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Mejorar la usabilidad de los criterios de las cervezas de 2023: un marco estructurado para la seguridad de la

Ying-Mei Wang¹, Pei-Chen Lee², Hung-Wei Shen³

¹Department of Medical Education and Research, Taipei Veterans General Hospital Hsinchu Branch, Hsinchu, Taiwan, ROC; No. 81, Sec. 1, Zhongfeng Rd., Zhudong Township, Hsinchu County 310, Taiwan, ROC; Department of Pharmacy, Taipei Veterans General Hospital Hsinchu Branch, Hsinchu, Taiwan, ROC; No. 81, Sec. 1, Zhongfeng Rd., Zhudong Township, Hsinchu County 310, ROC, Taiwan; School of Medicine, National Tsing Hua University, Hsinchu, Taiwan, ROC; No. 101, Sec. 2, Kuang-Fu Rd., Hsinchu City 300, ROC, Taiwan.

Archives of gerontology and geriatrics

|August 24, 2025

Resumen

Un nuevo marco hace que los criterios AGS Beers sean calculables para la identificación automatizada de medicamentos potencialmente inadecuados (PIM) en adultos mayores. Esto mejora la seguridad de los medicamentos y la integración de los registros electrónicos de salud para la farmacovigilancia geriátrica.

Área de la Ciencia:

Farmacovigilancia en el ámbito geriátrico
Informática de la salud
Apoyo a la decisión clínica

Sus antecedentes:

Los criterios de Beers de la Sociedad Americana de Geriatría (AGS) son una herramienta clave para identificar medicamentos potencialmente inadecuados (PIM) en adultos mayores.
Su formato narrativo y la falta de legibilidad automática limitan la integración con los registros electrónicos de salud (EHR) y los sistemas de apoyo a la decisión clínica.
La identificación automatizada de PIM es crucial para mejorar la seguridad de la medicación en esta población.

Objetivo del estudio:

Desarrollar un marco de evaluación estructurado, programable y multidimensional para los criterios AGS Beers de 2023.
Transformar los criterios en componentes lógicos computables para la identificación automática del PIM.
Apoyar la aplicación clínica mejorada y el análisis de datos del mundo real.

Principales métodos:

Revisión sistemática de 87 declaraciones relacionadas con el PIM de los criterios AGS Beers de 2023.
Desconstrucción de los criterios en componentes lógicos estructurados por un equipo multidisciplinario.
Se clasifican en cinco ámbitos (prescripción, recomendación, cuestiones clave, información interpretativa) y 24 subcategorías.

Principales resultados:

Sólo el 8,0% de los criterios fueron evaluables por el nombre del fármaco; el 92,0% requirió un análisis multifactorial.
Se identificaron 404 elementos computables: el 30,2% solo para prescripción, el 25,2% requiere datos externos, el 44,6% involucró complejidad interpretativa.
El marco reveló una complejidad significativa más allá de los simples nombres de medicamentos.

Conclusiones:

El nuevo marco supera los obstáculos a la aplicación programática de los criterios AGS Beers.
Permite la identificación de PIM con el apoyo de la IA y la integración sin fisuras de EHR.
Establece una infraestructura escalable para la farmacovigilancia geriátrica y mejora la seguridad de los medicamentos.

Palabras clave:

Criterios de las cervezas Seguridad de las drogas Medicamento potencialmente inadecuado Programabilidad

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