Utility of an adverse drug event trigger tool in Veterans Affairs nursing facilities

Source: Consultant Pharmacist Area: Evidence > Medicines Management > References Objective: To determine the utility (i.e. positive predictive value (PPV) and time requirement) of an adverse drug event (ADE) trigger tool in US Veterans Affairs (VA) nursing facilities and to describe the most common types of potential ADEs detected with the trigger tool. Design: Retrospective chart review. Setting/Patients: Veterans residing in three VA nursing facilities between 29 Sep 2010 and 29 Oct 2010. Measurements: We used the Institute for Healthcare Improvement-endorsed nursing facility ADE trigger tool, modified to enhance its clinical relevance to detect potential ADEs.  Electronic medical records were screened to identify residents with one or more abnormal laboratory values specified in the trigger tool. Main Outcome Measures: A potential ADE was defined as the concurrent administration of medication that could cause the abnormal laboratory value.  An overall PPV, or proportion of residents with an abnormal laboratory value who had a potential ...
Source: NeLM - Care of Older People - Category: Geriatrics Source Type: news