EUROAGEISM H2020 FIP7 Training School in Tampere, Finland 2019

EUROAGEISM H2020

„RATIONAL PRESCRIBING IN OLDER PATIENTS IN EUROPE AND OTHER COUNTRIES: core role of development of clinical pharmacy services in different settings of care for better individualization of drug regimens in older patients"

Tampere University, Tampere, Finland, February 2019

 

FIP7 program of the EUROAGEISM Horizon 2020 project focuses on “Inappropriate prescribing in older patients in different settings of care in Europe and other countries and on availability of medication safety and medication management services in older patients”. Chair of this program Daniela Fialová from the Faculty of Pharmacy, Charles University, Czech Republic and main ESR7- Jovana Brkič manage this project within 15 research programmes of the European EUROAGEISM Consorcium. As one of the most effective ways how to reduce inappropriate prescribing in older patients is to systematically develop medication safety and medication management services for older adults in different settings of care, the training event in Tampere focused on important role of clinical pharmacists in individualization of drug regimens in complex older patients and on strategies how to develop clinical pharmacy services in different settings of care in Central and Eastern Europe. Utilization of explicite and implicite tools helping to reduce inappropriate and potentially inappropriate prescribing in daily work of clinical pharmacists has been also discussed.

FIP7 training event was held on February 8-9th, 2019 at Tampere University, Finland and was followed by two scientific meetings of researchers of FIP7 EUROAGEISM program on Feb 10-11th, 2019. EUROAGEISM Consorcium meeting with Project Officer from Brussels and the meeting of main ESRs (early stage researchers) involved in 15 scientific programs of the EUROAGEISM project followed on Feb 12-15th, 2019. Researchers and practicioners mainly from Central and Eastern Europe participated at the Training school, namely from the Czech Republic, Estonia, Serbia, Belgium, Croatia and Turkey. Experienced speakers were invited from Belgium, Finland, Czech Republic and Ireland.

The first two invited lectures of Julie Hias (speaker for the ESCP instead of President of the ESCP Bart van dem Bemt who sent cordial greetings to this event) and Annemie Somers from the University hospital in Leuven and Ghent University hospital, Belgium, provided information about current development, availability and practical aspects of clinical pharmacy services in older patients in acute care and ambulatory care practices. They gave examples of tools useful for daily clinical practice in these two settings of care and practiced with participants applicability of these tools during workshops. Other two invited lectures of Finnish speakers, Marja Airaksinen and Maarit Dimitrow were devoted to practical aspects of development of medication safety and medication management services in Finland in nursing homes and home care. Maarit Dimitrow futher trained with participants use of practical tools for identification of first medication related problems by nurses that should refer older adults to clinical pharmacists for comprehensive medication review and appropriate adjustments of drug regimens.

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The second day of FIP7 Training school was devoted to principles of individualization of drug regimens. Chair of FIP7 program Daniela Fialová lectured about specific features of individualization of drug regimens in geriatric patients and on changes in the therapeutic value of drugs in older adults that should always be considered during rational drug prescribing. Jiří Vlček from the Czech Republic continued with his lecture about implicit evaluation of drug regimens and risk management algorhitms. Cristín Ryan in her conclusive talk compared differences in applicability and content validity of explicit tools of potentially inappropriate prescribing in older adults and their usefullness in clinical practice and research.

Clinical pharmacy services for older patients are less or even not developed in some Central and Eastern European countries and more systematic approach to ensure individualization of drug regimens and availability of medication safety and medication management services for older adults is necessary. The organized Training school of FIP7 EUROAGEISM H2020 program contributed to understanding of differences in various stages of development of clinical pharmacy services in different settings of care in Central and Eastern Europe, emphasized rational principles of drug prescribing in older patients and stimulated lively discussions of participants and speakers on future ways how to improve appropriateness of drug prescribing and availability of clinical pharmacy services in this European region. Participants got familiar with practical tools and methods helping to individualize drug regimens in older adults.  

The training school continued with two scientific meetings of FIP7 EUROAGEISM H2020 program. Here have been discussed ongoing research works, data collection, data management and harmonogram of research works for 2019-2020 years. Main ESR of FIP7 program Jovana Brkič gave presentation summarizing narrative literature review of published scientific papers on inappropriate prescribing and PIM use in older patients in different countries participating in FIP7 program of the EUROAGEISM H2020 project. Country-specific presentations of ESRs from Central and Eastern Europe followed, namely presentations from Serbia, Turkey, Bulgaria, Estonia, Croatia, Czech Republic and Slovac Republic.

The FIP7 EUROAGEISM H2020 Training school emphasized importance of specific geriatric and clinical pharmacy knowledge for individualization of drug regimens in older patients in Europe and importance of well-developed professional clinical pharmacy services in different settings of care for this population. It highly contributed to understanding of the situation with low availability of medication safety and medication management services in different settings of care, particularly in Central and Eastern European countries. All information will be in future months summarized and published in a review scientific paper and in policy reports for FIP7 EUROAGEISM H2020 program.

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Author: FIP7 team of the EUROAGEISM H2020 project

Program

Program (PDF)

Friday 8. 2. 2019

11.00-11.15
Opening of the EUROAGEISM H2020 FIP7 Training School
Daniela Fialová, Czech Republic
J. Brkič, ESR7
FIP7 EUROAGEISM H2020 program
Greetings from the EUROAGEISM H2020 Consorcium and the European Society of Clinical Pharmacy (ESCP)

11.15-11.45
Development of clinical pharmacy services for older ambulatory patients-important strategy how to reduce drug-related hospitalizations (lecture+ discussion)
Julie Hias, Belgium (ESCP speaker)

11.45-12.45
Practical tools used by clinical pharmacists in ambulatory care setting to improve rationality of drug prescribing in older patients (workshop)
Julie Hias, Belgium

12.45-13.15 Lunch time

13.15-13.45
Development of clinical pharmacy services for older patients in acute care- strategies and practical experiences how to reduce drug risks in older adults in acute hospitalizations
Annemie Somers, Belgium (lecture + discussion)

13.45-14.45
Practical demonstration of tools used in the work of clinical pharmacists in acute care setting (workshop)
Annemie Somers, Belgium

14.45-15.00 Coffee break

15.00-15.30 
Development of clinical pharmacy services for older patients in nursing homes and home care- importance of cooperation of clinical pharmacists and nurses in appropriate geriatric pharmacotherapy (lecture + discussion)
Marja Airaksinen, Finland

15.30-16.30   
Practical demonstration of tools helping to involve nurses in primary screening of pharmacotherapy problems in older adults in home care (workshop)
Maarit Dimitrow, Finland

16.30   End of the 1st Day of the Traning School

19.00   Dinner

Saturday 9. 2. 2019

10.00  
Introduction of the 2nd day of  EUROAGEISM H2020 FIP7 Training School
Daniela Fialová, Czech Republic

10.00-11.45   
Specific features of rational geriatric pharmacotherapy- physiological and pharmacological changes in older patients, changes in the therapeutic value of drugs in the aged and their applicability in daily clinical practice (lecture + practical examples on patient cases)
Daniela Fialová, Czech Republic

11.45- 13.30  
Implicit evaluation of drug regimens, specific tools and importance of clinical pharmacy knowledge and skills in adequate medication reviews (lecture+ practical examples on patient cases)
Jiří Vlček, Czech Republic

13.30-14.30 Lunch break

14.30 Moving to meeting room in Scandic Station Tampere hotel, Tampere, Finland

15.00- 16.30  
Usefullness and applicability of explicite tools in the evaluation of quality of drug prescribing in clinical practice and research (lecture+ discussion)
Cristín Ryan, Ireland

16.30-17.00 Discusssion

17.00 End of the Training School

19.00 Dinner

 

EU  This event has received funding from the European Union’s Horizon 2020 research and innovation programme under the MCSF grant agreement No 764632.

© Charles University, Faculty of Pharmacy in Hradec Králové, Akademika Heyrovského 1203, 500 05 Hradec Králové, Czech Republic
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