Quality of prescribing in Belgian nursing homes: an electronic assessment of the medication chart

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Monique M ElseviersLuc Van Bortel

Abstract

To develop a computerized assessment tool for monitoring the quality of prescribing in Belgian nursing homes. In a observational cross-sectional study of the medication charts of nursing home residents, potentially inappropriate medication (PIM) was investigated using three scoring systems for the elderly (Beers, ACOVE, BEDNURS) complemented with a list of drug-drug interactions. A representative stratified sample of Belgian nursing homes (n = 76). A random sample of nursing home residents with a complete data set (n = 1730) excluding palliative care patients. A combination of PIM scores to assess inappropriate, under- and overprescribing. Included residents had a mean age of 85, 78% were female. They used a mean of 7.1 chronic medications. Most PIMs were detected by the application of the ACOVE criteria for underprescribing with 58% of patients having at least one PIM. Using the BEDNURS and the Beers criteria, at least one PIM was noticed in 56 and 27% of patients, respectively. Patients' characteristics showing a positive relationship with the PIM score were age, female gender, amount of clinical and nursing care problems, number of prescriptions and the use of psychotropic drugs (multiple regression analysis R(2) = 0.332). I...Continue Reading

References

Jan 1, 1976·International Journal of Health Services : Planning, Administration, Evaluation·S Katz, C A Akpom
Oct 17, 2001·Annals of Internal Medicine·N S Wenger, P G Shekelle
May 25, 2002·Journal of the American Geriatrics Society·Joseph T HanlonJudith Garrard
Jan 26, 2008·International Journal of Clinical Pharmacology and Therapeutics·P GallagherD O'Mahony
Jun 24, 2008·Scandinavian Journal of Primary Health Care·Kristina Johnell, Johan Fastbom
Sep 24, 2008·Archives of Internal Medicine·Anne J LeendertseUNKNOWN HARM Study Group
Jun 10, 2009·Pharmacoepidemiology and Drug Safety·Michel WensingJoachim Szecsenyi
Dec 17, 2009·British Journal of Clinical Pharmacology·Cristín RyanStephen Byrne
Dec 17, 2009·Pharmacoepidemiology and Drug Safety·Inger Nordin OlssonPeter Engfeldt
Jun 22, 2010·Pharmacoepidemiology and Drug Safety·Monique M ElseviersLuc Van Bortel
Jan 26, 2011·Age and Ageing·Mathumalar LoganathanAzeem Majeed
Mar 12, 2011·Human Psychopharmacology·Majda AzermaiRobert Vander Stichele
Mar 2, 2012·Journal of the American Geriatrics Society·UNKNOWN American Geriatrics Society 2012 Beers Criteria Update Expert Panel

❮ Previous
Next ❯

Citations

Oct 17, 2015·Computer Methods and Programs in Biomedicine·Kuan Chen ChenShin-Han Tsai
Sep 30, 2015·Australasian Journal on Ageing·Claire Patricia HeppenstallMartin J Connolly
Jun 3, 2015·Menopause : the Journal of the North American Menopause Society·Margery L S GassLynnette Leidy Sievert
May 15, 2015·European Journal of Clinical Pharmacology·Anna Renom-GuiterasPetra A Thürmann
Jul 31, 2016·Journal of the American Medical Directors Association·Lucas MorinKristina Johnell
Feb 17, 2017·Acta Clinica Belgica·Majda AzermaiMirko Petrovic
Mar 9, 2017·The European Journal of General Practice·Hannelore StormsNeree Claes
Dec 21, 2016·Basic & Clinical Pharmacology & Toxicology·Maarten WautersRobert Vander Stichele
Jul 13, 2018·Basic & Clinical Pharmacology & Toxicology·Ivana IvanovaThierry Christiaens
Aug 10, 2016·International Journal of Clinical Pharmacy·Eline TommeleinKoen Boussery
Aug 6, 2020·Pharmacy : Journal of Pharmacy, Education and Practice·Soraya QassemiPhilippe Cestac

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

International Psychogeriatrics
Majda AzermaiRobert Vander Stichele
International Journal of Nursing Terminologies and Classifications : the Official Journal of NANDA International
Koen Van den HeedeWalter Sermeus
© 2021 Meta ULC. All rights reserved