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AI agent for pharmacists

Older Adult High-Risk Medicine Review Agent

Review every high-risk medicine in older adults and record the prescriber's decision.

Risk managementHealthcare
See how it worksGet access
Older Adult High-Risk Medicine Review Agent: what goes in, what the agent does and what you get

What it does

Some medicines are more harmful as people age, such as sleep aids, certain anticholinergics and long-acting sulfonylureas. This agent scans the profiles of patients over a set age and finds medicines on a high-risk list. For each, it checks the stated reason, the length of use and the possible alternatives. It drafts a short review for the prescriber with the concern, the evidence source and one or two options. The pharmacist approves it. The agent then tracks the answer and records the outcome. If the prescriber keeps the medicine, it notes the reason and sets the next review date. Edge case: the same patient has three flagged medicines, so the agent groups them into one message instead of three.

How it works

Follow the arrows from top to bottom. The orange dashed arrow is the loop: when a check fails, the agent goes back and tries again.

Start and resultWhat it doesA check on its own workWaits for your OKGoes back and retries
ApprovedYes, continueNo 1 STARTS WHEN Monthly profile scan 2 USES A TOOL Find patients 65 and over on high-risk medicines 3 DOES Check reason, duration and possible alternatives 4 DOES Group flags per patient and prescriber 5 DOES Draft a short review with options 6 YOU APPROVE Pharmacist approves the review 7 USES A TOOL Send to the prescriber and set a reminder 8 CHECKS THE RESULT Did the prescriber answer within 10 days? If not: send a reminder, then ask the pharmacist tocall. Back to step 7. 9 DOES Record the decision and next review date 10 RESULT Outcome logged
Read the steps as a list
  1. Monthly profile scan
  2. Find patients 65 and over on high-risk medicines
  3. Check reason, duration and possible alternatives
  4. Group flags per patient and prescriber
  5. Draft a short review with options
  6. Pharmacist approves the reviewThe agent waits here for your OK.
  7. Send to the prescriber and set a reminder
  8. Did the prescriber answer within 10 days?If not: send a reminder, then ask the pharmacist to call. Back to step 7.
  9. Record the decision and next review date
  10. Outcome logged

How it decides

It flags a medicine on the list for patients 65 and over, and groups flags per patient and prescriber.

  • Group multiple flags into one message
  • Remind after 10 days
  • Record the reason when a medicine is kept
  • Set a 12-month review after a decision

Make it yours

Every agent is a starting point. You choose these settings for your own situation.

  • Age cutoff (default 65)
  • High-risk list
  • Reminder days (default 10)
  • Review interval (default 12 months)

What keeps you in control

It always asks you first

  • Pharmacist approves each review
  • Pharmacist approves any patient contact

Hard limits

  • Never tell the patient to stop a medicine
  • Never contact prescribers without approval

It stops when

  • Done: decision logged
  • Stop: patient moved pharmacies

Set it up

We guide you through the set-up, step by step

Members get the full set-up guide for this agent. No technical skills needed: you copy, paste and upload.

10 minto set it up in your AI
5 AIsChatGPT, Claude, Copilot, Gemini, Grok
  • One set of instructions to paste into your AI, with the clicks for ChatGPT, Claude, Microsoft 365 Copilot, Gemini and Grok
  • The agent then walks you through connecting your own data, one source at a time
  • A downloadable copy with the flow chart, the rules and the full guide
Get access to this agent

An example run

What happensMr. Daniels, 78, filled zolpidem and diphenhydramine nightly for 14 months. The agent grouped both into one note to his doctor with two options. No reply came in 10 days, so the agent sent a reminder and asked the pharmacist to call. The doctor chose a taper plan for the zolpidem and kept the other, and the agent set the next review for 12 months.

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