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Search results for "Geriatrics"
Journal Article > Commentary
DeRhodes KH. JAMA Intern Med. 2019 May 13; [Epub ahead of print].
The Beers criteria serve as a standard guidance to inform prescribing decisions in older patients to protect against adverse drug reactions. Written by a registered pharmacist, this commentary relates insights regarding how use of the Beers criteria could have prevented a misdiagnosis in her elderly mother. The author highlights the responsibilities of pharmacists and prescribers to use the list as appropriate to ensure patient safety.
Cases & Commentaries
- Web M&M
Robert J. Weber, PharmD, MS; February 2010
An elderly woman presented to the emergency department following a hip fracture. Although the patient's medication bottles were used to generate a medication list, one of the dosages was transcribed incorrectly. Because the patient then received four times her regular dose, her surgery was delayed due to cardiac side effects.
Journal Article > Study
Computerized decision support to reduce potentially inappropriate prescribing to older emergency department patients: a randomized, controlled trial.
Terrell KM, Perkins AJ, Dexter PR, Hui SL, Callahan CM, Miller DK. J Am Geriatr Soc. 2009;57:1388-1394.
Elderly patients are particularly vulnerable to adverse drug events. This randomized trial used a decision support system coupled with computerized provider order entry to target prescribing of potentially inappropriate medications to elderly patients in an urban emergency department. Physicians who received alerts warning them of a drug's potential adverse effects were significantly less likely to prescribe potentially harmful medications. Although prior studies of computerized reminders have found that physicians frequently ignore reminders, in this study decision support alerts were accepted nearly half the time, and alerts were generally rejected for valid reasons (for example, the patient had tolerated the medication previously). The challenges of implementing effective medication decision support systems are discussed in an AHRQ WebM&M perspective.