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Exact(5)
The present study will endeavour to do so; this represents a unique opportunity to validate these medication assessment tools in a robust manner.
We estimate that the consultant pharmacist will require approximately 1.5 h per resident to complete the data collection spreadsheet and to apply the medication assessment tools.
9 11 A number of medication assessment tools exist to identify PIP that can lead to ADE. 9 19 Unfortunately, few of these tools have been shown to reliably predict ADE, 17 19 and although there are a few studies showing associations between PIP and adverse outcomes, their predictive validity needs to be assessed further, particularly using large-scale national health databases.
10 11 According to an overview of clinical medication assessment tools, 12 an earlier version of the STOPP/START criteria 11 13 was considered 'most promising' compared with a number of existing tools to identify PIP; however, like other clinical tools, they are fairly time-consuming and therefore expensive to use.
Owing to the fact that some clinical information necessary to determine the appropriateness of prescriptions is missing from HAD, HAD-based tools for the detection of PIP are likely to generally underestimate the true prevalence of PIP in a population, though there may be exceptions (see figure 1 for a graphical illustration of the relationship between medication assessment tools and data sources).
Similar(54)
This study was a cross sectional survey of patient data from medical records and patient questionnaires and interviews to determine the adherence to a medication assessment tool.
To test the adherence of the patient populations to evidence-based clinical prescribing recommendations, a medication assessment tool (MAT) was employed [ 8, 12].
The final medication assessment tool comprised 30 criteria including 13 criteria for general cardio-preventive measures, 10 for hypertension, 3 for diabetes management, and 4 for anti-obesity medication.
We purposely did not included elements related to specific medications or assessment tools.
A patient-centered multidisciplinary approach to medication management, using multiple risk assessment tools combined with regular review of medication regimens, may provide the best approach to ensure the quality use of medicines for older people worldwide.
Continuing care clinics use the same structured data collection instruments and standardized assessment tools used during medication titration (Additional file 5).
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