In comparison to the articles published in 1994, there were significantly more articles that completely cataloged applied statistics (74.3% vs 47.4%) (P <.0001), and there was a significant improvement in appropriateness of statistical usage (56.4% vs 30.3%) (P <.0001).
Assessments involving other validated tools also showed improvements in the appropriateness of prescribing.
39 Nevertheless, the interventions reduced inappropriate prescribing with resultant improvements in the appropriateness of polypharmacy in older patients.
Despite observed improvements in prescribing appropriateness, it is unclear if the identified interventions resulted in clinically significant improvements, for example, reduction in medication-related problems.
The START and STOPP criteria, which constitute a major part of the STRIP Assistant's knowledge base, have been shown to be associated with improvements in medication appropriateness, reductions in adverse drug reactions and decreases in drug use and costs [ 17, 49].
During the study period, curative surgery decreased by a third and chemotherapy use increased by more than three-fold, reflecting improvements in the appropriateness and quality of management, but chemotherapy use, in particular, was unequal, both by socioeconomic status and gender.
Results: We obtained an economic saving (119,580 euro/year) in cardiac markers request (analytical appropriateness: 60%, pre-analytical appropriateness: 40%) and also an improvement in clinical appropriateness (diagnosis and therapy).
Methods: Our experience has shown an improvement in analytical appropriateness (reorganization and re-engineering by Laboratory automation) and pre-analytical appropriateness (critical revision of the panel for cardiac markers) by evaluating the workload and errors rate in the pre-analytical phase.
A customized EI resulted in modest improvement in the appropriateness of TTEs in the PAUSE study, with an increase in Appropriate and a decrease in R TTEs.
7 They describe the use of multidisciplinary case conference meetings to review medication in RACFs with significant improvement in medication appropriateness in the intervention group.
