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Evaluation of the use of medication reduction protocol in a long term care facility
Author(s)Susan Lander, John Noviasky, Karl Eurenius
Journal titleJournal of Geriatric Drug Therapy, vol 11, no 2, 1996
Pagespp 85-91
SourceHaworth Document Delivery Center, The Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580, USA.
KeywordsDrugs ; Nursing homes ; Patients ; Long term ; United States of America.
AnnotationThe literature has suggested that many medications commonly used in long term care settings could be simplified or eliminated. The aim of this US study was to evaluate the usefulness of a medication reduction protocol on a long term care facility. A medication review, with a set of predetermined criteria to guide decision-making was applied to 54 nursing home residents, over a 7-month period. The protocol examined certain medications commonly used in long term care and specified criteria to make an intervention. Changes in medication use, cost savings, and adverse effects were examined 3 months after the medication changes were initiated. Results showed that a total of 84 changes were made on 81% of residents. Interventions resulted in an 8% reduction in the number of medications and a 12% reduction in the number of doses per patient per day over a 3-month period. Ninety-four percent of the changes were still in effect at 3-month follow-up. The study concluded that many medications commonly used in long term care can be safely eliminated and drug scheduling can be optimised. (AKM).
Accession NumberCPA-980521401 A
ClassmarkLLD: LHB: LF: 4Q: 7T

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