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Mar 9, 2021 · Polypharmacy, medication errors and adverse drug events are frequent among nursing home residents. Errors can occur at any step of the medication use process. We aimed to review interventions aiming at optimization of any step of medication use in nursing homes.
- Anne Spinewine, Perrine Evrard, Carmel Hughes
- 10.1007/s41999-021-00477-5
- 2021
- Eur Geriatr Med. 2021; 12(3): 551-567.
- Study Type and Setting
- Recruitment
- Intervention
- Measures and Data Collection
- Hypothesis and Required Sample Size
- Analysis
The SiMbA-study (“Sicherheit der Medikamentherapie bei AltenheimbewohnerInnen”, Safety of medication therapy in NHRs) was a non-randomized controlled study set in Austrian nursing homes between 2016 and 2018. It was supplemented with a qualitative evaluation of its intervention after the interventional period, which is not part of this paper and wi...
Medication therapy in Austrian nursing homes involves three independent groups of health care professionals: General practitioners (GPs) primarily responsible for the prescription and monitoring of their patients’ medication, nurses who distribute medication and monitor intake and community pharmacies providing the prescribed medication. Consequent...
The intervention aimed to improve medication appropriateness by enhancing and incorporating each professions particular expertise and capabilities within a standardized interprofessional medication review and monitoring process. It utilized HIT to create a formerly non-existent common information basis about NHRs for GPs, pharmacists and nurses, su...
Medication appropriateness was measured using the Medication Appropriateness Index (MAI) . The MAI covers ten aspects of medication appropriateness: indication, effectiveness, dosage, directions correct, directions practical, drug-disease interactions, drug-drug interactions, duplicates, duration and expense. For the SiMbA-study, item 10 (expense) ...
Since there is neither an agreed upon value of MAI that signifies inadequate medication appropriateness nor a definition of what constitutes a meaningful improvement of medication appropriateness (e.g. ), a combined approach was used to define minimal important change of MAI. First, we looked at the MAI itself. Items most relevant to medication app...
Analysis of the MAI focused on changes of MAI scores for long-term medication between t0 and [26, 30]. A variable for the mean change within-group for t1-t0 was calculated and analyzed descriptively. Additionally, effect sizes were calculated for within-group differences (dcohen) as well as for between-group differences (dppc2) . Recent studies ha...
- Johanna Katharina Dellinger, Stefan Pitzer, Dagmar Schaffler-Schaden, Maria Magdalena Schreier, Laur...
- 2020
This report sets out several recommendations under each of the five key themes that will improve the care, safety and quality of medicines use for residents living in care homes.
how well the tools address the problems identified and how they will help to improve medication safety in care homes. Successful improvements will then be rolled out on a larger scale across the sector, improving the quality and safety of care for all care home residents.
- 660KB
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Mar 9, 2021 · Purpose Polypharmacy, medication errors and adverse drug events are frequent among nursing home residents. Errors can occur at any step of the medication use process. We aimed to review...
Oct 22, 2021 · The safety of drug use by nursing-home residents can be impaired by polypharmacy, potentially inappropriate medications (PIM), and neuroleptics, as well as by a lack of adequate interprofessional coordination in the nursing home.
People also ask
How can nursing home residents optimize medication use?
How do nursing-home residents increase drug therapy safety?
Are nursing home residents safe to take drugs?
Can interventions improve nursing home residents' medication appropriateness?
Oct 11, 2021 · The aim of the study was to develop quality standards reflecting minimal requirements for safe medication processes in nursing homes. Design. In a first step, relevant key topics for safe medication processes were deducted from a systematic search for similar guidelines, prior work and discussions with experts.
