Alberta Rural Physician Action Plan
Health
Workforce
for Alberta

April 23, 2014 • 0 Comments

Tagged with Physician education polypharmacy PracticalDoc Training

Our hospital uses a Medication Reconciliation Record (MRR) to ensure that we know what medication patients are on at home. Twenty years ago this could be done by the doc asking the patient about the two or three meds they might be taking; over the years guideline – inspired  and pharmaceutical company – generated prescribing has kicked in and medications have proliferated exponentially.  Now to get the MRR straight we have to involve pharmacy techs, pharmacists, nurses, doctors and the provincial computerised drug database. The record has space for 10 medications per page. It is not uncommon to fill 3 pages with the medications for a single patient. How can anyone need / want / benefit from 20 or 30 medications? And we get mad at patients when they are non-compliant!

No wonder that over 10% of all emergency room visits are related to problems with prescription drugs.

We need teams of pharamaceutical surgeons to perform key operations – drugectomies, and start practicing Minimally Disruptive Medicine, a term coined by May and others in 2009.

The phenomenal Bohemian Polypharmacy is from James McCormack (copresenter of the Therapeutics Education Collaboration.) James also has another great video for wannabe drugectomists – Make it Easy


Add a Comment

While The Alberta Rural Physician Action Plan (RPAP) endeavours to maintain the currency and accuracy of information published via electronic media, the information is subject to change. It is advisable that users ascertain the currency of information immediately prior to use. RPAP disclaims all responsibility for loss or damage which may arise from the use of social media. Links to external websites and Facebook and Twitter user accounts, and all other social media accounts, are provided as a convenience to users and such sites and associated content. Data presented by RPAP is for informational purposes only and is provided without warranty, either expressed or implied. We assume no liability for any decision made or action taken or not taken by anyone using or relying upon this data. For further information about data usage and reproduction please contact RPAP Research and Analysis.

Made by Ignition Industries, CMS by HiQSoft