@article{6652,
  author = {Anne L. Hume and Brian J. Quilliam and Roberta Goldman and Charles Eaton and Kate L. Lapane},
  title = {Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms.},
  abstract = {<p><b>OBJECTIVE: </b>To describe the development of evidence-based electronic prescribing (e-prescribing) triggers and treatment algorithms for potentially inappropriate medications (PIMs) for older adults.</p><p><b>DESIGN: </b>Literature review, expert panel and focus group.</p><p><b>SETTING: </b>Primary care with access to e-prescribing systems.</p><p><b>PARTICIPANTS: </b>Primary care physicians using e-prescribing systems receiving medication history.</p><p><b>INTERVENTIONS: </b>Standardised treatment algorithms for clinicians attempting to prescribe PIMs for older patients.</p><p><b>MAIN OUTCOME MEASURE: </b>Development of 15 treatment algorithms suggesting alternative therapies.</p><p><b>RESULTS: </b>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.</p><p><b>CONCLUSION: </b>Prospectively identifying older persons receiving PIMs or with adherence issues and providing feasible interventions may prevent adverse drug events.</p>},
  year = {2011},
  journal = {BMJ Qual Saf},
  volume = {20},
  pages = {875-84},
  month = {10/2011},
  issn = {2044-5423},
  doi = {10.1136/bmjqs.2010.049635},
  language = {eng},
}