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 Most older adults would like to have a medicine withdrawn.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.
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 language | English |
|---|---|
| Number of pages | 1 |
| Publication status | Published - 2018 |
| Event | NMS Conference - Canberra, Australia Duration: 31 May 2018 → 1 Jun 2018 |
Conference
| Conference | NMS Conference |
|---|---|
| Country/Territory | Australia |
| City | Canberra |
| Period | 31/05/18 → 1/06/18 |