (IIb), III: GFR < 60 ml/ min (IIIa), GFR ≥ 60 ml/ min (IIIb). Occurrence of prescribed drugs, identified LRP and acceptance rate were identified by groups. Statistical analysis were performed using t- test and 95 % CI to identify differences in drug treatment for each group.
The ward of general internal medicine, Sykehuset Østfold HF, Norway.
Main outcome measures:
Number of identified LRP from the IMM- tool and acceptance rate from presented LRP.
Patient sample had average 12,0 prescribed drugs and 6,41 identified LRP per patient respectively, with an average acceptance rate at 73 %. There was a statistically significant difference in the number of prescribed drugs inwards group I and II respectively (P < 0,05). There was no statistically significant difference in the number of identified LRP or acceptance rate inwards group I, II and III respectively (P > 0,05).
The study indicates high occurrence of LRP at medical ward, where clinical utility of the IMM- method seems independent of drug administration, age and renal function.
2016. , 20 p.