Related Experiment Video
Updated: Aug 23, 2025
12:18
A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
Published on: January 11, 2020
7.6K
Improving Appropriate Prescribing For Geriatric Patients Using a Clinical Decision Support System
Floor van den Hanenberg1, Valentina D Poetsema1, Carolina Jpw Keijsers2
1Department of Geriatric Medicine, Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands.
Innovations in Pharmacy
|October 28, 2022
Summary
A clinical decision support system (CDSS) improved medication appropriateness in geriatric patients. The CDSS, using START-STOPP criteria, led to better prescribing compared to usual care, with a 31.6% acceptance rate of recommendations.
Area of Science:
- Geriatric Medicine
- Clinical Pharmacology
- Health Informatics
Background:
- Polypharmacy increases the risk of inappropriate prescribing in elderly patients.
- Clinical decision support systems (CDSS) are increasingly utilized to enhance medication management.
- The START-STOPP criteria are essential for optimizing prescribing in older adults.
Purpose of the Study:
- To evaluate the impact of a CDSS incorporating START-STOPP criteria on prescribing appropriateness in a geriatric ward.
- To assess the acceptance rate of CDSS-generated recommendations by healthcare professionals.
Main Methods:
- A prospective comparative study involving 125 geriatric patients across two Dutch teaching hospitals.
- Medication appropriateness was measured using the Medication Appropriateness Index (MAI).
- Patients received either usual care or care supplemented by a CDSS intervention.
Main Results:
- The CDSS intervention group showed a significantly greater reduction in MAI scores from admission to discharge compared to the usual care group.
- Discharge MAI scores were significantly lower in the intervention group (7.26±5.07) versus the usual care group (9.95±6.70).
- The CDSS generated 193 recommendations, with an overall acceptance rate of 31.6%.
Conclusions:
- A CDSS utilizing START-STOPP criteria demonstrates added value in improving prescribing practices within geriatric settings.
- Approximately one-third of software-generated recommendations were deemed clinically relevant and accepted, averaging one per patient.
- CDSS implementation can enhance medication safety and appropriateness for elderly patients.
More Related Videos
Related Concept Videos
01:27Nursing Clinical Information System
855
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
855
01:21Factors Affecting Drug Response: Overview
2.1K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
2.1K
01:28Drug Therapy
89
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
89
01:28Acute Coronary Syndrome IV: Interprofessional Care
22
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
22
01:30Health Information Technology and Healthcare Information System
898
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
898
01:30Heart Failure V: Medical Management
19
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
19