THE SATISFACTION OF PHYSICIANS AND PHARMACISTS ON THE EFFICIENCY OF COMPUTERIZED ALERT SYSTEM FOR SCREENING HIGHRISK DRUGS FOR THAI ELDERLY IN COMMUNITY HOSPITALS
In an aging society, most of the old patients have had polypharmacy and might take highrisk medication and face its adverse effect. The computerized alert system is needed to remind health prescribers on a high-risk drug for the elderly. This mixed-method research, qualitative and quantitative, aimed to evaluate physicians’ and pharmacists’ satisfaction on the efficiency of the 2-month computerized alert system implemented for screening high-risk drugs in the Thai elderly. After the 2-month implementation of this system in three community hospitals, Northeast Thailand, 8 physicians and 3 pharmacists who involved and used this alert system were surveyed with a self-administered questionnaire and interviewed their satisfaction on the system. The efficiency of the alert system was retrieved from the hospital database of 1,127 prescriptions, and a reduction of a number of high-risk drugs per prescription was recorded.
After 2-month of implementing the alert system, there was a significant reduction of a number of prescribed high-risk drugs such as diazepam, amitriptyline, colchicine, 50.5±60.17 and 43.6±61.22 tablets/prescription respectively (p<0.001). 11 Physicians and pharmacists were 6 males (54.5%) and 5 females (45.5%). Their average age was 29.9±4.93 years. They have had work experience in the hospital with an average year of 4.3±2.23. They were satisfied with the efficiency of the alert system with an average of 4.0±0.45 from 5 scores or 80%. Most of them (54.5%) showed a high level of satisfaction on the concise and clear information of making a decision on the computerized alert system. 54.5% of users were satisfied with the benefit of the alert system on patient safety. 45.5% was dissatisfied with the computer scene color and system attractiveness. the interviewed data showed the same trend.
From the survey and interview, the users of a 2-month implemented computerized alert system were satisfied at a high level and the system could significantly reduce the number of prescribed high-risk drugs for the Thai elderly. The alert system for screening high-risk drugs in the elderly should be generalized and recommended to use in all hospitals.