Feasibility study of a clinical decision support system for polymedicated patients in primary care.
clinical decision support system
polypharmacy
primary care
user experience
Journal
Healthcare technology letters
ISSN: 2053-3713
Titre abrégé: Healthc Technol Lett
Pays: England
ID NLM: 101646459
Informations de publication
Date de publication:
Jun 2023
Jun 2023
Historique:
received:
14
11
2022
revised:
30
03
2023
accepted:
18
04
2023
medline:
2
6
2023
pubmed:
2
6
2023
entrez:
2
6
2023
Statut:
epublish
Résumé
Age-related changes in pharmacokinetics and pharmacodynamics, multimorbidity, frailty, and cognitive impairment represent challenges for drug treatments. Moreover, older adults are commonly exposed to polypharmacy, leading to increased risk of drug interactions and related adverse events, and higher costs for the healthcare systems. Thus, the complex task of prescribing medications to older polymedicated patients encourages the use of Clinical Decision Support Systems (CDSS). This paper evaluates the CDSS miniQ for identifying potentially inappropriate prescribing in poly-medicated older adults and assesses the usability and acceptability of the system in health care professionals, patients, and caregivers. The results of the study demonstrate that the miniQ system was useful for Primary Care physicians in significantly improving prescription, thereby reducing potentially inappropriate medication prescriptions for elderly patients. Additionally, the system was found to be beneficial for patients and their caregivers in understanding their medications, as well as usable and acceptable among healthcare professionals, patients, and caregivers, highlighting the potential to improve the prescription process and reduce errors, and enhancing the quality of care for elderly patients with polypharmacy, reducing adverse drug events, and improving medication management.
Identifiants
pubmed: 37265836
doi: 10.1049/htl2.12046
pii: HTL212046
pmc: PMC10230557
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
62-72Informations de copyright
© 2023 The Authors. Healthcare Technology Letters published by John Wiley & Sons Ltd on behalf of The Institution of Engineering and Technology.
Déclaration de conflit d'intérêts
The authors declare that they have no competing interests.
Références
Expert Opin Drug Saf. 2018 Dec;17(12):1185-1196
pubmed: 30540223
Implement Sci. 2011 Aug 03;6:92
pubmed: 21824386
BMJ Open. 2015 Sep 18;5(9):e008656
pubmed: 26384726
Med Clin (Barc). 2006 Jul 15;127(7):269-75
pubmed: 16942732
Drugs Aging. 2015 Jun;32(6):495-503
pubmed: 26025118
J Am Pharm Assoc (2003). 2017 Nov - Dec;57(6):729-738.e10
pubmed: 28784299
Med Clin (Barc). 2019 Aug 16;153(4):154-156
pubmed: 30982532
J Am Med Dir Assoc. 2016 Oct 1;17(10):957-8
pubmed: 27567462
Am J Public Health. 2014 Dec;104(12):e12-22
pubmed: 25322302
Eur J Clin Pharmacol. 2013 Jul;69(7):1477-83
pubmed: 23535883
Rev Clin Esp (Barc). 2017 Jun - Jul;217(5):289-295
pubmed: 28215652
Rev Esp Geriatr Gerontol. 2017 Jan - Feb;52(1):2-8
pubmed: 27756482
Eur J Clin Pharmacol. 2015 Feb;71(2):199-207
pubmed: 25380629
Implement Sci. 2016 Nov 25;11(1):153
pubmed: 27884165
J Am Med Inform Assoc. 2010 Jan-Feb;17(1):25-33
pubmed: 20064798
BMJ. 2016 Jun 03;353:i2893
pubmed: 27260319
Br J Clin Pharmacol. 2018 Jul;84(7):1432-1444
pubmed: 29575094
PLoS One. 2016 Dec 15;11(12):e0167683
pubmed: 27977697
Expert Opin Drug Saf. 2014 Jan;13(1):57-65
pubmed: 24073682
Pharm Pract (Granada). 2017 Oct-Dec;15(4):1036
pubmed: 29317919
Age Ageing. 2015 Mar;44(2):213-8
pubmed: 25324330
BMC Med Inform Decis Mak. 2006 Feb 01;6:6
pubmed: 16451720
Ann Fam Med. 2011 Jan-Feb;9(1):12-21
pubmed: 21242556
Med Clin (Barc). 2019 Aug 16;153(4):141-150
pubmed: 30803798
BMJ. 2013 Feb 14;346:f657
pubmed: 23412440
J Med Libr Assoc. 2016 Oct;104(4):290-295
pubmed: 27822150
Drugs Aging. 2015 Mar;32(3):189-99
pubmed: 25673123
Healthc Technol Lett. 2023 May 08;10(3):62-72
pubmed: 37265836
BMC Geriatr. 2015 Apr 09;15:42
pubmed: 25887546
Implement Sci. 2016 Jul 07;11(1):89
pubmed: 27389248
JMIR Res Protoc. 2018 Dec 07;7(12):e11135
pubmed: 30530459
J Am Med Inform Assoc. 2006 Mar-Apr;13(2):138-47
pubmed: 16357358
BMC Med. 2015 Apr 07;13:74
pubmed: 25889849
Aten Primaria. 2017 Jan;49(1):13-20
pubmed: 27296077
Clin Geriatr Med. 2012 May;28(2):301-22
pubmed: 22500545
Pilot Feasibility Stud. 2016 Mar 12;2:16
pubmed: 27965836
J Gerontol A Biol Sci Med Sci. 2015 Aug;70(8):989-95
pubmed: 25733718
J Am Geriatr Soc. 2014 Dec;62(12):2261-72
pubmed: 25516023
J Am Med Inform Assoc. 2015 Jul;22(4):773-83
pubmed: 25670755
BMJ Qual Saf. 2015 Apr;24(4):282-6
pubmed: 25734193
Circulation. 2009 Sep 22;120(12):1133-7
pubmed: 19770412
BMC Med Inform Decis Mak. 2015 Oct 12;15:82
pubmed: 26459233