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Although this type of care is known to reduce overall mortality, readmission rates, and costs, it poses particular risks for drug-related issues.
This study aimed to determine the type and frequency of drug-related problems (DRPs), and the impact of evaluations conducted by clinical pharmacists, for outpatients receiving home-based hospital (HBH) services. DRPs were collected from May 2011 to April 2016 in a HBH unit in France.
From a total of 20,195 prescriptions, 388 drug-related problems involving 267 patients were identified. The majority of these patients were women (71.2%), with a mean age of 32 years. The most frequent issue identified was related to untreated conditions (24.2%), followed by medicines used without indications (14.7%), non-conformity to guidelines or presence of contraindication (12.6%), and drug monitoring (12.4%).
Pharmacists intervened in 186 cases involving medicines for haematopoiesis (34.0%), infectious diseases (16.5%), and the digestive system (14.6%), with 87.6% of the recommendations being accepted by the treating physicians.
The medicines reviews allowed for the detection of a high number of DRPs, suggesting that integrated interventions by clinical pharmacists may optimise patient management and prevent further complications