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An Internet-Based Method for Extracting Nursing Home Resident Sedative Medication Data From Pharmacy Packing Systems:
Tristan Ling1, Peter Gee1, Juanita Westbury2
1Unit for Medication Outcomes Research and Education, Division of Pharmacy, School of Medicine, University of Tasmania, Hobart, Australia.
Journal of Medical Internet Research
|August 6, 2017
Summary
This study developed an electronic system to accurately collect nursing home medication data from pharmacies, enabling national expansion of sedative reduction programs.
Area of Science:
- Gerontology
- Health Informatics
- Pharmacology
Background:
- Inappropriate sedative use in nursing homes is a long-standing issue.
- The Reducing Use of Sedatives (RedUSe) project aimed to reduce sedative use.
- Scalable data collection was needed to expand the RedUSe project nationally.
Purpose of the Study:
- To develop and evaluate an electronic method for national-scale data extraction and enrichment of psychotropic medication use in nursing homes.
Main Methods:
- An application extracted resident and medication data from community pharmacy systems.
- Medication codes were converted to Australian Medicines Terminology and Anatomical Therapeutic Chemical (ATC) codes.
- Antipsychotics and benzodiazepines were automatically identified, quantified, and validated online.
Main Results:
- Electronic data uploads were successful for 94.6% of nursing homes.
- An average of 15 minutes was required per pharmacy upload.
- Validation identified and corrected inaccuracies, with champion nurses spending less time than manual data entry.
Conclusions:
- The electronic data collection method is accurate and effective for national reporting of medication use.
- Validation steps successfully addressed data inaccuracies from pharmacy systems.
- This scalable method supports initiatives to reduce sedative use in nursing homes.
Keywords:
antipsychotic agentsbenzodiazepineselectronic health recordshealth information systemsinappropriate prescribinginformation storage and retrievalnursing homessystematized nomenclature of medicineMore Related Videos
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