Medication-Related Hospital Admissions and Emergency Department Visits in Older People with Diabetes: A Systematic Review.

Limited data are available regarding adverse drug reactions (ADRs) and medication-related hospitalisations or emergency department (ED) visits in older adults with diabetes, especially since the emergence of newer antidiabetic agents. This systematic review aimed to explore the nature of hospital admissions and ED visits that are medication-related in older adults with diabetes. The review was conducted according to the PRISMA guidelines. Studies in English that reported on older adults (mean age ≥ 60 years) with diabetes admitted to the hospital or presenting to ED due to medication-related problems and published between January 2000 and October 2023 were identified using Medline, Embase, and International Pharmaceutical Abstracts databases. Thirty-five studies were included. Medication-related hospital admissions and ED visits were all reported as episodes of hypoglycaemia and were most frequently associated with insulins and sulfonylureas. The studies indicated a decline in hypoglycaemia-related hospitalisations or ED presentations in older adults with diabetes since 2015. However, the associated medications remain the same. This finding suggests that older patients on insulin or secretagogue agents should be closely monitored to prevent potential adverse events, and newer agents should be used whenever clinically appropriate.

The Differences in Perceptions of Interprofessional Education Among Health Profession Students: The Indonesian Experience.

PURPOSE: Interprofessional education (IPE) is defined as a practice of collaboration between two or more students from different health profession programs in which the students study with and about, and learn from, each other. IPE is an educational method that trains students to perform in terms of good communication and teamwork which will be useful for the implementation of interprofessional collaboration (IPC) at health-care facilities. The aim of this study is to identify the perceptions of medicine and health profession students on IPE at Universitas Syiah Kuala, Indonesia. MATERIALS AND METHODS: This study was conducted in five health profession programs at Universitas Syiah Kuala, Indonesia. Data were collected using a questionnaire which was then distributed to 286 students sampled with a stratified random sampling method. Analyses were conducted by using a univariate statistical analysis to observe students' perceptions of IPE. Students were considered to have a positive perception if their total score was above the median score. RESULTS: More than half of the students (51.4%) in this study had a positive perception toward IPE. However, upon exploration of students' perceptions separately for each study program, only a minority of medical students responded with a positive perception toward IPE (37%). In contrast, the majority of students from dentistry, psychology, nursing, and pharmacy study programs showed a positive perception of IPE, with the pharmacy study program being the program with the highest proportion of students who showed a positive perception (62.5%, 53.5%, 56.4%, and 75%, respectively). CONCLUSION: The majority of medical students show a negative perception toward IPE in contrast to students from other health profession programs at Universitas Syiah Kuala. The pharmacy study program shows the highest proportion of students with a positive perception among all other students.