Objective To determine the impact of a pharmacy-led medication reconciliation program at a large community hospital. The magnitude of the benefit of pharmacy-led medication reconciliation was evaluated based on the number of medication-related discrepancies between nursing triage notes and medication histories performed by pharmacy technicians or students. Discrepancies identified by pharmacy p...

PURPOSE/OBJECTIVES To test hypotheses that patients cared for by Oncology Certified Nurses (OCNs(r)) have superior outcomes compared to those cared for by noncertified nurses. DESIGN Descriptive ex post facto. SETTING A homecare agency in the midwestern United States. SAMPLE 20 nurses (7 certified and 13 noncertified) and charts for 181 of their patients. METHODS Retrospective chart rev...

Physicians in a region south of Bremen, Germany, created PRO DEM (for patients with dementia), a service coordinating medical care and social intervention for patients with dementia. The program now serves about 125 outpatients and their families, along with 360 patients in nursing homes. Two nurse consultants coordinate patient care. Treatment strategies are decided during a multidisciplinary ...

OBJECTIVES To study the effects of comprehensive geriatric assessment (CGA) and multidisciplinary intervention on elderly patients sent home from the emergency department (ED). DESIGN Prospective, randomized, controlled trial with 18 months of follow-up. SETTING Large medical school-affiliated public hospital in an urban setting in Sydney, Australia. PARTICIPANTS A total of 739 patients a...

OBJECTIVES To compare the effectiveness of acute geriatric unit care, based on all or part of the Acute Care for Elders (ACE) model and introduced in the acute phase of illness or injury, with that of usual care. DESIGN Systematic review and meta-analysis of 13 randomized controlled and quasi-experimental trials with parallel comparison groups retrieved from multiple sources. SETTING Acute ...

background: as insomnia is common, especially among the elderly in the nursing homes, we aimed to estimate insomnia prevalence among the elderly residing in nursing homes as well as to determine factors associated with insomnia in the elderly. methods: this cross-sectional study was carried out in 2009 on 772 elderly residents at kahrizak nursing home, tehran iran. the information was gathered ...

background: increasing hospital costs and its social and cultural problems has led to the idea of providing healthcare services at home. because of infrastructural and implementation problems, providing healthcare at home in iran has not been initiated yet. therefore, this study set out to elaborate the need for a comprehensive system in order to provide this service in iran. methods: all artic...

BACKGROUND Admission to a nursing home is generally regarded as a stressful time for older people and their carers. Although the choice of home is significant in facilitating a more positive transition, few studies have explored this issue in detail, particularly in the context of rural communities. With a worldwide ageing population and an increasing demand for long-term care facilities, it is...

OBJECTIVES: To determine the effects of a small-house nursing home model, THE GREEN HOUSE (GH), on residents’ reported outcomes and quality of care. DESIGN: Two-year longitudinal quasi-experimental study comparing GH residents with residents at two comparison sites using data collected at baseline and three follow-up intervals. SETTING: Four 10-person GHs, the sponsoring nursing home for those ...

BACKGROUND much has been written about the demographic and health characteristics which act as risk factors for care home admission in the UK. However, few studies have examined variation in care home admission rates across areas, whilst controlling for the demographic and health characteristics of the individuals living within these areas. This is surprising given that decisions which affect a...