A clinical evaluation of the Janus Web Application, a software screening tool for drug-drug interactions

Eur J Clin Pharmacol. 2008 Dec;64(12):1209-14. doi: 10.1007/s00228-008-0547-x. Epub 2008 Aug 10.

Abstract

Purpose: To evaluate the clinical relevance of the Janus Web Application (JWA) in screening for potential drug-drug interactions (DDIs).

Methods: One hundred and fifty patients taking two drugs or more were studied. Potential DDIs were identified by the JWA. Interviewing the patient and looking into his/her medical records provided complementing information. A clinical pharmacologist judged which potential DDIs were clinically relevant. Potentially relevant DDIs identified by the JWA were then correlated with clinically relevant DDIs.

Results: A total of 150 significant potential DDIs were found. Sixteen percent (24/150) were judged to be clinically relevant.

Conclusions: A very small proportion of DDIs was considered clinically relevant in the specific clinical context. To optimise the software's user-friendliness, the following points need to be considered: the possibility of eliminating trivial potential DDIs, individualising drug alerts, and providing written information, accessible via a hyperlink.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Decision Support Systems, Clinical*
  • Drug Interactions*
  • Drug Utilization Review* / methods
  • Drug Utilization Review* / statistics & numerical data
  • Drug-Related Side Effects and Adverse Reactions
  • Female
  • Humans
  • Male
  • Medical Records
  • Pharmaceutical Preparations* / administration & dosage
  • Software*
  • Surveys and Questionnaires
  • Sweden

Substances

  • Pharmaceutical Preparations