Date of Original Version
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.
Hume, A. L., Quilliam, B. J., Goldman, R., Eaton, C., & Lapane, K. L. (2011). Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms. BMJ Qual. Saf., 20(10), 875-884. doi: 10.1136/bmjqs.2010.049635
Available at: http://dx.doi.org/10.1136/bmjqs.2010.049635
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