Amsterdam tool for clinical medication review: development and testing of a comprehensive tool for pharmacists and general practitioners

Drug-related problems are prevalent among older patients, and substantially increase the risk of morbidity, (re-)hospitalisation and mortality. To detect drug-related problems and optimize treatment primary caregivers should periodically review the medication of older patients. The aim was to develop a structured, comprehensive but practicable tool to facilitate and support the reviewing of medication of older patients with a chronic disease by pharmacists and general practitioners. A tool facilitating clinical medication review by community pharmacists was developed on the basis of treatment guidelines, literature data on drug-related problems. For the identification of drug-related problems from the patient’s perspective, a script for structured interviews was developed. The tool was optimized by means of a Delphi method with an expert panel and testing in a trial. The medication review tool consists of a comprehensive checklist of 124 drug-related problems divided by 20 sections according to physiological systems and diseases, and includes a structured interview script for a patient interviews. A structured, comprehensive and practical tool to assist pharmacists and general practitioners to perform clinical medication review including a list of potential drug-related problems in older patients with chronic disease, as well as a script for structured patient interviews, was developed.

• Publication year

  2015

• Venue

  BMC Research Notes

• Publication date

  2015-11-04

• Fields of study

  Medicine

• Identifiers
  DOI 10.1186/s13104-015-1566-1PMID 26536861PMCID 4632353
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• The tool was refined through a Delphi process with an expert panel and testing in a trial.

  Confidence 0.91

  박진우 (dztg5apj7m) extraction뀨 (7c402c1b98) reviewKiller Whale (322360f1c1) reviewB (s683577b42) reviewmexicorea (qjvnbu8xg3) review
• The medication review tool combines a checklist of 124 drug-related problems in 20 sections with a structured script for patient interviews.

  Confidence 0.96

  박진우 (dztg5apj7m) extraction뀨 (7c402c1b98) reviewKiller Whale (322360f1c1) reviewB (s683577b42) reviewmexicorea (qjvnbu8xg3) review
• A structured, comprehensive, but practical medication review tool was developed to support pharmacists and general practitioners in reviewing older patients with chronic disease.

  Confidence 0.98

  박진우 (dztg5apj7m) extraction뀨 (7c402c1b98) reviewKiller Whale (322360f1c1) reviewB (s683577b42) reviewmexicorea (qjvnbu8xg3) review

• delphi method

  method

  A consensus-building procedure used to optimize the content of the medication review tool.

  Aliases: Delphi process

  박진우 (dztg5apj7m) extraction뀨 (7c402c1b98) reviewKiller Whale (322360f1c1) reviewB (s683577b42) reviewmexicorea (qjvnbu8xg3) review
• drug-related problems

  problem

  Potential medication-related issues identified for review across the patient's treatment and disease categories.

  Aliases: DRPs

  박진우 (dztg5apj7m) extraction뀨 (7c402c1b98) reviewKiller Whale (322360f1c1) reviewB (s683577b42) reviewmexicorea (qjvnbu8xg3) review
• expert panel

  panel

  A group of experts consulted to review and refine the medication review tool.

  Aliases: panel of experts

  박진우 (dztg5apj7m) extraction뀨 (7c402c1b98) reviewKiller Whale (322360f1c1) reviewB (s683577b42) reviewmexicorea (qjvnbu8xg3) review
• medication review tool

  tool

  A structured checklist-based aid designed to support clinical medication review in older patients with chronic disease.

  Aliases: tool for clinical medication review, Amsterdam tool

  박진우 (dztg5apj7m) extraction뀨 (7c402c1b98) reviewKiller Whale (322360f1c1) reviewB (s683577b42) reviewmexicorea (qjvnbu8xg3) review
• older patients with chronic disease

  population

  The patient population targeted by the medication review tool in this work.

  Aliases: older patients, elderly chronic disease patients

  박진우 (dztg5apj7m) extraction뀨 (7c402c1b98) reviewKiller Whale (322360f1c1) reviewB (s683577b42) reviewmexicorea (qjvnbu8xg3) review
• structured interview script

  script

  A scripted set of questions used to collect the patient's perspective during medication review.

  Aliases: patient interview script, interview script

  박진우 (dztg5apj7m) extraction뀨 (7c402c1b98) reviewKiller Whale (322360f1c1) reviewB (s683577b42) reviewmexicorea (qjvnbu8xg3) review

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