Evidence map›Paper›PMID 27045070›Full record

ArticleAmerican journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists2016

Recommendations for selecting drug-drug interactions for clinical decision support.

Hugh Tilson, Lisa E Hines, Gerald McEvoy, David M Weinstein, Philip D Hansten, Karl Matuszewski, Marianne le Comte, Stefanie Higby-Baker, Joseph T Hanlon, Lynn Pezzullo and 10 more

Abstract read
In one paragraph

Article in American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Prevalence of drug interactions in hospitalised elderly patients: a systematic review.European journal of hospital pharmacy : science and practice · 2021
    Pooled it
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  9. Practical considerations for managing patients being treated with topical roflumilast.Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques · 2026
    Review
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  20. Improving the specificity of drug-drug interaction alerts: Can it be done?American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Hugh TilsonPublic Health Leadership and Epidemiology, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC.
Lisa E HinesPerformance Measurement, Pharmacy Quality Alliance, Springfield, VA.
Gerald McEvoyDrug Information, American Society of Health-System Pharmacists, Bethesda, MD.
David M WeinsteinMetabolism, Interactions, and Genomics Group, Clinical Content, Lexi-Comp, Wolters-Kluwer Health, Cleveland, OH.
Philip D HanstenDepartment of Pharmacy, University of Washington School of Pharmacy, Seattle, WA.
Karl MatuszewskiClinical and Editorial Knowledge Base Services, First Databank, San Francisco, CA.
Marianne le ComteDrug Information Centre, Royal Dutch Association for the Advancement of Pharmacy, The Hague, Netherlands.
Stefanie Higby-BakerCerner Multum, Denver, CO.
Joseph T HanlonDivision of Geriatrics and Department of Pharmacy and Therapeutics, University of Pittsburgh, Pittsburgh, PA.
Lynn PezzulloPerformance Measurement, Pharmacy Quality Alliance, Springfield, VA.
Kathleen ViesonDiagnosis, Treatment and Care Decisions, Elsevier Clinical Solutions, Tampa, FL.
Amy L HelwigCenter for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality, Department of Health and Human Services, Washington, DC.
Shiew-Mei HuangOffice of Clinical Pharmacology, Center for Drug Evaluation and Research, Food and Drug Administration, Silver Spring, MD.
Anthony PerreNew Patient Intake, Eastern Regional Medical Center, Cancer Treatment Centers of America, Philadelphia, PA.
David W BatesHarvard Medical School, Boston, MA.
John PoikonenUniversity of Massachusetts, Lowell, MA.
Michael A WittieOffice of the National Coordinator for Health Information Technology, Department of Health and Human Services, Washington, DC.
Amy J GrizzleCenter for Health Outcomes and PharmacoEconomic Research, University of Arizona College of Pharmacy, Tucson, AZ.
Mary BrownDepartment of Pharmacy Practice and Science, University of Arizona College of Pharmacy, Tucson, AZ.
Daniel C MaloneDepartment of Pharmacy Practice and Science, University of Arizona College of Pharmacy, Tucson, AZ. malone@pharmacy.arizona.edu.

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
Pitt Integrated Clinical and Geroscience Research Training ProgramT32AG021885 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Aditi U Gurkar · 2003 to 2026
$6.7M
Improving Outcomes of UTI in LTC Facilities: The IOU StudyR18HS023779 · AHRQ · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI NACE, DAVID A. · 2015 to 2017
$1.4M
UPITT Program for Pharmaceutical Outcomes Research in AgingK07AG033174 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HANLON, JOSEPH T · 2009 to 2013
$461k
Drug-Drug Interaction Clinical Decision Support Conference SeriesR13HS021826 · AHRQ · UNIVERSITY OF ARIZONA · PI MALONE, DANIEL C · 2012 to 2014
$288k
AHRQ HHS R13 HS021826AHRQ HHS R18 HS023779NIA NIH HHS K07 AG033174NIA NIH HHS P30 AG024827NIA NIH HHS T32 AG021885
6 · The paper itself

Abstract

purposeRecommendations for including drug-drug interactions (DDIs) in clinical decision support (CDS) are presented. SUMMARY: A conference series was conducted to improve CDS for DDIs. A work group consisting of 20 experts in pharmacology, drug information, and CDS from academia, government agencies, health information vendors, and healthcare organizations was convened to address (1) the process to use for developing and maintaining a standard set of DDIs, (2) the information that should be included in a knowledge base of standard DDIs, (3) whether a list of contraindicated drug pairs can or should be established, and (4) how to more intelligently filter DDI alerts. We recommend a transparent, systematic, and evidence-driven process with graded recommendations by a consensus panel of experts and oversight by a national organization. We outline key DDI information needed to help guide clinician decision-making. We recommend judicious classification of DDIs as contraindicated and more research to identify methods to safely reduce repetitive and less-relevant alerts.

conclusionAn expert panel with a centralized organizer or convener should be established to develop and maintain a standard set of DDIs for CDS in the United States. The process should be evidence driven, transparent, and systematic, with feedback from multiple stakeholders for continuous improvement. The scope of the expert panel's work should be carefully managed to ensure that the process is sustainable. Support for research to improve DDI alerting in the future is also needed. Adoption of these steps may lead to consistent and clinically relevant content for interruptive DDIs, thus reducing alert fatigue and improving patient safety.

Indexed as

Drug InteractionsAlert Fatigue, Health PersonnelClinical Decision-MakingConsensusDecision Support Systems, ClinicalDrug-Related Side Effects and Adverse ReactionsHumansMedical Order Entry SystemsUnited States

Identifiers

PMID27045070
PMCPMC5064943

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.