Polypharmacy

Identifying Attributes

Care Settings
Residential Aged Care
Country
Switzerland
Publishing Organisation
Swiss Federal Office of Public Health Medical Quality Indicators for Nursing Homes
Type of Quality Indicator
Process
IOM Quality Dimension
Safety
Domain
Medication-Related

Defining Attributes

Definition

Percentage of residents who took 9 or more active ingredients in the last 7 days (number of active ingredients in the last 7 days).

Numerator

All residents who had taken 9 or more active ingredients in the last 7 days.

Denominator

All long-term care resident.

Exclusions

None

Use of Risk Adjustment
Yes
Risk Adjustments

Risk-adjusted (commenced 2024 report) at the level of LTCF, by specific covariates (e.g., care level, age, gender, cognitive performance scale, depression rating scale) for individual QIs.

Stratifications

None

Data Attributes

Type of Data Collection
Standardised clinical data
Data Collection Methods

RAI-Nursing Home is used as the resident assessment instrument from which the QIs are derived.

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

Public reporting, annually, at canton (district) level.

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

Source and Reference Attributes

Technical Specifications

Favez L, Zúñiga F, Sharma N, Blatter C, Simon M. Assessing Nursing Homes Quality Indicators' Between-Provider Variability and Reliability: A Cross-Sectional Study Using ICCs and Rankability. Int J Environ Res Public Health. 2020 Dec 10;17(24):9249. doi: 10.3390/ijerph17249249.

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