Explicit criteria for determining inappropriate medication use in nursing home residents. UCLA Division of Geriatric Medicine.
Explicit criteria for determining inappropriate medication use in nursing home residents. UCLA Division of Geriatric Medicine.
复制标题
确定疗养院居民不当用药的明确标准。
作者：
M. Beers;J. Ouslander;Irving Rollingher;D. Reuben;Jacqueline Brooks;J. Beck
养老院中不适当的药物使用正受到越来越多的关注。然而，在这种情况下，定义适当或不适当用药的标准并不容易获得，也不是统一的。我们使用了基于德尔菲法的两轮调查，与13名全国公认的专家就定义疗养院人群不适当使用药物的明确标准达成了共识。这些标准旨在使用药房数据和最少的额外临床数据，以便它们可以应用于图表审查或计算机化的数据集。该方法商定的30个因素确定了常用药物的不适当使用，这些药物包括镇静催眠药、抗抑郁药、抗精神病药、抗高血压药、非类固醇抗炎药、口服降糖药、止痛药、痴呆症治疗药、血小板抑制剂、组胺阻滞剂、抗生素、减充血剂、补铁药、肌肉松弛药、胃肠抗痉挛药和止吐药。这些标准可能对质量保证审查、卫生服务研究和临床实践指南有用。用于建立这些标准的方法可用于将来更新和扩展指南。
Increasing attention is being paid to inappropriate medication use in nursing homes. However, criteria defining the appropriate or inappropriate use of medication in this setting are not readily available and are not uniform. We used a two-round survey, based on Delphi methods, with 13 nationally recognized experts to reach consensus on explicit criteria defining the inappropriate use of medications in a nursing home population. The criteria were designed to use pharmacy data with minimal additional clinical data so that they could be applied to chart review or computerized data sets. The 30 factors agreed on by this method identify inappropriate use of such commonly used categories of medications as sedative-hypnotics, antidepressants, antipsychotics, antihypertensives, nonsteroidal anti-inflammatory agents, oral hypoglycemics, analgesics, dementia treatments, platelet inhibitors, histamine2 blockers, antibiotics, decongestants, iron supplements, muscle relaxants, gastrointestinal antispasmodics, and antiemetics. These criteria may be useful for quality assurance review, health services research, and clinical practice guidelines. The method used to establish these criteria can be used to update and expand the guidelines in the future.
登录
查看更多内容
老年人的药物分布和肾脏排泄。
DOI：
10.1016/0021-9681(83)90048-6
发表时间：
1983
期刊：
Journal of chronic diseases
影响因子：
--
作者：
Wilkinson,GR
通讯作者：
Wilkinson,GR
老年人、流动人口使用和滥用药物的特征。
影响因子：
3
作者：
Bernstein,LR;Folkman,S;Lazarus,RS
通讯作者：
Lazarus,RS
老年人药物作用改变的药效学基础。
影响因子：
3.3
作者：
Roberts,J;Tumer,N
通讯作者：
Tumer,N
DOI：
10.1093/geronj/41.6.748
发表时间：
1986
期刊：
Journal of gerontology
影响因子：
--
作者：
Halliday,R;Callaway,E;Naylor,H;Gratzinger,P;Prael,R
通讯作者：
Prael,R