Impact of a Clinical Decision Support System on the Efficiency and Effectiveness of Performing Medication Reviews in Community Pharmacies: A Randomized Controlled Trial

被引:0
作者
Dabidian, Armin [1 ]
Kinny, Florian [1 ]
Steichert, Melina [1 ]
Schlottau, Sabina [1 ]
Bartel, Anke [1 ]
Schwender, Holger [2 ]
Laeer, Stephanie [1 ]
机构
[1] Heinrich Heine Univ Dusseldorf, Inst Clin Pharm & Pharmacotherapy, Univ Str 1, D-40225 Dusseldorf, Germany
[2] Heinrich Heine Univ Dusseldorf, Math Inst, Univ Str 1, D-40225 Dusseldorf, Germany
关键词
clinical decision support system (CDSS); medication review (MR); community pharmacy; pharmacists; medication safety; medication therapy management; eHealth; OLDER-ADULTS; POLYPHARMACY; PREVALENCE; HEALTH;
D O I
10.3390/healthcare12232491
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Clinical decision support systems (CDSSs) already support community pharmacists in conducting medication reviews (MRs) by identifying important information on interactions and suggesting clinical solutions. However, their impact in terms of quality and time savings is widely unexplored. The aim of our study was to investigate whether MRs are performed faster and better with or without using a CDSS. Methods: In a randomized controlled study with a cross-over design, 71 pharmacists performed a total of four MRs, two with and two without the use of a CDSS. The primary endpoint was defined as the time required for the MRs. The secondary endpoints were the number of predefined relevant drug-related problems (DRPs) detected and pharmacist satisfaction. Results: Without the use of a CDSS, pharmacists needed between 25.7% and 30.7% more time to perform a MR than with a CDSS. In addition, significantly more relevant DRPs were detected in the MRs with CDSS than without CDSS (70% vs. 50%; p = 0.0037). Furthermore, participants stated that they felt more confident using a CDSS for MRs than without. Conclusions: Our results demonstrate that MRs can be performed both faster and better when using a CDSS than without. Consequently, community pharmacists benefit from the use of CDSSs for MRs, as do patients in terms of their drug therapy safety.
引用
收藏
页数:23
相关论文
共 50 条
[11]   Decision support software-guided medication reviews in elderly patients with polypharmacy: a prospective analysis of routine data from community pharmacies (OPtiMed study protocol) [J].
Stefan Maierhöfer ;
Isabell Waltering ;
Mareike Jacobs ;
Gudrun Würthwein ;
Meike Appelrath ;
Susanne Koling ;
Georg Hempel .
Journal of Pharmaceutical Policy and Practice, 15
[12]   Impact of the Goal-directed Medication Review Electronic Decision Support System on Drug Burden Index: A cluster-randomised clinical trial in primary care [J].
Kouladjian O'Donnell, Lisa ;
Gnjidic, Danijela ;
Sawan, Mouna ;
Reeve, Emily ;
Kelly, Patrick J. ;
Chen, Timothy F. ;
Bell, J. Simon ;
Hilmer, Sarah N. .
BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 2021, 87 (03) :1499-1511
[13]   Impact of a clinical decision support system on identifying drug-related problems and making recommendations to providers during community pharmacist-led medication reviews in Ontario, Canada: A pilot study [J].
Riley, Karen ;
Yap, Katherine ;
Foley, Gaelan ;
Lambe, John ;
Lund, Sean .
JOURNAL OF EVALUATION IN CLINICAL PRACTICE, 2025, 31 (02)
[14]   Clinical impact of a pharmacist-led medication review with follow up for aged polypharmacy patients: A cluster randomized controlled trial [J].
Varas-Doval, Raquel ;
Gastelurrutia, Miguel A. ;
Benrimoj, Shalom I. ;
Garcia-Cardenas, Victoria ;
Saez-Benito, Loreto ;
Martinez-Martinez, Fernando .
PHARMACY PRACTICE-GRANADA, 2020, 18 (04) :1-8
[15]   Effects of using the MyFood decision support system on hospitalized patients' nutritional status and treatment: A randomized controlled trial [J].
Paulsen, Mari Mohn ;
Paur, Ingvild ;
Gjestland, Johanna ;
Henriksen, Christine ;
Varsi, Cecilie ;
Tangvik, Randi Julie ;
Andersen, Lene Frost .
CLINICAL NUTRITION, 2020, 39 (12) :3607-3617
[16]   Impact of medication reconciliation and medication reviews on the incidence of preventable adverse drug reactions during hospitalization of elderly patients. A randomized controlled trial [J].
Schmitz, K. ;
Lenssen, R. ;
Wied, S. ;
Laven, A. ;
Berning, D. ;
Thomeczek, C. ;
Brokmann, J. ;
Jaehde, U. ;
Eisert, A. .
PHARMAZIE, 2024, 79 (09) :209-214
[17]   The Impact of Gender on the Effectiveness of an Auricular Acupressure Intervention Administered to Community-Dwelling Poor Sleepers: A Cluster Randomized Controlled Trial [J].
Hung, Hsuan-Man ;
Chiang, Hsiao-Ching ;
Wang, Hui-Ling .
JOURNAL OF NURSING RESEARCH, 2021, 29 (03)
[18]   Medication adherence support of an in-home electronic medication dispensing system for individuals living with chronic conditions: a pilot randomized controlled trial [J].
Arain, Mubashir Aslam ;
Ahmad, Armghan ;
Chiu, Venus ;
Kembel, Lorena .
BMC GERIATRICS, 2021, 21 (01)
[19]   Impact of a multi-component immunization intervention on pneumococcal and herpes zoster vaccinations: A randomized controlled trial of community pharmacies in 2 states [J].
Hohmann, Lindsey A. ;
Hastings, Tessa J. ;
Ha, David R. ;
Garza, Kimberly B. ;
Huston, Sally A. ;
Chen, Li ;
Westrick, Salisa C. .
RESEARCH IN SOCIAL & ADMINISTRATIVE PHARMACY, 2019, 15 (12) :1453-1463
[20]   Effectiveness of Comprehensive Environmental Support for Community-Dwelling Older Adults: A Single-Blind Randomized Controlled Trial [J].
Yabuwaki, Kenji ;
Shinohara, Kazuya ;
Fujioka, Akira ;
Inagaki, Shigeaki ;
Hirao, Kazuki .
AMERICAN JOURNAL OF OCCUPATIONAL THERAPY, 2024, 78 (03)