Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms. Issue 10 (30th June 2011)

• Record Type: Journal Article
• Authors: Hume, Anne L; Quilliam, Brian J; Goldman, Roberta; Eaton, Charles; Lapane, Kate L
• Is Part Of: BMJ quality & safety. Volume 20:Issue 10(2011)
• Page Start: 875
• Page End: 884
• Publication Date: 2011-06-30
• Subjects: Adverse drug events -- geriatrics -- inappropriate medications -- primary care -- adverse event -- ambulatory care -- drug therapy -- medication safety; Medical care -- Quality control -- Periodicals; Health facilities -- Risk management -- Periodicals; Medical errors -- Prevention -- Periodicals; 362.106805
• DOI: 10.1136/bmjqs.2010.049635
• Languages: English
• ISSNs: 2044-5415

Abstract

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.