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

作者：Hume Anne L; Quilliam Brian J; Goldman Roberta; Eaton Charles; Lapane Kate L^*

来源：BMJ Quality & Safety, 2011, 20(10): 875-884.

DOI：10.1136/bmjqs.2010.049635

Objective: To describe the development of evidencebased 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.

• 出版日期2011-10