In nursing homes, 40% of residents use at least nine different medications, and adverse drug events (ADEs) are common.
Yet many ADEs are preventable if adequate medication monitoring is performed.
The use of the Geriatric Risk Assessment MedGuide (GRAM), a clinical informatics tool that implements prospective monitoring plans, markedly reduced the risk of potential delirium in newly admitted and long-stay nursing home residents, according to a new study.
Potential hospitalizations and deaths due to ADEs and mortality were also reduced, but the effect was weaker in longer-stay residents.
There was no effect of the monitoring system on the incidence of falls.
For more info, see Lapane et al. (2011). Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes. Journal of the American Geriatric Society, 59, 1238-1245.