Electronic Prescribing and Other Forms of Technology to Reduce Inappropriate Medication Use and Polypharmacy in Older People: A Review of Current Evidence

被引：63

作者：

Clyne, Barbara ^{[1
]}

Bradley, Marie C. ^{[1
,2
]}

Hughes, Carmel ^{[2
]}

Fahey, Tom ^{[1
]}

Lapane, Kate L. ^{[3
]}

机构：

[1] Royal Coll Surgeons Ireland, Div Populat Hlth Sci, HRB Ctr Primary Care Res, Dublin 2, Ireland

[2] Queens Univ Belfast, Sch Pharm, Belfast BT9 7BL, Antrim, North Ireland

[3] Virginia Commonwealth Univ, Richmond, VA USA

来源：

CLINICS IN GERIATRIC MEDICINE | 2012年 / 28卷 / 02期

关键词：

Polypharmacy; Inappropriate prescribing; Medication use; Electronic prescribing; Computerized decision support; Older people; CLINICAL DECISION-SUPPORT; LONG-TERM-CARE; PROVIDER ORDER ENTRY; ADVERSE DRUG EVENTS; SAFETY ALERTS; HEALTH RECORD; PRACTITIONER PERFORMANCE; PATIENT OUTCOMES; CHRONIC DISEASES; ELDERLY-PATIENTS;

D O I：

10.1016/j.cger.2012.01.009

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Prescribing appropriate medications for older people is challenging. Older people tend to have multiple conditions, require multiple drug treatments, experience increased sensitivity to medications due to physiological age related changes, and consequently, are vulnerable to inappropriate prescribing, polypharmacy and adverse drug events. This review provides an overview of current evidence in relation to electronic prescribing and other technologies, particularly computerized decision support systems, in reducing inappropriate medication use in the prescribing stage. We discuss the concepts of inappropriate prescribing, polypharmacy, and health information technology and summarize the evidence in light of the challenges of implementing technology into practice.

引用

页码：301 / +

页数：24

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