Constantino-Corpuz Janie K, Alonso Monika Tara D
is a Patient Aligned Care Team Clinical Pharmacist, and is a Home-Based Primary Care Clinical Pharmacist, both at Veteran Affairs Southern Nevada Healthcare System in North Las Vegas.
Fed Pract. 2021 Jul;38(7):332-336. doi: 10.12788/fp.0146.
The number of patients who take 5 or more medications-polypharmacy-is increasing. Patients with polypharmacy are at risk for adverse drug events, drug-drug interactions, geriatric-related syndromes, falls, and hospitalizations.
A retrospective chart review was performed to assess the impact of the VIONE deprescribing tool on polypharmacy and cost avoidance when used by primary care physicians and pharmacists in patient aligned care team primary care clinics at Veteran Affairs Southern Nevada Healthcare System in North Las Vegas. The efficacy of the tool was determined by calculating the total amount of medications deprescribed as well as the estimated annualized costs avoided for the health care system.
In a 3-month period, 1060 medications were deprescribed. The total estimated cost avoidance for the facility was $84,030.46.
The VIONE tool may be useful in improving patient safety through deprescribing and discontinuing potentially inappropriate medications. Use of this deprescribing tool also may reduce the cost of care associated with overprescribing.
服用5种或更多药物（多重用药）的患者数量正在增加。多重用药的患者面临药物不良事件、药物相互作用、老年相关综合征、跌倒和住院的风险。
进行了一项回顾性病历审查，以评估VIONE减药工具在北拉斯维加斯内华达州南部退伍军人事务医疗系统的患者协作护理团队初级保健诊所中，由初级保健医生和药剂师使用时对多重用药和成本节约的影响。该工具的有效性通过计算减药的药物总量以及医疗系统估计避免的年度成本来确定。
在3个月的时间里，共减少了1060种药物的使用。该机构估计总共节省了84,030.46美元的成本。
VIONE工具可能有助于通过减少和停用潜在不适当的药物来提高患者安全性。使用这种减药工具还可能降低与过度开药相关的护理成本。
