A tool for safer prescribing in vulnerable adults: the continuing development of the Medichec app and website
Aims and method Adverse effects are a common concern when prescribing and reviewing medication, particularly in vulnerable adults such as older people and those with intellectual disability. This paper describes the development of an app giving information on side-effects, called Medichec, and provi...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
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| Series: | BJPsych Bulletin |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2056469423000712/type/journal_article |
| _version_ | 1797691264429195264 |
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| author | Delia Bishara Sahar Riaz Justin Sauer Christoph Mueller Siobhan Gee David Taylor Robyn-Jenia Wilcha Millie Edwards Nirja Beehuspoteea Anne Marie Bonnici Mallia Jennifer Brook Bharathi Balasundaram Daniel Harwood Nicola Funnell Andre Strydom Robert Stewart |
| author_facet | Delia Bishara Sahar Riaz Justin Sauer Christoph Mueller Siobhan Gee David Taylor Robyn-Jenia Wilcha Millie Edwards Nirja Beehuspoteea Anne Marie Bonnici Mallia Jennifer Brook Bharathi Balasundaram Daniel Harwood Nicola Funnell Andre Strydom Robert Stewart |
| author_sort | Delia Bishara |
| collection | DOAJ |
| description | Aims and method
Adverse effects are a common concern when prescribing and reviewing medication, particularly in vulnerable adults such as older people and those with intellectual disability. This paper describes the development of an app giving information on side-effects, called Medichec, and provides a description of the processes involved in its development and how drugs were rated for each side-effect. Medications with central anticholinergic action, dizziness, drowsiness, hyponatraemia, QTc prolongation, bleeding and constipation were identified using the British National Formulary (BNF) and frequency of occurrence of these effects was determined using the BNF, product information and electronic searches, including PubMed.
Results
Medications were rated using a traffic light system according to how commonly the adverse effect was known to occur or the severity of the effect.
Clinical implications
Medichec can facilitate access to side-effects information for multiple medications, aid clinical decision-making, optimise treatment and improve patient safety in vulnerable adults.
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| first_indexed | 2024-03-12T02:11:56Z |
| format | Article |
| id | doaj.art-23f60a5161854d3dad0cbb87db214ec2 |
| institution | Directory Open Access Journal |
| issn | 2056-4694 2056-4708 |
| language | English |
| last_indexed | 2024-03-12T02:11:56Z |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Bulletin |
| spelling | doaj.art-23f60a5161854d3dad0cbb87db214ec22023-09-06T12:39:44ZengCambridge University PressBJPsych Bulletin2056-46942056-47081710.1192/bjb.2023.71A tool for safer prescribing in vulnerable adults: the continuing development of the Medichec app and websiteDelia Bishara0https://orcid.org/0000-0002-6254-2054Sahar Riaz1Justin Sauer2Christoph Mueller3https://orcid.org/0000-0001-9816-1686Siobhan Gee4David Taylor5https://orcid.org/0000-0002-2557-1710Robyn-Jenia Wilcha6Millie Edwards7Nirja Beehuspoteea8Anne Marie Bonnici Mallia9Jennifer Brook10Bharathi Balasundaram11Daniel Harwood12Nicola Funnell13Andre Strydom14https://orcid.org/0000-0002-2502-6704Robert Stewart15https://orcid.org/0000-0002-4435-6397Mental Health of Older Adults and Dementia Department, South London and Maudsley NHS Foundation Trust, London, UK Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK Pharmacy Department, South London and Maudsley NHS Foundation Trust, London, UKInstitute of Psychiatry, Psychology & Neuroscience, King's College London, London, UKMental Health of Older Adults and Dementia Department, South London and Maudsley NHS Foundation Trust, London, UK Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UKMental Health of Older Adults and Dementia Department, South London and Maudsley NHS Foundation Trust, London, UK Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UKInstitute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK Pharmacy Department, South London and Maudsley NHS Foundation Trust, London, UKInstitute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK Pharmacy Department, South London and Maudsley NHS Foundation Trust, London, UKMental Health of Older Adults and Dementia Department, South London and Maudsley NHS Foundation Trust, London, UKMental Health of Older Adults and Dementia Department, South London and Maudsley NHS Foundation Trust, London, UKMental Health of Older Adults and Dementia Department, South London and Maudsley NHS Foundation Trust, London, UKMental Health of Older Adults and Dementia Department, South London and Maudsley NHS Foundation Trust, London, UKMental Health of Older Adults and Dementia Department, South London and Maudsley NHS Foundation Trust, London, UKChangi General Hospital, SingaporeMental Health of Older Adults and Dementia Department, South London and Maudsley NHS Foundation Trust, London, UKMental Health of Older Adults and Dementia Department, South London and Maudsley NHS Foundation Trust, London, UKInstitute of Psychiatry, Psychology & Neuroscience, King's College London, London, UKMental Health of Older Adults and Dementia Department, South London and Maudsley NHS Foundation Trust, London, UK Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UKAims and method Adverse effects are a common concern when prescribing and reviewing medication, particularly in vulnerable adults such as older people and those with intellectual disability. This paper describes the development of an app giving information on side-effects, called Medichec, and provides a description of the processes involved in its development and how drugs were rated for each side-effect. Medications with central anticholinergic action, dizziness, drowsiness, hyponatraemia, QTc prolongation, bleeding and constipation were identified using the British National Formulary (BNF) and frequency of occurrence of these effects was determined using the BNF, product information and electronic searches, including PubMed. Results Medications were rated using a traffic light system according to how commonly the adverse effect was known to occur or the severity of the effect. Clinical implications Medichec can facilitate access to side-effects information for multiple medications, aid clinical decision-making, optimise treatment and improve patient safety in vulnerable adults. https://www.cambridge.org/core/product/identifier/S2056469423000712/type/journal_articleMedichecside-effectsanticholinergicdementiamedication |
| spellingShingle | Delia Bishara Sahar Riaz Justin Sauer Christoph Mueller Siobhan Gee David Taylor Robyn-Jenia Wilcha Millie Edwards Nirja Beehuspoteea Anne Marie Bonnici Mallia Jennifer Brook Bharathi Balasundaram Daniel Harwood Nicola Funnell Andre Strydom Robert Stewart A tool for safer prescribing in vulnerable adults: the continuing development of the Medichec app and website BJPsych Bulletin Medichec side-effects anticholinergic dementia medication |
| title | A tool for safer prescribing in vulnerable adults: the continuing development of the Medichec app and website |
| title_full | A tool for safer prescribing in vulnerable adults: the continuing development of the Medichec app and website |
| title_fullStr | A tool for safer prescribing in vulnerable adults: the continuing development of the Medichec app and website |
| title_full_unstemmed | A tool for safer prescribing in vulnerable adults: the continuing development of the Medichec app and website |
| title_short | A tool for safer prescribing in vulnerable adults: the continuing development of the Medichec app and website |
| title_sort | tool for safer prescribing in vulnerable adults the continuing development of the medichec app and website |
| topic | Medichec side-effects anticholinergic dementia medication |
| url | https://www.cambridge.org/core/product/identifier/S2056469423000712/type/journal_article |
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