MAI (medication appropriateness index)
|Contact information:||gespag, Austria
|Originally developed by:||Duke University Medical Center|
|Country of origin:||USA|
|Year of development:||1992|
|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
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.
|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.