Medication
review or medication regimen review (MRR) is the cornerstone of the consultant
pharmacy services.
MRR should contribute to improving therapeutic outcomes, quality
of life, and at an optimum maintaining functional status. In addition, MRR
should help reduce adverse events and health care cost by reducing
hospitalization and emergency room visits.
MMR comes in three major types:
- Prospective
MRR-review performed upon admission or initiation of new therapy.
- Concurrent MRR-review while therapy is in progress that
continuously assesses the resident's medication therapy.
- Retrospective MRR- review performed after the therapy
been discontinued or resident been discharged.
Having a method that empowers the facility
staffs; physicians, nurses and administrators to evaluate the medication
therapy by evaluating the MRR outcomes becomes essential. For example, an
impact report, that performs a trend analysis of the recommendations made by
the consultant pharmacist and the replies received from the various departments,
will provide the facility with tools to improve medication quality.
In addition, understanding the types of
MRR; their capacities and limitations can provide a way to maximize the
potential outcomes of these reviews. A conversation should take place with the
consultant pharmacist and action plan put in place to improve therapeutic
outcomes of the residents.
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