Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms
- PMID: 21719560
- PMCID: PMC3181429
- DOI: 10.1136/bmjqs.2010.049635
Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms
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.
Conflict of interest statement
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