title: Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms.
abstract: OBJECTIVE
  To describe the development of evidence-based electronic prescribing (e-prescribing) triggers and treatment algorithms for potentially inappropriate medications (PIMs) for older adults.
  
  
  METHODS
  Literature review, expert panel and focus group.
  
  
  METHODS
  Primary care with access to e-prescribing systems.
  
  
  METHODS
  Primary care physicians using e-prescribing systems receiving medication history.
  
  
  METHODS
  Standardised treatment algorithms for clinicians attempting to prescribe PIMs for older patients.
  
  
  METHODS
  Development of 15 treatment algorithms suggesting alternative therapies.
  
  
  RESULTS
  Evidence-based treatment algorithms were well received by primary care physicians. Providing alternatives to PIMs would make it easier for physicians to change decisions at the point of prescribing.
  
  
  CONCLUSIONS
  Prospectively identifying older persons receiving PIMs or with adherence issues and providing feasible interventions may prevent adverse drug events.
authors: Department of Pharmacy Practice, College of Pharmacy, University of Rhode Island, Kingston, Rhode Island, USA.
authors: Anne L
authors: AL
authors: Hume
authors: Brian J
authors: BJ
authors: Quilliam
authors: Roberta
authors: R
authors: Goldman
authors: Charles
authors: C
authors: Eaton
authors: Kate L
authors: KL
authors: Lapane
mesh_terms: D000465:Algorithms; D001291:Attitude of Health Personnel; D020000:Decision Support Systems, Clinical / Q000295:instrumentation; D055695:Electronic Prescribing; D006801:Humans; D010820:Physicians; D011320:Primary Health Care / Q000379:methods*; D012985:Software Design