Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2010 Apr 7:5:75-87.
doi: 10.2147/cia.s9564.

Inappropriate prescribing in the hospitalized elderly patient: defining the problem, evaluation tools, and possible solutions

Affiliations
Review

Inappropriate prescribing in the hospitalized elderly patient: defining the problem, evaluation tools, and possible solutions

Robert L Page 2nd et al. Clin Interv Aging. .

Abstract

Potentially inappropriate medication (PIM) prescribing in older adults is quite prevalent and is associated with an increased risk for adverse drug events, morbidity, and utilization of health care resources. In the acute care setting, PIM prescribing can be even more problematic due to multiple physicians and specialists who may be prescribing for a single patient as well as difficulty with medication reconciliation at transitions and limitations imposed by hospital formularies. This article highlights critical issues surrounding PIM prescribing in the acute care setting such as risk factors, screening tools, and potential strategies to minimize this significant public health problem.

Keywords: Beers’ criteria; adverse drug events; adverse drug reactions; aged; elderly; inappropriate prescribing; screening.

PubMed Disclaimer

References

    1. Institute of Medicine . To Err Is Human: Building A Safer Health System. Washington, DC: National Academies Press; 1999. - PubMed
    1. Gallagher P, Barry P, O’Mahony D. Inappropriate prescribing in the elderly. J Clin Pharm Ther. 2007;32(2):113–121. - PubMed
    1. Laroche ML, Charmes JP, Nouaille Y, et al. Is inappropriate medication use a major cause of adverse drug reactions in the elderly? Br J Clin Pharmacol. 2007;63(2):177–186. - PMC - PubMed
    1. Qato DM, Alexander GC, Conti RM, et al. Use of prescription and over-the-counter medications and dietary supplements among older adults in the United States. JAMA. 2008;300(24):2867–2878. - PMC - PubMed
    1. Spinewine A, Schmader KE, Barber N, et al. Appropriate prescribing in elderly people: how well can it be measured and optimised? Lancet. 2007;370(9582):173–184. - PubMed