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A retrospective evaluation of potentially inappropriate medication use in hospitalized elderly patients

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dc.contributor.author Cartwright, Olivia M.
dc.contributor.author Moulin, J.
dc.contributor.author Hale, LaDonna S.
dc.date.accessioned 2007-08-20T14:40:12Z
dc.date.available 2007-08-20T14:40:12Z
dc.date.issued 2007-04-27
dc.identifier.citation Cartwright, O.M.,Moulin, J. & Hale, L.S. (2007). A retrospective evaluation of potentially inappropriate medication use in hospitalized elderly patients. In Proceedings : 3rd Annual Symposium : Graduate Research and Scholarly Projects. Wichita, KS : Wichita State University, p.41-42 en
dc.identifier.uri http://hdl.handle.net/10057/692
dc.description Paper presented to the 3rd Annual Symposium on Graduate Research and Scholarly Projects (GRASP) held at the Hughes Metropolitan Complex, Wichita State University, April 27, 2007. en
dc.description Research completed at the Department of Physician Assistant, College of Health Professions en
dc.description.abstract Background: An estimated 30% of hospitalizations in the elderly may be drug-related. The Beers criteria are a list of potentially inappropriate medications (PIMs) generally considered unsafe in the elderly. These criteria are useful for assessing quality and safety of prescribing in the elderly population. Purpose: Evaluate PIM use, as defined by the Beers criteria, in elderly hospitalized patients. Methods: This cross-sectional study evaluated hospitalized patients ≥ 65 years old, consecutively admitted to general medical floors, starting 4/1/06 until 100 patients were enrolled. Each patient’s home, discharge, and inpatient medication profiles were screened for PIMs. Actual usage and duration of therapy, source of prescription, potential justification for use, and pharmacy interventions were also collected. Results: Based on home medication lists, 32% of patients were taking ≥ 1 PIM prior to admission; rising to 56% during hospitalization; and declining to 36% at discharge. Of the 93 active hospital PIM orders, 62% were new orders and 38% were continued from home; 85% were categorized as “high” risk; 8.6% were potentially justified; and pharmacists intervened on three of the PIM orders. Conclusion: The percentage of patients prescribed PIMs increased significantly during hospitalization, but returned to baseline at dismissal. Healthcare provider education regarding safe medication prescribing in elderly hospitalized patients, formulary changes, and alterations to preprinted orders may be needed. en
dc.format.extent 213194 bytes
dc.format.mimetype application/pdf
dc.language.iso en_US en
dc.publisher Wichita State University. Graduate School. en
dc.relation.ispartofseries GRASP en
dc.relation.ispartofseries v.3 en
dc.title A retrospective evaluation of potentially inappropriate medication use in hospitalized elderly patients en
dc.type Conference paper en

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