Use of computer decision support interventions to improve medication prescribing in older adults: A systematic review

American Journal Geriatric Pharmacotherapy

Volumn 6, Issue 2, 2008, Pages 119-129

  Yourman, Lindsey ^a   Concato, John ^b,c   Agostini, Joseph V ^b,c  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b VA CONNECTICUT HEALTHCARE SYSTEM   (United States)

^c YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

adverse drug effects; aged; computer assisted; decision making; intervention studies

Indexed keywords

AMITRIPTYLINE; ANTIDEPRESSANT AGENT; ANXIOLYTIC AGENT; BENZODIAZEPINE DERIVATIVE; DIAZEPAM; HYPNOTIC SEDATIVE AGENT; MUSCLE RELAXANT AGENT; NONSTEROID ANTIINFLAMMATORY AGENT; PSYCHOTROPIC AGENT; TRICYCLIC ANTIDEPRESSANT AGENT; WARFARIN;

ARTICLE; CLINICAL EFFECTIVENESS; CLINICAL PHARMACY; CLINICAL TRIAL; COMPUTER AIDED DESIGN; COMPUTER PROGRAM; DECISION SUPPORT SYSTEM; DRUG USE; ELDERLY CARE; EMBASE; HIGH RISK POPULATION; HUMAN; INTERVENTION STUDY; MEDICAL DECISION MAKING; MEDICATION ERROR; MEDLINE; OUTCOMES RESEARCH; POLYPHARMACY; PRESCRIPTION; PRIORITY JOURNAL; RECOMMENDED DRUG DOSE; SYSTEMATIC REVIEW; TOTAL QUALITY MANAGEMENT;

AGED; CLINICAL TRIALS AS TOPIC; DECISION SUPPORT SYSTEMS, CLINICAL; HUMANS; INTERVENTION STUDIES; PHARMACEUTICAL PREPARATIONS; PHYSICIAN'S PRACTICE PATTERNS; QUALITY ASSURANCE, HEALTH CARE;

EID: 48149097502     PISSN: 15435946     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.amjopharm.2008.06.001     Document Type: Article

References (46)

1. Gandhi T., Weingart S., Borus J., et al. Adverse drug events in ambulatory care. N Engl J Med 348 (2003) 1556-1564
2. Gray S., Mahoney J., and Blough D. Adverse drug events in elderly patients receiving home health services follow-ing hospital discharge. Ann Pharmacother 33 (1999) 1147--1153
3. Hanlon J., Schmader K., Koronkowski M., et al. Adverse drug events in high risk older outpatients. J Am Geriatr Soc 45 (1997) 945-948
4. Carbonin P., Pahor M., Bernabei R., and Sgadari A. Is age an in-dependent risk factor of adverse drug reactions in hospitalized medical patients?. J Am Geriatr Soc 39 (1991) 1093-1099
5. Gray S., Sager M., Lestico M., and Jalaluddin M. Adverse drug events in hospitalized elderly. J Gerontol A BioI Sci Med Sci 53 (1998) M59-M63
6. Gerety M., Cornell J., Plichta D., and Eimer M. Adverse events related to drugs and drug withdrawal in nursing home residents. JAm Geriatr Soc 41 (1993) 1326-1332
7. Gurwitz J., Field T., Avorn J., et al. Incidence and preventability of adverse drug events in nursing homes. Am J Med 109 (2000) 87-94
8. Kaufman D., Kelly J., Rosenberg L., et al. Recent patterns of medication use in the ambulatory adult population of the United States: The Slone survey. JAMA 287 (2002) 337-344
9. Chutka D., Evans J., Fleming K., and Mikkelson K. Symposium on geriatrics-Part I: Drug prescribing for elderly patients. Mayo Clin Proc 70 (1995) 685-693
10. Rochon P., and Gurwitz J. Optimising drug treatment for elderly people: The prescribing cascade. BMJ 315 (1997) 1096-1099
11. Rochon P., Anderson G., Tu J., et al. Use of beta-blocker therapy in older patients after acute myocardial infarction in Ontario. CMAJ 161 (1999) 1403-1408
12. Steinman M., Landefeld C., Rosenthal G., et al. Polypharmacy and prescribing quality in older people. J Am Geriatr Soc 54 (2006) 1516-1523
13. Lindblad C., Hanlon J., Gross C., et al. Clinically im-portant drug-disease interactions and their prevalence in older adults. Clin Ther 28 (2006) 1133-1143
14. Fosnight S., Holder C., Allen K., and Hazelett S. A strategy to decrease the use of risky drugs in the elderly. Cleve Clin J Med 71 (2004) 561-568
15. Kaboli P., Hoth A., McClimon B., and Schnipper J. Clinical pharmacists and inpatient medical care: A systematic review. Arch Intern Med 166 (2006) 955-964
16. Spinewine A., Swine C., Dhillon S., et al. Eftect of a collaborative approach on the quality of prescribing for geriatric inpatients: A randomized, controlled trial. J Am Geriatr Soc 55 (2007) 658-665
17. Spinewine A., Schmader K., Barber N., et al. Appropriate prescribing in elderly people: How well can it be measured and optimised?. Lancet 370 (2007) 173-184
18. Kaushal R., Shojania K., and Bates D. Effects ofcomputerized physician order entry and clinical decision support systems on medication safety: A systematic review. Arch Intern Med 163 (2003) 1409-1416
19. Kuperman G., Bobb A., Payne T., et al. Medication related clinical decision support in computerized provider order entry systems: A review. J Am Med Inform Assoc 14 (2007) 29-40
20. Kawamoto K., Houlihan C., Balas E., and Lobach D. Improving clinical practice using clinical decision support systems: A systematic review of trials to identify features critical to success. BMJ 330 (2005) 765
21. Chaudhry B., Wang I., Wu S., et al. Systematic review: Impact of health information technology on quality, efficiency, and costs of medical care. Ann Intern Med 144 (2006) 742-752
22. Mangoni A., and Jackson S. Age-related changes in pharmacokinetics and pharmacodynamics: Basic principles and practical applications. Br J Clin Pharmacol 57 (2004) 6-14
23. Beers M. Explicit criteria for determining potentially inappropriate medication use by the elderly. An update. Arch Intern Med 157 (1997) 1531-1536
24. McLeod P., Huang A., Tamblyn R., and Gayton D. Defining in appropriate practices in prescribing for elderly people: A national consensus panel. CMAJ 156 (1997) 385-391
25. Cook R., and Sackett D. The number needed to treat: A clinically useful measure of treatment effect [published correction appears. BMJ 310 (1995) 1056
26. BMJ 310 (1995) 452-454
27. Feldstein A., Elmer P., Smith D., et al. Electronic medical record reminder improves osteoporosis management after a fracture: A randomized, controlled trial. J Am Geriatr Soc 54 (2006) 450-457
28. Montgomery A., Fahey T., Peters T., et al. Evaluation of computer based clinical decision support system and risk chart for management of hypertension in primary care: Randomized controlled trial. BMJ 320 (2000) 686-690
29. Agostini I., Zhang Y., and Inouye S. Use of a computer-based reminder to improve sedative-hypnotic prescribing in older hospitalized patients. J Am Geriatr Soc 55 (2007) 43-48
30. Judge I., Field T., DeFlorio M., et al. Prescribers' responses to alerts during medication ordering in the long term care setting. J Am Med Inform Assoc 13 (2006) 385-390
31. Peterson J., Kuperman G., Shek C., et al. Guided prescription of psychotropic medications for geriatric inpatients. Arch Intern Med 165 (2005) 802-807
32. Smith D., Perrin N., Feldstein A., et al. The impact of prescribing safety alerts for elderly persons in an electronic medical record: An interrupted time series evalua-tion. Arch Intern Med 166 (2006) 1098-1104
33. Simon S., Smith D., Feldstein A., et al. Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications in older people. J Am Geriatr Soc 54 (2006) 963-968
34. Tamblyn R., Huang A., Perreault R., et al. The medical office of the 21st century (MOXXI): Effectiveness of computerized decision-making support in reducing in appropriate prescribing in primary care. CMAJ 169 (2003) 549-556
35. Monane M., Matthias D., Nagle B., and Kelly M. Improving prescribing patterns for the elderly through an online' drug utilization review intervention: A system linking the physician, pharmacist, and computer. JAMA 280 (1998) 1249-1252
36. Raebel M., Charles I., Dugan I., et al. Randomized trial to improve prescribing safety in ambulatory elderly patients. J Am Geriatr Soc 55 (2007) 977-985
37. Bates D., Cullen D., Laird N., et al., For the ADE Prevention Study Group. >Incidence of adverse drug events and potential adverse drug events. Implications for prevention. JAMA 274 (1995) 29-34
38. Bates D., Spell N., Cullen D., et al., For the Adverse Drug Events Prevention Study Group. The costs of adverse drug events in hospitalized patients. JAMA 277 (1997) 307-311
39. Classen D., Pestotnik S., Evans R., et al. Adverse drug events in hospitalized patients. Excess length of stay, extra costs, and attributable mortality. JAMA 277 (1997) 301-306
40. Agostini N. Measuring drug burden: A step forward. Arch Intern Med 167 (2007) 753-754
41. Hanlon T., Schmader K., Ruby C., and Weinberger M. Suboptimal prescribing in older inpatients and outpatients. J Am Geriatr Soc 49 (2001) 200-209
42. Alemagno S., Niles S., and Treiber E. Using computers to reduce medication misuse of community-based seniors: Results of a pilot intervention program. Geriatr Nurs 25 (2004) 281-285
43. Neafsey P., Strickler Z., Shellman I., and Padula A. Delivering health information about self-medication to older adults: Use of touchscreen-equipped notebook computers. J Gerontol Nurs 27 (2001) 19-27
44. Seals A., and Duffy V. Toward development of a computer-based methodology for evaluating and reducing medication administration errors. Ergonomics 48 (2005) 1151--1168
45. Hornick T., Higgins P., Stollings C., et al. Initial evaluation of a computer-based medication management tool in a geriatric clinic. Am J Geriatr Pharmacother 4 (2006) 62-69
46. Thomson R., Eccles M., Steen I., et al. A patient decision aid to support shared decision-making on anti-thrombotic treatment of patients with atrial fibrillation: Randomized controlled trial. Qual Saf Health Care 16 (2007) 216-223