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Pillboxes and the prevention of medication errors in the elderly

The elderly population is particularly vulnerable to medication errors, due to the polymedication often required to manage chronic illnesses. Pill organizers, as tools for organizing and managing medication, can help prevent these errors from occurring. How can pillboxes help reduce the risk of medication errors in the elderly? 

Polymedication and its challenges

Polymedication, defined as taking five or more medications a day, is common among the elderly. It is often necessary to manage chronic conditions such as hypertension, diabetes, heart disease and arthritis. However, this complexity increases the risk of medication errors, which can have serious, even fatal, consequences.

Specific risks

Drug interactions represent a major risk, as they can alter the effectiveness of medications or lead to dangerous side effects. Non-compliance is common, with patients forgetting to take their medication, taking incorrect doses or switching between different drugs. Each drug has its own side effects, and when combined, these effects can compound and worsen the patient's condition. Finally, inappropriate prescriptions, due to prescription errors or misunderstanding of prescriptions, also contribute to medication errors.

The impact of pillboxes

Pillboxes help to organize medications in a clear, methodical way, separating them by day and time of day. This organization reduces confusion and makes it easier to follow medical prescriptions.

Pillboxes feature separate compartments for each medication, preventing accidental mixing. They offer simplified visualization, enabling patients and their caregivers to check at a glance whether medication has been taken. Some pillboxes, combined with a mobile application such as Kimed, incorporate audible or visual reminders to indicate when medication should be taken, helping to maintain a regular medication routine.

Secure pillboxes encourage better compliance by providing regular reminders and simplifying the process of taking medication. This is particularly useful for the elderly, who may have memory problems or difficulty following complex medication regimens.

Pill dispensers also facilitate the work of caregivers, enabling them to prepare medication in advance and easily check that doses have been taken. This reduces stress and workload for caregivers, while ensuring that patients receive their medication correctly.

Types of pillboxes available

Pillboxes come in a variety of types, each tailored to specific needs. For example, weekly pillboxes are designed to organize medication over an entire week, with compartments for each day. Daily pillboxes, on the other hand, have compartments for different times of the day, which is particularly useful for medicines to be taken at specific times. Secure pillboxes, combined with a mobile application, represent a significant step forward: they feature reminder functions via notifications on your smartphone. 

Best practices for pill dispenser use

The preparation of pillboxes by pharmacists is an essential step in ensuring that medications are properly organized according to medical prescriptions. Pharmacists check prescriptions to ensure that all necessary medications are included, organize medications in the appropriate compartments according to day and time of use, and label pillboxes to ensure essential traceability. A double check is carried out to guarantee the accuracy of preparation, thus ensuring safe medication management.

Training patients and their caregivers in the correct use of pillboxes is essential to maximize their effectiveness. This includes explaining how the pillbox works, how to fill and organize the compartments, clarifying the precise times for taking medication, helping them to recognize medications and understand their usefulness, as well as mobile applications to help them remember to take their medication.

Regular monitoring by healthcare professionals is essential to adapt treatments to the patient's evolving state of health. This may include home visits, telephone consultations or pharmacy appointments. Monitoring includes reviewing pillboxes to check that medicines have been taken correctly, talking to the patient to discuss any difficulties encountered and side effects, and adjusting treatments if necessary to improve efficacy and reduce side effects. This follow-up can be carried out using mobile compliance applications connected to the pharmacy and dedicated to liberal nurses or family carers.

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70-year-old patient

I am patient

Darn! I forgot to take my medicine again this morning. I heard on the radio that this could have serious consequences and lead to serious health problems. I spoke to my pharmacist about it and he told me that there was a new application that allows you to receive tailored notifications. and that an official study was underway to demonstrate its effectiveness. I thought it was a good idea, so I decided to use it. This application is connected to the pharmacy, and I can also send my prescription by secure messaging. Buy Medipac
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caregiver

I'm a caregiver

I'm worried about my father Paul, who lives alone, takes a lot of medication and wants to continue making his pillboxes as always. Lately, he's been suffering from memory loss and can't see very well.

How can I be sure that my dad isn't making a mistake when he's making his pillbox? I read in an article that my dad's plastic pillboxes had been replaced by secure pillboxes, and that an official study had demonstrated their effectiveness within the first month of use.

I looked on the internet and saw that you could order a box of 12 Medipac pillboxes and have them delivered directly to the pharmacy so that the pharmacist could prepare them. I find this very practical and, above all, very reassuring for my father. 

What's more, I can download an app connected to the pharmacy to monitor my father's treatment and communicate directly with his pharmacist.

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caregiver

I'm a professional caregiver

I've been helping Madeleine take her morning medication since she was hospitalized for diabetes. Her daughter Catherine wonders if the hospitalization was due to forgetting or overdosing.

Her daughter Catherine spoke to Madeleine's pharmacist, who offered to prepare her mother's medication in secure pillboxes, pointing out that an official study had demonstrated efficacy within the first month of use.

Catherine is reassured and has asked me to scan the Medipac QR code each time I visit to confirm that Madeleine has taken her medication.

In this way, Catherine and the pharmacist work together to ensure that everything runs smoothly.

pharmacist

I'm a pharmacist

I've been in business for a few years now, and I can see that many of my patients don't renew all their medications "because they still have some". 

I read in the trade press that a 2023 study shows that compliance among chronic patients in France is 32%, even though 100% of chronic patients believe they are taking their medication correctly. In this study, patients ask for more dialogue with the pharmacist and for simple, concrete and sustainable solutions.

I contacted Medissimo who suggested a web application to monitor the treatment of my chronic patients. This is useful for providing better support and developing interprofessional relations with doctors and nurses thanks to the shared compliance assessment.

Download the Medissimo Pharmacist application

medissimo nurse

I'm a nurse

I have a private practice and look after Paul, who lives alone at home. Every day, one of us adjusts his insulin doses. But Paul also suffers from heart failure. And even though Paul retains a certain degree of autonomy, we have to prepare his medication in pillboxes every week.

Her treatment requires constant monitoring, regular adjustments and excellent compliance. His pharmacist suggested a mobile application for this purpose. No more wasting time chasing prescriptions or picking up a missing box at the pharmacy, I can now exchange information quickly with him.

But above all, in just a few clicks, I can enter Paul's treatment data and edit his compliance assessment and I share it with the pharmacist and the doctor to review his treatment.

It's very useful for the quality of my care and my relations with doctors.

doctor

I'm a general practitioner and I have a lot of chronic patients undergoing heavy treatment.

I heard on the radio that a recent study shows that in France, 100% of chronic patients over 60 think they are compliant, whereas only 32% are. How can I help my patients to be more compliant with their prescriptions?

In this study, patients ask for more dialogue with their healthcare professionals, and for simple, concrete and sustainable solutions.

I spoke to pharmacists about it, and they told me that Medissimo offers simple solutions to suit different patient profiles.

For my patients who forget to take their medication, I recommend the Kimed application connected to the pharmacy, which enables them to receive tailored notifications and generates a compliance report in the DMP, which is very useful for monitoring treatment.

For those who take a lot of medication, I recommend the Medipac® pillboxes pillboxes, prepared by the pharmacist to simplify dosing and avoid oversights, errors or contamination. People who use them have a 98% success rate. The pill dispenser's QR code can be used to record compliance and generate a compliance report in the DMP.

I find it very reassuring to share the shared compliance assessment Medissimo to review my patients' treatments.

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standard

Standard carts for MONO28 pillboxes®MEDIPAC® and MEDIPAC® PLUS

Recommended when organizing shared medication baskets (sachets, liquids, etc.)

Patients Mono28 Medipac Medipac plus
M2 25 64 24
M3 45 96 48
M4 65 128 72
Book #26780

Tray carts for MONOPLUS pillboxes® or MULTIPLUS®

Recommended for organizations with no drug storage area (all drugs in the cart for 7 days)

For 14 patients
For 28 patients

Rack carts for MONOPLUS pill dispensers®

Recommended for use with nominative lockers (dose and non-dose drugs together)

Patients Monoplus for 1 or 2 days Dose sachet for 7 days
M2 36 48
M3 48 72
M4 60 96

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medipac

The Medipac solution to simplify medication administration

The Medipac solution offers you the safety and convenience of a pharmacy-prepared, ready-to-use treatment. This solution helps you take your medication properly, which in turn helps your doctor adjust your treatment for better long-term health results. With this solution, you'll improve your compliance to protect your health.

The Medipac solution includes a secure pill dispenser connected to the pharmacy application by a QR code. The solution can integrate an application for caregivers. The data is fed into a compliance report for discussion with the pharmacist and review of treatment with the doctor. Use is free of charge.

semi-autonomous patient

The Kimed solution to protect yourself from forgetting to take your medication

The Kimed solution helps you to take your medication properly, which in turn enables your doctor to adjust your treatment for better long-term health results. With this solution, you'll improve your compliance to protect your quality of life.

The Kimed solution connects a patient application to a pharmacy application. The patient receives notifications to prevent forgetfulness and provide information on compliance, side effects and additional medication taken. The data is fed into a compliance report, which can be discussed with the pharmacist and the treatment reviewed with the doctor. Use is free of charge.

autonomous patient

Monoplus

This detachable pill dispenser allows you to repackage medications by dose, but separately, for one week. Ideal for storage in nominative compartments.

Documentation

MULTIPLUS®. 7 days treatment per dose

MULTIPLUS® packs all your medications in a single dose for one week. The MULTIPLUS® pill dispenser is useful for institutional use when the original blister pack needs to be preserved, and the individual drugs do not need to be isolated from each other.

Mono28

This non-detachable pill dispenser allows you to repackage medications by time of use, for one month. Ideal for frequent medication changes.

Documentation

MEDIPAC PLUS® The largest

MEDIPAC PLUS® is a pill dispenser with deep compartments. It enables the preparation of medicines while retaining the pharmaceutical laboratory's unit packaging. The MEDIPAC®PLUS plus pill dispenser is ideal for patients taking bagged medication.
Documentation

MEDIPAC® Simple as a paperback

Acid blue, MEDIPAC® can be seen from afar and slipped in anywhere to keep your patients' medicines tidy.
Documentation

MEDIPAC BOX® Its strength lies in its unobtrusiveness

The box contains a week's worth of pre-detached and non-pill doses, plus the prescription.
Documentation

Compliance assessment

The compliance report is a summary table of medication taken, enabling treatments to be re-evaluated from the Pharmacist App and the Establishment App.

The assessment is available for each patient on the nursing and pharmacy applications.

The assessment provides a global and detailed view of compliance, and helps to better understand the reasons for non-administration at any given time. The physician's analysis of the assessment enables him/her to take action to encourage proper use of the medication.

Assessment of proper use

The "bilan de bon usage" is a set of summary tables used to identify at-risk patients and drugs from the Medissimo Pharmacien app.

The balance sheet is available to the establishment on the pharmacy application.

The assessment provides an overall view of the risks associated with medication at any given time. The physician's analysis of the assessment enables him/her to take action to promote the proper use of medication.

The MEDISSIMO platform offers a secure, traceable treatment service for patients at home and in residential care, including pillboxing of medicines in the pharmacy and treatment monitoring in cooperation with healthcare professionals and their families.

The platform brings together the pharmacist, who delivers the treatment with full traceability, and the patient or his or her homecare assistant, who fills in the dosages from the MEDIPAC® pillbox prepared by a healthcare professional, and the nurse, who monitors the treatment in liaison with the pharmacist and the family, and informs the doctor in the event of a medication risk.

In line with the public health priority defined in the national health strategy, the pharmacist - nurse - attending physician triad is at the heart of the platform designed by MEDISSIMO, with the aim of promoting the proper use of medicines.

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