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[Consensus update of the POPI tool]

Wala Ammor1, Christele Gras Le Guen2, François Angoulvant3

  • 1Pharmacie, Nantes université, CHU de Nantes, 44000 Nantes, France.

Annales Pharmaceutiques Francaises
|June 29, 2024
PubMed

Insights

The updated POPI tool now helps detect inappropriate paediatric drug prescriptions and omissions. This revised tool ensures safer medication use in children by incorporating current medical guidelines and expert consensus.

Area of Science:

  • Pediatric pharmacology
  • Medication safety research
  • Health informatics

Context:

  • Medication errors are a significant cause of iatrogenic harm in children.
  • The original POPI (Prescription Omissions and Prescription Inappropriateness) tool was developed in 2014 to address these issues.
  • There is a need to update paediatric medication assessment tools to reflect current clinical practice and guidelines.

Purpose:

  • To update the POPI tool for French paediatric practice.
  • To incorporate current recommendations from learned societies and national bodies.
  • To enhance the detection of inappropriate drug prescriptions and prescription omissions in children.

Summary:

  • A two-round Delphi method involving 20 French healthcare professionals (pharmacists and doctors) was employed.
  • Criteria were refined based on expert consensus, with specific agreement thresholds set for retention.
  • The updated POPI tool now comprises 166 validated criteria across eight categories, supported by bibliographical references.

Impact:

  • The revised POPI tool provides a comprehensive framework for assessing paediatric prescriptions.
  • It aims to improve medication safety and reduce iatrogenic errors in paediatric care.
  • The updated tool is available for evaluating paediatric medication appropriateness in clinical settings.

Keywords:
Delphi methodInappropriate prescriptionsMéthode DelphiOmissionsPaediatricsPrescriptions inappropriéesPédiatrie

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