Effect of clinical decision support on psychotropic medication prescribing in the long-term care setting

Journal of the American Geriatrics Society

Volumn 58, Issue 5, 2010, Pages 1005-1007

  Donovan, Jennifer L ^a,b   Kanaan, Abir O ^a,b   Thomson, Mary S ^c   Rochon, Paula ^c   Lee, Monica ^c   Gavendo, Linda ^c   Zhao, Yanfang ^b   Baril, Joann L ^b   Field, Terry S ^b   Gurwitz, Jerry H ^b  

^a MASSACHUSETTS COLLEGE OF PHARMACY AND HEALTH SCIENCES   (United States)

^b UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL   (United States)

^c Kunin Lunenfeld Applied Research Unit and Department of Food and Nutrition Services and Baycrest Centre for Geriatric Care   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ATYPICAL ANTIPSYCHOTIC AGENT; BENZODIAZEPINE DERIVATIVE; HYPNOTIC AGENT; PSYCHOTROPIC AGENT; SEDATIVE AGENT;

AGED; CLINICAL COMPETENCE; CLINICAL TRIAL; COMPUTER SYSTEM; COMPUTERIZED PROVIDER ORDER ENTRY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DECISION SUPPORT SYSTEM; ELDERLY CARE; ELECTRONIC MEDICAL RECORD; HUMAN; LETTER; LONG TERM CARE; MAJOR CLINICAL STUDY; MEDICAL DECISION MAKING; MEDICATION ERROR; PHARMACIST; PHYSICIAN; PRESCRIPTION; RANDOMIZED CONTROLLED TRIAL; FEMALE; MALE; VERY ELDERLY;

AGED, 80 AND OVER; DECISION SUPPORT SYSTEMS, CLINICAL; DRUG PRESCRIPTIONS; FEMALE; HUMANS; LONG-TERM CARE; MALE; PSYCHOTROPIC DRUGS;

EID: 77952192380     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/j.1532-5415.2010.02840.x     Document Type: Letter

References (10)

1. Gurwitz JH, Field TS, Avorn J et al. Incidence and preventability of adverse drug events in nursing homes. Am J Med 2000 109:87 94.
2. Gurwitz JH, Field TS, Judge J et al. The incidence of adverse drug events in two large academic long-term care facilities. Am J Med 2005 118:251 258. (Pubitemid 40312636)
3. Peterson JF, Kuperman GJ, Shek C et al. Guided prescription of psychotropic medications for geriatric inpatients. Arch Intern Med 2005 165:802 807. (Pubitemid 40569435)
4. Rochon PA, Field TS, Bates DW et al. Computerized physician order entry with clinical decision support in the long-term care setting: Insights from the Baycrest Centre for Geriatric Care. J Am Geriatr Soc 2005 53:1780 1789.
5. Rochon PA, Field TS, Bates DW et al. Clinical application of a computerized system for physician order entry with clinical decision support to prevent adverse drug events in long-term care. Can Med Assoc J 2006 174:52 54.
6. Avorn J, Soumerai SB, Everitt DE et al. A randomized trial of a program to reduce the use of psychoactive drugs in nursing homes. N Engl J Med 1992 327:168 173.
7. Ray WA, Taylor JA, Meador KG et al. Reducing antipsychotic drug use in nursing homes. A controlled trial of provider education. Arch Intern Med 1993 153:713 721. (Pubitemid 23094850)
8. Bates DW, Kuperman GJ, Wang S et al. Ten commandments for effective clinical decision support: Making the practice of evidence-based medicine a reality. J Am Med Inform Assoc 2003 10:523 530. (Pubitemid 37377461)
9. Kuperman GJ, Bobb A, Payne TH et al. Medication-related clinical decision support in computerized provider order entry systems: A review. J Am Med Inform Assoc 2007 14:29 40. (Pubitemid 44909484)
10. Gill SS, Bronskill SE, Normand S-LT et al. Antipsychotic drug use and mortality in older adults with dementia. Ann Intern Med 2007 146:775 786. (Pubitemid 351650498)