作者
Terri R Fried, Kristina M Niehoff, Richard L Street, Peter A Charpentier, Nallakkandi Rajeevan, Perry L Miller, Mary K Goldstein, John R O'Leary, Brenda T Fenton
发表日期
2017/10
期刊
Journal of the American Geriatrics Society
卷号
65
期号
10
页码范围
2265-2271
简介
Objectives
To examine the effect of the Tool to Reduce Inappropriate Medications (TRIM), a web tool linking an electronic health record (EHR) to a clinical decision support system, on medication communication and prescribing.
Design
Randomized clinical trial.
Setting
Primary care clinics at a Veterans Affairs Medical Center.
Participants
Veterans aged 65 and older prescribed seven or more medications randomized to receipt of TRIM or usual care (N = 128).
Intervention
TRIM extracts information on medications and chronic conditions from the EHR and contains data entry screens for information obtained from brief chart review and telephonic patient assessment. These data serve as input for automated algorithms identifying medication reconciliation discrepancies, potentially inappropriate medications (PIMs), and potentially inappropriate regimens. Clinician feedback reports summarize discrepancies and …
学术搜索中的文章
Effect of the tool to reduce inappropriate medications on medication communication and deprescribing
TR Fried, KM Niehoff, RL Street, PA Charpentier… - Journal of the American Geriatrics Society, 2017