Audits of medication use in Sydney nursing homes

Age and Ageing

Volumn 35, Issue 4, 2006, Pages 403-408

  Snowdon, John ^a,b   Day, Susan ^c   Baker, Wesley ^c  

^a Rozelle Hospital   (Australia)

^b UNIVERSITY OF SYDNEY   (Australia)

^c New South Wales Government   (Australia)

Author keywords

Aged; Drug prescription; Drug utilisation; Longitudinal studies; Medication; Nursing homes; Pharmaco epidemiology; Survey

Indexed keywords

ACETYLSALICYLIC ACID; ANALGESIC AGENT; ANTICONVULSIVE AGENT; ANTIDEPRESSANT AGENT; ANTIDIABETIC AGENT; ANTIHYPERTENSIVE AGENT; ANTIINFECTIVE AGENT; ANTINEOPLASTIC AGENT; ANTIPARASITIC AGENT; ANTIPARKINSON AGENT; ANXIOLYTIC AGENT; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; CALCITRIOL; CALCIUM; CARDIOVASCULAR AGENT; DIGITALIS GLYCOSIDE; DIURETIC AGENT; GLUCOCORTICOID; HYPNOTIC AGENT; IMMUNOMODULATING AGENT; INSULIN; LAXATIVE; MIRTAZAPINE; MULTIVITAMIN; PSYCHOTROPIC AGENT; SEROTONIN UPTAKE INHIBITOR; SEX HORMONE; THYROID HORMONE; UNINDEXED DRUG; VENLAFAXINE;

AGED; ARTICLE; AUSTRALIA; CONTROLLED STUDY; DRUG UTILIZATION; FEMALE; FREQUENCY ANALYSIS; GERIATRIC CARE; HEALTH CARE PERSONNEL; HUMAN; MALE; MEDICAL AUDIT; MEDICAL EDUCATION; MEDICAL RECORD; MENTAL DISEASE; NURSING HOME; NURSING STAFF; PHARMACIST; PRESCRIPTION; PREVALENCE; PRIORITY JOURNAL; SEX DIFFERENCE;

AGED; AGED, 80 AND OVER; DRUG UTILIZATION REVIEW; FEMALE; HEALTH CARE SURVEYS; HUMANS; LONGITUDINAL STUDIES; MALE; MEDICAL AUDIT; NEW SOUTH WALES; NURSING HOMES; PRESCRIPTIONS, DRUG; WORLD HEALTH ORGANIZATION;

EID: 33745389646     PISSN: 00020729     EISSN: 14682834     Source Type: Journal    
DOI: 10.1093/ageing/afl037     Document Type: Article

References (20)

1. Lernfelt B, Samuelsson O, Skoog I, Landahl S. Changes in drug treatment in the elderly between 1971 and 2000. Eur J Clin Pharmacol 2003; 59: 637-44.
2. Furniss L. Use of medicines in nursing homes for older people. Adv Psychiatr Treat 2002; 8: 198-204.
3. Beers MH, Ouslander JG, Rollingher I, Reuben DB, Brooks J, Beck JC. Explicit criteria for determining inappropriate medication use in nursing home residents. Arch Intern Med 1991; 151: 1825-32.
4. Furniss L, Burns A, Craig SKL, Scobie S, Cooke J, Faragher B. Effects of a pharmacist's medication review in nursing homes. Randomised controlled trial. Br J Psychiatry 2000; 176: 543-7.
5. Roberts MS, Stokes JA, King MA et al. Outcomes of a randomized controlled trial of a clinical pharmacy intervention in 52 nursing homes. Br J Clin Pharmacol 2001; 51: 257-65.
6. Australian Pharmaceutical Advisory Council. Integrated best practice model for medication management in residential aged care facilities. Canberra: Commonwealth of Australia, 1997.
7. Snowdon J, Vaughan R, Miller R, Burgess EE, Tremlett P. Psychotropic drug use in Sydney nursing homes. Med J Aust 1995; 163: 70-2.
8. Snowdon J. A follow-up survey of psychotropic drug use in Sydney nursing homes. Med J Aust 1999; 170: 299-301.
9. Snowdon J, Day S, Baker W. Current use of psychotropic medication in nursing homes. Int Psychogeriatr.2006; in press.
10. WHO. Collaborating Centre for Drug Statistics Methodology. ATC Index with DDDs. Norwegian Institute of Public Health, Oslo. 2003. http://www.whocc.no.
11. Folstein MF, Folstein SE, McHugh PR. 'Mini-mental state': A practical method of grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12: 189-98.
12. Roberts MS, King M, Stokes JA et al. Medication prescribing and administration in nursing homes. Age Ageing 1998; 27: 385-92.
13. Nygaard HA, Naik M. Drug use in homes for the aged. A comparison between mentally intact and mentally impaired residents. Aging Clin Exp Res 1999; 11: 186-93.
14. Oborne CA, Hooper R, Swift CG, Jackson SH. Explicit, evidence-based criteria to assess the quality of prescribing to elderly nursing home residents. Age Ageing 2003; 32: 102-8.
15. Beers MH, Fingold SF, Ouslander JG, Reuben DB, Morgenstern H, Beck JC. Characteristics and quality of prescribing by doctors practicing in nursing homes. J Am Geriatr Soc 1993; 41: 802-7.
16. Nolan L, O'Malley K. Prescribing for the elderly: Part II. Prescribing patterns: Differences due to age. J Am Geriatr Soc 1988; 36: 245-54.
17. Stokes JA, Purdie DM, Roberts MS. Factors influencing PRN medication use in nursing homes. Pharm World Sci 2004; 26: 148-54.
18. Cooper JW, Bagwell CG. Contribution of the consultant pharmacist to rational drug usage in the long-term care facility. J Am Geriatr Soc 1978; 26: 513-20.
19. Renner EA, Engle VF, Graney MJ. Prevalence and predictors of regularly scheduled prescription medications of newly admitted nursing home residents. J Am Geriatr Soc 1992; 40: 232-6.
20. Horgas AL, Tsai PF. Analgesic drug prescription and use in cognitively impaired nursing home residents. Nurs Res 1999; 47: 235-42.