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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: OBJECTIVE, METHODS, METHODS, METHODS, METHODS, METHODS, RESULTS. Meshes: Aged, Chronic Disease, Clinical Competence, Female, Humans, Male, Medication Errors, Medication Reconciliation, Medication Therapy Management, Mental Disorders, Pharmacy Service, Hospital, Pilot Projects, Prospective Studies, Psychiatry, Quality of Health Care.
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Does enhancing Quality in Psychiatry with Psychiatrists ( EQUIPP ) -- result from a pilot study? Context: To pilot a pharmacist-led, patient centered medication management program. Prospective, single arm trial. Academic geriatric psychiatry outpatient clinic. Outpatients at least 65 years old, proxy available if demented, and on two or more psychiatric medications. A clinical pharmacist completed a baseline medication review and made evidence-based recommendations that were implemented by the pharmacist after discussion with the physician. The pharmacist made a minimum of monthly contact for 6 months to review medications and related issues. The primary outcome was the change in number of medication related problems over time (3 and 6 months) as defined by a predetermined classification system. The mean age of the 27 patients was 75 years, 10 of whom required a proxy to participate. On average, patients had nine chronic conditions and were taking 14 medications. The mean number (SD; range) of medication related problems at baseline was 4.1 (2.2; 0-8) and at 3 and 6 months were 3.6 (2.4, 0-9) and 3.4 (2.1; 0-8), respectively. Most follow-up problems were new (80% and 89% at 3 and 6 months, respectively).
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Using a pharmacist to deliver a medication management program was feasible and addressed existing problems. New problems, however, developed over a short interval (3-6 months), suggesting that ongoing intervention is required. Final Decision: yes