PapersFlow Research Brief
Pharmacy and Medical Practices
Research Guide
What is Pharmacy and Medical Practices?
Pharmacy and Medical Practices is the field encompassing pharmaceutical care and clinical pharmacy practice, including medication management, patient education, drug information, adverse drug reactions, community pharmacy services, pharmacist roles, healthcare communication, and pharmacy training.
This field covers pharmaceutical interventions, evaluation of training programs, patient satisfaction, and pharmacists' roles in optimizing medication therapy and ensuring patient safety. The cluster includes 57,942 works. Papers address potentially inappropriate medications in older adults and quality enhancement in healthcare delivery.
Topic Hierarchy
Research Sub-Topics
Beers Criteria for Potentially Inappropriate Medications
This sub-topic examines explicit criteria for identifying medications that pose high risks in older adults, including updates to the Beers list and their application in clinical settings. Researchers study validation, implementation barriers, and impact on prescribing practices.
Adverse Drug Reactions Monitoring
This area focuses on detection, reporting, and pharmacovigilance systems for adverse drug reactions in clinical pharmacy practice. Studies analyze causality assessment, risk factors, and interventions to mitigate ADRs.
Medication Therapy Management Services
Researchers investigate structured pharmacist-led services for optimizing drug therapy, including reconciliation, adherence support, and outcomes evaluation. Emphasis is on models in community and hospital settings.
Pharmacist-Patient Communication
This sub-topic explores effective communication strategies for patient counseling, adherence promotion, and health literacy in pharmacy practice. Studies assess training interventions and their effects on patient behaviors.
Clinical Pharmacokinetics in Practice
Focuses on applying pharmacokinetic principles to individualize dosing, therapeutic drug monitoring, and dose adjustments in diverse populations. Research covers fundamentals and tools for clinical decision-making.
Why It Matters
Pharmacy and Medical Practices guides medication safety in vulnerable populations, such as older adults, where potentially inappropriate medications lead to poor outcomes. The American Geriatrics Society Beers Criteria identify specific drugs to avoid, influencing clinical guidelines and policy. For example, misoprostol reduced serious NSAID-induced upper gastrointestinal complications by 40% in older patients with rheumatoid arthritis receiving nonsteroidal anti-inflammatory drugs (Silverstein et al., 1995). These criteria support clinicians, educators, researchers, and regulators in reducing adverse events and improving patient safety.
Reading Guide
Where to Start
"<scp>A</scp> merican <scp>G</scp> eriatrics <scp>S</scp> ociety Updated <scp>B</scp> eers <scp>C</scp> riteria for Potentially Inappropriate Medication Use in Older Adults" by The American Geriatrics Society 2012 Beers Criteria Update Expert Panel (2012) provides foundational explicit criteria on medication safety in older adults, serving as an accessible entry point with 2557 citations.
Key Papers Explained
The 2012 Beers Criteria paper by The American Geriatrics Society 2012 Beers Criteria Update Expert Panel (2557 citations) establishes core lists of potentially inappropriate medications, which Mark H. Beers (1997) (1046 citations) developed earlier through explicit criteria updates. The 2023 update by By the 2023 American Geriatrics Society Beers Criteria Update Expert Panel (1073 citations) refines these for current use. Silverstein et al. (1995) (1060 citations) complements by showing misoprostol's 40% reduction in complications, linking criteria to interventions. Khare and Kanyal (2024) (959 citations) extends to quality enhancement practices.
Paper Timeline
Most-cited paper highlighted in red. Papers ordered chronologically.
Advanced Directions
Recent works emphasize updates to Beers Criteria, with the 2023 version addressing stewardship and integration into practice. No preprints or news from the last 6-12 months indicate focus remains on established criteria and quality improvement applications.
Papers at a Glance
Frequently Asked Questions
What are the Beers Criteria?
The Beers Criteria are explicit lists identifying potentially inappropriate medications for older adults due to high risk of adverse outcomes. The American Geriatrics Society 2012 Beers Criteria Update Expert Panel developed updated versions incorporated into policy and practice (The American Geriatrics Society 2012 Beers Criteria Update Expert Panel, 2012). The 2023 update continues stewardship by the American Geriatrics Society Beers Criteria Update Expert Panel (By the 2023 American Geriatrics Society Beers Criteria Update Expert Panel, 2023).
How does misoprostol affect NSAID users with rheumatoid arthritis?
Misoprostol reduces serious gastrointestinal complications in patients with rheumatoid arthritis taking nonsteroidal anti-inflammatory drugs. In older patients, it lowered these complications by 40% compared to placebo (Silverstein et al., 1995). This demonstrates a targeted pharmaceutical intervention for gastrointestinal protection.
What defines potentially inappropriate medication use in the elderly?
Explicit criteria determine potentially inappropriate medication use by the elderly based on risks of clinically severe adverse outcomes. Mark H. Beers (1997) updated and expanded these criteria, incorporating clinical information on diagnoses where available. The criteria measure poor outcomes associated with certain drugs in older adults.
What is continuous quality improvement in pharmacy practice?
Continuous quality improvement applies manufacturing techniques to healthcare for better standards, safety, and effectiveness. Khare and Kanyal (2024) overview its use in reorganizing service structure and delivery. It enhances professional practice in pharmacy and medical settings.
What role do pharmacists play in medication management?
Pharmacists optimize medication therapy and ensure patient safety through pharmaceutical care and clinical practice. Papers cover medication management, adverse drug reactions, and community pharmacy services. Training programs evaluate patient education and healthcare communication.
Open Research Questions
- ? How can Beers Criteria be further refined to incorporate emerging pharmacogenetic data for personalized avoidance of inappropriate medications in older adults?
- ? What factors limit the adoption of continuous quality improvement techniques from industry into diverse pharmacy practice settings?
- ? How do explicit criteria for inappropriate medications account for evolving comorbidities and polypharmacy in aging populations?
- ? In what ways can pharmaceutical interventions like misoprostol be optimized for broader patient groups beyond rheumatoid arthritis?
Recent Trends
The 2023 American Geriatrics Society Beers Criteria update by By the 2023 American Geriatrics Society Beers Criteria Update Expert Panel gained 1073 citations, showing sustained emphasis on medication safety in older adults.
Khare and Kanyal introduced quality enhancement effectiveness with 959 citations, applying continuous improvement to healthcare delivery.
2024The field holds 57,942 works with no specified 5-year growth rate.
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