Development of an Interactive Computer-Assisted Program to Manage Medication Therapy in Hiv Infected Patients
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0092-8615/98 Copyright 0 1998 Drug Information Association Inc.
DEVELOPMENT OF AN INTERACTIVE COMPUTER-ASSISTED PROGRAM TO MANAGE MEDICATION THERAPY IN HIV INFECTED PATIENTS MICHELLE M. FOISY,BSc PHARM, PHARMD Assistant Professor, Faculty of Pharmacy, The University of Toronto, and HIV Primary Care Pharmacist, The Wellesley Health Centre, Toronto, Ontario
ALICETSENG,BSPHM,PHARMD Lecturer, Faculty of Pharmacy, University of Toronto, and HIV Consultant, The Immunodeficiency Clinic, The Toronto Hospital, Toronto, Ontario
Purpose: The HIV Therapy Scheduler (HTS) is intended for pharmacists, physicians, and other health care professionals who manage patients with HIV and AIDS-related diseases. The sojiware was created to provide authorized users with a tool to help develop customized drug regimen schedules for their patients, to screen for limited drug interactions within an individual patient drug regimen, and to store computerized records of patient medical histories and drug allergies/intolerances. Methods: The project team consisted of two pharmacists with expertise in H N disease who were responsible for compiling the database, a computer programmer; and a medical i n t e ~ a c edesigner The project consists of three phases, of which phase two is now complete. In the first phase, a prototype of the software was developed incorporating rudimentary functions. Following a period of pilot testing, the second phase of the development served to convert the prototype into a fully functional computer program. The third phase will incorporate any additional features, and future updates of the program’s content and drug database. Results: To date, phase two of the project is complete. The sojiware has been available nationally to health care providers in both French and English since March 1997. Since the preliminary program has been very well-received, potential for international distribution exists. The authors are also recipients of a national pharmacy award for innovations in the development of patient compliance tools. Conclusions: To address the issues of drug interactions and medication compliance in HIV-positive individuals, interactive computer sojiware was developed in order to enhance patient compliance and to minimize the risk of side effects secondary to drug interactions. Key Words: Drug interactions; Medication compliance; Software; HIV
Presented at the DIA “International Symposium on Drug Interactions,” December 4-5, 1996. Toronto, Ontario, Canada. Reprint address: Drug Interaction Software, Michelle M. Foisy, PharmD, The Wellesley Health Centre, 410 Sherboume Street, 4th Fl, Toronto, Ontario M4X 1K2, Canada, e-mail: [email protected]
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Michelle M. Foisy and Alice Tseng
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INTRODUCTION POLYF’HARMACY AMONG INDIVIDUALS infected with the Human Immunodeficiency Virus (HIV) is common, particularly as their illness progresses and multiple therapies are prescribed. A number of studies have shown that patients may take up to 24
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