An electronic system to document reasons for medication discontinuation and to flag unwanted represcriptions in geriatric patients

C.M.J. Linden, van der, P.A.F. Jansen, R.J. Marum, van, R.J.E. Grouls, T.C.G. Egberts, E.H.M. Korsten

Research output: Contribution to journalArticleAcademicpeer-review

5 Citations (Scopus)

Abstract

Background Earlier studies have shown poor documentation of the reasons for medication discontinuation during hospitalization. Communication of reasons for discontinuation, e.g. adverse drug reactions (ADRs), to general practitioners and pharmacists was also found to be insufficient, leading to a rate of represcription after an ADR of 27 % during the first 6 months after discharge. Objective The aim of this study was to develop and implement a user-friendly electronic clinical decision support system to document reasons for medication discontinuation in hospitalized geriatric patients and to flag potentially undesirable represcriptions. Methods The electronic clinical decision support module was developed using the Gaston framework. Pop-up windows force physicians to document reasons for medication discontinuation, and the system alerts physicians to the represcription of drugs withdrawn because of an ADR. We interviewed users regarding the acceptability of the system. Results On a 20-bed geriatric ward, the electronic system documented 2,228 medication discontinuations and the reasons for them over 11.4 months and alerted physicians to represcription of drugs associated with an ADR 20 times. The system was considered to be user-friendly. Conclusions This clinical decision support system fulfilled its aims of documenting the reasons for medication discontinuation and alerting physicians to potentially undesirable represcription of previously withdrawn drugs. It was found to be user-friendly
Original languageEnglish
Pages (from-to)957-962
JournalDrugs & Aging
Volume29
Issue number12
DOIs
Publication statusPublished - 2012

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Clinical Decision Support Systems
Drug-Related Side Effects and Adverse Reactions
Geriatrics
Physicians
Medical Order Entry Systems
Pharmaceutical Preparations
Pharmacists
Documentation
General Practitioners
Hospitalization
Communication

Cite this

Linden, van der, C.M.J. ; Jansen, P.A.F. ; Marum, van, R.J. ; Grouls, R.J.E. ; Egberts, T.C.G. ; Korsten, E.H.M. / An electronic system to document reasons for medication discontinuation and to flag unwanted represcriptions in geriatric patients. In: Drugs & Aging. 2012 ; Vol. 29, No. 12. pp. 957-962.
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abstract = "Background Earlier studies have shown poor documentation of the reasons for medication discontinuation during hospitalization. Communication of reasons for discontinuation, e.g. adverse drug reactions (ADRs), to general practitioners and pharmacists was also found to be insufficient, leading to a rate of represcription after an ADR of 27 {\%} during the first 6 months after discharge. Objective The aim of this study was to develop and implement a user-friendly electronic clinical decision support system to document reasons for medication discontinuation in hospitalized geriatric patients and to flag potentially undesirable represcriptions. Methods The electronic clinical decision support module was developed using the Gaston framework. Pop-up windows force physicians to document reasons for medication discontinuation, and the system alerts physicians to the represcription of drugs withdrawn because of an ADR. We interviewed users regarding the acceptability of the system. Results On a 20-bed geriatric ward, the electronic system documented 2,228 medication discontinuations and the reasons for them over 11.4 months and alerted physicians to represcription of drugs associated with an ADR 20 times. The system was considered to be user-friendly. Conclusions This clinical decision support system fulfilled its aims of documenting the reasons for medication discontinuation and alerting physicians to potentially undesirable represcription of previously withdrawn drugs. It was found to be user-friendly",
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An electronic system to document reasons for medication discontinuation and to flag unwanted represcriptions in geriatric patients. / Linden, van der, C.M.J.; Jansen, P.A.F.; Marum, van, R.J.; Grouls, R.J.E.; Egberts, T.C.G.; Korsten, E.H.M.

In: Drugs & Aging, Vol. 29, No. 12, 2012, p. 957-962.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - An electronic system to document reasons for medication discontinuation and to flag unwanted represcriptions in geriatric patients

AU - Linden, van der, C.M.J.

AU - Jansen, P.A.F.

AU - Marum, van, R.J.

AU - Grouls, R.J.E.

AU - Egberts, T.C.G.

AU - Korsten, E.H.M.

PY - 2012

Y1 - 2012

N2 - Background Earlier studies have shown poor documentation of the reasons for medication discontinuation during hospitalization. Communication of reasons for discontinuation, e.g. adverse drug reactions (ADRs), to general practitioners and pharmacists was also found to be insufficient, leading to a rate of represcription after an ADR of 27 % during the first 6 months after discharge. Objective The aim of this study was to develop and implement a user-friendly electronic clinical decision support system to document reasons for medication discontinuation in hospitalized geriatric patients and to flag potentially undesirable represcriptions. Methods The electronic clinical decision support module was developed using the Gaston framework. Pop-up windows force physicians to document reasons for medication discontinuation, and the system alerts physicians to the represcription of drugs withdrawn because of an ADR. We interviewed users regarding the acceptability of the system. Results On a 20-bed geriatric ward, the electronic system documented 2,228 medication discontinuations and the reasons for them over 11.4 months and alerted physicians to represcription of drugs associated with an ADR 20 times. The system was considered to be user-friendly. Conclusions This clinical decision support system fulfilled its aims of documenting the reasons for medication discontinuation and alerting physicians to potentially undesirable represcription of previously withdrawn drugs. It was found to be user-friendly

AB - Background Earlier studies have shown poor documentation of the reasons for medication discontinuation during hospitalization. Communication of reasons for discontinuation, e.g. adverse drug reactions (ADRs), to general practitioners and pharmacists was also found to be insufficient, leading to a rate of represcription after an ADR of 27 % during the first 6 months after discharge. Objective The aim of this study was to develop and implement a user-friendly electronic clinical decision support system to document reasons for medication discontinuation in hospitalized geriatric patients and to flag potentially undesirable represcriptions. Methods The electronic clinical decision support module was developed using the Gaston framework. Pop-up windows force physicians to document reasons for medication discontinuation, and the system alerts physicians to the represcription of drugs withdrawn because of an ADR. We interviewed users regarding the acceptability of the system. Results On a 20-bed geriatric ward, the electronic system documented 2,228 medication discontinuations and the reasons for them over 11.4 months and alerted physicians to represcription of drugs associated with an ADR 20 times. The system was considered to be user-friendly. Conclusions This clinical decision support system fulfilled its aims of documenting the reasons for medication discontinuation and alerting physicians to potentially undesirable represcription of previously withdrawn drugs. It was found to be user-friendly

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JO - Drugs & Aging

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