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Published on: December 11, 2016
A computerized system for identifying and informing physicians about problematic drug use in nursing homes
M H Beers1, S F Fingold, J G Ouslander
1Merck and Co., Inc., West Point, PA 19486.
Journal of Medical Systems
|December 1, 1992
Summary
This study introduces a computerized drug review system to improve medication quality in nursing homes. The system identifies inappropriate prescriptions and provides educational feedback to healthcare professionals, enhancing geriatric pharmacologic care.
Area of Science:
- Geriatric Pharmacology
- Health Informatics
- Medication Safety
Background:
- Growing concerns regarding medication quality in nursing homes.
- Limitations of traditional pharmacy consultation in controlling inappropriate drug use.
Purpose of the Study:
- To introduce a novel computerized drug utilization review (DUR) system for nursing homes.
- To enhance the quality of medication use among elderly residents.
Main Methods:
- Development of a DUR system using expert-consensus criteria for geriatric pharmacologic needs.
- Evaluation of medication appropriateness and identification of prescription patterns.
- Generation of educational statements for physicians and nurses.
- Creation of medication order forms to guide individual drug evaluation.
Main Results:
- The system quantifies the frequency of inappropriate prescriptions.
- Provides targeted educational feedback to prescribing physicians.
- Offers educational materials for nurses on geriatric pharmacology.
- Facilitates focused physician attention on individual medication review.
Conclusions:
- Computerized DUR systems offer an effective method for improving medication quality in nursing homes.
- Educational feedback and structured order forms can enhance prescribing practices for elderly residents.
- This system addresses specific pharmacological needs of the geriatric population in long-term care settings.
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