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

Hugo A.J.M. De Wit*, 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

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

20 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)668-672
Number of pages5
JournalInternational Journal of Clinical Pharmacy
Volume35
Issue number5
DOIs
Publication statusPublished - Oct 2013
Externally publishedYes

Bibliographical note

Funding Information:
Funding SCREEN-study supported by a grant from ZonMw (the Netherlands Organisation for Health Research and Development, Grant number: 113101001).

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