Ghent University Academic Bibliography

Advanced

Organization of the medication management process in Belgian nursing homes

Charlotte Verrue UGent, Mirko Petrovic UGent, Els Mehuys UGent, Koen Boussery UGent, Annemie Somers, Anne Spinewine, Marc Bauwens, Micheline Gobert, Monique Elseviers and Robert Vander Stichele UGent (2011) JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION. 12(4). p.308-311
abstract
Background: With the increase of the proportion of old (>80 years), frail people living in long-term care settings, concern about the quality of medication management processes in nursing homes is growing. Objectives: To characterize the organization of medication management processes in Belgian nursing homes. Method: This cross-sectional, observational study of a representative sample of 76 Belgian nursing homes was performed in November and December 2005. The results are based on structured interviews that were conducted with 76 facility directors and 112 head nurses, using 2 questionnaires. Results: A self-reporting medication error system was set up in 69.7% of the nursing homes. Almost all nursing homes had a therapeutic drug formulary, but its use was not compulsory. Medications were mainly delivered from a community pharmacy (82.9%). The role of the pharmacist was often restricted to mere delivery of medications. Medications were not always administered by nurses, but also by care aides (67%) or nursing students (12.5%). The practice of postscription (i.e., prescribing medication after it has been dispensed by the pharmacist) was also found to be quite common (69.9%). Conclusion: This study provides a detailed description of the organization of medication management processes in Belgian nursing homes. Based on these results, problem areas can be identified and, consequently, targeted improvement actions can be investigated and implemented.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
medication, Nursing homes, ERRORS, CARE FACILITIES, RANDOMIZED CONTROLLED-TRIAL, quality management
journal title
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
J. Am. Med. Dir. Assoc.
volume
12
issue
4
pages
308 - 311
Web of Science type
Article
Web of Science id
000290924500011
JCR category
GERIATRICS & GERONTOLOGY
JCR impact factor
4.645 (2011)
JCR rank
4/44 (2011)
JCR quartile
1 (2011)
ISSN
1525-8610
DOI
10.1016/j.jamda.2010.06.010
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1221959
handle
http://hdl.handle.net/1854/LU-1221959
date created
2011-05-11 17:33:03
date last changed
2012-04-25 13:07:54
@article{1221959,
  abstract     = {Background: With the increase of the proportion of old ({\textrangle}80 years), frail people living in long-term care settings, concern about the quality of medication management processes in nursing homes is growing. 
Objectives: To characterize the organization of medication management processes in Belgian nursing homes. 
Method: This cross-sectional, observational study of a representative sample of 76 Belgian nursing homes was performed in November and December 2005. The results are based on structured interviews that were conducted with 76 facility directors and 112 head nurses, using 2 questionnaires. 
Results: A self-reporting medication error system was set up in 69.7\% of the nursing homes. Almost all nursing homes had a therapeutic drug formulary, but its use was not compulsory. Medications were mainly delivered from a community pharmacy (82.9\%). The role of the pharmacist was often restricted to mere delivery of medications. Medications were not always administered by nurses, but also by care aides (67\%) or nursing students (12.5\%). The practice of postscription (i.e., prescribing medication after it has been dispensed by the pharmacist) was also found to be quite common (69.9\%). 
Conclusion: This study provides a detailed description of the organization of medication management processes in Belgian nursing homes. Based on these results, problem areas can be identified and, consequently, targeted improvement actions can be investigated and implemented.},
  author       = {Verrue, Charlotte and Petrovic, Mirko and Mehuys, Els and Boussery, Koen and Somers, Annemie and Spinewine, Anne and Bauwens, Marc and Gobert, Micheline  and Elseviers, Monique  and Vander Stichele, Robert},
  issn         = {1525-8610},
  journal      = {JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION},
  keyword      = {medication,Nursing homes,ERRORS,CARE FACILITIES,RANDOMIZED CONTROLLED-TRIAL,quality management},
  language     = {eng},
  number       = {4},
  pages        = {308--311},
  title        = {Organization of the medication management process in Belgian nursing homes},
  url          = {http://dx.doi.org/10.1016/j.jamda.2010.06.010},
  volume       = {12},
  year         = {2011},
}

Chicago
Verrue, Charlotte, Mirko Petrovic, Els Mehuys, Koen Boussery, Annemie Somers, Anne Spinewine, Marc Bauwens, Micheline Gobert, Monique Elseviers, and Robert Vander Stichele. 2011. “Organization of the Medication Management Process in Belgian Nursing Homes.” Journal of the American Medical Directors Association 12 (4): 308–311.
APA
Verrue, C., Petrovic, M., Mehuys, E., Boussery, K., Somers, A., Spinewine, A., Bauwens, M., et al. (2011). Organization of the medication management process in Belgian nursing homes. JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 12(4), 308–311.
Vancouver
1.
Verrue C, Petrovic M, Mehuys E, Boussery K, Somers A, Spinewine A, et al. Organization of the medication management process in Belgian nursing homes. JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION. 2011;12(4):308–11.
MLA
Verrue, Charlotte, Mirko Petrovic, Els Mehuys, et al. “Organization of the Medication Management Process in Belgian Nursing Homes.” JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION 12.4 (2011): 308–311. Print.