Beers M H, Fingold S F, Ouslander J G
Merck and Co., Inc., West Point, PA 19486.
J Med Syst. 1992 Dec;16(6):237-45. doi: 10.1007/BF00996359.
With growing concern over the quality of medication use in nursing homes, physicians, administrators, pharmacists, and regulators are looking for effective and efficient methods to improve it. Pharmacy consultation alone appears to be ineffective in controlling the use of inappropriate drugs. We describe here a computerized drug utilization review system designed for use in nursing homes. The system evaluates the appropriateness of medication use by criteria developed through the consensus of experts in geriatrics and specifically designed to address the pharmacological needs of elderly, nursing home residents. The program not only determines the frequency of inappropriate prescriptions, but produces written, educational statements to be given to prescribing physicians. These statements can also be given to nurses to educate them about issues in geriatrics pharmacology. Additionally, the system produces medication order forms that may help focus physicians' attention on the need to evaluate drugs individually.
随着对养老院用药质量的关注度不断提高，医生、管理人员、药剂师和监管机构都在寻找有效且高效的方法来改善这一状况。仅靠药房咨询似乎在控制不适当药物的使用方面效果不佳。我们在此描述一种专为养老院设计的计算机化药物利用审查系统。该系统根据老年医学专家共识制定的标准评估用药的适宜性，这些标准是专门为满足老年养老院居民的药理需求而设计的。该程序不仅能确定不适当处方的频率，还会生成书面的教育声明提供给开处方的医生。这些声明也可以提供给护士，以对他们进行老年药理学问题的教育。此外，该系统还会生成用药订单表格，这可能有助于让医生将注意力集中在对药物进行个体评估的必要性上。
