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Use of Cardiovascular Drugs in a Long‐term Facility for the Aged

The Kingsbridge Center of the Jewish Home and Hospital for Aged, New York, is a modern long-term care facility for elderly people. It has 540 skilled nursing and 272 intermediate care beds with an average census of 806. It is an affiliate of the Mount Sinai School of Medicine of New York with an attending staff of more than 40 board certified specialists, eight full-time and three part-time house physicians, with 24-hour physician coverage. Clinical laboratory services, diagnostic radiology, electrocardiography, sonography, Holter monitoring, oxygen, and intravenous therapy are available. The pharmacy department maintains computerized medication profiles. Computerized drug use reports are available from these profiles, with the name, form, dose, and schedule of administration of all medications. A formulary is maintained under the direction of a multidisciplinary pharmacy and therapeutics committee. The pharmacy operates a unit dose drug-distribution system. The pharmacy is staffed by a director, three and a half pharmacists, and three technicians. The pharmacists perform monthly chart reviews, monitor medications and laboratory values, and screen for drug interactions and allergies, which are reported to the medical staff. The average age of the home residents is 85 years, with only 12.4% below that age. About 80% are women. The average resident