OBJECTIVE To develop a consensus-based list of inappropriate practices in prescribing for elderly people. DESIGN Mail survey of a 32-member national panel. SETTING Academic medical centres across Canada. PARTICIPANTS Thirty-two specialists selected arbitrarily, including 7 clinical pharmacologists, 9 geriatricians, 8 family practitioners and 8 pharmacists. OUTCOME MEASURES Consensus tha...

INTRODUCTION Problems with polypharmacy, adverse drug reactions and non-adherence are especially frequent among elderly nursing home residents. OBJECTIVE The aim of our study was to evaluate effectiveness of a specific form of staff education on appropriateness of prescribing in a cluster of nursing homes for the elderly. METHODS The study was designed as before-and-after trial of education...

Reducing inappropriate antibiotic prescribing in primary care is a key element of antimicrobial stewardship. This study carried out GP surgeries Cornwall examined whether clarithromycin was being prescribed accordance with NICE guidance, and allergy status symptoms were correctly recorded the case patients who had penicillin noted.

Attention has been drawn to the potential risks of several medications in the long-term care setting. Most of these medications deemed as inappropriate affect the central nervous system and are indicated only for select populations with specific conditions. Many of these drugs are prescribed without clear indications and continued indefinitely without critical decision-making about the potentia...

BACKGROUND STOPP/START was formulated to identify potentially inappropriate prescribing (PIP) and potential prescribing omissions (PPOs) in older people. The purpose of this study was to determine the prevalence of PIP and PPO in older Irish patients in residential care using STOPP/START. METHODS data were collected prospectively from seven publicly funded nursing homes within the Munster Reg...

BACKGROUND Benzodiazepines are frequently prescribed to patients with drug use disorders. However, it has previously been difficult to distinguish whether this frequent prescribing was due to underlying psychiatric disorders or inappropriate prescribing. In a nationwide cohort study, we investigated the prescribing of benzodiazepines to patients with drug use disorders in connection with treatm...

Clinicians make many patient care decisions each day. The cumulative cognitive demand of these decisions may erode clinicians' abilities to resist making potentially inappropriate choices. Psychologists, who refer to the erosion of self-control after making repeated decisions as decision fatigue, 1,2 have found evidence that it affects nonmedical professionals. For example, as court sessions we...

BACKGROUND Numerous studies suggest overprescribing of antibiotics for respiratory tract indications (RTIs), without really authenticating inappropriate prescription; the strict criteria of guideline recommendations were not taken into account as information on specific diagnoses, patient characteristics and disease severity was not available. OBJECTIVE The aim of this study is to quantify an...

IMPORTANCE Polymedication is frequent in nursing home (NH) residents. This increases the risk of potentially inappropriate drug prescribing (PIDP), which can lead to adverse drug events, such as falls and hospitalization. OBJECTIVE To identify PIDP in NH residents and to investigate subject-related and NH structural and organizational factors associated with PIDP. DESIGN Cross-sectional stu...

OBJECTIVES The aim of the study was to determine the rate of Potentially Inappropriate Medicines (PIM) and Potential Prescription Omissions (PPO) according to Screening Tool of Older Person's potentially inappropriate Prescriptions/Screening Tool to Alert doctors to the Right Treatment (STOPP/START) criteria. STUDY DESIGN A cross-sectional survey in community pharmacy. METHOD A prospective ...