Clinical Decision Support System for PIM in Elderly Patients: Implementation and Initial Evaluation in Ambulatory Care.

FRUTOS, ELIANA; KAKAZU, MARTIN; TAJERIAN, MATIAS; GAIERA, ALEJANDRO.; RUBIN, LUCIANA; OTERO, CARLOS; LUNA, DANIEL R

Studies in Health Technology and Informatics

Ios Press

Año: 2022

1879-8365

The high prevalence of PIMs in elderly is a major healthcare concern andindicates the need for medication monitoring systems. Most PIM CDSS have shownpositive effects respecting PIM prescription but these results were more consistentlyin hospital settings compared with ambulatory care. We describe the postimplementationevaluation of a PIM CDSS for general practitioners (GP) in theambulatory setting and explore GP interactions with the PIM alerts. The CDSSgenerated 3218 unique alerts and involved 2863 elderly patients. Benzodiazepineswas the drug with the most alerts triggered. Only 129 (4 %) were opened by GPduring patient appointments. We need to develop an understanding of how alertsshould be designed and display information to support the workflow of generalpractitioners. Pos-implementation evaluations are the key of CDSS improvements.