Background Despite living in the high tech era, there is still a lack of software tools to help pharmacists to carry out their common tasks, pharmaceutical care being one of the most important.
Purpose Designing a friendly intuitive application to gather, assess and use patients’ demographic and clinical information to obtain better results in pharmaceutical care.
Material and methods We created a Filemaker database compatible with computers and tablets. Its interface was designed with Adobe PhotoshopCC. Prior to this, a bibliographical review on pharmaceutical care was performed to decide which data would be useful for pharmacists to collect.
Results An iPadMini optimised (1024x669) ‘.fmp12’ file was obtained. The main page grants access to patient records. Each one allows demographic and clinical data, including history, current diagnosis and evolution to be collected. A button panel give access to the remaining areas. ‘Therapy’ section is set to collect pharmacotherapy data (drug, dose, interval, administration route, prescription date). To make follow-up easier, drugs can be flagged into five categories (restricted duration, possibility of intravenous to oral switching, common adverse reactions, potential contraindications and dose adjustment needs). A similar table records nutritional treatments. ‘Laboratory’ gathers the most relevant haematologic (cell counts, coagulation, haemoglobin, etc), biochemical (glucose, ion levels, etc) and microbiologic (culture findings, susceptibility testings) parameters related to pharmaceutical care. It calculates MDRD4 creatinine clearance, and warns the user if values are out of range. ‘PRIME zone’ allows recording of pharmaceutical problems, risk issues, drug Interactions, treatment mismatches and efficacy facts. Users can record how each problem is managed, and if they were able to influence clinicians (accepted, rejected or non-assessable interventions). The database is provided with a search engine, and can print a ‘.pdf’ case report.
Conclusion Our database aims to make pharmacotherapy management easier, improving detection of medication related problems and allowing bedside work. In a pilot study in over 28 patients, our colleagues perceived an increase in the amount and quality of interventions to clinicians, but also regretted spending too much time when gathering data, due to the fact that the database cannot automatically collect data from official sources. Despite having enhanced our database functionality, Filemaker does not fulfil our needs, and professional software development would be desirable, which requires further funding.
No conflict of interest
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