@article{
 title = {Quality of prescribing in Belgian nursing homes: an electronic assessment of the medication chart},
 type = {article},
 year = {2014},
 identifiers = {[object Object]},
 keywords = {Aged,Aged, 80 and over,Belgium/epidemiology,Cross-Sectional Studies,Drug Prescriptions/standards/statistics & numerica,Female,Homes for the Aged/standards/statistics & numerica,Humans,Inappropriate Prescribing/statistics & numerical d,Male,Medical Audit,Middle Aged,Nursing Homes/standards/statistics & numerical dat,Quality of Health Care/standards/statistics & nume,drug utilization,elderly,inappropriate prescribing,nursing home,potentially inappropriate medication,prescribing quality},
 pages = {93-99},
 volume = {26},
 month = {2},
 city = {CDE, R3.29, University of Antwerp, Universiteitsplein 1, 2610 Wilrijk, Belgium. monique.elseviers@ua.ac.be.},
 id = {ee997e24-ff9c-31b2-bedb-9b095b1bf2eb},
 created = {2016-08-21T22:18:55.000Z},
 file_attached = {false},
 profile_id = {217ced55-4c79-38dc-838b-4b5ea8df5597},
 group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},
 last_modified = {2017-03-14T09:54:45.334Z},
 read = {false},
 starred = {false},
 authored = {false},
 confirmed = {true},
 hidden = {false},
 source_type = {JOUR},
 notes = {ID: 74040; JID: 9434628; OTO: NOTNLM; 2013/12/16 [aheadofprint]; ppublish},
 folder_uuids = {63a49397-62a3-4051-829d-7112ba34c71e},
 private_publication = {false},
 abstract = {OBJECTIVE: To develop a computerized assessment tool for monitoring the quality of prescribing in Belgian nursing homes. DESIGN: In a observational cross-sectional study of the medication charts of nursing home residents, potentially inappropriate medication (PIM) was investigated using three scoring systems for the elderly (Beers, ACOVE, BEDNURS) complemented with a list of drug-drug interactions. SETTING: A representative stratified sample of Belgian nursing homes (n = 76). PARTICIPANTS: A random sample of nursing home residents with a complete data set (n = 1730) excluding palliative care patients. MAIN OUTCOME MEASURE: A combination of PIM scores to assess inappropriate, under- and overprescribing. RESULTS: Included residents had a mean age of 85, 78% were female. They used a mean of 7.1 chronic medications. Most PIMs were detected by the application of the ACOVE criteria for underprescribing with 58% of patients having at least one PIM. Using the BEDNURS and the Beers criteria, at least one PIM was noticed in 56 and 27% of patients, respectively. Patients' characteristics showing a positive relationship with the PIM score were age, female gender, amount of clinical and nursing care problems, number of prescriptions and the use of psychotropic drugs (multiple regression analysis R(2) = 0.332). CONCLUSIONS: In Belgian nursing homes, the observed high level of drug utilization was associated with potentially inappropriate prescribing. The development of a combined assessment tool and the implementation of a computerized monitoring system of PIMs is highly recommended to improve the quality of prescribing.},
 bibtype = {article},
 author = {Elseviers, M M and Vander Stichele, R R and Van Bortel, L},
 journal = {International journal for quality in health care : journal of the International Society for Quality in Health Care / ISQua},
 number = {1}
}

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DESIGN: In a observational cross-sectional study of the medication charts of nursing home residents, potentially inappropriate medication (PIM) was investigated using three scoring systems for the elderly (Beers, ACOVE, BEDNURS) complemented with a list of drug-drug interactions. SETTING: A representative stratified sample of Belgian nursing homes (n = 76). PARTICIPANTS: A random sample of nursing home residents with a complete data set (n = 1730) excluding palliative care patients. MAIN OUTCOME MEASURE: A combination of PIM scores to assess inappropriate, under- and overprescribing. RESULTS: Included residents had a mean age of 85, 78% were female. They used a mean of 7.1 chronic medications. Most PIMs were detected by the application of the ACOVE criteria for underprescribing with 58% of patients having at least one PIM. Using the BEDNURS and the Beers criteria, at least one PIM was noticed in 56 and 27% of patients, respectively. Patients' characteristics showing a positive relationship with the PIM score were age, female gender, amount of clinical and nursing care problems, number of prescriptions and the use of psychotropic drugs (multiple regression analysis R(2) = 0.332). CONCLUSIONS: In Belgian nursing homes, the observed high level of drug utilization was associated with potentially inappropriate prescribing. The development of a combined assessment tool and the implementation of a computerized monitoring system of PIMs is highly recommended to improve the quality of prescribing.","bibtype":"article","author":"Elseviers, M M and Vander Stichele, R R and Van Bortel, L","journal":"International journal for quality in health care : journal of the International Society for Quality in Health Care / ISQua","number":"1","bibtex":"@article{\n title = {Quality of prescribing in Belgian nursing homes: an electronic assessment of the medication chart},\n type = {article},\n year = {2014},\n identifiers = {[object Object]},\n keywords = {Aged,Aged, 80 and over,Belgium/epidemiology,Cross-Sectional Studies,Drug Prescriptions/standards/statistics & numerica,Female,Homes for the Aged/standards/statistics & numerica,Humans,Inappropriate Prescribing/statistics & numerical d,Male,Medical Audit,Middle Aged,Nursing Homes/standards/statistics & numerical dat,Quality of Health Care/standards/statistics & nume,drug utilization,elderly,inappropriate prescribing,nursing home,potentially inappropriate medication,prescribing quality},\n pages = {93-99},\n volume = {26},\n month = {2},\n city = {CDE, R3.29, University of Antwerp, Universiteitsplein 1, 2610 Wilrijk, Belgium. monique.elseviers@ua.ac.be.},\n id = {ee997e24-ff9c-31b2-bedb-9b095b1bf2eb},\n created = {2016-08-21T22:18:55.000Z},\n file_attached = {false},\n profile_id = {217ced55-4c79-38dc-838b-4b5ea8df5597},\n group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},\n last_modified = {2017-03-14T09:54:45.334Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n source_type = {JOUR},\n notes = {ID: 74040; JID: 9434628; OTO: NOTNLM; 2013/12/16 [aheadofprint]; ppublish},\n folder_uuids = {63a49397-62a3-4051-829d-7112ba34c71e},\n private_publication = {false},\n abstract = {OBJECTIVE: To develop a computerized assessment tool for monitoring the quality of prescribing in Belgian nursing homes. 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