A tool for safer prescribing in vulnerable adults: the continuing development of the Medichec app and website

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 descriptio...

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Bibliographic Details
Published in:BJPsych Bulletin 2024-08, Vol.48 (4), p.254-260
Main Authors: Bishara, Delia, Riaz, Sahar, Sauer, Justin, Mueller, Christoph, Gee, Siobhan, Taylor, David, Wilcha, Robyn-Jenia, Edwards, Millie, Beehuspoteea, Nirja, Mallia, Anne Marie Bonnici, Brook, Jennifer, Balasundaram, Bharathi, Harwood, Daniel, Funnell, Nicola, Strydom, Andre, Stewart, Robert
Format: Article
Language:English
Subjects:
Anesthesia
anticholinergic
Anticholinergics
Asymptomatic
Bleeding
Cardiac arrhythmia
Clinical decision making
Cognitive ability
Constipation
Delirium
Dementia
Diuretics
Dizziness
Drugs
Electrocardiography
Electrolytes
Fractures
Hyponatremia
Intellectual disabilities
Learning disabled people
medication
Medichec
Mortality
Old Age
Older people
Orthostatic hypotension
Patients
Prescribing
Quality of life
Risk factors
Side effects
Sleepiness
Special
Special Article
Vulnerability
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Description
Summary: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. 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. Medichec can facilitate access to side-effects information for multiple medications, aid clinical decision-making, optimise treatment and improve patient safety in vulnerable adults.
ISSN:2056-4694
2056-4708
2053-4868
DOI:10.1192/bjb.2023.71