QDU-OP Research Unit: Projects

Appropriate use of psychotropic drugs in nursing home residents

In this project, the aim was to develop best practice recommendations that could be applied to nursing home facilities; to classify these recommendations according to the healthcare providers and/or the stage of care concerned; to develop and propose initiatives to promote best practice implementation, taking into account the target groups involved. A pre-post psychotropic drug use measurement was carried out in two nursing homes for older people. In the intervention nursing home, experts in the field gave three educational session trainings on psychotropic drugs to all stakeholders followed by professional support during 10 months. In the control nursing home, only educational training was offered without professional support. Drug use was registered at three moments: baseline-measurement, immediate after-measurement and one year after the intervention measurement.
The improvement project led to a significant decrease in the use of psychotropic drugs, even after 1 year of follow-up. Educational training only had a limited impact. The professional support that was subsequently offered by the project staff showed a significant added value. This intervention is a part of a larger PQI project financially supported by the regional authorities with the purpose of changing attitude and practice regarding the overuse of psychotropic drugs in nursing homes and improving quality of life and resident related health outcomes. The expertise built up in this project is currently being expanded to five nursing homes in the region and by the end of 2017 a final report will be provided to the regional authorities in order to consider policy implementation on a larger, regional basis.

    • Staff: Mirko Petrovic
    • Collaborators: Monique, Elseviers (UGent), Patricia De Vriendt (Artevelde Hogeschool), Laurine Peeters (WZC Leiehome), Hans Warie (WZC Leiehome), Dirk De Meester (WZC Leiehome)
    • Funding: FOD volksgezondheid/ Vlaams Agentschap Zorg en Gezondheid

The evolving role of the community pharmacists: focus on medication screening in older patients with polypharmacy and medication counselling for patients with COPD

The main goal of this research was to optimize and evaluate pharmaceutical care interventions in chronic care. We focused on older patients with polypharmacy and on patients with COPD as an example of chronic disease. In this research, we developed and validated a strategy to optimize pharmaceutical care for older patients with polypharmacy. This strategy included the development and validation of a new screening tool to perform a medication review originating from the community pharmacy. This way, community pharmacists can initiate this process and use the outcomes to improve interdisciplinary communication. Additionally, we assessed the prevalence of Potentially Inappropriate Prescribing (PIP) according to this screening tool in the ambulatory and nursing home setting and evaluated usability and feasibility. Additionally, we elaborated on pharmacotherapeutic optimisation possibilities in COPD patients, with regard to inhalation technique and medication adherence. Subsequently, we evaluated a counselling strategy, provided by the community pharmacist in the management of the disease.

    • Staff: Mirko Petrovic
    • Collaborators: Eline Tommelein (UGent), Guy Brusselle (UGent), Els Mehuys (UGent), Koen Boussery (UGent)
    • Funding: UGent, no external scholarship