Using local clinical rules in a pharmacy service to detect risk prescriptions in older adult hospital inpatients: a proof-of-concept study

The guideline-based, locally informed clinical rules could identify clinically relevant and persistent risk prescriptions in older adult inpatients in a large Swedish hospital. The findings support the feasibility of SAPVAL as a pharmacist-led CDSS intervention. However, since half of the alerts were assessed to be clinically non-relevant, the study highlights the need for ongoing refinement of rules to improve specificity and service efficiency.