Clin-STAR corner: Practice changing advances in prescribing for geriatric emergency department patients.
Elizabeth M GoldbergScott M DresdenChristopher R CarpenterPublished in: Journal of the American Geriatrics Society (2023)
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.
Keyphrases
- adverse drug
- emergency department
- electronic health record
- healthcare
- primary care
- acute care
- clinical decision support
- emergency medicine
- end stage renal disease
- ejection fraction
- public health
- newly diagnosed
- peritoneal dialysis
- prognostic factors
- chronic kidney disease
- quality improvement
- mental health
- health information
- general practice
- big data
- patient reported outcomes
- deep learning
- artificial intelligence
- risk assessment
- climate change
- health insurance