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International Journal of Clinical Pharmacy

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01-10-2013 | Commentary

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

Authors: 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

Published in: International Journal of Clinical Pharmacy | Issue 5/2013

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.

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Title: Development of a computer system to support medication reviews in nursing homes
Authors: 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
Publication date: 01-10-2013
Publisher: Springer Netherlands
Published in: International Journal of Clinical Pharmacy / Issue 5/2013
Print ISSN: 2210-7703
Electronic ISSN: 2210-7711
DOI: https://doi.org/10.1007/s11096-013-9827-3

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