Medicines optimisation: priorities and challenges
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Medicines optimisation: priorities and challenges

Gerri Kaufman Lecturer in health sciences and continuing professional development lead, Department of Health Sciences, University of York, York, England

Medicines optimisation is promoted in a guideline published in 2015 by the National Institute for Health and Care Excellence. Four guiding principles underpin medicines optimisation: aim to understand the patient’s experience; ensure evidence-based choice of medicines; ensure medicines use is as safe as possible; and make medicines optimisation part of routine practice. Understanding the patient experience is important to improve adherence to medication regimens. This involves communication, shared decision making and respect for patient preferences. Evidence-based choice of medicines is important for clinical and cost effectiveness. Systems and processes for the reporting of medicines-related safety incidents have to be improved if medicines use is to be as safe as possible. Ensuring safe practice in medicines use when patients are transferred between organisations, and managing the complexities of polypharmacy are imperative. A medicines use review can help to ensure that medicines optimisation forms part of routine practice.

Nursing Standard. 30, 30,53-60. doi: 10.7748/ns.30.30.53.s47

Correspondence

gerri.kaufman@york.ac.uk

Peer review

All articles are subject to external double-blind peer review and checked for plagiarism using automated software.

Received: 17 September 2015

Accepted: 22 December 2015