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dc.contributor.authorRyan, Cristin
dc.contributor.authorO'Mahony, Denis
dc.contributor.authorByrne, Stephen
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
html.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.
html.description.abstractTo determine the interrater reliability among a group of clinical pharmacists in applying the STOPP and START criteria to elderly patients' records.
html.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.
html.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.
html.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.


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