The Effect of Computerized Physician Order Entry Template Modifications on the Administration of High-Risk Medications in Older Adults in the Emergency Department
| Autor: | Carol A. Crawford, Diane Matsuwaka, Steven H. Mitchell, May J. Reed, Stephen J. Kaplan, Mamatha Damodarasamy, Mitchell Kim, Itay Bentov, Katherine A. Bennett, Medley Gatewood, Paul R. Sutton |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Pharmacy Drug Prescriptions Medical Order Entry Systems Benzodiazepines 03 medical and health sciences 0302 clinical medicine Pharmacotherapy Computerized physician order entry Humans Medicine Pharmacology (medical) 030212 general & internal medicine Dosing Practice Patterns Physicians' Adverse effect Aged business.industry Anti-Inflammatory Agents Non-Steroidal 030208 emergency & critical care medicine Emergency department Analgesics Opioid Pharmaceutical Preparations Practice Guidelines as Topic Emergency medicine Midazolam Female Geriatrics and Gerontology Emergency Service Hospital business Diazepam medicine.drug |
| Zdroj: | Drugs & Aging. 34:793-801 |
| ISSN: | 1179-1969 1170-229X |
| Popis: | Older adults are more susceptible to adverse events when administered certain medications at doses appropriate for younger adults. The aim of this study was to investigate the effect of default geriatric dosing on computerized physician order entry (CPOE) templates on the subsequent administration of recommended starting doses of opioids, benzodiazepines (BZDs) and non-steroidal anti-inflammatory drugs (NSAIDs) to older adults in the emergency department (ED). This was a before–after comparison of the frequency of the recommended starting doses of high-risk medications to adults aged 65 years and older. Computerized records were queried for the administration of the above medication classes in two academic EDs over two similar 4-month periods in 2015 and 2016. Between study periods, the doses of high-risk medications on ED CPOE templates were adjusted for older adults based on established pharmacy guidelines and expert consensus. There was a significant improvement in the rate of recommended dose administration of all medications of interest (27.3 vs. 32.5%, p |
| Databáze: | OpenAIRE |
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