Using telehealth to enable collaboration of pharmacists and geriatricians in residential medication management reviews

Hanjani, Leila Shafiee; Peel, Nancye M.; Freeman, Chris; Gray, Leonard C.

doi:10.1007/s11096-019-00890-8

Cited by 6 publications

(10 citation statements)

References 27 publications

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“…Fourteen quantitative, seven qualitative and five mixed methods studies were reviewed. The Western countries studied included the United States, [29][30][31][32] the United Kingdom, [33][34][35] Australia, [36][37][38][39] Sweden, 40,41 Canada, 42 Germany 43 and France. 44,45 Studies on Asian countries included those on Hong Kong Special Administrative Region of the People's Republic of China, [46][47][48][49][50] Japan 51 and Singapore.…”

Section: Resultsmentioning

confidence: 99%

“…33 Physicians in two studies felt that the systems brought convenience and efficiency in reviewing resident medication through asynchronous clinical databases. 30,37 Physicians found pharmacists' regular review of prescriptions helpful for optimising residents' medication and implemented the related change recommendations in 51 out of 430 instances. 37 Nurses attributed improved resident outcomes to the efficient generation and transmission of laboratory results, which resulted in timely responses from physicians that enabled medication dose adjustment.…”

Section: Perceived Usefulness Of Telemedicinementioning

confidence: 99%

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Telemedicine experiences and perspectives of healthcare providers in long-term care: A scoping review

et al. 2021

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Objective To consolidate existing evidence on experiences and perspectives of healthcare providers involved in telemedicine services in long-term residential care. Methods A scoping review was conducted. A systematic search for articles published in 2000–2021 was performed in CINAHL, Web of Science, PubMed, EMBASE and Scopus; further, relevant journals and grey literature websites were hand searched. Key search terms included ‘telemedicine’, ‘telehealth’ and ‘nursing homes’. Results Twenty-six articles were included. A narrative synthesis of evidence was conducted. The review identified four themes: (1) Presence of multidisciplinary care, (2) perceived usefulness of telemedicine, (3) perceived ease of use and (4) expanded role of nursing home staff. The presence of multidisciplinary care providers provided a wide range of telemedicine services to residents and promoted interprofessional collaboration between acute and long-term care. Telemedicine was perceived to increase timely onsite management by remote specialists, which enabled care quality improvement. However, technical problems associated with equipment usage reduced the ease of use of telemedicine. Concerns emerged from the expanded role of nursing home staff, which could negatively affect clinical decision-making and create medico-legal risks. Conclusion and implications Telemedicine is valuable in distance-based care, especially in the current 2019 coronavirus pandemic, for supporting continuity of care to nursing home residents. This review provided evidence from multiple healthcare providers’ perspectives. Further research can elucidate their specific roles and responsibilities in telemedicine and challenges in work processes, which will facilitate developing evidence-based competencies and improving technical infrastructure, thus contributing to personal and organisational readiness for telemedicine integration.

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Section: Resultsmentioning

confidence: 99%

Section: Perceived Usefulness Of Telemedicinementioning

confidence: 99%

Telemedicine experiences and perspectives of healthcare providers in long-term care: A scoping review

et al. 2021

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“…The integration of medical services is a network of healthcare services and advanced technologies, and it could achieve clinical e ciency or overcome the limited access to healthcare (196). Electronic clinical information, telemedicine, and mHealth were increasingly used and shown to be successful to some extent in overcoming shortages of medical resources and improving healthcare access and the standards of clinical practices in nursing homes (132). From our scoping review, clinical information management and remote clinical services, especially telemedicine have been broadly implemented in some nursing homes, and these services were reported to be acceptable to many stakeholders (146).…”

Section: Discussionmentioning

confidence: 98%

“…In contrast, appraisals of unusefulness or uncertainty of usefulness of a smart solution (120,142), not easy to use or to learn (190,191), lacking in supportive resources (132,172) or tech-support (167) were reported to negatively affect the user acceptability. Some HCPs perceived new technologies as a burden when they disrupted routines or brought added workloads, reducing their time to provide essential nursing care for the residents.…”

Section: Stakeholders' Acceptabilitymentioning

confidence: 99%

Defining the Concepts of a Smart Nursing Home and Its Potential Technology Utilities That Integrate Medical Services and Are Acceptable to Stakeholders: a Scoping Review

Zhao

Rokhani

Sazlina

et al. 2021

Preprint

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Background and objectives:Smart technology in nursing home settings has potential to elevate an operation that manages a larger number of elderly residents. However, the concepts, definitions and scopes of ‘smartness’, integrated medical services and stakeholders’ acceptability of a smart nursing home are less clear. This scoping review aims to define a smart nursing home and examine the qualitative evidence on technological feasibility, integration of medical services and acceptability of the stakeholders. Methods:Comprehensive searches were conducted on stakeholders’ websites and 11 electronic databases for existing concepts of a smart nursing home (Phase 1), and on what and how technologies and medical services were implemented in nursing home settings, as well as acceptability assessment by the stakeholders (Phase 2). The publication year was inclusive of January 1999 to September 2021. The language was limited to English and Chinese. Included articles must report nursing home settings and related to older adults ≥ 60 years old with or without medical demands but not bed-bound. New technology developments and system designs were measured by Technology Readiness Levels. The analysis was guided by Framework Method and the smart technology adoption behaviours of elder consumers theoretical model, and reported according to the PRISMA-ScR.Results:A total of 177 literature (13 website documents and 164 journal articles) were selected. Smart nursing homes are technology-assisted nursing homes that allow life enjoyment of its residents. They used IoT, computing technologies, cloud computing, big data and AI, information management systems, and digital health to integrate medical services in monitoring abnormal events, assisting daily living, teleconsultation, health information management, and improving interaction between providers and residents. Fifty-five percent of the new technologies were proven ready for use in nursing homes (level 6-7), and the remaining were proven of implementation feasibility (level 1-5). Providers with higher education, tech-savviness, fewer years at work, and older adults with more severe illnesses were more acceptable to smart technologies.Conclusions:Smart nursing homes with integrated medical services have great potential to improve the quality of care and ensure elderly residents’ quality of life.

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“…A study by Shafiee et al looked at the collaboration of pharmacists and geriatricians via telehealth. 12 This study used an on-line platform for pharmacists to share recommendations for changes in medication therapy of long-term care facility residents. Pharmacists were asked to conduct medication reviews of the charts of 20 long-term care facility residents.…”

Section: Introductionmentioning

confidence: 99%

Incorporation of an Efficient Pharmacist Workflow During the Transition From In-Person to Telemedicine Geriatric Clinics in Response to the COVID-19 Pandemic

Reist

Zahn

Oche

et al. 2022

Journal of Pharmacy Practice

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The COVID-19 pandemic created care continuity challenges for older adults in the ambulatory care setting. Similarly, maintaining the multidisciplinary team concept of geriatric care among healthcare practitioners working from home presented several logistical difficulties. It became apparent there was a need to address these problems to avoid care gaps in this vulnerable population. Realizing that in-person clinics could put vulnerable older adults at increased risk of contracting COVID-19, a workflow was proactively developed to convert a traditional in-person multidisciplinary geriatric clinic to a telemedicine-based model. A video patient encounter option within our electronic health record along with a secure on-line meeting platform was used to maintain a team-based approach to care. This resulted not only in a high level of efficiency in care delivery, but also ensured the safety of older adult patients served by the clinic. This model provides a template for the continued use of telemedicine as a strategy for the care of vulnerable older adults who experience challenges with attending in-person clinics.

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Using telehealth to enable collaboration of pharmacists and geriatricians in residential medication management reviews

Cited by 6 publications

References 27 publications

Telemedicine experiences and perspectives of healthcare providers in long-term care: A scoping review

Telemedicine experiences and perspectives of healthcare providers in long-term care: A scoping review

Defining the Concepts of a Smart Nursing Home and Its Potential Technology Utilities That Integrate Medical Services and Are Acceptable to Stakeholders: a Scoping Review

Incorporation of an Efficient Pharmacist Workflow During the Transition From In-Person to Telemedicine Geriatric Clinics in Response to the COVID-19 Pandemic

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