Evaluation of personal digital assistant software for drug interactions

Dr selects med from the drug database within the electronic chart. Mar 02, 2009 studies have shown variation and deficiencies in drug interaction decision support in pharmacy software systems in the united states,22 in clinical software systems used in primary care in canada,23 and in drug interaction software for personal digital assistants. Personal digital assistant based drug reference software as tools to improve rational prescribing. A scenariobased software architecture analysis methodology saam was used with drug drug interaction ddi pairs in hypothetical patient scenarios. A final limitation of this study involved determination of sensitivity and specificity among software programs that omitted rating drug interaction significance. Evaluation of a wireless handheld medication management device in the prevention of drug drug interactions in a medicaid population providers in selecting the most appropriate drug for the patient. Design and evaluation of a software for the objective and easytoread presentation of new drug properties to physicians maia iordatii, alain venot and catherine duclos abstract background. Our hospital version captures data from your information system and automatically identifies candidate patients and charges for reimbursement. In this column we describe the use of a pda to improve.

Adrug interaction is defined as the pharmacological orclinical response to the administration of a drug combination different from that anticipated from the known effects of the 2 agents when given alone. Prevalence of potential drugdrug interactions in cancer. We estimate the prevalence of prescription medication use, concurrent use, and potential major drugdrug interactions ddis in this population. The pharmacotherapeutic treatment of patients with cancer is generally associated with multiple sideeffects. A simple clinical approach to address drug interactions in elderly people. Detecting drug interactions using personal digital assistants in an. Personal digital assistants pdas allow healthcare professionals to check for potential drugdrug interactions ddis at the point of care, reducing the need to consult traditional references. The installation of drug databases on personal digital assistants pdas allows for rapid detection of adverse drug interactions at the point of care. This theory has been used to evaluate the use of personal digital assistants in nursing documentation, with results indicating that an additional stage the anticipatory stage should be included in this process because nurses may request that further functions be added to a device or system as they become conversant and comfortable with the. We conducted descriptive analyses using nationally representative data for. Gps and pharmacists were eligible to participate in the study if they currently practised, used a computer to prescribe or perform the data entry step of dispensing, and had drug interaction alerts switched on in their prescribing or dispensing software. Evaluation of frequently used drug interaction screening programs. Evaluation of personal digital assistant software for drug interactions.

The team next investigated available drug information software and chose the most effective product for its intended use in the pharmacy. Guzek m, zorina oi, semmler a et al 2011 evaluation of drug interactions and dosing in 484 neurological inpatients using clinical decision support software and an extended operational interaction classification system zurich interaction system. We supplement the software with ongoing training, support and consultation. Prescription medication use among children and adolescents. Personal digital assistantbased drug reference software. Apr 15, 2003 comparison of drug information for fluconazole in the drug package insert and in 4 personal digital assistant infectious diseases applications. Identification of drugdrug interactions with personal digital assistant.

Implementing personal digital assistant documentation of. A study of drugdrug interactions in cancer patients of a. Epidemiology of drug interactions in cancer patients. Personal digital assistants herald new approaches to teaching and evaluation in medical education. A drug assistant staff member will be assigned to each account. Technical and usability testing of a medical interaction workgroup application support system miwass james a. Evaluation of a wireless handheld medication management. Information on the use of prescription medications among children and adolescents in the united states is lacking. This feature gives pdabased drug guides a clear advantage over print textbooks. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive healthcare measures. Evaluation of three brands of drug interaction software. To assess the prevalence of potential drugdrug interactions pddis among polypharmacy patients in jordan using lexicomp. May supervise activities of a department providing quantity food services, counsel individuals, or conduct nutritional research.

Drug interaction alerts in software what do general. Quality of drug interaction alerts in prescribing and. Evaluation of personal digital assistant drug information databases for the managed care pharmacist. Rich, wayne young, bartholomew clark, bruce houghton abstract objectives. As with the electronic signout process at the sacramento county mental health center, which has been described previously, the clipboard system was replaced with the use of personal digital assistants. In general, pda software limited to drug interactions was more accurate, more comprehensive, and easier to use than software intended for general drug information that allowed drug interaction queries. Physicians on the consultation service transmit work requests into the signout personal digital assistant. It has been shown to have an accuracy of over 95% in detecting interactions barrons, 2004. However, the choice of which online database to consult, purchase or subscribe to is likely made based on subjective elements such as history of use, familiarity, or availability during professional training. Mar 15, 2015 personal digital assistant based drug reference software as tools to improve rational prescribing. Handheld computers in the classroom and the library. Pdf the installation of drug databases on personal digital assistants pdas allows for rapid detection of.

We propose a simple clinical approach to address this confusing area. However, pdas can only be as effective as the software programs they use. Desmeules2 from the 1division of primary care medicine, and 2division of clinical pharmacology and. Usability testing of a prototype personal digital assistant pdabased decision support system for the management of obesity nanh ju lee. An electronic comparison is also automatically made with the patients insurance co to ensure coverage. The impact of personal digital assistant devices on medication safety in primary care kimberly a. They were taught to use the prescribing software to produce a. Drug drug interactions among recently hospitalised patientsfrequent but mostly clinically insignificant. Oct 21, 2010 objective to evaluate drug interaction software programs and determine their accuracy in identifying drug drug interactions that may occur in intensive care units. We estimate the prevalence of prescription medication use, concurrent use, and potential major drug drug interactions ddis in this population. Identification of drugdrug interactions with personal. Drug interactions and duplicate prescriptions between anticancer drugs or interactions with medication to treat comorbidity can reinforce or intensify sideeffects. The first category includes drug interactions that are common.

In the area of reference application one published research study barrons, 2004 looked at the accuracy and comprehensiveness of drug interaction software. We screened for drug interactions among all the drugs extracted using the drug interactions facts software. The med is transmitted to a national clearing house, where drug and allergy checking is conducted. Detecting drug interactions using personal digital assistants. Survey assessment of personal digital assistant pda use. Pdf detecting drug interactions using personal digital assistants in.

Identification of drugdrug interactions with personal digital assistantbased. Personal digital assistantbased drug information sources. Each program was assessed for accuracy using 40 clinically important and 40 clinically unimportant drug interaction pairs. Drug dosing adjustments in patients with chronic kidney disease. A study of drug drug interactions in cancer patients of a south indian tertiary care teaching hospital. How mobile devices are changing pharmacy practice american. Pda prescription program pros and cons mdedge psychiatry. Use of personal digital assistants for documentation of pharmacists.

A previous column reported on the use of a personal digital assistant pdathe palm pilotto improve electronic signout among clinicians. Drugdrug interaction software in clinical practice. The use of personal digital assistants pdas has emerged as a technology that promises to improve the process of accessing drug information at the point of care for clinicians. Drug assistant, is a software and services company focusing on patient assistance programs for healthcare providers. Mar 29, 2020 the objective of this study was to evaluate pda pharmacopoeias for drug interactions with regard to accuracy, comprehensiveness, and ease of use and to make software recommendations based on these. Potential drug interactions and duplicate prescriptions among. Detecting drug interactions using personal digital assistants in an outpatient clinic m.

This article presents a study to evaluate the accuracy of drug interaction di alerts triggered by two electronic medical record emr systems in primary healthcare. Weekly meeting are held to discuss and support the program. Evaluation of nursingspecific drug information pda databases used as clinical decision support tools. Further studies could explore the implications of these inconsistencies, particularly with regard to the integration of black box warning information. A further evaluation using stockleys drug interactions as the gold standard revealed that pharmavista achieved a sensitivity of 0.

Among the different computer platforms, the personal digital assistant pda is frequently used for finding drug interactions. Feb 15, 2004 evaluation of personal digital assistant software for drug interactions. Doctor of pharmacy students use of personal digital. We conducted descriptive analyses using nationally representative data for people.

The impact of personal digital assistant devices on. Personal digital assistants pdas allow healthcare professionals to check for potential drug drug interactions ddis at the point of care, reducing the need to consult traditional references. To evaluate personal digital assistant pda drug information databases used to support clinical decisionmaking, and to compare the performance of pda databases with their online versions. Survey assessment of personal digital assistant pda use among trainees and attendings article in journal of the american medical informatics association 106. Computerised drug interaction surveillance systems cis may be helpful in detecting clinically significant drug interactions.

As a preventive approach, a drug interaction program should always be ordered for patients taking multiple medications before a new medication is added. Clinical relevance of drugdrug interactions springerlink. Medicine and dentistry knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. Apr 16, 2008 no program found more than 50% of the total number of ddis. Performance of drugdrug interaction software for personal digital. Additionally, this study aims to categorize and rate the identified pddis according to interaction risk, severity, and reliability. The aim of the present study is to gain more insight into the prevalence of drug interactions and duplicate. Software that recognized spoken words enables dictation to be possable ehr safety checks eprescribing drug allergys drug to drug. Patients receiving chemotherapy andor hormone therapy were excluded, as were patients admitted for intensive care. Personal digital assistantbased drug reference software as tools to improve rational prescribing. Evaluation of personal digital assistant software for drug. The account manager oversees weekly meetings to support hospital staff. Evaluation of personal digital assistant pda drug information sources for.

Evaluation of frequently used drug interaction screening. To quantify the frequency of potential drug interactions unrelated to chemotherapy in cancer patients admitted to our institution, and to define risk factors for such interactions. Drug interactions comprise an important issue in oncology, with. The accuracy, comprehensiveness, and ease of use of drug interaction software used with personal digital assistants pdas were. Evaluations of drug interactions edi zucchero, frederic j. As the pda software is regularly and easily updated for users, current information is readily available. This study determines the impact that use of personal digital. Personal digital assistant an overview sciencedirect. Drug information resources have rapidly become available for use on the pda. Prescription medication use among children and adolescents in. Method drug interaction software programs were identified through a bibliographic search in pubmed and in lilacs database related to the health sciences published in latin american and. Potential drugdrug and herbdrug interactions in patients. If a meeting is missed or rescheduled, notification will be provided to all parties involved. Drug interaction software programs help pharmacists and health care teams in the prevention and recognition of drug drug interactions and optimize safety and quality of care delivered in intensive care units.

Evaluation essay writing a project report passed which and him had be father wisdom found since nothing have yet he which professional report writing three have system feared delighted cannot have on. Identification of drugdrug interactions with personal digital assistantbased software lowcost personal digital assistants pdas are promoted as tools to reduce adverse drug events by identifying drugdrug interactions and ensuring proper dosing, but data demonstrating the effectiveness of this type of intervention are very limited. The challenge of managing drug interactions in elderly people. Using detailed examples, evaluation of enzyme inhibitors in drug discovery equips researchers with the tools needed to apply the science of enzymology and biochemistry to the discovery, optimization, and preclinical development of drugs that work by inhibiting specific enzyme targets. Online resources for this can be downloaded onto personal digital assistants and are often incorporated into electronic medical records. Among the various computer platforms, the personal digital assistant pda is used for entering prescriptions and screening for drug interactions. The dr is alerted to any contraindications or drug interactions. A comparison of five common drugdrug interaction software. Using the highly accurate drug interactions facts 4 software. The process of using a microphone, a headset connected to a computer, a smart phone or a personal digital assistant. Personal digital assistants herald new approaches to.

The accuracy, comprehensiveness, and ease of use of drug interaction software used with personal digital assistants pdas were studied. Drug assistant will manage and oversee the implementation of all new projects. The accuracy, comprehensive ness, and ease of use of drug interaction software used with personal digital assis tants pdas were studied. All reporting and metrics are available within our software system, including multisite business office reporting. Evaluation of personal digital assistant software for drug the objective of this study was to evaluate pda pharmacopoeias for drug interactions with regard to accuracy, comprehensiveness, and ease. Online drug information databases are used to assist in enhancing clinical decision support. Potential for drug interactions in hospitalized cancer. Offers essential guidance for discovering and optimizing novel drug therapies. There are discrepancies among major drug interaction screening programs in the inclusion, severity, and level of documentation of contraindicated drug combinations mentioned in black box warnings. Potential drug interactions and duplicate prescriptions.

Given the emergence of dynamic but incompletely characterized cellular transport systems such as the pglycoproteins, as well as the current practice of polytherapy in patients with bipolar disorder, and with high rates of medical and psychiatric comorbidity, we recommend that drug drug interaction software programs be used in the. Evaluation of health information technology key elements in. Personal digital assistant infectious diseases applications. Evaluation of three brands of drug interaction software for. Despite these restrictions, all software was fully able to evaluate drug interactions for accuracy, comprehensiveness, and ease of use. Design and evaluation of a software for the objective and. Potential drug interactions and chemotoxicity in older. For such patients, the use of multiple medications is common, and medication errors and adverse drug interactions are thus more likely to occur. The purpose of this study was to evaluate clinical decision support tools for drug information. Performance of drugdrug interaction software for personal.

The understanding and management of drug interactions in elderly people can be challenging. Experience with cis reveals that they often yield alerts with questionable clinical significance, fail to provide relevant information on risk factors for the adverse reaction of the interaction and fail to detect all significant drug interactions. Evaluation of personal digital assistant software for drug for drug interactions. Torre are assistant professors, general internal medicine. Consensus recommendations for systematic evaluation of drug drug interaction evidence for clinical decision support. Studies have shown variation and deficiencies in drug interaction decision support in pharmacy software systems in the united states,22 in clinical software systems used in primary care in canada,23 and in drug interaction software for personal digital assistants. Implementing personal digital assistant documentation of pharmacist interventions in a military treatment facility. G kannan 1, r anitha 2, vanitha n rani 1, p thennarasu 1, j alosh 1, j vasantha 1, jr martin 2, mrc uma 1. Like desktop interaction software, pda drug interaction software often derives from familiar handbooks, textbooks, and internet sources that can be updated regularly. Software alone does not ensure a successful program. When new pharmaceutical products appear on the market, physicians need to know whether they are likely to be useful in their practices. Adrug interaction is defined as the pharmacological or clinical response to the administration of a drug com bination different from that anticipated from the known ef fects of the 2 agents when given alone.