Banca de DEFESA: LAYSE MARIA SOARES DE OLIVEIRA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : LAYSE MARIA SOARES DE OLIVEIRA
DATE: 30/06/2022
TIME: 14:00
LOCAL: Videoconferência
TITLE:

IMPACT OF MEDICATION RECONCILIATION ON CLINICAL, HUMANISTIC AND ECONOMIC OUTCOMES IN NON-HOSPITALIZED PATIENTS.

KEY WORDS:

Medication reconciliation. Mortality. Drug costs. Quality of life.

PAGES: 81
BIG AREA: Ciências da Saúde
AREA: Farmácia
SUMMARY:

Introduction: Medication reconciliation corresponds to the multiprofessional clinical service component of the care transition process. Through it, it becomes possible to identify and resolve potential problems and discrepancies in pharmacotherapy, being, therefore, among the most important interventions that guarantee patient safety. However, the impact of this intervention on health outcomes in outpatients is still poorly understood. Objective: To assess the influence of medication reconciliation on clinical, economic and humanistic outcomes in adult outpatients. Method: A systematic review of studies was carried out that verified the association between the proposed intervention and some clinical, economic or humanistic outcomes published until July 2021, identified by searching the Cochrane Library, Embase, LILACS, Pubmed/Medline, Scopus, CINAHL and Web of Science databases. The search strategy involved words with the terms MESH: Medication Reconciliation, Ambulatory care, Ambulatory care facilities, Primary Health Care, Community Pharmacy Services and non-MESH: Mortality, Morbidity, Drug Costs, Quality of life and Quality-adjusted life Years. Results: 6908 articles were identified, of which 28 studies were selected for full text reading. At the end of the selection process, 13 studies were included in this review. The included studies verified important outcomes and in most of them, there was an association with the proposed intervention. Its methodological designs are mostly adequate, and the general methodological quality is moderate. So, although there are a limited number of studies, there is important initial evidence that medication reconciliation performed in outpatients can affect health outcomes. Conclusion: To date, the scientific literature indicates that medication reconciliation can affect certain clinical health outcomes in outpatients, such as hospital readmissions, visits to the urgency/emergency unit, and mortality. Given the limited number of studies and the use of certain outcomes, especially those related to the economic and humanistic components – there is a need to investigate the real impact of medication reconciliation in additional studies.

BANKING MEMBERS:
Interno - 1443982 - ALFREDO DIAS DE OLIVEIRA FILHO
Externa ao Programa - 3337886 - MARIA DAS GRACAS LEOPARDI GONCALVES
Interna - 1331191 - SABRINA JOANY FELIZARDO NEVES