Innovations in computerised decision support in hospitals to reduce inappropriate polypharmacy in older adults

Melissa Baysari, Mai Duong, Amy D. Nguyen, Wu Yi Zheng, Brendan Ng, Sarita Lo, Andrew J. McLachlan, David G. Le Couteur, Rosemary Burke, Angus G. Ritchie, Alexandra Bennett, Fiona Blyth, Rosalie Viney, Cynthia Stanton, Patrick Hooper, Peter Kennedy, Anne Miller, Jo Hegarty, Magnus Blomqvist, Mart Sterrett & 4 others Keith Passmore, Malcolm Brown, Katie Willey, Sarah Hilmer

Research output: Contribution to conferenceAbstract

Abstract

One in five medicines taken by older adults is harmful or unnecessary (inappropriate), with 20% to 30% of hospital admissions due to medicine-related events. Inappropriate medicines are a major burden for older adults and the health system. Most older adults would like to have a medicine withdrawn. Supervised withdrawal of inappropriate medicines (deprescribing) is safe and may improve quality-of-life in older people. Computerised decision support in hospital may facilitate review of inappropriate polypharmacy if it provides the right information at the right time to the right person.

Objectives:

1. To explore current processes of in-hospital medicine review and associated communication with the patient’s general practitioner (GP) and consumers.

2. To determine how best to design computerised decision support and consumer information to facilitate medicine review and deprescribing.

Researchers, clinicians, consumers, local health districts (LHDs), primary health networks and NSW Health pillars were involved in the design and development of several decision support tools. The study was conducted in six hospitals across two LHDs (Sydney and Northern Sydney), and with GPs and consumers. Semi-structured interviews and focus groups were conducted with hospital clinicians (doctors, pharmacists and nurses), GPs and consumers to explore current views of medicine review processes, polypharmacy, deprescribing and future decision support. Observations of hospital clinicians were conducted and clinician workflow was incorporated into the design.
Original languageEnglish
Number of pages1
Publication statusPublished - 2018
EventNMS Conference - Canberra, Australia
Duration: 31 May 20181 Jun 2018

Conference

ConferenceNMS Conference
CountryAustralia
CityCanberra
Period31/05/181/06/18

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