title: Evaluation of a web-based tool in screening for medication-related problems in community-dwelling older adults.
abstract: OBJECTIVE
  The primary objective was to evaluate the effectiveness of a Web-based program, Monitor-Rx, in identifying older adults at risk for drug-related geriatric syndromes or inappropriate medicines.
  
  
  METHODS
  This prospective pilot study compared medication related risks generated by the Web-based program with those identified by a certified geriatric pharmacist (CGP).
  
  
  METHODS
  Wisconsin-based community pharmacy serving primarily older adults.
  
  
  METHODS
  29 community-dwelling older adults (mean age: 81.6 years, mean daily medications: 11.7).
  
  
  METHODS
  Each participant received a complete medication history, including self-identified geriatric syndromes. Each participant's demographic information and medications were entered into Monitor-Rx and concurrently reviewed by a CGP.
  
  
  METHODS
  Number of potentially inappropriate medications (PIMs), anticholinergic medicines, and identified geriatric syndromes.
  
  
  RESULTS
  All participants were identified as at risk for falls by Monitor-Rx and the CGP. Significant medication-related risks identified were urinary incontinence, cognition/memory, nutrition, and dental care. Monitor-Rx identified more participants at risk for geriatric syndromes than the CGP; however, PIMs were identified more frequently by the CGP. Twenty-six participants self-identified at least one geriatric syndrome. Prevalence of anticholinergic use was more than 75%.
  
  
  CONCLUSIONS
  In the participants screened, Monitor-Rx was successful at identifying those with a high risk of drug-related geriatric syndromes. An interview was also important to clarify use of the PIM and to identify whether at-risk participants were actually experiencing the drug related geriatric syndromes. Use of the Web-based tool does not supplant the experience of a well-trained geriatric pharmacist and the professional judgment that comes with that experience.
authors.affiliation: Oakwood Village Pharmacy, Madison, WI, USA.
authors.forename: Alan
authors.initials: A
authors.lastname: Lukazewski
authors.forename: Britney
authors.initials: B
authors.lastname: Mikula
authors.forename: Adam
authors.initials: A
authors.lastname: Servi
authors.forename: Beth
authors.initials: B
authors.lastname: Martin
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D020407:Internet; D008297:Male; D008508:Medication Errors; D010865:Pilot Projects