Tag Archives: Polypharmacy

Potential Harms From Polypharmacy in the Elderly (BBC News / Age UK / EJCP / Bazian / Lancet Psychiatry)

Posted on September 8, 2019 by Dementia and Elderly Care News

Summary An Age UK report investigates the potential harms of over-prescribing medicines for older people. Older persons often remain on too many prescribed medicines, putting them at risk of side-effects, potentially resulting in falls and other forms of serious harm. … Continue reading →

System to Measure and Prevent Medication Errors Under Development (Department of Health and Social Care / EEPRU / BBC News)

Posted on May 12, 2018 by Dementia and Elderly Care News

Summary The Department of Health and Social Care now has a system to help identify, monitor and prevent medication errors. The aim is to help ensure the NHS becomes the safest healthcare system in the world, as well as avoiding … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, National, NHS, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest, World Health Organization (WHO) | Tagged Adverse Drug Reactions, Adverse Drug Reactions (ADRs), Adverse Drug Reactions in the Elderly, Avoidable Admissions, Avoidable Harm, Avoidable Hospital Admissions, Avoidable Ill-Health, Avoidable Mortality, Avoidable Premature Mortality, Avoidable Rehospitalisations, Caroline Dinenage: Care Minister, Choosing Wisely, Choosing Wisely Campaign, Community Pharmacists, Continuous Learning Culture, Culture Change, Culture of Raising Concerns, Defences for Pharmacists: Accidental Dispensing Errors, Department of Health and Social Care (Formerly the Department of Health), Electronic Prescribing and Medicines Administration (EPMA), Electronic Prescribing Systems, ePACT2, Epidemiology and Statistics, Gastric Bleed Statistics, Global Patient Safety Challenge (WHO), Hospital Admissions, Hospital Electronic Prescribing and Medicines Administration (HePMA), Inappropriate Hospital Admissions, Learning Culture, Measurement and Prevention of Medication Errors, Medication Errors, Medication Errors and Adverse Drug Reactions, Medication Reviews, Medication Safety, Medication Safety Dashboard, Medication Without Harm (WHO), Medicines Optimisation, Medicines Optimisation Dashboard, Medicines Safety Programme (WHO), NHS Culture Change, NHS England Medicines Optimisation Intelligence Group, NHS Patient Safety Culture, NHS Specialist Pharmacy Service, NHS: Safest Healthcare System in the World (Ambition), No Harm Culture, Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) Without Gastro Protective Medicine, Openness and Honesty When Things Go Wrong, Openness and Transparency, Patient Safety, Patient Safety Improvement, Patient Safety Indicators, Patient Safety Strategies, Patients With Polypharmacy Risks, Pharmacist-Led Medication Reviews, Policy Research Unit in Economic Evaluation of Health and Care Interventions (EEPRU), Polypharmacy, Preventable Deaths in English Acute Hospitals, Preventable Hospital Admissions, Preventable Hospital Deaths, Preventable Hospital Mortality, Preventable Mortality, Preventing Avoidable Emergency Admissions, Primary Care Adverse Drug Reactions, Putting Patients First, Quality Improvement, Quality Improvement Culture, Reducing Inappropriate Polypharmacy, Reducing Litigation Costs, Reducing Waste in the NHS, Regular Medication Reviews, Report of the Short Life Working Group on Reducing Medication-Related Harm, Reporting Culture, Reporting of Incidents, Research on Medication Error, Royal Pharmaceutical Society (RPS), ScHARR: University of Sheffield, School of Health and Related Research (ScHARR): University of Sheffield, Short Life Working Group on Reducing Medication-Related Harm, Stop the Over-Medication of People With a Learning Disability or Autism (STOMP) Campaign, Transparency, Transparency and Accountability, Transparent Learning Culture, Unnecessary Hospital Admissions | Leave a comment

Multi-Morbidity Re-Visited (BBC News / Academy of Medical Sciences / Health Foundation / JGCR)

Posted on April 22, 2018 by Dementia and Elderly Care News

Summary The Academy of Medical Sciences has produced a report on the unprecedented burden of “multi-morbidity”, i.e. the clustering of two or more physical and mental health conditions in the same patient. This is a summary of emerging evidence on … Continue reading →

NHS England’s Pharmacy Integration Fund (NHS England / BBC News)

Posted on March 18, 2018 by Dementia and Elderly Care News

Summary Care home residents often have multiple long-term conditions and are often prescribed several different medicines (polypharmacy). NHS England plans to fund recruitment of 180 pharmacists and 60 pharmacy technicians who will work with care homes to try to reduce … Continue reading →

Posted in BBC News, Commissioning, Community Care, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, Models of Dementia Care, National, NHS, NHS England, Person-Centred Care, Personalisation, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Achieving Better Value, Ageing Population, Alternatives to Hospital Admission, BBC Health News, Better Value, Better Value Healthcare, Better Value in the NHS, Care and Support for People With Dementia in Care Homes, Care Home Pharmacists, Care Home Pharmacists to Cut Overmedication, Care Homes, Care of Frail Older People With Complex Needs, Care of Older People Living in Care Homes, Clinical Pharmacists, Community Pharmacists, Community-Based Interventions, Community-Based Services, Community-Based Support, Confusion in Care Homes, Dementia Care in Care Homes, Discontinuation of Multiple Medications in Older Adults, Drug Cost Savings, East and North Hertfordshire NHS Trust, Economic Sustainability, English Pharmacy Board, Financial Constraints, Financial Sustainability in the NHS, Frail Older People, Good Practice in Care Homes, Harms of Too Much Medicine, Hospital Pharmacists, Hospital‑Based Multidisciplinary Teams: Pharmacists, Imelda Redmond: Healthwatch England, Improving Care for Frail Older People, Improving Patient Safety, Improving Pharmaceutical Care in Care Homes, Improving Prescribing Practice, Improving Standards in Care Homes, Inappropriate Drug Use, Inappropriate Medication, Inappropriate Prescribing, Integrated Care in Northumberland, Interdisciplinary Teams, Later Life, Less is More, Liaison and In-Reach Services for Frail Older People, Living Well in Care Homes, Long-Term Conditions (LTCs), Lowering Costs, Managing Medicines in Care Homes, MDTs: Multidisciplinary Teams, Medical Overuse, Medication Reviews, Medication Reviews in Care Homes, Models of Enhanced Health in Care Homes, Multi-Disciplinary Team (MDT), Multi-Disciplinary Teams, Multi-Disciplinary Working, Multi-Morbidities, Multimorbidities and Long-Term Conditions, Multiple Long-Term Conditions, Multiple Medications (Polypharmacy), NHS East and North Hertfordshire CCG, NHS England Local Area Teams: Frail Older People With Complex Needs, NHS England Pharmacy Integration Fund, Northumberland, Older Care Home Residents, Older People, Older People With Complex Needs, Older People's Care, Oral Nutritional Support, Over-Medication, Over-Prescribing, Over-Treatment, Overdiagnosis and Overtreatment, Overmedicaton in Care Homes, Overprescription, Overuse of Medication, Patient Harms, Patient Safety, Patients With Polypharmacy Risks, Pharmacist-Led Care Home Medication Reviews, Pharmacist-Led Medication Reviews, Pharmacists, Pharmacists to Cut Unnecessary Hospital Admissions, Pharmacy Integration Fund (NHS England), Pharmacy Technicians, Polypharmacy, Potentially Inappropriate Prescribing, Preventable Hospital Admissions, Preventative Care, Preventing Acute Admissions from Care Homes, Prevention, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Preventive Care, Primary Care, Primary Care Alternatives to Emergency Hospital Admissions, Proactive Specialist In-Reach, Protecting Resources and Promoting Value, Redesigning Services, Reducing Expenditure, Reducing Inappropriate Polypharmacy, Reducing Prescribing Costs, Reducing Unplanned Hospital Admissions, Reducing Waste in the NHS, Reducing Wasted Medications, Research in Care Homes, Sandra Gidley: Chair of Royal Pharmaceutical Society’s English Pharmacy Board, Simon Stevens: Chief Executive of NHS England, Thinking Like a Patient and Acting Like a Taxpayer, Transforming Care for Frail Older People, Unnecessary Hospital Admissions, Value for Money, Value Improvement, Wellbeing in Care Homes | Leave a comment

Medication Errors: an Open Learning Culture Recommended to Reduce Patient Harm (BBC News / Department of Health / EEPRU / Department of Health and Social Care)

Posted on February 25, 2018 by Dementia and Elderly Care News

Summary Medication errors, which include (i) wrong medications given, (ii) incorrect doses and (iii) delays in medication being administered, cause an estimated 700 deaths per year and might play a role in something between 1,700 to 22,300 further avoidable deaths. … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Management of Condition, National, NHS, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest, World Health Organization (WHO) | Tagged Acute Care and Quality, Acute Care and Workforce, Adult Psychiatric Intensive Care Services, Adverse Drug Reactions, Adverse Drug Reactions (ADRs), Adverse Drug Reactions in the Elderly, BBC Health News, Blame Culture, Care Home Culture, Care Home Environments, Care Homes, Centre for Health Economics: University of York, Choosing Wisely Campaign, Choosing Wisely in the NHS, CHUMS Study, Clinical Pharmacists, Clinical Responsibility for Patients (Choosing Wisely and New Deal), Community Pharmacists, Continuous Learning Culture, CQC Investigations and Quality Policy, Culture and Behaviour Change, Culture and Leadership, Culture Change, Culture of Raising Concerns, Department of Health Policy Research Programme, Division of Population Health Health Services Research and Primary Care: University of Manchester, Electronic Prescribing and Medicines Administration (EPMA), Electronic Prescribing Systems, EQUIP Study, Former Health Secretary Jeremy Hunt, Global Patient Safety Challenge (WHO), HePMA, Hospital E-Prescribing and Medicines Administration, Hospital Electronic Prescribing and Medicines Administration (HePMA), Hospital Pharmacists, Learning Culture, Making Choices Together (Previously Choosing Wisely Wales), Manchester Centre for Health Economics: University of Manchester, Medication Errors, Medication Errors and Adverse Drug Reactions, Medication Without Harm (WHO), Medicines Safety Programme (WHO), Medicines Value Programme (NHS England), NHS Culture, NHS Culture Change, NHS Patient Safety Culture, NHS Specialist Pharmacy Service, No Harm Culture, Old Age Psychiatry, Open and Transparent Culture, Openness, Openness and Collaboration, Openness and Honesty When Things Go Wrong, Openness and Transparency, Partnering with Patients and Families, Patient and Family Engagement, Patient and Public Engagement (PPE), Patient and Public Involvement, Patient and Public Involvement (PPI), Patient Engagement, Patient Engagement Strategies, Patient Harm, Patient Harms and Harm Free Care, Patient Safety, Patient Safety Champions, Patient Safety Improvement, Patient Safety Indicators, Patient Safety Strategies, Patients With Polypharmacy Risks, Pharmacist Buddy Scheme (County Durham and Darlington NHS Foundation Trust), Pharmacist-Led Information Technology Intervention (PINCER), Pharmacists, PINCER Intervention, Policy Research Programme (PRP), Policy Research Unit in Economic Evaluation of Health and Care Interventions (EEPRU), Polypharmacy, Potentially Preventable Complications in Hospitalis, PREPARE: Partnership for Responsive Policy Analysis and Research, PRescribing Outcomes for Trainee Doctors Engaged in Clinical Training (PROTECT) Study, Prescription Errors in Psychiatry, Preventable Deaths in English Acute Hospitals, Preventable Hospital Deaths, Preventable Hospital Mortality, Preventable Mortality, Primary Care Adverse Drug Reactions, PROTECT Programme, Putting Patients First, Quality Improvement Culture, Reducing Inappropriate Polypharmacy, Reducing Litigation Costs, Report of the Short Life Working Group on Reducing Medication-Related Harm, Reporting Culture, Reporting of Incidents, Research on Medication Error, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health and Social Care, ScHARR: University of Sheffield, School of Health and Related Research (ScHARR): University of Sheffield, SDM: Shared Decision Making, Secondary Care Adverse Drug Reactions, Serious Mistakes, Severe Harm, Shared Care and Education, Shared Decision-Making, Short Life Working Group (SLWG), Short Life Working Group on Reducing Medication-Related Harm, Stop the Over-Medication of People With a Learning Disability or Autism (STOMP) Campaign, Transparency, Transparency and Accountability, Transparent Learning Culture, UK Department of Health Policy Research Programme, United States National Coordinating Council for Medication Error Reporting and Prevention, University of Manchester, University of Sheffield, University of York, University of York Centre for Health Economics (CHE), WHO Domain: Health Care Professionals, WHO Domain: Medicines, WHO Domain: Patients and the Public, WHO Domain: Systems and Practice of Medication, WHO Domains, WHO Global Patient Safety Challenge | Leave a comment

Potentially Inappropriate Prescribing for Older Persons: Revisited (APPG on Dementia / Newsmax / European Journal of Clinical Pharmacology)

Posted on October 9, 2017 by Dementia and Elderly Care News

Summary The All-Party Parliamentary Group on Dementia (APPG), back in 2008, asserted that perhaps half of dementia patients may be receiving inappropriate medications. While the extent to which this position may have changed in recent years is debatable, the allegation … Continue reading →

Primary Care Home: a New Model of Primary Care (NAPC / Nuffield Trust / SCIE / PA Consulting Group)

Posted on August 28, 2017 by Dementia and Elderly Care News

Summary The National Association of Primary Care (NAPC) has recently proposed an alternative model pf primary care, which is intended to realign primary care resources around the health and social needs of local communities. It involves “primary, community, mental, social … Continue reading →

Identification of Potentially Inappropriate Prescribing in Advanced Dementia (BMC Geriatrics)

Posted on July 25, 2016 by Dementia and Elderly Care News

Summary The authors of this systematic review investigate systems for identifying potentially inappropriate prescribing in advanced dementia. Full Text Link Reference Disalvo, D. Luckett, T. [and] Agar, M. [et al] (2016). Systems to identify potentially inappropriate prescribing in people with … Continue reading →

Posted in Antipsychotics, End of Life Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), International, Management of Condition, Models of Dementia Care, Person-Centred Care, Pharmacological Treatments, Quick Insights, Standards, Systematic Reviews | Tagged Advanced Dementia, Anatomical Therapeutic Classification (ATC) System, Antibacterials, Anticholinesterase Inhibitors, Anticoagulants, Antihyperglycaemic Agents, Antihypertensives, Antipsychotic Drugs, Australia, BMC Geriatrics, British National Formulary, Centre for Cardiovascular and Chronic Care: University of Technology Sydney (UTS), Cognitive Performance Scale (CPS), Deprescribing, Discontinuation of Antipsychotics, Discontinuation of Multiple Medications in Older Adults, Faculty of Health: University of Technology Sydney (UTS), Functional Assessment Staging Tool (FAST), Functional Decline Associated With Polypharmacy, Functional Decline Associated With Potentially Inappropriate Medications, Inappropriate Prescribing, Ingham Institute of Applied Medical Research (Sydney), John Hopkins University, Johns Hopkins University (JHU), Medication Appropriateness at End of Life, Medication Reviews, Medications to Manage Osteoporosis, Memantine, Neuroleptic Discontinuation, NSW Therapeutic Advisory Group (Sydney), Palliative Care, Palliative Excellence in Alzheimer Care Efforts (PEACE) Program, Patient Safety, Polypharmacy, Potentially Harmful Medications, Potentially Inappropriate Prescribing in Advanced Dementia, Reducing Inappropriate Use of Antipsychotics, School of Nursing: Johns Hopkins University (JHU), South Western Sydney Clinical School: University of New South Wales (UNSW), St Vincent's Hospital (Sydney), Statins, STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) Checklist, Systematic Reviews and Meta-Analyses, Systems For Identifying Potentially Inappropriate Medications in Advanced Dementia, Terminal Care for Persons With Advanced Dementia in Nursing Homes and Care Homes, United States, University of New South Wales (UNSW), University of Technology Sydney (UTS), USA | Leave a comment

Better Care Fund: Questions and Assumptions? (BBC News / NAO)

Posted on November 12, 2014 by Dementia and Elderly Care News

Summary Questions have arisen about the scale of savings achievable from the £5.3bn Better Care Fund (BCF). The BCF aims to improve integration between NHS and social care. A National Audit Office (NAO) review of the assumptions behind the BCF … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, Mental Health, Models of Dementia Care, National, National Audit Office, NHS, NHS England, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest, Wolverhampton | Tagged Adult Mental Health Services, Aids and Adaptations, Association of Directors of Adult Social Services (ADASS), BBC Health News, BCF: Existing Funding But No New Money, BCF: Fund Accountability System Statement, BCF: Local Planning, BCF: Programme Governance, BCF: Risks to Acute Providers and Clinical Commissioning Groups, BCF: Risks to Local Authority Adult Social Care Services, BCF: September Fund, Better Care Exchange, Better Care Fund, Better Care Fund (BCF), Better Care Fund (BCF) Planning, Better Care Fund Implementation Support Programme, Better Care Fund Plans, Better Care Fund Timeline, Care in the Community, Care Planning, Care Planning (Community), Clinical Commissioning Groups (CCGs), Collaborative Care Planning, Commissioning Older People’s Mental Health Services, Community Care, Community Care Services, Community Rehabilitation, Community-Based Services, Continuity of Care, Data Sharing, DCLG: Department for Communities and Local Government, Delayed Transfers of Care, Department for Communities and Local Government, Discharge Planning, Early Referral System to Mental Health Services (Wolverhampton), Early Referral to Mental Health Services, Emergency Admissions, Emergency and Urgent Care Services, Emergency Attendances, Emergency Readmissions, Emergency Readmissions to Hospital, End-User Experience, Financial Constraints, Financial Issues, Financial Pressures, Five Year Forward View (NHS England), Funding and Accountability for the BCF, Funding Transfer to Local Authorities, Health and Social Care in the Community, Health and Social Care Integration Fund, Health and Social Care Services, Health and Social Care: Integration Transformation Fund, Health and Wellbeing Boards, Health and Wellbeing Boards (HWBs), Home Adaptations, Housing Adaptations, Inappropriate Accident and Emergency Department Attendances, Independence, Independent Living, Individual Care Plans (Complex Needs), Information Sharing, Integrated and Community-Based Care, Integrated Care and Support, Integrated Care and Support: Our Shared Commitment, Integrated Care Pathway, Integrated Commissioning, Integrated Discharge Process, Integrated Home and Community Care Services, Integrated Services, Integration of Physical and Mental Health, Integration Transformation Fund, Joint Assessments, LGA: Local Government Association, Local Authorities, Local Government Association, Local Health and Wellbeing Boards, Local Planning, Mental Health, Multidisciplinary Care, Multidisciplinary Teams, Named Accountable Clinician, Named Care Coordinators, Named Case Managers, Named Contacts Providing Continuity, Named GPs, National Audit Office (NAO), NHS Funding, NHS Spending, Partnership and Collaboration, Partnership Working, Patient Experience, Personalised Care Plans, Planning for Better Care Fund, Polypharmacy, Post-Discharge Support, Predictive Modelling, Preventable Hospital Admissions, Preventative Care, Primary Care, Primary Care Alternatives to Emergency Hospital Admissions, Primary Care Service Interventions, Primary Healthcare Provision, Professional Sharing, Public Accounts Committee, Reablement, Reablement Funding, Reablement Services, Reconfiguration of Emergency Care System, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Referral and Assessment, Rehabilitation, Self-Care, Service Transformation, Service User Experience, Seven-Day GP Access, Seven-Day Services in the Community, Seven-Day Working, Seven‑Day Working, Sharing Information, Social Care Reablement Services, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, User Experience, Value for Money, Whole System Integration, Whole Systems Approach, Wolverhampton Dementia Hub, Wolverhampton Mental Health / Dementia Hub | Leave a comment

Welsh Care Homes Review (BBC Wales / Older People’s Commissioner for Wales)

Posted on November 11, 2014 by Dementia and Elderly Care News

Summary A review of the quality of life for residents of care homes in Wales has found that many older people have an unacceptable quality of life and tend to become institutionalised quickly. Care homes tend to be perceived as … Continue reading →

Tag Archives: Polypharmacy

Identification of Potentially Inappropriate Prescribing in Advanced Dementia (BMC Geriatrics)

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