Detection of Drug-Related Problems Associated with High-Risk Medications in a Clinical Setting – A Prospective Study

Background: Drug-Related Problems (DRPs) associated with High-Risk Medications (HRMs) present significant challenges in clinical practice, particularly among older adults with multiple comorbidities. This study aimed to identify, classify, and address DRPs in patients prescribed HRMs at a tertiary care hospital in Kerala. Methods: A prospective interventional study was conducted over ten months, enrolling 201 patients aged 18 years and above, of whom 193 completed the protocol. Prescriptions involving HRMs from the cardiology, neurology, general medicine, and psychiatry departments were reviewed using the APS-Doc framework to classify DRPs. Pharmacist-led interventions were implemented to resolve identified issues, including dosage adjustments, drug substitutions, and enhanced patient monitoring.

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Publication Details

Journal
International Journal of Advancement in Life Sciences Research
Published
2025-01-01
DOI
https://doi.org/10.31632/ijalsr.2025.v08i03.015
Primary Topic
Pharmaceutical Practices and Patient Outcomes
Type
article
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article

Detection of Drug-Related Problems Associated with High-Risk Medications in a Clinical Setting – A Prospective Study

P A Sreeja, P Soumya, Irene Vinagre, V J Dawn et al.
International Journal of Advancement in Life Sciences Research
Pharmaceutical Practices and Patient Outcomes
article

Detection of Drug-Related Problems Associated with High-Risk Medications in a Clinical Setting – A Prospective Study

P A Sreeja, P Soumya, Irene Vinagre, V J Dawn, Ameena Kadar K A, Shrinidhi Kumar K.
article en

Abstract

Background: Drug-Related Problems (DRPs) associated with High-Risk Medications (HRMs) present significant challenges in clinical practice, particularly among older adults with multiple comorbidities. This study aimed to identify, classify, and address DRPs in patients prescribed HRMs at a tertiary care hospital in Kerala. Methods: A prospective interventional study was conducted over ten months, enrolling 201 patients aged 18 years and above, of whom 193 completed the protocol. Prescriptions involving HRMs from the cardiology, neurology, general medicine, and psychiatry departments were reviewed using the APS-Doc framework to classify DRPs. Pharmacist-led interventions were implemented to resolve identified issues, including dosage adjustments, drug substitutions, and enhanced patient monitoring.

International Journal of Advancement in Life Sciences ResearchVol. 08(03)
Dr. M.G.R. Educational and Research Institute (IN), Grace College & Seminary (US), Kerala University of Health Sciences (IN)
Good health and well-being
Openalex Percentile: Top 76%
Pharmaceutical Practices and Patient Outcomes
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Detection of Drug-Related Problems Associated with High-Risk Medications in a Clinical Setting – A Prospective Study — P A Sreeja, P Soumya, et al. · International Journal of Advancement in Life Sciences Research (2025) | TGRS Research Map | TGRS