• GAPNA 2020 National President Deborah Dunn, EdD, MSN, GNP-BC, ACNS-BC, GS-C interviews Dr. Ron Billano Ordona, DNP, FNP-BC about providing home-based primary care during COVID 19.

    "Facing Forward: Providing Home-based Primary Care during COVID 19"


    View the Video

  • GAPNA 40th AnniversaryGAPNA’s anniversary theme “Preserve the Past, Enhance the Present, and Secure the Future,” reflects our shared vision for gerontological advanced practice nursing.

     

    Learn How You Can Help

  • GAPNA Exchange

       

    GAPNA Exchange is a private, secure community for members to share ideas, ask questions, lend expertise, and network with peers.

    It features both an Open Forum discussion area along with smaller, segmented communities.

    Interact with GAPNA members wherever and whenever!

    Go to GAPNA Exchange

  • CoronaCoronavirus (COVID-19) Resources

    In an effort to support our members with the most updated information on COVID-19 we developed this resource page to easily access current CDC information and other resources to assist you professionally and personally.

    We will continue to update this page with more information as it becomes available and welcome your input as we navigate through this situation. As health care professionals it is our job to educate our patients and families on prevention and the what to do if someone is symptomatic.

    View resources

     

Clinicians Find Triggers and Algorithms in E-Prescribing Software Helpful in Avoiding Inappropriate Medications in Older Adults

E-prescribing systems custom designed with various triggers and treatment options may help clinicians avoid potentially inappropriate medications (PIMs) in the elderly by making it easier for them to change decisions at the point of prescribing, researchers conclude.

They also found primary care physicians welcome these triggers and evidence-based treatment algorithms provided they are efficient, trustworthy, and highly focused.

Pharmacists were first asked to review a list of 39 PIMs to identify those most frequently prescribed by their pharmacies.

A final list of 15 PIMs was used for this study. In conjunction with an e-prescribing software vendor, the researchers developed treatment algorithms designed to help the primary care physician make alternative medication recommendations.

Triggers and alerts were embedded into the e-prescribing system so that physicians did not have to push an extra button to receive PIM information and alternatives.

Overall, most physicians agreed that having such triggers and algorithms available to them in e-prescribing software would be useful in their daily practice.

However, they requested that these must be carefully designed to be brief, highly focused, and able to be absorbed in 30 seconds or less.

The physicians also complained about repetitive alerts or receiving triggers on content they already knew about. They also wanted the data be accurate, useful, and designed to promote efficient information retrieval.

For more info, see Hume et al. (2011). Alternatives to potentially inappropriate medications for use in e-prescribing software: Triggers and treatment algorithms. BMJ Quality Safety, 20, 875-884.

Related Topic 1: 

GAPNA Newsletter Issue: 

VIEW ALL ARTICLES: