Polypharmacy Medication Therapy Management Decision Support Systems Management Aged Medication review
Conditions
Interventions
A clinical decision support system, the CRR (clinical rule reporter) will be used to weekly screen medication list, laboratory values and medical history in order to obtain potential clinical relevant
Sponsors
Atrium-Orbis Medisch Centrum
Eligibility
Inclusion criteria
Inclusion criteria: Residents living in a nursing home in the Netherlands. The nursing homes are able to deliver the medication and lab data electronically
Exclusion criteria
Exclusion criteria: When the inclusion criteria can't be met
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome variable in this study is the proportion of patients with at least one of the events, including hospital referrals (i.e. referral to a specialist, emergency department visit and hospital admission), delirium, falls, and/or deaths. To this end the study will assess the differences between regular care (control group) and regular care + CRR (intervention group). | — |
Secondary
| Measure | Time frame |
|---|---|
| As secondary endpoints, the same outcome variable will be used to analyse the possible differences between institutions, to separately analyse psychogeriatric and somatic wards, to analyse the medication related events, and to separately analyse each of the parameters included in the combined endpoint (hospital referrals, delirium, falls, and/or deaths). Also the quality of life, the MAI and a cost evaluation will be performed for both control and intervention group. | — |
Contacts
Public ContactPHM van der Kuy
Atrium-Orbis Medisch Centrum - Dr. H van der Hoofplein 1
Outcome results
None listed