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
[21]   Parenteral Protein Decision Support System Improves Protein Delivery in Preterm Infants: A Randomized Clinical Trial [J].
Alrifai, Mhd Wael ;
Mulherin, David P. ;
Weinberg, Stuart T. ;
Wang, Li ;
Lehmann, Christoph U. .
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, 2018, 42 (01) :219-224
[22]   Effectiveness of an Advanced Clinical Decision Support System on Clinical Decision-Making Skills in a Call Center Medication Therapy Management Pharmacy Setting: A Pilot Study [J].
Bingham, Jennifer M. ;
Michaud, Veronique ;
Turgeon, Jacques ;
Axon, David R. .
PHARMACY, 2020, 8 (04) :1-12
[23]   Protocol for the New Medicine Service Study: a randomized controlled trial and economic evaluation with qualitative appraisal comparing the effectiveness and cost effectiveness of the New Medicine Service in community pharmacies in England [J].
Matthew Boyd ;
Justin Waring ;
Nick Barber ;
Rajnikant Mehta ;
Antony Chuter ;
Anthony J Avery ;
Nde-Eshimuni Salema ;
James Davies ;
Asam Latif ;
Lukasz Tanajewski ;
Rachel A Elliott .
Trials, 14
[24]   Impact of a community pharmacy-based medication therapy management program on clinical and humanistic outcomes in patients with uncontrolled diabetes: a randomised controlled trial [J].
Albabtain, Basmah ;
Bawazeer, Ghada ;
Paudyal, Vibhu ;
Cheema, Ejaz ;
Alqahtani, Abdulaziz ;
Bahatheq, Ahmed ;
Price, Malcolm J. ;
Hadi, Muhammad Abdul .
SCIENTIFIC REPORTS, 2024, 14 (01)
[25]   Impact and cost-effectiveness evaluation of a community-based rehabilitation intervention on quality of life among Chinese adults with hearing loss: study protocol for a randomized controlled trial [J].
Ye, Xin ;
Zhu, Dawei ;
Chen, Siyuan ;
Shi, Xuefeng ;
Gong, Rui ;
Wang, Juncheng ;
Zuo, Huibin ;
Zhang, Mei ;
He, Ping .
TRIALS, 2021, 22 (01)
[26]   Evaluation of Effectiveness and Cost-Effectiveness of a Clinical Decision Support System in Managing Hypertension in Resource Constrained Primary Health Care Settings: Results From a Cluster Randomized Trial [J].
Anchala, Raghupathy ;
Kaptoge, Stephen ;
Pant, Hira ;
Di Angelantonio, Emanuele ;
Franco, Oscar H. ;
Prabhakaran, D. .
JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2015, 4 (01)
[27]   A mobile and web-based clinical decision support and monitoring system for diabetes mellitus patients in primary care: a study protocol for a randomized controlled trial [J].
Kart, Ozge ;
Mevsim, Vildan ;
Kut, Alp ;
Yurek, Ismail ;
Altin, Ayse Ozge ;
Yilmaz, Oguz .
BMC MEDICAL INFORMATICS AND DECISION MAKING, 2017, 17
[28]   A mobile and web-based clinical decision support and monitoring system for diabetes mellitus patients in primary care: a study protocol for a randomized controlled trial [J].
Özge Kart ;
Vildan Mevsim ;
Alp Kut ;
İsmail Yürek ;
Ayşe Özge Altın ;
Oğuz Yılmaz .
BMC Medical Informatics and Decision Making, 17
[29]   The Clinical Impact and Cost-Effectiveness of Essential Oils and Aromatherapy for the Treatment of Acne Vulgaris: A Protocol for a Randomized Controlled Trial [J].
Agnew, Tamara ;
Leach, Matthew ;
Segal, Leonie .
JOURNAL OF ALTERNATIVE AND COMPLEMENTARY MEDICINE, 2014, 20 (05) :399-405
[30]   SupportPrim-a computerized clinical decision support system for stratified care for patients with musculoskeletal pain complaints in general practice: study protocol for a randomized controlled trial [J].
Lervik, Lars Christian Naterstad ;
Vasseljen, Ottar ;
Austad, Bjarne ;
Bach, Kerstin ;
Bones, Anita Formo ;
Granviken, Fredrik ;
Hill, Jonathan C. ;
Jorgensen, Pal ;
Oien, Torbjorn ;
Veites, Paola Marin ;
Van der Windt, Danielle A. ;
Meisingset, Ingebrigt .
TRIALS, 2023, 24 (01)