Development, validation and evaluation of the Goal-directed Medication review Electronic Decision Support System (G-MEDSS)©

Lisa Kouladjian O'Donnell, Emily Reeve, Sarah N. Hilmer

Research output: Contribution to journalArticleResearchpeer-review

4 Citations (Scopus)

Abstract

Objectives: 1) To understand and investigate the experiences of accredited clinical pharmacists (ACP) using computerised clinical decision support systems (CCDSS) during medication reviews for older people, including those living with dementia; 2) To design, develop, validate, and evaluate a CCDSS that incorporates pharmacological and other deprescribing tools to aid person-centred management of high-risk medications in older adults living with and without dementia. 

Methods: This study consisted of three phases and was designed on scenario-based methodology: a) the development phase, which included an exploratory survey and prototype building; b) the validation phase, which included qualitative data collection and usability testing with ACPs, general practitioners (GPs) and carers for people living with dementia; and c) the evaluation phase, using mixed-methods analyses. 

Results: The exploratory survey found that ACPs required a flexible, and reliable CCDSS to support them with clinical decisions regarding high-risk medication use in older adults. 

Original languageEnglish
Pages (from-to)3174-3183
Number of pages10
JournalResearch in Social and Administrative Pharmacy
Volume18
Issue number7
DOIs
Publication statusPublished - Jul 2022
Externally publishedYes

Keywords

  • Clinical decision support
  • Deprescribing
  • Drug burden index
  • Polypharmacy
  • Usability

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