2017
Effect of the Tool to Reduce Inappropriate Medications on Medication Communication and Deprescribing
Fried TR, Niehoff KM, Street RL, Charpentier PA, Rajeevan N, Miller PL, Goldstein MK, O'Leary JR, Fenton BT. Effect of the Tool to Reduce Inappropriate Medications on Medication Communication and Deprescribing. Journal Of The American Geriatrics Society 2017, 65: 2265-2271. PMID: 28804870, PMCID: PMC5641237, DOI: 10.1111/jgs.15042.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overChronic DiseaseCommunicationDecision Support Systems, ClinicalDeprescriptionsElectronic Health RecordsFemaleHumansMaleMedication ReconciliationPolypharmacyPotentially Inappropriate Medication ListSoftwareUnited StatesUnited States Department of Veterans AffairsVeteransConceptsElectronic health recordsInappropriate medicationsPatient assessmentChronic conditionsMedication communicationPatient communicationVeterans Affairs Medical CenterMedication-related communicationMedication-related outcomesNumber of medicationsPrimary care clinicsClustering of patientsAccuracy of documentationClinical decision support systemInappropriate regimensMore medicationsUsual careChart reviewMedication discrepanciesCare clinicsMedication problemsClinical trialsClinician communicationMedical CenterMedicationsUtilizing patient data from the veterans administration electronic health record to support web-based clinical decision support: informatics challenges and issues from three clinical domains
Rajeevan N, Niehoff KM, Charpentier P, Levin FL, Justice A, Brandt CA, Fried TR, Miller PL. Utilizing patient data from the veterans administration electronic health record to support web-based clinical decision support: informatics challenges and issues from three clinical domains. BMC Medical Informatics And Decision Making 2017, 17: 111. PMID: 28724368, PMCID: PMC5517800, DOI: 10.1186/s12911-017-0501-x.Peer-Reviewed Original ResearchMeSH KeywordsDecision Support Systems, ClinicalElectronic Health RecordsHumansUnited StatesUnited States Department of Veterans AffairsConceptsClinical decision supportElectronic health recordsCDS systemsDecision supportPatient-specific clinical decision supportEHR environmentInformatics challengesWeb-based clinical decision supportHealth recordsPatient dataWeb technologiesData accessComputational infrastructureParticular architectureIssues/challengesDesign issuesSuch systemsInformatics methodsPowerful setData availabilityVeterans AdministrationInfrastructureVA electronic health recordClinical domainsUS Veterans Administration
2016
Development of the Tool to Reduce Inappropriate Medications (TRIM): A Clinical Decision Support System to Improve Medication Prescribing for Older Adults
Niehoff KM, Rajeevan N, Charpentier PA, Miller PL, Goldstein MK, Fried TR. Development of the Tool to Reduce Inappropriate Medications (TRIM): A Clinical Decision Support System to Improve Medication Prescribing for Older Adults. Pharmacotherapy The Journal Of Human Pharmacology And Drug Therapy 2016, 36: 694-701. PMID: 27041466, PMCID: PMC4919149, DOI: 10.1002/phar.1751.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAlgorithmsChronic DiseaseDecision Support Systems, ClinicalHumansInappropriate PrescribingMaleMedication ErrorsPolypharmacyConceptsDirect patient assessmentClinical decision support systemInappropriate medicationsElectronic health recordsChart reviewPatient assessmentPotential overtreatmentOlder primary care patientsVeterans Affairs Medical CenterAdditional health variablesVeterans 65 yearsHealth recordsHigh-risk patientsPrimary care patientsPrimary care clinicsFeedback reportsInappropriate dosingMore medicationsMedication regimenCare patientsDiabetes mellitusMedication regimensCare clinicsAdverse reactionsChronic conditions