Three or More Psychoactive Drugs, Persons 75 Years and Older in Ordinary Living With Home Service

Identifying Attributes

Care Settings
Home Care
Country
Sweden
Publishing Organisation
Swedish National Board of Health and Welfare (SNBHW): Open Comparisons Monitoring System
Type of Quality Indicator
Process
IOM Quality Dimension
Safety
Domain
Medication-Related

Defining Attributes

Definition

Proportion of persons 75 years and older in the home service treated with three or more psychoactive drugs concurrently.

Numerator
Denominator
Exclusions
Use of Risk Adjustment
No
Risk Adjustments
Stratifications

Data Attributes

Type of Data Collection
Administrative data, Surveys, Standardised clinical data
Data Collection Methods

Data collected by the municipalities yearly, derived from national surveys, administrative data and registries. National surveys: NBHW survey - What do the elderly think about elderly care? (from municipalities and counties) Official statistics (administrative data): Register of Social Services Interventions for the Elderly and Persons with Disability, Patient Register, Register of Medicines National quality registers: Senior Alert Registry, Swedish Palliative Registry, Dementia Register, Registry on Behaviour and Psychiatric Symptoms.

Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods

Published online on the annual Open Comparisons report at municipal level, county level and state. A relative comparison between municipalities is provided using a traffic light system.

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

Trygged S. Open comparisons of social services in Sweden—Why, how, and for what? Cogent Social Sciences 2017;3(1):1404735. doi: 10.1080/23311886.2017.1404735 Fastbom J, Johnell K. National indicators for quality of drug therapy in older persons: the Swedish experience from the first 10 years. Drugs Aging. 2015 Mar;32(3):189-99. doi: 10.1007/s40266-015-0242-4. PMID: 25673123; PMCID: PMC4366557. Wastesson JW, Fritzell J, Burström B, Johnell K, Fastbom J. Regional variations in excessive polypharmacy and potentially inappropriate drug use among older adults in Sweden: Trends from 2006 to 2020. Front Pharmacol. 2023 Feb 8;14:1030849. doi: 10.3389/fphar.2023.1030849. PMID: 36843915; PMCID: PMC9945538. Open comparisons of elderly care www.socialstyrelsen.se/statistik-och-data/oppna-jamforelser/socialtjanst/aldreomsorg/

Technical Specifications
Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025