Integrating medication risk management interventions into regular automated dose dispensing service of older home care clients – a systems approach

Abstract Background Automated dose dispensing (ADD) services have been implemented in many health care systems internationally. However, the ADD service itself is a logistic process that requires integration with medication risk management interventions to ensure safe and appropriate medication use....

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Autores principales:	Heidi Tahvanainen, Sini Kuitunen, Anna-Riia Holmström, Marja Airaksinen
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Automated dose dispensing Medication management Medication reconciliation Medication review Medication follow-up Home care services Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/58d07ef4081b4442a8a9eac0506a89d7
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spelling	oai:doaj.org-article:58d07ef4081b4442a8a9eac0506a89d72021-11-28T12:09:02ZIntegrating medication risk management interventions into regular automated dose dispensing service of older home care clients – a systems approach10.1186/s12877-021-02607-x1471-2318https://doaj.org/article/58d07ef4081b4442a8a9eac0506a89d72021-11-01T00:00:00Zhttps://doi.org/10.1186/s12877-021-02607-xhttps://doaj.org/toc/1471-2318Abstract Background Automated dose dispensing (ADD) services have been implemented in many health care systems internationally. However, the ADD service itself is a logistic process that requires integration with medication risk management interventions to ensure safe and appropriate medication use. National policies and regulations guiding ADD in Finland have recommended medication reconciliation, review, and follow-up for suitable risk management interventions. This implementation study aimed to develop a medication management process integrating these recommended risk management interventions into a regular ADD service for older home care clients. Methods This study applied an action research method and was carried out in a home care setting, part of primary care in the City of Lahti, Finland. The systems-approach to risk management was applied as a theoretical framework. Results The outcome of the systems-based development process was a comprehensive medication management procedure. The medication risk management interventions of medication reconciliation, review and follow-up were integrated into the medication management process while implementing the ADD service. The tasks and responsibilities of each health care professional involved in the care team became more explicitly defined, and available resources were utilized more effectively. In particular, the hospital pharmacists became members of the care team where collaboration between physicians, pharmacists, and nurses shifted from parallel working towards close collaboration. More efforts are needed to integrate community pharmacists into the care team. Conclusion The transition to the ADD service allows implementation of the effective medication risk management interventions within regular home care practice. These systemic defenses should be considered when national ADD guidelines are implemented locally. The same applies to situations in which public home care organizations responsible for services e.g., municipalities, purchase ADD services from private service providers.Heidi TahvanainenSini KuitunenAnna-Riia HolmströmMarja AiraksinenBMCarticleAutomated dose dispensingMedication managementMedication reconciliationMedication reviewMedication follow-upHome care servicesGeriatricsRC952-954.6ENBMC Geriatrics, Vol 21, Iss 1, Pp 1-14 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Automated dose dispensing Medication management Medication reconciliation Medication review Medication follow-up Home care services Geriatrics RC952-954.6
spellingShingle	Automated dose dispensing Medication management Medication reconciliation Medication review Medication follow-up Home care services Geriatrics RC952-954.6 Heidi Tahvanainen Sini Kuitunen Anna-Riia Holmström Marja Airaksinen Integrating medication risk management interventions into regular automated dose dispensing service of older home care clients – a systems approach
description	Abstract Background Automated dose dispensing (ADD) services have been implemented in many health care systems internationally. However, the ADD service itself is a logistic process that requires integration with medication risk management interventions to ensure safe and appropriate medication use. National policies and regulations guiding ADD in Finland have recommended medication reconciliation, review, and follow-up for suitable risk management interventions. This implementation study aimed to develop a medication management process integrating these recommended risk management interventions into a regular ADD service for older home care clients. Methods This study applied an action research method and was carried out in a home care setting, part of primary care in the City of Lahti, Finland. The systems-approach to risk management was applied as a theoretical framework. Results The outcome of the systems-based development process was a comprehensive medication management procedure. The medication risk management interventions of medication reconciliation, review and follow-up were integrated into the medication management process while implementing the ADD service. The tasks and responsibilities of each health care professional involved in the care team became more explicitly defined, and available resources were utilized more effectively. In particular, the hospital pharmacists became members of the care team where collaboration between physicians, pharmacists, and nurses shifted from parallel working towards close collaboration. More efforts are needed to integrate community pharmacists into the care team. Conclusion The transition to the ADD service allows implementation of the effective medication risk management interventions within regular home care practice. These systemic defenses should be considered when national ADD guidelines are implemented locally. The same applies to situations in which public home care organizations responsible for services e.g., municipalities, purchase ADD services from private service providers.
format	article
author	Heidi Tahvanainen Sini Kuitunen Anna-Riia Holmström Marja Airaksinen
author_facet	Heidi Tahvanainen Sini Kuitunen Anna-Riia Holmström Marja Airaksinen
author_sort	Heidi Tahvanainen
title	Integrating medication risk management interventions into regular automated dose dispensing service of older home care clients – a systems approach
title_short	Integrating medication risk management interventions into regular automated dose dispensing service of older home care clients – a systems approach
title_full	Integrating medication risk management interventions into regular automated dose dispensing service of older home care clients – a systems approach
title_fullStr	Integrating medication risk management interventions into regular automated dose dispensing service of older home care clients – a systems approach
title_full_unstemmed	Integrating medication risk management interventions into regular automated dose dispensing service of older home care clients – a systems approach
title_sort	integrating medication risk management interventions into regular automated dose dispensing service of older home care clients – a systems approach
publisher	BMC
publishDate	2021
url	https://doaj.org/article/58d07ef4081b4442a8a9eac0506a89d7
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Integrating medication risk management interventions into regular automated dose dispensing service of older home care clients – a systems approach

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