Evaluating the Impact of Prospective Drug Management on Medication-Related Problems in Long-Term Care


Medication errors that cause injury, permanent impairment, and even death are distressingly common in nursing homes and other long-term care settings. The Fleetwood Model, a prospective medication review process developed by the American Society of Consultant Pharmacists, holds promise as a way to reduce errors, improve health outcomes, and lower costs without increasing staffing requirements. Its key features are automated identification of high-risk patients, drug regimen review, direct communication with prescribing physicians and nurses, and coordinated pharmaceutical care planning for high-risk patients. This Picker Program Grant will conduct a randomized, controlled trial of the Fleetwood Model in 26 North Carolina nursing homes and evaluate its impact on reducing drug-related problems and their associated costs. Because only a relative handful of consultant pharmacists service the large majority of U.S. nursing homes, widespread dissemination of the model, if proven effective, would be feasible.

Grant Details

Grantee Organization:
Brown University
Principal Investigator:
Kate Lapane, Ph.D.
Award Amount:
Approval Date:
July 10, 2001

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