Primary Care Provider-Led Approach to Deprescribing Potentially Inappropriate Medications in Older Adults
| Autor: | Bryanna De Lima MPH, Emily Rowan DNP, FNP-C, Anna Motulsky BA, Emily Morgan MD |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Gerontology and Geriatric Medicine, Vol 9 (2023) |
| Druh dokumentu: | article |
| ISSN: | 2333-7214 23337214 60630175 |
| DOI: | 10.1177/23337214231158474 |
| Popis: | Potentially inappropriate medication (PIM) use increases the risk of adverse drug events in older adults and deprescribing has been shown to reduce these outcomes. This study assessed the feasibility of a provider-driven approach to deprescribe PIMs in an internal medicine clinic. Providers received education on the risks of select medications and benefits of deprescribing at an all-staff meeting in April 2021. Providers were asked to choose a deprescribing intervention. Chart reviews were completed at 3 and 6 months to evaluate changes in medication. Tests of binomial proportions were used to determine any significant differences. Thirty-two providers participated and interventions resulted in a 41.6% reduction in the reviewed PIMs (tapered or discontinued). A provider-driven approach may be a feasible and effective method of deprescribing PIMs in older adults. |
| Databáze: | Directory of Open Access Journals |
| Externí odkaz: |
|