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 50 条
  • [31] Clinical and cost effectiveness of a multi-professional medication reviews in care homes (CAREMED)
    Desborough, James A.
    Clark, Allan
    Houghton, Julie
    Sach, Tracey
    Shaw, Val
    Kirthisingha, Viveca
    Holland, Richard C.
    Wright, David J.
    INTERNATIONAL JOURNAL OF PHARMACY PRACTICE, 2020, 28 (06) : 626 - 634
  • [32] Factors influencing PRN medication use in nursing homes
    Julie A. Stokes
    David M. Purdie
    Michael S. Roberts
    Pharmacy World and Science, 2004, 26 : 148 - 154
  • [33] Factors influencing PRN medication use in nursing homes
    Stokes, JA
    Purdie, DM
    Roberts, MS
    PHARMACY WORLD & SCIENCE, 2004, 26 (03): : 148 - 154
  • [34] Medication use in Italian nursing homes: preliminary results from the national monitoring system
    Zito, S.
    Poluzzi, E.
    Pierantozzi, A.
    Onder, G.
    Da Cas, R.
    Ippoliti, I.
    Lunghi, C.
    Cangini, A.
    Trotta, F.
    FRONTIERS IN PHARMACOLOGY, 2023, 14
  • [35] Clinical Decision Support Systems in Nursing Homes: A Scoping Review
    Abdellatif, Abir
    Bouaud, Jacques
    Nghiem, Duy
    Lafuente-Lafuente, Carmelo
    Belmin, Joel
    Seroussi, Brigitte
    DIGITAL PERSONALIZED HEALTH AND MEDICINE, 2020, 270 : 542 - 546
  • [36] Rethinking potentially inappropriate medication use in nursing homes within the Chinese population
    Lin, Yu-Ning
    Tsai, Hsiu-Hsin
    Huang, Hsiu-Li
    Chang, Yue-Cune
    Shieh, Wann-Yun
    GERIATRIC NURSING, 2020, 41 (06) : 724 - 729
  • [37] Medication use in nursing homes in Iceland 2002-2004. A descriptive study
    Hansdottir, Helga
    Gudmannsson, Petur G.
    LAEKNABLADID, 2013, 99 (09): : 383 - 389
  • [38] Medication reviews for nursing home residents to reduce mortality and hospitalization: systematic review and meta-analysis
    Wallerstedt, Susanna M.
    Kindblom, Jenny M.
    Nylen, Karin
    Samuelsson, Ola
    Strandell, Annika
    BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 2014, 78 (03) : 488 - 497
  • [39] Selected safety-relevant medication processes in Swiss nursing homes: Current state of affairs and optimization potentials
    Niederhauser, Andrea
    Bruehwiler, Lea D.
    Fishman, Liat
    Schwappach, David L. B.
    ZEITSCHRIFT FUR EVIDENZ FORTBILDUNG UND QUALITAET IM GESUNDHEITSWESEN, 2019, 146 : 7 - 14
  • [40] Barriers and Facilitators of Conducting Medication Reviews in Nursing Home Residents: A Qualitative Study
    Wouters, Hans
    Foster, Juliet M.
    Ensink, Anne
    O'Donnell, Lisa Kouladjian
    Zuidema, Sytse U.
    Boersma, Froukje
    Taxis, Katja
    FRONTIERS IN PHARMACOLOGY, 2019, 10
12345