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.
journal_name
BMJ Qual Safjournal_title
BMJ quality & safetyauthors
Hume AL,Quilliam BJ,Goldman R,Eaton C,Lapane KLdoi
10.1136/bmjqs.2010.049635subject
Has Abstractpub_date
2011-10-01 00:00:00pages
875-84issue
10eissn
2044-5415issn
2044-5423pii
bmjqs.2010.049635journal_volume
20pub_type
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更新日期:2016-10-01 00:00:00
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更新日期:2014-02-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
doi:10.1136/bmjqs.2010.048991
更新日期:2011-08-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
doi:10.1136/bmjqs-2014-003700
更新日期:2015-08-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
doi:10.1136/bmjqs-2011-000197
更新日期:2011-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2013-12-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章,多中心研究
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