Clin-STAR corner: Practice changing advances in prescribing for geriatric emergency department patients

J Am Geriatr Soc. 2023 Dec;71(12):3686-3691. doi: 10.1111/jgs.18619. Epub 2023 Oct 6.

Abstract

Reducing adverse drug events among older adults in heterogeneous and often chaotic emergency department (ED) settings requires a multidisciplinary approach. Recent research evaluates the impact of multicomponent protocols designed to reduce ED physician prescribing of potentially inappropriate medications (PIMs), including transdisciplinary training and leveraging electronic health records to provide real-time alternative safer pharmaceuticals while providing personalized feedback to prescribers. Most new research is not randomized trial data. Although this current research does not consistently demonstrate a reduction in the prescribing of PIMs, these studies provide a foundation for emergency medicine healthcare teams, geriatricians, and pharmacists to collaborate with health informatics to continue advancing the frontiers of safer medication prescribing during episodes of acute care.

Keywords: adverse events; emergency medicine; medication safety; older adult.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Drug Prescriptions
  • Drug-Related Side Effects and Adverse Reactions*
  • Emergency Service, Hospital
  • Humans
  • Inappropriate Prescribing
  • Pharmacists
  • Potentially Inappropriate Medication List*