title: Development of a computer system to support medication reviews in nursing homes.
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.
authors.affiliation: Department of Clinical Pharmacy and Toxicology, Orbis Medical Centre, Dr. H van der Hoffplein 1, 6162 BG, Sittard-Geleen, The Netherlands, hu.dewit@orbisconcern.nl.
authors.forename: Hugo A J M
authors.initials: HA
authors.lastname: de Wit
authors.forename: Carlota
authors.initials: C
authors.lastname: Mestres Gonzalvo
authors.forename: Kim P G M
authors.initials: KP
authors.lastname: Hurkens
authors.forename: Wubbo J
authors.initials: WJ
authors.lastname: Mulder
authors.forename: Rob
authors.initials: R
authors.lastname: Janknegt
authors.forename: Frans R
authors.initials: FR
authors.lastname: Verhey
authors.forename: Jos M G A
authors.initials: JM
authors.lastname: Schols
authors.forename: Paul-Hugo M
authors.initials: PH
authors.lastname: van der Kuy
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003658:Decision Making, Computer-Assisted; D017723:Drug Utilization Review / Q000379:methods*; D006707:Homes for the Aged; D006801:Humans; D008490:Medical Informatics / Q000379:methods*; D059065:Medication Reconciliation / Q000379:methods; D009426:Netherlands; D009735:Nursing Homes; D010593:Pharmaceutical Services; D060735:Pharmacovigilance; D000078329:Workforce