PMID- 18695980 OWN - NLM STAT- MEDLINE DCOM- 20090130 LR - 20211020 IS - 1432-1041 (Electronic) IS - 0031-6970 (Linking) VI - 64 IP - 12 DP - 2008 Dec TI - A clinical evaluation of the Janus Web Application, a software screening tool for drug-drug interactions. PG - 1209-14 LID - 10.1007/s00228-008-0547-x [doi] AB - PURPOSE: To evaluate the clinical relevance of the Janus Web Application (JWA) in screening for potential drug-drug interactions (DDIs). METHODS: One hundred and fifty patients taking two drugs or more were studied. Potential DDIs were identified by the JWA. Interviewing the patient and looking into his/her medical records provided complementing information. A clinical pharmacologist judged which potential DDIs were clinically relevant. Potentially relevant DDIs identified by the JWA were then correlated with clinically relevant DDIs. RESULTS: A total of 150 significant potential DDIs were found. Sixteen percent (24/150) were judged to be clinically relevant. CONCLUSIONS: A very small proportion of DDIs was considered clinically relevant in the specific clinical context. To optimise the software's user-friendliness, the following points need to be considered: the possibility of eliminating trivial potential DDIs, individualising drug alerts, and providing written information, accessible via a hyperlink. FAU - Mannheimer, Buster AU - Mannheimer B AD - Department of Internal Medicine, Karolinska Institutet, Sodersjukhuset, SE-11883, Stockholm, Sweden. buster.mannheimer@sodersjukhuset.se FAU - Ulfvarson, Johanna AU - Ulfvarson J FAU - Eklof, Sara AU - Eklof S FAU - Bergqvist, Monica AU - Bergqvist M FAU - von Bahr, Christer AU - von Bahr C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080810 PL - Germany TA - Eur J Clin Pharmacol JT - European journal of clinical pharmacology JID - 1256165 RN - 0 (Pharmaceutical Preparations) SB - IM MH - Aged MH - *Decision Support Systems, Clinical MH - *Drug Interactions MH - *Drug Utilization Review/methods/statistics & numerical data MH - Drug-Related Side Effects and Adverse Reactions MH - Female MH - Humans MH - Male MH - Medical Records MH - *Pharmaceutical Preparations/administration & dosage MH - *Software MH - Surveys and Questionnaires MH - Sweden EDAT- 2008/08/13 09:00 MHDA- 2009/01/31 09:00 CRDT- 2008/08/13 09:00 PHST- 2008/04/30 00:00 [received] PHST- 2008/07/17 00:00 [accepted] PHST- 2008/08/13 09:00 [pubmed] PHST- 2009/01/31 09:00 [medline] PHST- 2008/08/13 09:00 [entrez] AID - 10.1007/s00228-008-0547-x [doi] PST - ppublish SO - Eur J Clin Pharmacol. 2008 Dec;64(12):1209-14. doi: 10.1007/s00228-008-0547-x. Epub 2008 Aug 10.