Inappropriate Prescribing: Criteria, Detection and Prevention.
Inappropriate prescribing is highly prevalent in older people and is a major healthcare concern because of its association with negative healthcare outcomes including adverse drug events, related morbidity and hospitalization. With changing population demographics resulting in increasing proportions...
| Publicado en: | Drugs & Aging Vol. 29; no. 6; pp. 437 - 453 |
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| Autores principales: | , , |
| Formato: | review tables/charts Journal Article |
| Publicado: |
Springer Nature
2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108133350&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 108133350 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1170229X C5B jtl: Drugs & Aging issn: 1170229X maglogo: N pubinfo: dt: 2012 vid: 29 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 108133350 77703884 10.2165/11632610-000000000-00000 NLM22642779 108133350 ppf: 437 ppct: 16 formats: fmt: @attributes: type: P tig: atl: Inappropriate Prescribing: Criteria, Detection and Prevention. aug: au: O'Connor, Marie N. Gallagher, Paul O'Mahony, Denis affil: Department of Geriatric Medicine, Cork University Hospital, Wilton, Cork, Ireland sug: subj: Inappropriate Prescribing Evaluation Inappropriate Prescribing Prevention and Control Prescriptions, Drug Methods Aged Aged: 65+ years ab: Inappropriate prescribing is highly prevalent in older people and is a major healthcare concern because of its association with negative healthcare outcomes including adverse drug events, related morbidity and hospitalization. With changing population demographics resulting in increasing proportions of older people worldwide, improving the quality and safety of prescribing in older people poses a global challenge. To date a number of different strategies have been used to identify potentially inappropriate prescribing in older people. Over the last two decades, a number of criteria have been published to assist prescribers in detecting inappropriate prescribing, the majority of which have been explicit sets of criteria, though some are implicit. The majority of these prescribing indicators pertain to overprescribing and misprescribing, with only a minority focussing on the underprescribing of indicated medicines. Additional interventions to optimize prescribing in older people include comprehensive geriatric assessment, clinical pharmacist review, and education of prescribers as well as computerized prescribing with clinical decision support systems. In this review, we describe the inappropriate prescribing detection tools or criteria most frequently cited in the literature and examine their role in preventing inappropriate prescribing and other related healthcare outcomes. We also discuss other measures commonly used in the detection and prevention of inappropriate prescribing in older people and the evidence supporting their use and their application in everyday clinical practice. pubtype: Academic Journal doctype: review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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