A retrospective chart review to assess potentially inappropriate prescriptions related to oral NSAID, anticoagulant, and antiplatelet use in two family medicine teaching clinics
dc.contributor.author | Hamilton, Kevin | |
dc.contributor.examiningcommittee | Falk, Jamie (Pharmacy) Zelenitsky, Sheryl (Pharmacy) Singer, Alex (Family Medicine) | en_US |
dc.contributor.supervisor | Bugden, Shawn (Pharmacy) | en_US |
dc.date.accessioned | 2015-04-06T17:51:15Z | |
dc.date.available | 2015-04-06T17:51:15Z | |
dc.date.issued | 2015-04-06 | |
dc.degree.discipline | Pharmacy | en_US |
dc.degree.level | Master of Science (M.Sc.) | en_US |
dc.description.abstract | Introduction: Potentially inappropriate prescriptions (PIPs) have been defined as the prescribing of medications where the risk of adverse outcomes outweighs the benefit to patients. Some medications pose a greater risk than others. Nonsteroidal anti-inflammatory drugs (NSAIDs), antiplatelets, and anticoagulants are among the top offenders for preventable drug-related ER visits, hospitalizations and deaths. Methods: Data were collected through a retrospective electronic/paper chart review for all patients prescribed a target medication in two family medicine clinics in Winnipeg, Manitoba from June 2012 to June 2013. Results: The presence of at least one PIP was identified in 198 of 567 patients (35%). The most common PIP was the use of an oral NSAID with one or more gastrointestinal bleed risk factor without adequate gastro-protection. Conclusion: With over one-third of patients using NSAIDs, antiplatelets, and anticoagulants potentially inappropriately, a greater focus on improving prescribing practices with these higher-risk medications is warranted. | en_US |
dc.description.note | May 2015 | en_US |
dc.identifier.uri | http://hdl.handle.net/1993/30344 | |
dc.language.iso | eng | en_US |
dc.rights | open access | en_US |
dc.subject | Inappropriate prescribing | en_US |
dc.subject | Family medicine | en_US |
dc.title | A retrospective chart review to assess potentially inappropriate prescriptions related to oral NSAID, anticoagulant, and antiplatelet use in two family medicine teaching clinics | en_US |
dc.type | master thesis | en_US |