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Eur J Clin Pharmacol. 2014 Jan;70(1):1-11. doi: 10.1007/s00228-013-1575-8. Epub 2013 Sep 10.

Inappropriate prescribing: a systematic overview of published assessment tools.

Author information

1
Pharmaceutical Care Research Group, University of Basel, Klingelbergstrasse 50, 4056, Basel, Switzerland, carole.kaufmann@unibas.ch.

Abstract

BACKGROUND:

Criteria to assess the appropriateness of prescriptions might serve as a helpful guideline during professional training and in daily practice, with the aim to improve a patient's pharmacotherapy.

OBJECTIVE:

To create a comprehensive and structured overview of existing tools to assess inappropriate prescribing.

METHOD:

Systematic literature search in Pubmed (1991-2013). The following properties of the tools were extracted and mapped in a structured way: approach (explicit, implicit), development method (consensus technique, expert panel, literature based), focused patient group, health care setting, and covered aspects of inappropriate prescribing.

RESULTS:

The literature search resulted in 46 tools to assess inappropriate prescribing.Twenty-eight (61%) of 46 tools were explicit, 8 (17%) were implicit and 10 (22%) used a mixed approach. Thirty-six (78%) tools named older people as target patients and 10 (22%) tools did not specify the target age group. Four (8.5%) tools were designed to detect inappropriate prescribing in hospitalised patients, 9 (19.5%) focused on patients in ambulatory care and 6 (13%) were developed for use in long-term care. Twenty-seven (59%) tools did not specify the health care setting. Consensus methods were applied in the development of 19 tools (41%), the others were based on either simple expert panels (13; 28%) or on a literature search (11; 24%). For three tools (7%) the development method was not described.

CONCLUSION:

This overview reveals the characteristics of 46 assessment tools and can serve as a summary to assist readers in choosing a tool, either for research purposes or for daily practice use.

PMID:
24019054
DOI:
10.1007/s00228-013-1575-8
[Indexed for MEDLINE]

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