Using a clinical decision support system medication reviews are performed in a standardised way which leads to comparable results between patients. In addition it eliminates the time factor to perform medication reviews as the major problems related to medication, laboratory values, indications and/or established patient characteristics will be directly available.
Polypharmacy is one of the main risk factors for adverse drug events, drug–drug interactions and undertreatment.
The aim of this study was to evaluate to what extent laboratory data, actual medication, medical history, and/or drug indication influence the quality of medication reviews for nursing home patients.
The technical Proof of Concept (POC) using the electronic patient file (Landelijk Schakelpunt, or LSP) was conducted with validated patients and successfully completed on 31 January 2013. The process proved that a patient can be registered using a pharmacy with a unique health care professional identifier (Unieke Zorgverlener Identificatie-certificaat/pas) to gain access to the LSP. The medication file, lab reports and (if available) details regarding intolerance, allergies and contraindications, can be obtained.
Clinical Rules was presented to an audience of health care professionals during the Medical Communication Information Days, Informatiedagen Zorgcommunicatie, in Zeist on 23 November 2012. The theme of the event was ‘care for continuity’ and it was organised by Servicecentrum Zorgcommunicatie and the Vereniging van Zorgaanbieders van Zorgcommunicatie (VZVZ).