Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms

OBJECTIVE: To describe the development of evidence-based electronic prescribing (e-prescribing) triggers and treatment algorithms for potentially inappropriate medications (PIMs) for older adults. DESIGN: Literature review, expert panel and focus group. SETTING: Primary care with access to e-prescri...

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Detalles Bibliográficos
Autores principales: Hume, Anne L, Quilliam, Brian J, Goldman, Roberta, Eaton, Charles, Lapane, Kate L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Group 2011
Materias:
Original Research
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181429/
https://www.ncbi.nlm.nih.gov/pubmed/21719560
http://dx.doi.org/10.1136/bmjqs.2010.049635
Descripción
Sumario:OBJECTIVE: To describe the development of evidence-based electronic prescribing (e-prescribing) triggers and treatment algorithms for potentially inappropriate medications (PIMs) for older adults. DESIGN: Literature review, expert panel and focus group. SETTING: Primary care with access to e-prescribing systems. PARTICIPANTS: Primary care physicians using e-prescribing systems receiving medication history. INTERVENTIONS: Standardised treatment algorithms for clinicians attempting to prescribe PIMs for older patients. MAIN OUTCOME MEASURE: Development of 15 treatment algorithms suggesting alternative therapies. RESULTS: Evidence-based treatment algorithms were well received by primary care physicians. Providing alternatives to PIMs would make it easier for physicians to change decisions at the point of prescribing. CONCLUSION: Prospectively identifying older persons receiving PIMs or with adherence issues and providing feasible interventions may prevent adverse drug events.

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