No registrations found.
ID
Source
Brief title
Health condition
Polypharmacy
Medication Therapy Management
Decision Support Systems Management
Aged
Medication review
Sponsors and support
Intervention
Outcome measures
Primary outcome
The primary outcome variable in this study is the proportion of patients with at least one of the events, including hospital referrals (i.e. referral to a specialist, emergency department visit and hospital admission), delirium, falls, and/or deaths. To this end the study will assess the differences between regular care (control group) and regular care + CRR (intervention group).
Secondary outcome
As secondary endpoints, the same outcome variable will be used to analyse the possible differences between institutions, to separately analyse psychogeriatric and somatic wards, to analyse the medication related events, and to separately analyse each of the parameters included in the combined endpoint (hospital referrals, delirium, falls, and/or deaths).
Also the quality of life, the MAI and a cost evaluation will be performed for both control and intervention group.
Study objective
The primary objective of this study is to reduce the number of patients with at least one event when using the CRR (a computerised clinical descion support system) compared to the regular care. These events consist of hospital referrals, delirium, falls, and/or deaths
Study design
Applying intervention for some centers and including more participants
Intervention
A clinical decision support system, the CRR (clinical rule reporter) will be used to weekly screen medication list, laboratory values and medical history in order to obtain potential clinical relevant remarks that will be sent to the correspondant physician with an advice on how to improve/solve the situation.
PHM van der Kuy
Sittard 6162 BG
The Netherlands
088-4597709
h.vanderkuy@orbisconcern.nl
PHM van der Kuy
Sittard 6162 BG
The Netherlands
088-4597709
h.vanderkuy@orbisconcern.nl
Inclusion criteria
Residents living in a nursing home in the Netherlands.
The nursing homes are able to deliver the medication and lab data electronically
Exclusion criteria
When the inclusion criteria can't be met
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL5019 |
| NTR-old | NTR5165 |
| Other | ZonMW; METC Atrium-Orbis : 113101001; 13-N-123 |