Supporting clinical rules engine in the adjustment of medication (SCREAM): protocol of a multicentre, prospective, randomised study
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- 作者：Carlota Mestres Gonzalvo ; Hugo A. J. M. de Wit ; Brigit P. C. van Oijen…
- 关键词：Polypharmacy ; Medication therapy management ; Decision support systems management ; Aged ; Medication review
- 刊名：BMC Geriatrics
- 出版年：2017
- 出版时间：December 2017
- 年：2017
- 卷：17
- 期：1
- 全文大小：633KB
- 刊物主题：Geriatrics/Gerontology; Aging; Rehabilitation;
- 出版者：BioMed Central
- ISSN：1471-2318
- 卷排序：17
文摘
BackgroundIn the nursing home population, it is estimated that 1 in every 3 patients is polymedicated and given their considerable frailty, these patients are especially prone to adverse drug reactions. Clinical pharmacist-led medication reviews are considered successful interventions to improve medication safety in the inpatient setting. Due to the limited available evidence concerning the benefits of medication reviews performed in the nursing home setting, we propose a study aiming to demonstrate a positive effect that a clinical decision support system, as a health care intervention, may have on the target population. The primary objective of this study is to reduce the number of patients with at least one event when using the clinical decision support system compared to the regular care. These events consist of hospital referrals, delirium, falls, and/or deaths.