Aging Clinical and Experimental Research

, Volume 26, Issue 4, pp 435–443

E-learning to improve the drug prescribing in the hospitalized elderly patients: the ELICADHE feasibility pilot study

  • C. Franchi
  • D. Mari
  • M. Tettamanti
  • L. Pasina
  • C. D. Djade
  • P. M. Mannucci
  • G. Onder
  • R. Bernabei
  • G. Gussoni
  • S. Bonassi
  • A. Nobili
  • On behalf of ELICADHE Investigators
Original Article

DOI: 10.1007/s40520-013-0187-6

Cite this article as:
Franchi, C., Mari, D., Tettamanti, M. et al. Aging Clin Exp Res (2014) 26: 435. doi:10.1007/s40520-013-0187-6
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Abstract

Background

E-learning is an efficient and cost-effective educational method.

Aims

This study aimed at evaluating the feasibility of an educational e-learning intervention, focused on teaching geriatric pharmacology and notions of comprehensive geriatric assessment, to improve drug prescribing to hospitalized elderly patients.

Methods

Eight geriatric and internal medicine wards were randomized to intervention (e-learning educational program) or control. Clinicians of the two groups had to complete a specific per group e-learning program in 30 days. Then, ten patients (aged ≥75 years) had to be consecutively enrolled collecting clinical data at hospital admission, discharge, and 3 months later. The quality of prescription was evaluated comparing the prevalence of potentially inappropriate medications through Beer’s criteria and of potential drug–drug interactions through a specific computerized database.

Results

The study feasibility was confirmed by the high percentage (90 %) of clinicians who completed the e-learning program, the recruitment, and follow-up of all planned patients. The intervention was well accepted by all participating clinicians who judged positively (a mean score of >3 points on a scale of 5 points: 0 = useless; 5 = most useful) the specific contents, the methodology applied, the clinical relevance and utility of e-learning contents and tools for the evaluation of the appropriateness of drug prescribing.

Conclusions

The pilot study met all the requested goals. The main study is currently ongoing and is planned to finish on July 2015.

Keywords

Comprehensive Geriatric AssessmentE-learningDrug prescriptionElderlyInternal medicine and geriatric wards

Copyright information

© Springer International Publishing Switzerland 2013

Authors and Affiliations

  • C. Franchi
    • 1
  • D. Mari
    • 2
  • M. Tettamanti
    • 1
  • L. Pasina
    • 1
  • C. D. Djade
    • 1
  • P. M. Mannucci
    • 3
  • G. Onder
    • 4
  • R. Bernabei
    • 4
  • G. Gussoni
    • 5
  • S. Bonassi
    • 6
  • A. Nobili
    • 1
  • On behalf of ELICADHE Investigators
  1. 1.Laboratory for Quality Assessment of Geriatric Therapies and Services, Department of NeuroscienceIRCCS—Istituto di Ricerche Farmacologiche Mario NegriMilanItaly
  2. 2.Dipartimento di Scienze Cliniche e di ComunitàUniversity of Milan and IRCCS Ca’ Granda Maggiore Hospital FoundationMilanItaly
  3. 3.Scientific Direction, IRCCS Ca’ Granda Maggiore Hospital FoundationMilanItaly
  4. 4.Department of Geriatrics, Policlinico A. GemelliCatholic University of the Sacred HeartRomeItaly
  5. 5.FADOI Foundation Research DepartmentMilanItaly
  6. 6.IRCCS, San Raffaele PisanaRomeItaly