Feasibility & Efficacy of Deprescribing rounds in a Singapore rehabilitative hospital- a randomised controlled trial
Applied/Translational Research
Care Process & Redesign
Agency for Integrated Care - Intermediate and Long Term Care
Not Applicable
31 December 2021
To determine the efficacy, safety, and feasibility of weekly patient-centric multidisciplinary deprescribing rounds. Deprescribing rounds safely reduce medication load in elderly patients while being feasible in hospital settings.
Year Submitted: 2021
Published Date: 31 December 2021
Tags: Applied/Translational Research, Care Process ＆ Redesign, Qualitative Research, Quality Improvement, Clinical Practice Improvement, Value Based Care, Safe Care
About this Content
Aims
To determine the efficacy, safety, and feasibility of weekly patient-centric multidisciplinary deprescribing rounds.
Background
Polypharmacy reduction is effective but understudied in Asian rehabilitative hospital settings.
Methods
Conducted open-label randomized controlled trial involving weekly deprescribing rounds.
Results
Reduced Total Daily Dose (TDD) by 19.62%; improved polypharmacy outcomes with a median rounding time of 7 minutes per patient.
Conclusion
Deprescribing rounds safely reduce medication load in elderly patients while being feasible in hospital settings.
Lessons Learnt
Multidisciplinary teamwork and systematic approaches are key for effective deprescribing.
Keywords
Deprescribing, Polypharmacy, Multidisciplinary Teams
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | Agency for Integrated Care - Intermediate and Long Term Care |
Organization(s) Involved | Bright Vision Hospital |
Platform(s) | Not Applicable |
Healthcare Professional Group(s) | Nursing, Medical, Pharmacy |
Applicable Specialty or Discipline | Geriatric Medicine, Rehabilitation Therapy, Pharmacology |
Project Lead(s) | Wong Peng Yong Andrew |
Project Member(s) | Tan Wan Ting |
Connect with this contributor!
Wong Peng Yong Andrew - andrew.wong.p.y@singhealth.com.sg