Translation of the REMEDI[e]S (Review of potentially inappropriate MEDIcation pr[e]scribing in Seniors) explicit criteria into seminatural language for use in prescription support systems: A multidisciplinary consensus - 25/10/24

Doi : 10.1016/j.therap.2024.09.002

Romane Freppel ^a, Anaïs Barbier ^b, Mathilde Dambrine ^a, Laurine Robert ^a, Chloé Rousselière ^a, Estel Cuneo ^c, Pascal Odou ^a,^d, Sophie Gautier ^e, Jean-Baptiste Beuscart ^f, Marie-Laure Laroche ^g, Bertrand Décaudin ^a,^d,⁎
^a CHU de Lille, Institut de Pharmacie, 59000 Lille, France
^b Centre hospitalier de Douai, Pharmacie, 59500 Douai, France
^c Pharmacy, Lausanne University Hospital, 1011 Lausanne, Switzerland
^d Université de Lille, CHU de Lille, ULR 7365, Groupe de Recherche sur les formes Injectables et les Technologies Associées (GRITA), 59000 Lille, France
^e Université de Lille, CHU de Lille, UMR 1171, Department of Pharmacology, 59000 Lille, France
^f CHU de Lille, Université de Lille, ULR 2694-METRICS: évaluation des technologies de santé et des pratiques médicales, 59000 Lille, France
^g Centre de Pharmacovigilance et de Pharmacoépidémiologie, Département de Pharmacologie Toxicologie et Centre de Pharmacovigilance, CHU de Limoges, Inserm UMR 1248, Laboratoire Vie-Santé (Vieillissement Fragilité Prévention, E-Santé), IFR GEIST, Faculté de Médecine, 87042 Limoges, France

^⁎Corresponding author. CHU de Lille, Institut de Pharmacie, rue Philippe-Marache, 59000 Lille, France.CHU de Lille, Institut de Pharmacierue Philippe-MaracheLille59000France

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Friday 25 October 2024

Summary

Background

By recovering data in an ordered manner and at the right time, clinical decision support systems (CDSSs) are designed to help healthcare professionals make decisions that improve patient care.

Objectives

The aim of the present study was to translate the REMEDI[e]s tool's explicit criteria, France's first reference list of potentially inappropriate drugs for the elderly, into seminatural language, in order to implement these criteria as alert rules and then enable their computer coding in a CDSS.

Methods

This work was carried out at Lille University Hospital by a team of clinical pharmacists with expertise in the use of pharmaceutical decision support systems, in collaboration with the authors of the REMEDI[e]s tool. A total of 3 multi-professional consensus meetings were required to discuss the construction of each rule in seminatural language and the coding choices.

Results

All REMEDIES criteria (n=104) were translated into seminatural language. This study is the first to have translated the 104 REMEDI[e]s explicit criteria into seminatural language.

Conclusions

One of the study's strengths relates to the close collaboration between the authors of the REMEDI[e]s tool and experts in CDSS programming rules; this ensured the exactitude of the seminatural language translations and limited (mis)interpretations.

Le texte complet de cet article est disponible en PDF.

Keywords : Clinical decision support systems, Potentially inappropriate drugs, Prescription support systems, Seminatural language