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Titolo:
Multidisciplinary case conference reviews: improving outcomes for nursing home residents, carers and health professionals
Autore:
King, MA; Roberts, MS;
Indirizzi:
Univ Queensland, Princess Alexandra Hosp, Dept Med, Woolloongabba, Qld 4102, Australia Univ Queensland Woolloongabba Qld Australia 4102 bba, Qld 4102, Australia
Titolo Testata:
PHARMACY WORLD & SCIENCE
fascicolo: 2, volume: 23, anno: 2001,
pagine: 41 - 45
SICI:
0928-1231(2001)23:2<41:MCCRIO>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
CONTINUING MEDICAL-EDUCATION;
Keywords:
aged; case conference; frail elderly; long-term care; medication review; nursing homes; patient outcome; peer review, health care; pharmaceutical services; physicians, family;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Roberts, MS Univ Queensland, Princess Alexandra Hosp, Dept Med, Woolloongabba, Qld 4102, Australia Univ Queensland Woolloongabba Qld Australia 4102 2, Australia
Citazione:
M.A. King e M.S. Roberts, "Multidisciplinary case conference reviews: improving outcomes for nursing home residents, carers and health professionals", PHARM WORLD, 23(2), 2001, pp. 41-45

Abstract

Aim of study: This study sought to determine whether multidisciplinary case conference reviews improved outcomes for nursing home residents, and the effects of this team approach to resident care on carers, including the hands-on carers employed by the nursing home, and health professionals. Method: 245 residents of three Canberra nursing homes were enrolled in this non-randomised controlled trial. The intervention consisted of sessions of three case conference reviews held between 10/4/96 and 4/12/96. These sessions were attended by the General Practitioners (GPs) of the residents discussed, the GP project officer from the ACT Division of General Practice, aclinical pharmacist, senior nursing staff, other health professionals eg physiotherapist, and occasionally the resident concerned or their representative. At each review, a case presentation by the resident's GP was followedby a multidisciplinary discussion of all aspects, medical and non-medical,of the resident's care. The review concluded with a management plan for the resident. In total 75 residents were reviewed. Main outcome measures: Medication use and cost, and mortality. Results: One month after the reviews were completed comparisons between those who were reviewed and those who were not showed non-significant reductions in medication orders, medication cost, and mortality in the reviewed group. Many of the 92 recommendations in the management plans that were carried out benefited the residents (n=37) and/or carers (n=24). The responses of the GPs and the Directors of Nursing to the reviews were overwhelmingly positive. Conclusion: Recommendations arising from multidisciplinary case conferences were carried out to the benefit of patients and carers. Given the supportshown by key stakeholders, multidisciplinary conferences should be used more.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 08:59:00