Effects of Behavioral Interventions on Inappropriate Antibiotic Prescribing in Primary Care 12Months After Stopping Interventions Inappropriate antibiotic prescribing contributes to antibiotic resistance and leads to adverse events.1 A clusterrandomized trial of 3 behavioral interventions2 intended to reduce inappropriate prescribing found that 2 of the 3 interventions were effective.3 This stu...

BACKGROUND Potentially inappropriate prescribing in older people is common in primary care and can result in increased morbidity, adverse drug events, hospitalizations and mortality. In Ireland, 36% of those aged 70 years or over received at least one potentially inappropriate medication, with an associated expenditure of over €45 million.The main objective of this study is to determine the eff...

OBJECTIVE To develop a computerized assessment tool for monitoring the quality of prescribing in Belgian nursing homes. DESIGN In a observational cross-sectional study of the medication charts of nursing home residents, potentially inappropriate medication (PIM) was investigated using three scoring systems for the elderly (Beers, ACOVE, BEDNURS) complemented with a list of drug-drug interacti...

BACKGROUND Over the last few years, the Screening Tool of Older Person's Prescriptions (STOPP) and Screening Tool to Alert doctors to Right Treatment (START) criteria have been increasingly used to evaluate the prevalence of inappropriate prescribing. However, very few studies have evaluated the link between these criteria and clinical outcomes. OBJECTIVES The objectives of this study were to...

Multimorbidity and polypharmacy are increasingly prevalent across healthcare systems and settings as global demographic trends shift towards increased proportions of older people in populations. Numerous studies have demonstrated an association between polypharmacy and potentially inappropriate prescribing (PIP), and have reported high prevalence of PIP across settings of care in Europe and Nor...

BACKGROUND Systems for identifying potentially inappropriate medications in older adults are not immediately transferrable to advanced dementia, where the management goal is palliation. The aim of the systematic review was to identify and synthesise published systems and make recommendations for identifying potentially inappropriate prescribing in advanced dementia. METHODS Studies were inclu...