Computerized Decision Support Improves Medication Review Effectiveness: An Experiment Evaluating the STRIP Assistant’s Usability
作者： Michiel C. Meulendijk , Marco R. Spruit , A. Clara Drenth-van Maanen , Mattijs E. Numans , Sjaak Brinkkemper
DOI: 10.1007/S40266-015-0270-0
关键词:
摘要: Polypharmacy poses threats to patients’ health. The Systematic Tool Reduce Inappropriate Prescribing (STRIP) is a drug optimization process for conducting medication reviews in primary care. To effectively and efficiently incorporate this method into daily practice, the STRIP Assistant—a decision support system that aims assist physicians with pharmacotherapeutic analysis of medical records—has been developed. It generates context-specific advice based on clinical guidelines. aim study was validate Assistant’s usability as tool optimize records polypharmacy patients. In an online experiment, 42 were asked two comparable patients, one their usual manner using Assistant. Changes effectiveness measured by comparing respondents’ optimized medicine prescriptions prepared expert panel geriatrician-pharmacologists. Efficiency operationalized recording time respondents took cases. User satisfaction System Usability Scale (SUS). Independent paired t tests used analysis. Medication significantly improved Appropriate decisions increased from 58 % without Assistant 76 % it (p < 0.0001). decreased 42 % 24 % Participants spent more optimizing (24 min) than (13 min; p < 0.0001). They assigned below-average SUS score 63.25. improves
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