TY - JOUR T1 - Electronic prescribing and other forms of technology to reduce inappropriate medication use and polypharmacy in older people: a review of current evidence JF - Clin Geriatr Med Y1 - 2012 A1 - Clyne, B A1 - Bradley, MC A1 - Hughes, CM A1 - Fahey, T A1 - Lapane, Kate L KW - Aged KW - Aged, 80 and over KW - Clinical Pharmacy Information Systems KW - Decision Support Systems, Clinical KW - Drug Prescriptions KW - Drug Utilization Review KW - Electronic Prescribing KW - Evidence-Based Medicine KW - Female KW - Humans KW - Inappropriate Prescribing KW - Male KW - Medication Errors KW - Physician's Practice Patterns KW - Polypharmacy KW - Randomized Controlled Trials as Topic AB - This review provided an overview of the current evidence in relation to the use of e-prescribing and other forms of technology, such as CDSS, to reduce inappropriate prescribing in older people. The evidence indicates that various types of e-prescribing and CDSS interventions have the potential to reduce inappropriate prescribing and polypharmacy in older people, but the magnitude of their effect varies according to study design and setting. There was significant heterogeneity in the studies reported in terms of study designs, intervention design, patient settings, and outcome measures with patient outcomes seldom reported. Widespread diffusion of these interventions has not occurred in any of the health care settings examined. Overall, health care providers report being satisfied with e-prescribing systems and see the systems as having a positive impact on the safety of their prescribing practices, yet the problem of overriding or ignoring alerts persists. The problem of large numbers of inaccurate and insignificant alerts and this issue, along with the other barriers that have been identified, warrant further investigation. VL - 28 UR - http://www.sciencedirect.com/science/article/pii/S0749069012000109 IS - 2 ER -