ABSTRACT
This is the second of a two-part series that focuses on reducing polypharmacy and adverse drug events in the community-dwelling elderly. Part 2 focuses on the medical exception process (MEP), explains information flow relevant to the physician's practice, and provides clinical examples illustrating the potential of computer technology in improving outcomes of care. A combined approach, which employs computer-based technology, values physician judgment, and stresses patient and provider education, is described.
Subject(s)
Delivery of Health Care/standards , Drug Hypersensitivity/prevention & control , Polypharmacy , Aged , Clinical Competence , Drug Hypersensitivity/epidemiology , Health Personnel/education , Humans , Incidence , New Jersey/epidemiologySubject(s)
Adjuvants, Immunologic/adverse effects , BCG Vaccine/adverse effects , Tuberculosis/etiology , Adjuvants, Immunologic/administration & dosage , Administration, Intravesical , Aged , BCG Vaccine/administration & dosage , Chronic Disease , Humans , Male , Tuberculoma/etiology , Tuberculosis/diagnosis , Tuberculosis, Hepatic/etiology , Tuberculosis, Renal/etiology , Tuberculosis, Splenic/etiology , Urinary Bladder Neoplasms/surgery , Urinary Bladder Neoplasms/therapyABSTRACT
This is the first of a two-part series that focuses on reducing polypharmacy and adverse drug events in the community-dwelling elderly. Part 1 provides a rationale for the design of public health interventions to reduce this problem and explores technology development. The components of an integrated system linking computer-based technology, pharmacists, and physicians are outlined.
