Polypharmacy App to Improve Health Outcomes in Older Adults
Dr. Carole Goodine’s work is developing an app to aims to solve the issue of
polypharmacy – the simultaneous use of multiple drugs – which has become a major
issue in the aging population.
Her research developing her Polypharmacy App will optimize safer medication use in
older adults, as well as provide cost-savings to the health care system. The App will
result in a more efficient and accurate medication safety review – which will save
hundreds of clinician hours and decrease high risk medication use and adverse effects.
The App will also support a quality assurance program which will track medication
usage with a focus on reducing medications with increased risks and those with
decreased value when used in older adults.
Great demand is placed on medical professionals to maximize their already strained
bandwidth, while also attempting to perform medication reviews and address medication
use in limited available time. This App can significantly alleviate these demands by
decreasing time spent conducting reviews, in turn giving clinicians more time to focus
on their demanding workload.
Dr Carole Goodine is a licensed pharmacist and novice researcher. She completed her
pharmacy degree at Dalhousie University and practiced as a staff pharmacist in a
variety of settings including community, home care, long-term care and hospital. In
2008, she received her doctor of pharmacy degree from the University of Colorado and
accepted a position as a Clinical Pharmacy Manager at the Doctor Everett Chalmers
Regional Hospital (DECRH) in Fredericton, NB. She is responsible for planning and
implementing enhanced pharmacy services for the Family Practice, Health and Aging,
Cardiac Rehabilitation and Dialysis programs in the Fredericton area.
Dr Goodine’s research interests focus primarily on optimizing medication use,
particularly for older adults. She has been involved in multiple projects at the DECRH
including the redesign and evaluation of the hospital basal bolus insulin orders set, chart
audits for insulin and warfarin management, pharmacist training program for conducting
medication reviews to reduce the risk of falls, implemented a toolkit to assess a
person’s ability to self-manage medications, developed a computer-generated
medication calendar for patients on leave from the rehabilitation program at DECRH
and developed a patient teaching toolkit for people receiving warfarin therapy.
In 2017, Dr Goodine received a two-year post-doctoral fellowship from AGE-WELL and
NBHRF to support a Polypharmacy App project to improve health outcomes for older
adults in New Brunswick. This project has also received funding from the Centre for
Aging and Brain Health (CABHI) SPARK fund and the NB Seniors Care Strategic
Innovation Fund (SCSIF).