Comprehensive medication review: Development of a collaborative procedure

Saija Leikola, Lea Tuomainen, Sirpa Peura, Antti Laurikainen, Alan Lyles, Eeva Savela, Marja Airaksinen

Research output: Contribution to journalReview article


This commentary describes the development and evidence-base of the Comprehensive Medication Review (CMR) procedure for community and hospital settings in Finland. The development was coordinated by a national steering group. The group collaborated with 26 experienced pharmacists who developed and tested CMR procedures during a 1.5 year accreditation training for CMR. The development consisted of: (1) a literature review and inventory of medication review procedures in different countries; (2) the creation of potential procedures and related documentation; (3) integration of potential procedures into a national standard procedure; and (4) piloting the standard procedure in practice settings. The resulting comprehensive medication review procedure requires access to a patient's clinical information, an inhome patient interview and a case conference with the collaborating physician. This procedure covers the four main dimensions critical for safe and appropriate geriatric pharmacotherapy: aging and safety; co-morbidities; polypharmacy; and adherence. The CMR measures and documentation build on these dimensions.

Original languageEnglish (US)
Pages (from-to)510-514
Number of pages5
JournalInternational Journal of Clinical Pharmacy
Issue number4
StatePublished - Aug 1 2012


  • Elderly
  • Finland
  • Medication review
  • Medication safety
  • Pharmacist
  • Pharmacotherapy

ASJC Scopus subject areas

  • Pharmacy
  • Toxicology
  • Pharmacology
  • Pharmaceutical Science
  • Pharmacology (medical)

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  • Cite this

    Leikola, S., Tuomainen, L., Peura, S., Laurikainen, A., Lyles, A., Savela, E., & Airaksinen, M. (2012). Comprehensive medication review: Development of a collaborative procedure. International Journal of Clinical Pharmacy, 34(4), 510-514.