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      <abstractText>Database-assisted screening may help detect the risks of drug interactions, but less than 10% of flagged interactions have clinical manifestations, potentially leading to alert fatigue among healthcare providers. To address this issue, this study aimed to develop a concise framework to support the management of database-indicated interaction risks.A grounded theory approach was used to design, evaluate and develop the framework. Participants included healthcare professionals and laypersons with experience using narrow therapeutic index medications, as well as individuals recommended by them. Two focus group discussions were conducted (N1=6 and N2=5), each lasting approximately 2 hours and following the same agenda. In one case, a follow-up one-on-one interview was held because the participant indicated further insights at the end of the session.Participants identified key decision-making questions for the framework, including the evidence base for interacting drugs, severity and documentation level of the interaction, availability of safer alternatives, and the presence of confounding factors. The framework was considered useful and, following refinement, potentially suitable for clinical implementation. A key insight was that integration into healthcare curricula is essential for achieving long-term impact. Overall, the proposed tool may assist in managing interaction risks in diverse clinical scenarios and reduce alert fatigue among healthcare professionals.Although further clinical validation is needed, the framework provides a foundation for improving the management of database-detected drug interactions.</abstractText>
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      <directInstitutesForSort>Anatómiai, Szövet- és Fejlődéstani Intézet (SE / AOK / I); Belgyógyászati és Onkológiai Klinika (SE / AOK / K); Családorvosi Tanszék (SE / AOK / K); Egyetemi Gyógyszertár Gyógyszerügyi Szervezési ... (SE / GYTK); Integratív Idegtudományi Kutatócsoport (HRN TTK / KPI); Klinikai Gyógyszerészeti Intézet (SZTE / GYTK); Molekuláris Élettudományi Intézet (HRN TTK); Sebészeti, Transzplantációs és Gasztroenterológ... (SE / AOK / K); Transzlációs Medicina Intézet (PTE / ÁOK); Transzlációs Medicina Központ (SE / KSZE)</directInstitutesForSort>
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style=&quot;float: left&quot; src=&quot;/frontend/resources/grid/publication-citation-icon.png&quot;&gt; &lt;div class=&quot;autype autype0&quot;&gt; &lt;span class=&quot;author-name&quot; mtid=&quot;10059913&quot;&gt;&lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10059913&quot; target=&quot;_blank&quot;&gt;Kleiner Dénes ✉ (&lt;span class=&quot;authorship-author-name&quot;&gt;Kleiner Dénes&lt;/span&gt; &lt;span class=&quot;authorAux-mtmt&quot;&gt; gyógyszerész&lt;/span&gt;) &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Semmelweis University&quot;&gt;SU&lt;/span&gt;/&lt;span title=&quot;Faculty of Pharmacy&quot;&gt;FP&lt;/span&gt;/University Pharmacy Department of Pharmacy Administration&lt;/span&gt; ;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span class=&quot;author-name&quot; &gt;Haghverdi Faraz &lt;/span&gt; ;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span class=&quot;author-name&quot; mtid=&quot;10021335&quot;&gt;&lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10021335&quot; target=&quot;_blank&quot;&gt;Szépe Orsolya (&lt;span class=&quot;authorship-author-name&quot;&gt;Szépe Orsolya&lt;/span&gt; &lt;span class=&quot;authorAux-mtmt&quot;&gt; orvosi kommunikáció, gyógyszerészi kommunikáció...&lt;/span&gt;) &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Semmelweis University&quot;&gt;SU&lt;/span&gt;/&lt;span title=&quot;Faculty of Pharmacy&quot;&gt;FP&lt;/span&gt;/University Pharmacy Department of Pharmacy Administration&lt;/span&gt; ;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span class=&quot;author-name&quot; mtid=&quot;10079182&quot;&gt;&lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10079182&quot; target=&quot;_blank&quot;&gt;Horváth István László (&lt;span class=&quot;authorship-author-name&quot;&gt;Horváth István László&lt;/span&gt; &lt;span class=&quot;authorAux-mtmt&quot;&gt; gyógyszerész&lt;/span&gt;) &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Semmelweis University&quot;&gt;SU&lt;/span&gt;/&lt;span title=&quot;Faculty of Pharmacy&quot;&gt;FP&lt;/span&gt;/University Pharmacy Department of Pharmacy Administration; &lt;span title=&quot;Semmelweis University&quot;&gt;SU&lt;/span&gt;/&lt;span title=&quot;Központi Szervezeti Egységek (beleértve az Egyéb Szervezeti Egységeket)&quot;&gt;KSZE&lt;/span&gt;/Centre for Translational Medicine&lt;/span&gt; ;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span class=&quot;author-name&quot; mtid=&quot;10060853&quot;&gt;&lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10060853&quot; target=&quot;_blank&quot;&gt;Sebők Szilvia (&lt;span class=&quot;authorship-author-name&quot;&gt;Sebők Szilvia&lt;/span&gt; &lt;span class=&quot;authorAux-mtmt&quot;&gt; gyógyszerészet&lt;/span&gt;) &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Semmelweis University&quot;&gt;SU&lt;/span&gt;/&lt;span title=&quot;Faculty of Pharmacy&quot;&gt;FP&lt;/span&gt;/University Pharmacy Department of Pharmacy Administration&lt;/span&gt; ;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span class=&quot;author-name&quot; mtid=&quot;10001143&quot;&gt;&lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10001143&quot; target=&quot;_blank&quot;&gt;Csupor Dezső (&lt;span class=&quot;authorship-author-name&quot;&gt;Csupor Dezső&lt;/span&gt; &lt;span class=&quot;authorAux-mtmt&quot;&gt; Klinikai gyógyszerészet; Fitokémia&lt;/span&gt;) &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;University of Szeged&quot;&gt;SZTE&lt;/span&gt;/&lt;span title=&quot;Faculty of Pharmacy&quot;&gt;FP&lt;/span&gt;/Department of Clinical Pharmacy; &lt;span title=&quot;University of Pécs&quot;&gt;UP&lt;/span&gt;/&lt;span title=&quot;Medical School&quot;&gt;UPMS&lt;/span&gt;/Institute for Translational Medicine&lt;/span&gt; ;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span class=&quot;author-name&quot; mtid=&quot;10055054&quot;&gt;&lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10055054&quot; target=&quot;_blank&quot;&gt;Horváth András (&lt;span class=&quot;authorship-author-name&quot;&gt;Horváth András Attila&lt;/span&gt; &lt;span class=&quot;authorAux-mtmt&quot;&gt; neurológia&lt;/span&gt;) &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Semmelweis University&quot;&gt;SU&lt;/span&gt;/&lt;span title=&quot;Faculty of Medicine&quot;&gt;FM&lt;/span&gt;/&lt;span title=&quot;Instituties&quot;&gt;I&lt;/span&gt;/Anatómiai, Szövet- és Fejlődéstani Intézet; &lt;span title=&quot;HUN-REN Research Centre for Natural Sciences&quot;&gt;HUN-REN RCNS&lt;/span&gt;/&lt;span title=&quot;Institute of Cognitive Neuroscience and Psychology&quot;&gt;KPI&lt;/span&gt;/Integrative Neuroscience Research Group&lt;/span&gt; ;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span class=&quot;author-name&quot; &gt;Balogh Artúr György &lt;/span&gt; ;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span class=&quot;author-name&quot; mtid=&quot;10014587&quot;&gt;&lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10014587&quot; target=&quot;_blank&quot;&gt;Monostory Katalin (&lt;span class=&quot;authorship-author-name&quot;&gt;Monostory Katalin&lt;/span&gt; &lt;span class=&quot;authorAux-mtmt&quot;&gt; CYP&lt;/span&gt;) &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;HUN-REN Research Centre for Natural Sciences&quot;&gt;HUN-REN RCNS&lt;/span&gt;/Institute of Molecular Life Sciences&lt;/span&gt; ;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span class=&quot;author-name&quot; mtid=&quot;10014713&quot;&gt;&lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10014713&quot; target=&quot;_blank&quot;&gt;Kóbori László (&lt;span class=&quot;authorship-author-name&quot;&gt;Kóbori László&lt;/span&gt; &lt;span class=&quot;authorAux-mtmt&quot;&gt; Sebészet, transzplantációs sebészet&lt;/span&gt;) &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Semmelweis University&quot;&gt;SU&lt;/span&gt;/&lt;span title=&quot;Faculty of Medicine&quot;&gt;FM&lt;/span&gt;/&lt;span title=&quot;Clinical&quot;&gt;C&lt;/span&gt;/Sebészeti, Transzplantációs és Gasztroenterológiai Klinika&lt;/span&gt; ;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span class=&quot;author-name&quot; mtid=&quot;10051835&quot;&gt;&lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10051835&quot; target=&quot;_blank&quot;&gt;Balázs Máté (&lt;span class=&quot;authorship-author-name&quot;&gt;Balázs Máté Ádám&lt;/span&gt; &lt;span class=&quot;authorAux-mtmt&quot;&gt; egészségtudomány&lt;/span&gt;) &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Semmelweis University&quot;&gt;SU&lt;/span&gt;/&lt;span title=&quot;Faculty of Medicine&quot;&gt;FM&lt;/span&gt;/&lt;span title=&quot;Clinical&quot;&gt;C&lt;/span&gt;/Department of Internal Medicine and Oncology&lt;/span&gt; ;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span class=&quot;author-name&quot; mtid=&quot;10011481&quot;&gt;&lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10011481&quot; target=&quot;_blank&quot;&gt;Dank Magdolna (&lt;span class=&quot;authorship-author-name&quot;&gt;Dank Magdolna&lt;/span&gt; &lt;span class=&quot;authorAux-mtmt&quot;&gt; onkológia&lt;/span&gt;) &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Semmelweis University&quot;&gt;SU&lt;/span&gt;/&lt;span title=&quot;Faculty of Medicine&quot;&gt;FM&lt;/span&gt;/&lt;span title=&quot;Clinical&quot;&gt;C&lt;/span&gt;/Department of Internal Medicine and Oncology&lt;/span&gt; ;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span class=&quot;author-name&quot; mtid=&quot;10065441&quot;&gt;&lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10065441&quot; target=&quot;_blank&quot;&gt;Móczár Csaba Mihály (&lt;span class=&quot;authorship-author-name&quot;&gt;Móczár Csaba&lt;/span&gt; &lt;span class=&quot;authorAux-mtmt&quot;&gt; Orvostudomány&lt;/span&gt;) &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Semmelweis University&quot;&gt;SU&lt;/span&gt;/&lt;span title=&quot;Faculty of Medicine&quot;&gt;FM&lt;/span&gt;/&lt;span title=&quot;Clinical&quot;&gt;C&lt;/span&gt;/Department of Family Medicine&lt;/span&gt; ;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span class=&quot;author-name&quot; &gt;Becze Ádám &lt;/span&gt; ;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span class=&quot;author-name&quot; &gt;Süle András &lt;/span&gt; ;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span class=&quot;author-name&quot; mtid=&quot;10002587&quot;&gt;&lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10002587&quot; target=&quot;_blank&quot;&gt;Zelkó Romána (&lt;span class=&quot;authorship-author-name&quot;&gt;Zelkó Romána&lt;/span&gt; &lt;span class=&quot;authorAux-mtmt&quot;&gt; Gyógyszertechnológia&lt;/span&gt;) &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Semmelweis University&quot;&gt;SU&lt;/span&gt;/&lt;span title=&quot;Faculty of Pharmacy&quot;&gt;FP&lt;/span&gt;/University Pharmacy Department of Pharmacy Administration&lt;/span&gt; &lt;/div&gt; &lt;/div&gt; &lt;div class=&quot;title&quot;&gt;&lt;a href=&quot;/gui2/?mode=browse&amp;params=publication;36241099&quot; target=&quot;_blank&quot;&gt;How to manage the overwhelming amount of database-detected interactions? A focus group meeting study on the management of database-detected risks of drug interactions&lt;/a&gt;&lt;/div&gt; &lt;div&gt; &lt;span class=&quot;journal-title&quot;&gt;EUROPEAN JOURNAL OF HOSPITAL PHARMACY-SCIENCE AND PRACTICE&lt;/span&gt; &lt;span class=&quot;journal-issn&quot;&gt;(&lt;a target=&quot;_blank&quot; href=&quot;https://portal.issn.org/resource/ISSN/2047-9956&quot;&gt;2047-9956&lt;/a&gt; &lt;a target=&quot;_blank&quot; href=&quot;https://portal.issn.org/resource/ISSN/2047-9964&quot;&gt;2047-9964&lt;/a&gt;)&lt;/span&gt;: &lt;span class=&quot;journal-volume&quot;&gt;33&lt;/span&gt; &lt;span class=&quot;journal-issue&quot;&gt;3&lt;/span&gt; &lt;span class=&quot;page&quot;&gt; pp 213-218 &lt;/span&gt; &lt;span class=&quot;year&quot;&gt;(2026)&lt;/span&gt; &lt;/div&gt; &lt;div class=&quot;pub-footer&quot;&gt;  &lt;span class=&quot;language&quot; xmlns=&quot;http://www.w3.org/1999/html&quot;&gt;Language: English | &lt;/span&gt; &lt;span class=&quot;identifiers&quot;&gt; &lt;span class=&quot;id identifier oa_GOLD&quot; title=&quot; Gold &quot;&gt; &lt;a style=&quot;color:blue&quot; title=&quot;10.1136/ejhpharm-2025-004478&quot; target=&quot;_blank&quot; href=&quot;https://doi.org/10.1136/ejhpharm-2025-004478&quot;&gt; DOI &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;id identifier oa_none&quot; title=&quot;none&quot;&gt; &lt;a style=&quot;color:blue&quot; title=&quot;001527897900001&quot; target=&quot;_blank&quot; href=&quot;https://www.webofscience.com/wos/woscc/full-record/001527897900001&quot;&gt; WoS &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;id identifier oa_none&quot; title=&quot;none&quot;&gt; &lt;a style=&quot;color:blue&quot; title=&quot;105010398541&quot; target=&quot;_blank&quot; href=&quot;http://www.scopus.com/record/display.url?origin=inward&amp;eid=2-s2.0-105010398541&quot;&gt; Scopus &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;id identifier oa_none&quot; title=&quot;none&quot;&gt; &lt;a style=&quot;color:blue&quot; title=&quot;40628495&quot; target=&quot;_blank&quot; href=&quot;http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&amp;db=PubMed&amp;list_uids=40628495&amp;dopt=Abstract&quot;&gt; PubMed &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;id identifier oa_GREEN&quot; title=&quot; Green &quot;&gt; &lt;a style=&quot;color:blue&quot; title=&quot;37362&quot; target=&quot;_blank&quot; href=&quot;http://publicatio.bibl.u-szeged.hu/37362&quot;&gt; SZTE Publicatio &lt;/a&gt; &lt;/span&gt; &lt;/span&gt; &lt;OnlyViewableByAuthor&gt;&lt;div class=&quot;ratings&quot;&gt; &lt;div class=&quot;journal-subject&quot;&gt;Journal subject: Scopus - Pharmacy&amp;nbsp;&amp;nbsp;&amp;nbsp;Rank:&amp;nbsp;Q1&lt;/div&gt; &lt;/div&gt;&lt;/OnlyViewableByAuthor&gt;   &lt;div class=&quot;publication-citation&quot;&gt; &lt;a target=&quot;_blank&quot; href=&quot;/api/publication?cond=citations.related;eq;36241099&amp;sort=publishedYear,desc&amp;sort=title&quot;&gt; Number of cited publications: 1 &lt;/a&gt; &lt;/div&gt; &lt;div class=&quot;mtid&quot;&gt;&lt;span class=&quot;long-pub-mtid&quot;&gt;Publication: 36241099&lt;/span&gt; | &lt;span class=&quot;status-data status-VALIDATED&quot;&gt; Validated &lt;/span&gt; Core Citing | &lt;span class=&quot;type-subtype&quot;&gt;Journal Article ( Article ) &lt;/span&gt; | &lt;span class=&quot;pub-category&quot;&gt;Scientific&lt;/span&gt; | &lt;span class=&quot;publication-sourceOfData&quot;&gt;PubMed XML&lt;/span&gt; &lt;/div&gt; &lt;div class=&quot;funder&quot;&gt; Richter Gedeon Talentum Foundation, (Excellence PhD Scholarship of Gedeon Richter) &lt;/div&gt; &lt;div class=&quot;lastModified&quot;&gt;Last Modified: 2026.04.23. 14:30 Emese Nagyné Tari (SZTE admin5) &lt;/div&gt; &lt;/div&gt;&lt;/div&gt;</template2>
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