ThinkCascades: A Tool for Identifying Clinically Important Prescribing Cascades Affecting Older People.

Lisa M McCarthy Rachel D Savage Kieran Dalton Robin MasonJoyce LiAndrea LawsonWei Wu Shelley A SternbergStephen ByrneMirko Petrovic Graziano Onder Antonio Cherubini Denis O 'Mahony Jerry H Gurwitz Francesco Pegreffi Paula A Rochon

Published in: Drugs & aging (2022)

A nine-item consensus-based list of clinically important prescribing cascades, representing potentially inappropriate prescribing, was developed. Panelists' decisions about what constituted a clinically important prescribing cascade were multi-factorial. This tool not only raises awareness about these cascades but will also help clinicians recognize these and other important prescribing cascades. This list contributes to the prevention and management of polypharmacy and medication-related harm in older people.

Keyphrases

primary care
adverse drug
healthcare
palliative care
emergency department
clinical practice
psychometric properties