relation: http://publicatio.bibl.u-szeged.hu/36066/
title: Perceptions of hospital pharmacists regarding roles in preventing and minimizing prescribing cascades: a mixed-method study
creator:  Asad Mahnoor
creator:  Ullah Waseem
creator:  Gajdács Márió
creator:  Madléna Melinda
creator:  Shanmugham Suresh
creator:  Veettil Sajesh K
creator:  Jamshed Shazia Q
subject: 03.02. Klinikai orvostan
description: Introduction: A prescribing cascade occurs when new medications are prescribed to address an adverse drug reaction (ADR) associated with the preceding use of a medication, which may be mistaken as the onset of a novel disease or condition. The aim of this study was to evaluate the perceptions of hospital pharmacists regarding roles in preventing and minimizing prescribing cascades.Methodology: A qualitative, semi-structured interview, followed by a quantitative, questionnaire-based study, was carried out at the Shifa International Hospital (SIH; Islamabad, Pakistan). Discharge summaries of patients aged ≥ 60 years were collected to assess the prevalence of polypharmacy at SIH.Results: Discharge summaries of n = 350 patients were collected; 60.2% (n = 211) had comorbid conditions, and the co-occurrence of diabetes and hypertension were the most common. 37.8% (n = 132) were taking 8 or more medications. Eight (n = 8) hospital pharmacists participated in the qualitative study, and 4 major themes were identified in their perceptions regarding prescribing cascades. Fifty-two (n = 52) pharmacists were recruited in the quantitative phase. 86.5% (n = 45) of the participants reported long standing illness/chronic conditions; 67.3% (n = 35) noted the presence of comorbidities as a high risk, while 90.3% (n = 47) noted multiple prescribers, and 75.0% (n = 39) identified the ageing population as important risks factors for polypharmacy.Conclusions: The current research may inform the role and responsibilities of hospital pharmacists in outpatient and inpatient departments, and in interprofessional care teams, in preventing and minimizing prescribing cascades.
date: 2025
type: Folyóiratcikk
type: PeerReviewed
format: text
identifier: http://publicatio.bibl.u-szeged.hu/36066/1/jidc-019-0058.pdf
identifier:     Asad Mahnoor;  Ullah Waseem;  Gajdács Márió;  Madléna Melinda;  Shanmugham Suresh;  Veettil Sajesh K;  Jamshed Shazia Q: Perceptions of hospital pharmacists regarding roles in preventing and minimizing prescribing cascades: a mixed-method study.   JOURNAL OF INFECTION IN DEVELOPING COUNTRIES, 19 (1).  pp. 58-66.  ISSN 1972-2680 (2025)     
identifier: doi:10.3855/jidc.19554
relation: https://doi.org/10.3855/jidc.19554
relation: 35773318
language: eng