MAI (medication appropriateness index)


MAI (medication appropriateness index)

Contact information: gespag, Austria
Tilman Königswieser,
Originally developed by: Duke University Medical Center
Country of origin: USA
Year of development: 1992
Last updated: No
Next update: No
Available in the following languages: English
Reason for not fulfilling the requirements: Date of publication is out of our range
Not free of charge

Type of tool: tool for reminding staff in the workplace

Short description

Approximately one in three older persons taking more than 4 medications (=polypharmacy) will experience an adverse drug reaction in the following year. Tools in polypharmacy are needed as  practical guides for clinical practice or for the geriatric ward to solve the problem. MAI is an istrument for pocket use in a busy medical ward. With answering the ten questions you will improve dosage, check the indication of medications and adapt the medication list.

Target audience

Medical staff

Applicability (setting e.g. inpatient care, outpatient care, long term care etc.)

Inpatient care, outpatient care, long term care

Information on how the tool has been applied/tested in practice

We have started  to use this tool in one of our hospitals as a part of a programme called ACADEMIA (assess, comprehensive geriatric assessment, adherence, development, emergence, minimization, interdisciplinarity, alertness) in order to improve medication lists of geriatric patients suffering from polypharmacy. In our opinion it is easy to handle and a useful tool for clinicans.

Needed resources (financial, material, human)

Time to use it, costs are negligible

Needed time for implementation

One month in a department

Strengths and limitations

Only one part in the puzzle of improving medication lists, to be successful in improving patient medication lists you have to put it in a conceptional framework like our programme ACADEMIA.