Evidence map›Paper›PMID 24879605›Full record

ArticleEuropean journal of clinical pharmacology2014

Content validation of a tool for assessing risks for drug-related problems to be used by practical nurses caring for home-dwelling clients aged ≥65 years: a Delphi survey.

Maarit S Dimitrow, Sanna I Mykkänen, Saija N S Leikola, Sirkka-Liisa Kivelä, Alan Lyles, Marja S A Airaksinen

Registry-linked trialOpen access · greenAbstract readValidation Study
PubMed Publisher
In one paragraph

Article in European journal of clinical pharmacology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02545257 (Development of a Coordinated, Community-Based Medication Management Model for Home-Dwelling Aged in Primary Care), which is not on this map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02545257 nacompletednot on this mapstarted 2015, after this paper: background citation

Development of a Coordinated, Community-Based Medication Management Model for Home-Dwelling Aged in Primary Care

TypeinterventionalSponsorUniversity of HelsinkiRan2015 to 2018Enrolled191ConditionsDrug Therapy, Combination, Inappropriate Prescribing, PolypharmacyArmsCoordinated medication management model
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Methodological evaluation of the psychometric properties of medication-related quality indicators in residential aged care homes: a systematic review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026
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  16. Can Practical Nurses Identify Older Home Care Clients at Risk of Drug-Related Problems-Geriatricians' Appraisal of Their Risk Screenings: A Pilot Study.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Maarit S DimitrowClinical Pharmacy Group, Faculty of Pharmacy, University of Helsinki, PL 56 (Viikinkaari 9C), 00014, Helsinki, Finland, maarit.dimitrow@helsinki.fi.
Sanna I Mykkänen
Saija N S Leikola
Sirkka-Liisa Kivelä
Alan Lyles
Marja S A Airaksinen
University of Helsinki · FISatakunta Central Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHome care services are becoming a critically important part of health care delivery as populations are aging. Those using home care services are increasingly older, more frail than previously, and use multiple medications, making them vulnerable to drug-related problems (DRPs). Practical nurses (PN) visit home-dwelling aged clients frequently and, thus, are ideally situated to identify potential DRPs and, if needed, to communicate them to physicians for resolution. This study developed and validated the content of a tool to be used by PNs for assessing DRP risks for their home-dwelling clients aged ≥65 years.

methodsThe first draft of the tool was based on two systematic literature reviews and clinical experience of our research group. Content validity of the tool was determined by a three-round Delphi survey with a panel of 18 experts in geriatric care and pharmacotherapy. An agreement by ≥80% of the panel on an item was required.

resultsThe final tool consists of 18 items that assess risks for DRPs in home-dwelling aged clients. It is divided into four sections: (1) Basic Client Data, (2) Potential Risks for DRPs in Medication Use, (3) Characteristics of the Client's Care and Adherence, and (4) Recommendations for Actions to Resolve DRPs.

conclusionsThe Delphi process resulted in a structured DRP Risk Assessment Tool that is focused on the highest priority DRPs that should be identified and resolved. The tool also assists the PNs to identify solutions to these problems, which is a unique feature compared to similarly purposed prior tools.

Indexed as

Home Care ServicesAgedDelphi TechniqueDrug-Related Side Effects and Adverse ReactionsHumansMedication AdherenceNursesRisk Assessment

Identifiers

PMID24879605
OpenAlexW2078394971

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.