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Outcomes of a decision support prompt in community pharmacy dispensing software to promote step-down of proton pump inhibitor therapy
journal contribution
posted on 2023-05-17, 05:34 authored by Colin CurtainColin Curtain, Gregory PetersonGregory Peterson, Peter TenniPeter Tenni, Ivan BindoffIvan Bindoff, Mackenzie WilliamsMackenzie WilliamsAim: To evaluate the effect of a computerised decision support prompt regarding high-dose proton pump inhibitor (PPI) therapy on prescribing and medication costs. Method: A prompt activated on dispensing high-dose esomeprazole or pantoprazole was implemented in 73 of 185 pharmacies. Anonymised prescription data and a patient survey were used to determine changes in prescribing and associated medication costs. Results: The pharmacist-recorded PPI intervention rate per 100 high-dose PPI prescriptions was 1.67 for the PPI prompt group and 0.17 for the control group (p < 0.001). During the first 28 days of the trial, 196 interventions resulted in 34 instances of PPI step-down, with 28 of these occurring in PPI prompt pharmacies. Cost savings attributable to the prompt were $7.98 (4.95 GBP) AUD per month per PPI prompt pharmacy compared with $1.05 AUD (0.65 GBP) per control pharmacy. Conclusion: The use of electronic decision support prompts in community pharmacy practice can promote the quality use of medicines.
Funding
Department of Health and Aged Care
History
Publication title
British Journal of Clinical PharmacologyVolume
71Issue
5Pagination
780-784ISSN
0306-5251Department/School
School of Pharmacy and PharmacologyPublisher
Wiley-Blackwell Publishing LtdPlace of publication
United KingdomRights statement
The definitive published version is available online at: http://onlinelibrary.wiley.com/Repository Status
- Restricted