Older people residing in nursing homes (NH) are frequently polymedicated and often prescribed potentially inappropriate medications. Deprescribing has been proposed as a way to reduce the number of drugs they receive and their exposure to harmful treatments. The objectives of this study are 1) To evaluate the effect of a deprescribing-specific interdisciplinary quality circle module on the use of potentially inappropriate medication in nursing-home residents. 2) To determine the effective strategies to reach and implement deprescribing consensus resulting of said quality circle module.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
56
The Quality Circle Deprescribing Module consist of a discussion bringing together nurses, physicians and responsible pharmacist to create a local deprescribing consensus for frequently used drug classes, as well as implementation strategies for the consensus..
Centre de Pharamacie Communautaire
Lausanne, Canton of Vaud, Switzerland
Percentage of Potentially Inappropriate Galenic Units
The primary outcome is the percentage, at follow-up, of potentially inappropriate galenic units at follow-up, relative to the total number of galenic units used in the nursing home.
Time frame: 12 months
Number of Potentially Inappropriate Defined Daily Doses (DDDs) Per Average Resident and Per Day
Sum of Defined Daily Doses identified as potentially inappropriate (PIM, see protocol for assessement method), divided by the total number of days spent in the NH
Time frame: 12 months
Number of Potentially Inappropriate DDD to Avoid
Sum of Defined Daily Doses identified as "to avoid" (see protocol for assessement method), divided by the total number of days spent in the NH.
Time frame: 12 months
Number of Potentially Inappropriate DDD to Reevaluate
Sum of Defined Daily Doses identified as "to reevaluate" (see protocol for assessement method), divided by the total number of days spent in the NH.
Time frame: 12 months
Number of Hospital Days
The number of days spent in the hospital by average resident
Time frame: 12 months
Mortality Rate
Number of residents of the nursing home having died during the considered year, divided by the total number of residents having stayed in the nursing home.
Time frame: 12 months
Number of Falls Per Average Resident and Per Year
Number of falls per average resident and per year
Time frame: 12 months
Percentage of Residents With at Least One Day of Physical Restraints Use
Number of residents of the nursing home with at least one day of physical restraints use during the considered year, divided by the total number of residents having stayed in the nursing home.
Time frame: 12 months
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