Development of a computer system to support medication reviews in nursing homes

被引：19
作者：
de Wit, Hugo A. J. M. [1 ]
Gonzalvo, Carlota Mestres [1 ]
Hurkens, Kim P. G. M. [2 ]
Mulder, Wubbo J. [2 ]
Janknegt, Rob [1 ]
Verhey, Frans R. [3 ]
Schols, Jos M. G. A. [4 ,5 ]
van der Kuy, Paul-Hugo M. [1 ]
机构：
[1] Orbis Med Ctr, Dept Clin Pharm & Toxicol, NL-6162 BG Sittard Geleen, Netherlands
[2] Maastricht Univ Med Ctr, Dept Internal Med, Maastricht, Netherlands
[3] Maastricht Univ, Sch Mental Hlth & Neurosci, Alzheimer Ctr Limburg, Dept Psychiat & Neuropsychol, Maastricht, Netherlands
[4] Maastricht Univ, CAPHRI Sch Publ Hlth & Primary Care, Dept Gen Practice, Maastricht, Netherlands
[5] Maastricht Univ, CAPHRI Sch Publ Hlth & Primary Care, Dept Hlth Serv Res, Maastricht, Netherlands
来源：
INTERNATIONAL JOURNAL OF CLINICAL PHARMACY | 2013年 / 35卷 / 05期
关键词：
Clinical decision support systems; Decision support techniques; Medication reconciliation; Nursing homes; Pharmacovigilance; Polypharmacy; ELDERLY-PATIENTS; POLYPHARMACY;
D O I：
10.1007/s11096-013-9827-3
中图分类号：
R9 [药学];
学科分类号：
1007 ;
摘要：
The frail elderly populations of nursing homes frequently use drugs and suffer from considerable comorbidities. Medication reviews are intended to support evidence based prescribing and optimise therapy. However, literature is still ambiguous regarding the optimal method and the effects of medication reviews. Innovative computerised systems may support the medication reviews in the future. We are developing a clinical decision support system (CDSS) that, independently of the prescribing software, continuously monitors all prescribed drugs while taking into account co-medication, laboratory-data and co-morbidities. The CDSS will be developed in five phases: (1) development of the computerised system, (2) development of the clinical rules, (3) validation of the CDSS, (4) randomised controlled trial, and (5) feasibility for implementation in different nursing homes. The clinical decision support system aims at supporting the traditional medication review.
引用
收藏
页码：668 / 672
页数：5
相关论文
共 19 条
[1]   Interventions to optimise prescribing for older people in care homes [J].
Alldred, David P. ;
Raynor, David K. ;
Hughes, Carmel ;
Barber, Nick ;
Chen, Timothy F. ;
Spoor, Pat .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2013, (02)
[2]  
[Anonymous], OP DAT
[3]   Medication reviews [J].
Blenkinsopp, Alison ;
Bond, Christine ;
Raynor, David K. .
BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 2012, 74 (04) :573-580
[4]   Underprescription of beneficial medicines in older people: Causes, consequences and prevention [J].
Cherubini A. ;
Corsonello A. ;
Lattanzio F. .
Drugs & Aging, 2012, 29 (6) :463-475
[5]   Prescribing Optimization Method for Improving Prescribing in Elderly Patients Receiving Polypharmacy Results of Application to Case Histories by General Practitioners [J].
Drenth-van Maanen, A. Clara ;
van Marum, Rob J. ;
Knol, Wilma ;
van der Linden, Carolien M. J. ;
Jansen, Paul A. F. .
DRUGS & AGING, 2009, 26 (08) :687-701
[6]  
Dutch Healthcare Inspectorate, BEOORD MED
[7]   Effects of a computerized decision support system on pressure ulcers and malnutrition in nursing homes for the elderly [J].
Fossum, Mariann ;
Alexander, Gregory L. ;
Ehnfors, Margareta ;
Ehrenberg, Anna .
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, 2011, 80 (09) :607-617
[8]   Inappropriate prescribing in the elderly [J].
Gallagher, P. ;
Barry, P. ;
O'Mahony, D. .
JOURNAL OF CLINICAL PHARMACY AND THERAPEUTICS, 2007, 32 (02) :113-121
[9]   Prevention of Potentially Inappropriate Prescribing for Elderly Patients: A Randomized Controlled Trial Using STOPP/START Criteria [J].
Gallagher, P. F. ;
O'Connor, M. N. ;
O'Mahony, D. .
CLINICAL PHARMACOLOGY & THERAPEUTICS, 2011, 89 (06) :845-854
[10]   Inappropriate prescribing in an acutely ill population of elderly patients as determined by Beers Criteria [J].
Gallagher, Paul F. ;
Barry, Pat J. ;
Ryan, Cristin ;
Hartigan, Irene ;
O'Mahony, Denis .
AGE AND AGEING, 2008, 37 (01) :96-101
12