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New Study Demonstrates Benefit of Advanced Decision Support in Driving Pharmacist Recommendations to Reduce Medication Risk
Medication decision support helps identify potentially inappropriate medication
The study, published in the
Researchers analyzed data from pharmacists who used TRHC's novel medication decision support tool, MedWise® Science, to identify participants in Program of All-Inclusive Care for the Elderly (PACE) programs taking potentially inappropriate doses of urinary antimuscarinic medications and recommended interventions to prescribers. MedWise Science uses the active ingredients from a participant's complete medication list, including over-the-counter drugs, to identify the risk of simultaneous, accumulative, multi-drug interactions, and predict the possibility of medication problems.
The research involved participants from 35 PACE organizations that use TRHC's comprehensive CareKinesis®
"We take very seriously our commitment to improve outcomes for vulnerable individuals with overlapping chronic conditions and complex medication lists," said TRHC Chairman and CEO
The pharmacist MedWise-informed recommendations included reducing or eliminating specific urinary antimuscarinic drugs; resolving high anticholinergic burden that impact non-favorable outcomes in these patients; changing these drugs to more appropriate medications; or offering a combination of recommendations that provided prescribers with multiple options.
The study found that the pharmacists' recommendations were accepted by PACE prescribers for 63% of participants. Among this group of participants, the overall standard daily dosage of urinary antimuscarinic medications decreased 65%, helping to mitigate the risk of negative cognitive and physical outcomes.
"The study serves as a proof of concept that, with the help of medication decision support tools, pharmacists can target specific medications to successfully decrease overall anticholinergic burden among medically complex older adults," said
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