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Jaffe I, Renincasa R. Morning Edition. National Public Radio. December 8–9, 2014.
Overprescribing of medications is a common problem in nursing homes. This two-part radio segment reports on the inappropriate use of antipsychotic medications as a chemical restraint for patients with dementia. The first part introduces the issue and includes insights from families that have experienced harm due to the practice. The second segment discusses programs that the Centers for Medicare and Medicaid Services has put in place to address the problem through a more patient-centered approach to care and suggests strengthening penalties against organizations that overuse antipsychotics.
Brownlee S, Garber J. Brookline, MA: Lown Institute; 2019.
Overprescribing is a common problem that contributes to patient harm. This report examines financial, clinical, and societal trends of medication overuse and inappropriate polypharmacy in older Americans. A culture of prescribing, deficits in information and knowledge, and fragmented care contribute to the problem. The report provides interventions to improve the safety of prescribing, including developing deprescribing guidelines, raising awareness among providers and patients about medication overload, and implementing team-based care models.
Journal Article > Review
Medication appropriateness in vulnerable older adults: healthy skepticism of appropriate polypharmacy.
Fried TR, Mecca MC. J Am Geriatr Soc. 2019;67:1123-1127.
Patient age, disease state, and frailty may complicate medication regimens. This review examined the potential for polypharmacy to contribute to harm. The authors recommend a criteria set to be applied to guide clinician decision-making to determine appropriate polypharmacy in older patients to improve safety.