We have opened four free medication-safety tools for everyone to use — in three languages
We have opened up four free, public and interactive medication-safety tools — polypharmacy load, night-time medication risk, ROI estimate for organizations and a RAI-based suitability check. In three languages, no signup. To our knowledge, MoniDose is currently the only Finnish smart medication dispenser provider publishing this kind of open toolkit.
In Finland, polypharmacy (5+ medications) affects 45.5% of people aged 65+, and significant polypharmacy (10+ medications) affects 145,832 people aged 75+ (Fimea, SHARE Wave 9). Medication errors cause death or serious harm in 52% of investigated regulatory cases — and 83% of serious errors involve people over 60 (PMC8612921).
These numbers mean medication-safety assessment cannot stay locked behind professional tools alone. Family members, residents, home-care nurses and procurement preparers should have access to fast, evidence-based and free self-assessment — regardless of whether their organization has access to the RAI system or to a community pharmacy's medication review.
In April 2026 we reviewed what is publicly available in Finland. The findings were clear.
What Finland publishes — and what it does not
We directly checked:
Finnish smart medication dispenser providers' public websites. These sites have well-built product information, customer stories and contact forms — but at the time of review, free interactive medication-safety self-assessment tools, ROI calculators and suitability questionnaires were not available. This is not a judgment of anyone's product; it is an observation about what kind of freely usable supplementary material is reachable for citizens and families today.
National authorities — THL, Fimea and Käypä hoito publish a wide range of guidance and recommendations (e.g. *Medication of the elderly*, *LHKA — Comprehensive Medication Review*, *High-risk medications in older adults*). These are readable documents and PDFs — not interactive citizen-facing self-assessments. THL's and the wellbeing counties' public self-tests focus on mental health (BDI, GDS) and lifestyle.
Wellbeing services counties' "tests and surveys" pages (sampled at Central Finland Wellbeing Services County) — contain wellbeing and mood questionnaires. No interactive medication-safety self-assessment was found.
Pharmacy chains (University Pharmacy, Verkkoapteekki, Apteekkishop) — sell dosettes and dispensers. They do not publish risk-assessment tools.
For professional use Finland has well-developed instruments — interRAI Home Care (RAI-HC), Interprofessional Medication Assessment for Older Patients (ILMA) and the community pharmacy's comprehensive medication review (LHKA). These are not citizen-accessible, they require professional assessment, and their use is tied to clinical visits.
In short: Finland has a strong set of professional medication-safety instruments and a wealth of authoritative guidance, but freely available interactive self-assessments aimed at citizens and family members are still few. We wanted to make our own contribution in that gap.
The four tools MoniDose publishes
We have built and openly released four tools. Each is grounded in Finnish or international evidence-based frameworks (Käypä hoito, Fimea, THL, interRAI, WHO). None of them requires registration, and none sends responses to our servers — all processing happens in the browser.
1. [Polypharmacy Load Tool](/en/polypharmacy-load) — 7 questions covering the core polypharmacy risk factors (medication count, number of prescribers, recent medication changes, dosing frequency, high-risk medication classes, LHKA history, perceived side effects). Outputs a 0–29 load score and a level (Low / Moderate / Polypharmacy / Critical). Routes the user to a community pharmacy LHKA when warranted. Under 5 minutes.
2. [Night-Time Risk Assessment](/en/night-risk) — 6 questions about evening- and night-time medication risks (medication timing, living arrangements at night, prior incidents, cognition, availability of help, medication complexity). Outputs a risk level and concrete next steps. Calibrated to the Finnish evening/night medication profile — built on Käypä hoito's medication-of-the-elderly guideline and THL's home-care medication-safety work.
3. [ROI Calculator](/en/roi-calculator) — 5 sliders (facility type, resident count, nurse count, hourly nurse cost, error rate) generate a real-time, range-based estimate of time savings, error reduction and annual euro savings from automated medication dispensing. Built for procurement preparation and investment justification. Defaults grounded in KT 2025 nurse wage statistics and published research.
4. ["Is it for me?" Suitability Assessment](/en/is-it-for-me) — 11 questions across 8 RAI-based domains (living environment, care support, cognition, medication, medication adherence, physical function, background). Outputs a personal recommendation across four possible outcomes. Built on interRAI RAI-HC, Cognitive Performance Scale and ADL Hierarchy — the same frameworks Finnish wellbeing services counties use to assess service needs.
Clinical foundation — not marketing
Every question in every tool has a source citation that opens inline on the page. Primary methodological sources:
Käypä hoito — Medication of the elderly, Multimorbid patient
Fimea — LHKA protocol, High-risk medications in older adults, Polypharmacy guidance
THL — Home-care medication safety, RAI assessment coordination
interRAI — RAI-HC (Home Care), CPS (Cognitive Performance Scale), ADL Hierarchy
WHO — Adherence to Long-Term Therapies (2003), Medication Without Harm initiative
We do not display individual drug interactions ("Warfarin + ibuprofen = risk") — only a pharmacist or physician should issue messages like that during clinical assessment. We do not propose medication changes. We do not make diagnoses. Every recommendation routes to "talk to your physician or pharmacist."
The tools are deliberately scoped, for responsibility reasons. Their purpose is to make visible the moment when professional assessment is warranted — not to replace professional assessment.
Open-access principles
Free of charge — no paywall, no freemium tier
No registration — no email, no phone number, no name
Answers stay in the browser — we do not store, transmit or analyze them
Three languages — Finnish, Swedish, English (full translation, not just headlines)
Mobile and desktop accessible — built to WCAG 2.1 AA targets
Sources visible — every question has a "Why we ask?" expandable
Why we open these up
As Finland ages, medication-safety questions touch a growing number of family members, nurses and care-service organizers. We wanted to make our own perspective a visible part of the Finnish conversation — not by claiming uniqueness, but by adding one concrete, freely usable option alongside the well-established instruments already in use in Finland (Käypä hoito, Fimea's LHKA protocol, THL's RAI assessments).
Three reasons we opened the tools:
1. Responsibility. It feels natural to us that a medical-device manufacturer should contribute to the broader advancement of medication safety in Finland, not just to selling its own product.
2. Openness builds trust. When our tools display their clinical foundation openly, they survive scrutiny by professionals and let conversation partners check the sources for themselves.
3. The questions help people understand the situation. Someone who completes the load assessment and sees a "Critical Polypharmacy" result will, on their own, better understand why a conversation with a pharmacist or physician is worth scheduling.
Try the tools
All four are immediately available:
/en/polypharmacy-load — Polypharmacy load assessment
/en/night-risk — Night-time medication risk
/en/roi-calculator — ROI estimate for your organization
/en/is-it-for-me — Suitability assessment
Also available in Finnish (/yhteistyo) and Swedish (/sv/samarbete).
Method and caveats
This article is based on MoniDose's April 2026 review of Finnish smart-medication-dispenser-market public websites, national authorities' public web content, and a sample of wellbeing services counties' interactive self-assessment tooling. The review used publicly available web pages. If any Finnish actor has published an equivalent open offering, we welcome feedback and will update the comparison.
When we say "first" or "the only such open toolkit", the scope is narrow on purpose: (1) the review covers Finnish smart medication dispenser providers, not all Finnish health-sector actors; (2) the comparison considers only free, public, interactive self-assessment tools — not guidance pages, not PDF recommendations, not professional clinical instruments, all of which are valuable in their own right.
MoniDose is being developed as a Class I medical device under EU MDR 2017/745. The published tools provide indicative assessments and do not replace a community pharmacy LHKA, a treating physician's assessment, or a wellbeing services county's service-needs assessment. Do not make medication changes without professional guidance.