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BMJ Qual Saf. 2011 Oct;20(10):875-84. doi: 10.1136/bmjqs.2010.049635. Epub 2011 Jun 30.

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

Author information

1
Department of Pharmacy Practice, College of Pharmacy, University of Rhode Island, Kingston, Rhode Island, USA.

Abstract

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.

PMID:
21719560
PMCID:
PMC3181429
DOI:
10.1136/bmjqs.2010.049635
[Indexed for MEDLINE]
Free PMC Article

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