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    Inappropriate prescribing: criteria, detection and prevention.

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    Authors
    O'Connor, Marie N
    Gallagher, Paul
    O'Mahony, Denis
    Affiliation
    Department of Geriatric Medicine, Cork University Hospital, Wilton, Cork, Ireland. oconnormarienoelle@gmail.com
    Issue Date
    2012-06-01
    MeSH
    Humans
    Inappropriate Prescribing
    Practice Guidelines as Topic
    Terminology as Topic
    
    Metadata
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    Citation
    Inappropriate prescribing: criteria, detection and prevention. 2012, 29 (6):437-52 Drugs Aging
    Journal
    Drugs & aging
    URI
    http://hdl.handle.net/10147/264517
    DOI
    10.2165/11632610-000000000-00000
    PubMed ID
    22642779
    Abstract
    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.
    Item Type
    Article
    Language
    en
    ISSN
    1170-229X
    ae974a485f413a2113503eed53cd6c53
    10.2165/11632610-000000000-00000
    Scopus Count
    Collections
    Cork University Hospital

    entitlement

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