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A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment

A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment

Published on: January 11, 2020

Prescribing-Assessment Tools for Long-Term Care Pharmacy Practice: Reaching Consensus through a Modified RAND/UCLA

João R Gonçalves¹, Betsy L Sleath², Manuel J Lopes³

¹iMed.ULisboa, Social Pharmacy Department, Faculty of Pharmacy, University of Lisbon, 1649-003 Lisboa, Portugal.

Pharmacy (Basel, Switzerland)

|December 23, 2021

Summary

Pharmacists can optimize medication use in long-term care facilities using prescribing-assessment tools. Nine of 24 tools were deemed appropriate, with alternatives to inappropriate medications being a valued feature.

Keywords:

RAND/UCLA consensus long-term care pharmacist pharmacy practice potentially inappropriate prescribing prescribing-assessment tools

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Area of Science:

Geriatric Pharmacy
Health Services Research
Medication Safety

Background:

Medicines are the primary health technology in Long-Term Care (LTC).
Potentially inappropriate medication (PIM) use is prevalent among LTC patients.
Pharmacists are crucial for optimizing medication management in LTC settings.

Purpose of the Study:

To evaluate the suitability of prescribing-assessment tools for pharmacy practice in institutional LTC settings.
To identify characteristics and barriers associated with the use of these tools.

Main Methods:

A modified RAND/UCLA Appropriateness Method was employed.
Thirteen LTC and hospital pharmacists assessed 24 prescribing-assessment tools.
Qualitative analysis of participant comments identified tool characteristics and usage barriers.

Main Results:

Nine out of 24 tools were classified as 'appropriate' for LTC pharmacy practice.
Three tools were classified as 'inappropriate'.
The indication of alternatives to PIM was the most appreciated feature.

Conclusions:

Prescribing-assessment tools can aid pharmacists in optimizing medication use in LTC.
Key barriers to tool implementation include time constraints, pharmacist shortages, and limited clinical information access.