Agreement between drugs-to-avoid criteria and expert assessments of problematic prescribing--invited commentary.

Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
Archives of internal medicine (Impact Factor: 17.33). 08/2009; 169(14):1332-4. DOI: 10.1001/archinternmed.2009.180
Source: PubMed
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Available from: Budnitz Daniel, Jan 30, 2014
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    ABSTRACT: To describe the development of evidence-based electronic prescribing (e-prescribing) triggers and treatment algorithms for potentially inappropriate medications (PIMs) for older adults. Literature review, expert panel and focus group. Primary care with access to e-prescribing systems. Primary care physicians using e-prescribing systems receiving medication history. Standardised treatment algorithms for clinicians attempting to prescribe PIMs for older patients. Development of 15 treatment algorithms suggesting alternative therapies. 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. Prospectively identifying older persons receiving PIMs or with adherence issues and providing feasible interventions may prevent adverse drug events.
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