Literature DB >> 23888346

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

Hugo A J M de Wit1, Carlota Mestres Gonzalvo, Kim P G M Hurkens, Wubbo J Mulder, Rob Janknegt, Frans R Verhey, Jos M G A Schols, Paul-Hugo M van der Kuy.   

Abstract

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.

Mesh：

Year:  2013        PMID： 23888346     DOI： 10.1007/s11096-013-9827-3

Source DB:  PubMed          Journal:  Int J Clin Pharm


  16 in total

1.  Polypharmacy, adverse drug reactions, and geriatric syndromes.

Authors:  Bhavik M Shah; Emily R Hajjar
Journal:  Clin Geriatr Med       Date:  2012-05       Impact factor: 3.076

Review 2.  Underprescription of beneficial medicines in older people: causes, consequences and prevention.

Authors:  Antonio Cherubini; Andrea Corsonello; Fabrizia Lattanzio
Journal:  Drugs Aging       Date:  2012-06-01       Impact factor: 3.923

3.  Prevention of potentially inappropriate prescribing for elderly patients: a randomized controlled trial using STOPP/START criteria.

Authors:  P F Gallagher; M N O'Connor; D O'Mahony
Journal:  Clin Pharmacol Ther       Date:  2011-04-20       Impact factor: 6.875

4.  Effects of a computerized decision support system on pressure ulcers and malnutrition in nursing homes for the elderly.

Authors:  Mariann Fossum; Gregory L Alexander; Margareta Ehnfors; Anna Ehrenberg
Journal:  Int J Med Inform       Date:  2011-07-23       Impact factor: 4.046

5.  Medicine based evidence, a prerequisite for evidence based medicine.

Authors:  J A Knottnerus; G J Dinant
Journal:  BMJ       Date:  1997-11-01

Review 6.  Use of clinical decision support systems for kidney-related drug prescribing: a systematic review.

Authors:  Davy Tawadrous; Salimah Z Shariff; R Brian Haynes; Arthur V Iansavichus; Arsh K Jain; Amit X Garg
Journal:  Am J Kidney Dis       Date:  2011-09-23       Impact factor: 8.860

Review 7.  Inappropriate prescribing in the elderly.

Authors:  P Gallagher; P Barry; D O'Mahony
Journal:  J Clin Pharm Ther       Date:  2007-04       Impact factor: 2.512

Review 8.  Interventions to optimise prescribing for older people in care homes.

Authors:  David P Alldred; David K Raynor; Carmel Hughes; Nick Barber; Timothy F Chen; Pat Spoor
Journal:  Cochrane Database Syst Rev       Date:  2013-02-28

9.  In chronic disease, nationwide data show poor adherence by patients to medication and by physicians to guidelines.

Authors:  Sara L Thier; Kristina S Yu-Isenberg; Brian F Leas; C Ron Cantrell; Sandra DeBussey; Neil I Goldfarb; David B Nash
Journal:  Manag Care       Date:  2008-02

10.  Prescribing optimization method for improving prescribing in elderly patients receiving polypharmacy: results of application to case histories by general practitioners.

Authors:  A Clara Drenth-van Maanen; Rob J van Marum; Wilma Knol; Carolien M J van der Linden; Paul A F Jansen
Journal:  Drugs Aging       Date:  2009       Impact factor: 3.923
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  14 in total

1.  Usually Available Clinical and Laboratory Data Are Insufficient for a Valid Medication Review: A Crossover Study.

Authors:  K P G M Hurkens; C Mestres-Gonzalvo; H A J M de Wit; P H M van der Kuy; R Janknegt; F Verhey; J M G A Schols; C D A Stehouwer; B Winkens; W Mulder
Journal:  J Nutr Health Aging       Date:  2016-01       Impact factor: 4.075

Review 2.  Mobile clinical decision support systems and applications: a literature and commercial review.

Authors:  Borja Martínez-Pérez; Isabel de la Torre-Díez; Miguel López-Coronado; Beatriz Sainz-de-Abajo; Montserrat Robles; Juan Miguel García-Gómez
Journal:  J Med Syst       Date:  2014-01-08       Impact factor: 4.460

3.  A fully automated medication review?

Authors:  Hugo A J M de Wit; Carlota Mestres Gonzalvo; Rob Janknegt; Jos M G A Schols; Paul-Hugo M van der Kuy
Journal:  Int J Clin Pharm       Date:  2013-11-27

4.  Computer system to support medication reviews: a good but not new concept.

Authors:  Ivan Karl Bindoff; Gregory Mark Peterson; Colin Curtain
Journal:  Int J Clin Pharm       Date:  2013-11-27

5.  The development of an automated ward independent delirium risk prediction model.

Authors:  Hugo A J M de Wit; Bjorn Winkens; Carlota Mestres Gonzalvo; Kim P G M Hurkens; Wubbo J Mulder; Rob Janknegt; Frans R Verhey; Paul-Hugo M van der Kuy; Jos M G A Schols
Journal:  Int J Clin Pharm       Date:  2016-05-13

Review 6.  Advancing health information technology roadmaps in long term care.

Authors:  Gregory L Alexander; Andrew Georgiou; Kevin Doughty; Andrew Hornblow; Anne Livingstone; Michelle Dougherty; Stephen Jacobs; Malcolm J Fisk
Journal:  Int J Med Inform       Date:  2020-01-24       Impact factor: 4.046

7.  The status of the performance of medication reviews in German community pharmacies and assessment of the practical performance.

Authors:  Claudia Greißing; Katharina Kössler; Johanna Freyer; Lucie Hüter; Peter Buchal; Susanne Schiek; Thilo Bertsche
Journal:  Int J Clin Pharm       Date:  2016-10-25

Review 8.  Adoption of clinical decision support in multimorbidity: a systematic review.

Authors:  Paolo Fraccaro; Mercedes Arguello Casteleiro; John Ainsworth; Iain Buchan
Journal:  JMIR Med Inform       Date:  2015-01-07

9.  To what extent is clinical and laboratory information used to perform medication reviews in the nursing home setting? the CLEAR study.

Authors:  Carlota Mestres Gonzalvo; Kim Pgm Hurkens; Hugo Ajm de Wit; Brigit Pc van Oijen; Rob Janknegt; Jos Mga Schols; Wubbo J Mulder; Frans R Verhey; Bjorn Winkens; Paul-Hugo M van der Kuy
Journal:  Ther Clin Risk Manag       Date:  2015-05-08       Impact factor: 2.423

10.  Using an Electronic Decision Support Tool to Reduce Inappropriate Polypharmacy and Optimize Medicines: Rationale and Methods.

Authors:  Amber Young; June Tordoff; Susan Dovey; David Reith; Hywel Lloyd; Murray Tilyard; Alesha Smith
Journal:  JMIR Res Protoc       Date:  2016-06-10
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