# Spanish pharmacists advocate for medication safety > Live situation record from CLSTR: https://clstr.news/situations/spanish-pharmacists-advocate-for-medication-safety > Updated: 2026-10-14T01:15:13.000Z. Sources: 7. Developments: 2. The Spanish Society of Primary Care Pharmacists (Sefap) has initiated efforts to improve patient safety by addressing improper medication management. The organization launched the ‘La necesidad invisible’ campaign to promote medication reviews in outpatient settings and advocate for the identification of “prescription cascades.” These cascades occur when secondary symptoms are misinterpreted as new conditions, leading to the unnecessary addition of medications and increased polypharmacy risks. Building on these safety initiatives, Sefap president Mercedes Pereira has emphasized the importance of pharmacists reviewing “legacy prescriptions.” These are treatments originally intended for limited durations that persist as chronic medications without adequate re-evaluation. Pereira noted that pharmacists work to identify and propose adjustments—such as the reduction, withdrawal, or substitution of drugs—through coordination with medical and nursing teams, rather than replacing clinical decision-makers. ## Timeline ### 2026-10-14: SEFAP highlights role of pharmacists in reviewing legacy prescriptions SEFAP president Mercedes Pereira emphasizes the role of primary care pharmacists in reviewing legacy prescriptions to ensure medication necessity, safety, and efficacy through clinical coordination. 2 sources. https://clstr.news/cluster/sefap-highlights-role-of-pharmacists-in-reviewing-legacy-prescriptions ### 2026-09-29: Sefap promotes identifying prescription cascades to improve patient safety Sefap is promoting the identification of prescription cascades in primary care to prevent unnecessary polypharmacy and improve patient safety, supported by research from The BMJ. 6 sources. https://clstr.news/cluster/sefap-promotes-identifying-prescription-cascades-to-improve-patient-safety --- Cite as: Spanish pharmacists advocate for medication safety. CLSTR, https://clstr.news/situations/spanish-pharmacists-advocate-for-medication-safety