modern drugs have made great contributions to better quality of life , less disabling symptoms , decreased demands of health care and a better prognosis . despite this , one can nowadays notice an increasing proportion of negative side effects and adverse drug reactions due to extensive pharmacological treatment . to examine if patient - focused drug surveillances were associated with a higher quality of drug treatment at nursing homes ? physicians were told to systematically focus on the patient 's basic health status as a fundamental starting point for further continuous medication , with the aim to obtain a rational drug usage . mortality , health care consumption and number of drugs . health status and evaluation of drug therapy . evaluation of medications showed significant differences favouring the intervention group . due to existing polypharmacy there was a significant reduction of number of drugs in the intervention group vs. a significant increase in the control group . the intervention seemed to have achieved significant positive results in  quality of drug treatment , although it has shown immense lacks of monitoring the health status of frail elderly .
backgroundmodern drugs have made great contributions to better quality of life , less disabling symptoms , decreased demands of health care and a better prognosis . despite this 
 , one can nowadays notice an increasing proportion of negative side effects and adverse drug reactions due to extensive pharmacological treatment.study objectivesto examine if patient - focused drug surveillances were associated with a higher quality of drug treatment at nursing homes?methodsphysicians were told to systematically focus on the patient 's basic health status as a fundamental starting point for further continuous medication , with the aim to obtain a rational drug usage.settingan intervention study in nursing homes in sweden.outcomesmortality , health care consumption and number of drugs . 
 health status and evaluation of drug therapy.resultsno significant difference in mortality rate . 
 extensive health care consumption in both groups . 
 significant differences of examinations like weight , blood pressure and renal function . 
 monitoring and evaluation of medications showed significant differences favouring the intervention group . due to existing polypharmacy there was a significant reduction of number of drugs in the intervention group vs. a significant increase in the control group.conclusionsthe intervention seemed to have achieved significant positive results in  quality of drug treatment , although it has shown immense lacks of monitoring the health status of frail elderly .