{"product_id":"ehr-interventions-for-beers-criteria-prescribing-von-michael-buck-cherie-brunker-und-adam-wilcox","title":"EHR Interventions for \"Beers Criteria\" Prescribing","description":"\u003cp\u003eFor over a decade, there has been a high prevalence  of potentially inappropriate medication  (PIM) use as defined by the \"Beers criteria\" in the  outpatient elderly population. Using CPOE medication  lists, the measured prevalence of PIMs as of April  1, 2006 was  23.3% (8,693\/37,247) of patients at Intermountain  Healthcare and 23.0% (5,528\/24,004) at the Cleveland  Clinic. Patient characteristics associated with PIMs  were polypharmacy, female, and multiple primary  care visits. A decision support system of geriatric precaution  screening alerts for 86 PIMs was integrated into  Intermountain Healthcare''s CPOE system. A 9-month  prospective, randomized controlled trial of the  system was conducted in 52 outpatient primary care  and specialty clinics. Intervention clinics received  the alerts, while control clinics received usual  care. No significant difference in canceled PIM  prescriptions was found between intervention clinics  at 4.7% (187\/3977) and control clinics at 4.8%  (113\/2364). None of the individual 86 PIM alerts  showed significant differences. Positive physician  feedback suggest the alerts have some clinical value.\u003c\/p\u003e\u003cdiv class=\"aw-variant-hidden-subtitle-div\" id=\"aw-variant-subtitle-9783838353135\"\u003e\u003ch3\u003eThe Development and Impact of Computerized Clinical Decision Support Alerts On Prescribing for  Elderly Outpatients\u003c\/h3\u003e\u003c\/div\u003e","brand":"Autorenwelt Shop","offers":[{"title":"Softcover - 9783838353135","offer_id":39469166035037,"sku":"9783838353135","price":59.0,"currency_code":"EUR","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0940\/0622\/files\/1feef5bc-5b09-43f7-84b9-46538b44ecef.jpg?v=1758780319","url":"https:\/\/shop.autorenwelt.de\/products\/ehr-interventions-for-beers-criteria-prescribing-von-michael-buck-cherie-brunker-und-adam-wilcox","provider":"Autorenwelt Shop","version":"1.0","type":"link"}