Application of STOPP and START criteria: interrater reliability among pharmacists.

Hdl Handle:
http://hdl.handle.net/10147/200997
Title:
Application of STOPP and START criteria: interrater reliability among pharmacists.
Authors:
Ryan, Cristin; O'Mahony, Denis; Byrne, Stephen
Affiliation:
School of Pharmacy, University College Cork, Cork, Republic of Ireland. cristin.ryan@ucc.ie
Citation:
Application of STOPP and START criteria: interrater reliability among pharmacists. 2009, 43 (7):1239-44 Ann Pharmacother
Journal:
The Annals of pharmacotherapy
Issue Date:
Jul-2009
URI:
http://hdl.handle.net/10147/200997
DOI:
10.1345/aph.1M157
PubMed ID:
19584381
Abstract:
Inappropriate prescribing is a well-documented problem in older people. The new screening tools, STOPP (Screening Tool of Older Peoples' Prescriptions) and START (Screening Tool to Alert doctors to Right Treatment) have been formulated to identify potentially inappropriate medications (PIMs) and potential errors of omissions (PEOs) in older patients. Consistent, reliable application of STOPP and START is essential for the screening tools to be used effectively by pharmacists.; To determine the interrater reliability among a group of clinical pharmacists in applying the STOPP and START criteria to elderly patients' records.; Ten pharmacists (5 hospital pharmacists, 5 community pharmacists) were given 20 patient profiles containing details including the patients' age and sex, current medications, current diagnoses, relevant medical histories, biochemical data, and estimated glomerular filtration rate. Each pharmacist applied the STOPP and START criteria to each patient record. The PIMs and PEOs identified by each pharmacist were compared with those of 2 academic pharmacists who were highly familiar with the application of STOPP and START. An interrater reliability analysis using the kappa statistic (chance corrected measure of agreement) was performed to determine consistency between pharmacists.; The median kappa coefficients for hospital pharmacists and community pharmacists compared with the academic pharmacists for STOPP were 0.89 and 0.88, respectively, while those for START were 0.91 and 0.90, respectively.; Interrater reliability of STOPP and START tools between pharmacists working in different sectors is good. Pharmacists working in both hospitals and in the community can use STOPP and START reliably during their everyday practice to identify PIMs and PEOs in older patients.
Item Type:
Article
Language:
en
Description:
BACKGROUND: Inappropriate prescribing is a well-documented problem in older people. The new screening tools, STOPP (Screening Tool of Older Peoples' Prescriptions) and START (Screening Tool to Alert doctors to Right Treatment) have been formulated to identify potentially inappropriate medications (PIMs) and potential errors of omissions (PEOs) in older patients. Consistent, reliable application of STOPP and START is essential for the screening tools to be used effectively by pharmacists. OBJECTIVE: To determine the interrater reliability among a group of clinical pharmacists in applying the STOPP and START criteria to elderly patients' records. METHODS: Ten pharmacists (5 hospital pharmacists, 5 community pharmacists) were given 20 patient profiles containing details including the patients' age and sex, current medications, current diagnoses, relevant medical histories, biochemical data, and estimated glomerular filtration rate. Each pharmacist applied the STOPP and START criteria to each patient record. The PIMs and PEOs identified by each pharmacist were compared with those of 2 academic pharmacists who were highly familiar with the application of STOPP and START. An interrater reliability analysis using the kappa statistic (chance corrected measure of agreement) was performed to determine consistency between pharmacists. RESULTS: The median kappa coefficients for hospital pharmacists and community pharmacists compared with the academic pharmacists for STOPP were 0.89 and 0.88, respectively, while those for START were 0.91 and 0.90, respectively. CONCLUSIONS: Interrater reliability of STOPP and START tools between pharmacists working in different sectors is good. Pharmacists working in both hospitals and in the community can use STOPP and START reliably during their everyday practice to identify PIMs and PEOs in older patients.
MeSH:
Aged; Community Pharmacy Services; Drug Interactions; Drug Utilization Review; Female; Humans; Male; Medication Errors; Observer Variation; Pharmacists; Pharmacy Service, Hospital; Physician's Practice Patterns; Prescription Drugs; Reproducibility of Results
ISSN:
1542-6270

Full metadata record

DC FieldValue Language
dc.contributor.authorRyan, Cristinen
dc.contributor.authorO'Mahony, Denisen
dc.contributor.authorByrne, Stephenen
dc.date.accessioned2012-01-09T16:44:58Z-
dc.date.available2012-01-09T16:44:58Z-
dc.date.issued2009-07-
dc.identifier.citationApplication of STOPP and START criteria: interrater reliability among pharmacists. 2009, 43 (7):1239-44 Ann Pharmacotheren
dc.identifier.issn1542-6270-
dc.identifier.pmid19584381-
dc.identifier.doi10.1345/aph.1M157-
dc.identifier.urihttp://hdl.handle.net/10147/200997-
dc.descriptionBACKGROUND: Inappropriate prescribing is a well-documented problem in older people. The new screening tools, STOPP (Screening Tool of Older Peoples' Prescriptions) and START (Screening Tool to Alert doctors to Right Treatment) have been formulated to identify potentially inappropriate medications (PIMs) and potential errors of omissions (PEOs) in older patients. Consistent, reliable application of STOPP and START is essential for the screening tools to be used effectively by pharmacists. OBJECTIVE: To determine the interrater reliability among a group of clinical pharmacists in applying the STOPP and START criteria to elderly patients' records. METHODS: Ten pharmacists (5 hospital pharmacists, 5 community pharmacists) were given 20 patient profiles containing details including the patients' age and sex, current medications, current diagnoses, relevant medical histories, biochemical data, and estimated glomerular filtration rate. Each pharmacist applied the STOPP and START criteria to each patient record. The PIMs and PEOs identified by each pharmacist were compared with those of 2 academic pharmacists who were highly familiar with the application of STOPP and START. An interrater reliability analysis using the kappa statistic (chance corrected measure of agreement) was performed to determine consistency between pharmacists. RESULTS: The median kappa coefficients for hospital pharmacists and community pharmacists compared with the academic pharmacists for STOPP were 0.89 and 0.88, respectively, while those for START were 0.91 and 0.90, respectively. CONCLUSIONS: Interrater reliability of STOPP and START tools between pharmacists working in different sectors is good. Pharmacists working in both hospitals and in the community can use STOPP and START reliably during their everyday practice to identify PIMs and PEOs in older patients.en
dc.description.abstractInappropriate prescribing is a well-documented problem in older people. The new screening tools, STOPP (Screening Tool of Older Peoples' Prescriptions) and START (Screening Tool to Alert doctors to Right Treatment) have been formulated to identify potentially inappropriate medications (PIMs) and potential errors of omissions (PEOs) in older patients. Consistent, reliable application of STOPP and START is essential for the screening tools to be used effectively by pharmacists.-
dc.description.abstractTo determine the interrater reliability among a group of clinical pharmacists in applying the STOPP and START criteria to elderly patients' records.-
dc.description.abstractTen pharmacists (5 hospital pharmacists, 5 community pharmacists) were given 20 patient profiles containing details including the patients' age and sex, current medications, current diagnoses, relevant medical histories, biochemical data, and estimated glomerular filtration rate. Each pharmacist applied the STOPP and START criteria to each patient record. The PIMs and PEOs identified by each pharmacist were compared with those of 2 academic pharmacists who were highly familiar with the application of STOPP and START. An interrater reliability analysis using the kappa statistic (chance corrected measure of agreement) was performed to determine consistency between pharmacists.-
dc.description.abstractThe median kappa coefficients for hospital pharmacists and community pharmacists compared with the academic pharmacists for STOPP were 0.89 and 0.88, respectively, while those for START were 0.91 and 0.90, respectively.-
dc.description.abstractInterrater reliability of STOPP and START tools between pharmacists working in different sectors is good. Pharmacists working in both hospitals and in the community can use STOPP and START reliably during their everyday practice to identify PIMs and PEOs in older patients.-
dc.language.isoenen
dc.subject.meshAged-
dc.subject.meshCommunity Pharmacy Services-
dc.subject.meshDrug Interactions-
dc.subject.meshDrug Utilization Review-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshMedication Errors-
dc.subject.meshObserver Variation-
dc.subject.meshPharmacists-
dc.subject.meshPharmacy Service, Hospital-
dc.subject.meshPhysician's Practice Patterns-
dc.subject.meshPrescription Drugs-
dc.subject.meshReproducibility of Results-
dc.titleApplication of STOPP and START criteria: interrater reliability among pharmacists.en
dc.typeArticleen
dc.contributor.departmentSchool of Pharmacy, University College Cork, Cork, Republic of Ireland. cristin.ryan@ucc.ieen
dc.identifier.journalThe Annals of pharmacotherapyen
dc.description.provinceMunster-
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