Handler et al reported several signals that can help to detect an adverse drug reaction in a nursing home resident. One signal involves review patients who have undergone a resident assessment protocol (RAP). The authors are from Veterans Affairs Pittsburgh Healthcare System and the University of Pittsburgh.
Patient selection: nursing home resident
Resident Assessment Protocol
Drug Review
falls
cause or worsen falls risk
delirium
cause or worsen delirium
dehydration and fluid management
cause or worsen dehydration
Investigation:
(1) another diagnosis that can explain the findings better
(2) improvement after discontinuing the drug or altering the dose
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