Interrater reliability of a tool to assess omission of prescription and inappropriate prescriptions in paediatrics.
Autor: | Berthe-Aucejo A; Department of Pharmacy, Robert-Debré Hospital AP-HP, Paris, France. aurore.berthe84@gmail.com.; U1123, INSERM ECEVE, Paris, France. aurore.berthe84@gmail.com., Nguyen NPKK; Department of Pharmacy, Robert-Debré Hospital AP-HP, Paris, France., Angoulvant F; U1123, INSERM ECEVE, Paris, France.; Department of Pediatric Emergency, Necker-Enfants Malades Hospital AP-HP, Paris Descartes University, Paris, France., Boulkedid R; U1123, INSERM ECEVE, Paris, France.; Clinical Epidemiology Unit, Robert-Debré Hospital AP-HP, Paris, France., Bellettre X; Emergency Unit, Robert-Debré Hospital AP-HP, Paris, France., Weil T; Department of Pharmacy, Robert-Debré Hospital AP-HP, Paris, France., Alberti C; U1123, INSERM ECEVE, Paris, France.; Clinical Epidemiology Unit, Robert-Debré Hospital AP-HP, Paris, France., Bourdon O; Department of Pharmacy, Robert-Debré Hospital AP-HP, Paris, France.; Groupe Pédiatrie de la Société Française de Pharmacie Clinique, Paris, France.; Clinical Pharmacy, Paris Descartes University, Sorbonne Paris Cité, Paris, France.; Laboratoire Educations et Pratiques de Santé, Paris XIII University, Bobigny, France., Prot-Labarthe S; Department of Pharmacy, Robert-Debré Hospital AP-HP, Paris, France.; U1123, INSERM ECEVE, Paris, France.; Groupe Pédiatrie de la Société Française de Pharmacie Clinique, Paris, France. |
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Jazyk: | angličtina |
Zdroj: | International journal of clinical pharmacy [Int J Clin Pharm] 2019 Jun; Vol. 41 (3), pp. 734-740. Date of Electronic Publication: 2019 Apr 11. |
DOI: | 10.1007/s11096-019-00819-1 |
Abstrakt: | Background Potentially inappropriate medication (PIM) and potential prescription omission (PPO) are common issues in pharmacotherapy in vulnerable populations. A first tool to assess PIM's and PPO's targeting pediatric populations: POPI «Pediatrics Omission of Prescriptions and Inappropriate Prescriptions» was created in 2014. Objective This study aimed to evaluate inter-rater reliability between healthcare professionals who apply POPI. Setting: Mother and child emergency ward of a university hospital. Method Twenty cases with or without PIM or PPO were identified in a previous retrospective PIM-PPO prevalence study on 15,973 patients. One doctor and one pharmacist, who participated in the creation of POPI tool, identified PIM and PPO ("gold standard response"). These cases were reviewed independently by eleven clinicians (generalists, pediatricians, pharmacists, residents), with no previous experience of this tool. Interrater agreement was calculated by using the Kappa agreement test. Main outcome measure: Inter-clinician agreement. Results A high level of agreement of PIM and PPO detection was recorded (PIM: median = 0.80; PPO: median = 0.71). Conclusion POPI demonstrated a good interrater reliability. This validation by many clinicians proves that POPI is a reliable tool. Other multicenter and prospective studies should be conducted to evaluate economical and clinical impacts of POPI. |
Databáze: | MEDLINE |
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