Computerized Dashboard Can ID Potentially Inappropriate Meds
(HealthDay News) — A computerized potentially inappropriate medications (PIMs) dashboard can allow identification of older inpatients on high-risk medication regimens, according to research published online November 3 in the Journal of the American Geriatrics Society.
Josh F. Peterson, MD, MPH, from Vanderbilt University in Nashville, TN, and colleagues developed an electronic tool to identify hospitalized adults, aged ≥65 years, who were administered one medication from a list of 240 PIMs. Individuals with at least one administered PIM were flagged using a computerized PIMS dashboard. The flagged records were reviewed by a clinical pharmacist who delivered an immediate point-of-care intervention for the treating physician in a pilot implementation.
The researchers found that 22% of the 797 individuals admitted over a three-week period were flagged by the PIMS dashboard, and 485 participant-medication pairs were identified for review by the clinical pharmacist. Additional manual review of the electronic medical record was necessary for 71 participant records with 139 participant-medication pairs. An intervention was warranted for 22 participants receiving 40 inappropriate medication orders, and the intervention was delivered by telephone or text message. Clinicians enacted 78% of the pharmacist recommendations.
"An electronic PIM dashboard provided an efficient mechanism for clinical pharmacists to rapidly screen the medication regimens of hospitalized elderly adults and deliver a timely point-of-care intervention when indicated," the authors write.