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dc.contributor.authorO'Connor, Marie N
dc.contributor.authorGallagher, Paul
dc.contributor.authorO'Mahony, Denis
dc.date.accessioned2013-01-08T16:01:11Z
dc.date.available2013-01-08T16:01:11Z
dc.date.issued2012-06-01
dc.identifier.citationInappropriate prescribing: criteria, detection and prevention. 2012, 29 (6):437-52 Drugs Agingen_GB
dc.identifier.issn1170-229X
dc.identifier.pmid22642779
dc.identifier.doi10.2165/11632610-000000000-00000
dc.identifier.urihttp://hdl.handle.net/10147/264517
dc.description.abstractInappropriate 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.
dc.language.isoenen
dc.rightsArchived with thanks to Drugs & agingen_GB
dc.subject.meshHumans
dc.subject.meshInappropriate Prescribing
dc.subject.meshPractice Guidelines as Topic
dc.subject.meshTerminology as Topic
dc.titleInappropriate prescribing: criteria, detection and prevention.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Geriatric Medicine, Cork University Hospital, Wilton, Cork, Ireland. oconnormarienoelle@gmail.comen_GB
dc.identifier.journalDrugs & agingen_GB
dc.description.provinceMunsteren
html.description.abstractInappropriate 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.


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