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The most common prescribed drugs involved in significant a DDIs.
Source publication
Background: The current study aimed to assess the prevalence of inappropriate prescribing (IP) for hospitalized elderly patients at Al Shifa Hospital, Gaza, Palestine.
Methods: This study was a retrospective cross-sectional study. A total of 2385 prescribed drugs for 380 elderly inpatients in internal, cardiology, and respiratory departments were s...
Context in source publication
Similar publications
Background
Polypharmacy and inappropriate medication prescriptions are associated with increased morbidity and mortality. Most interventions proposed to improve appropriate prescribing are time and resource intensive and therefore hardly applicable in daily clinical practice.
Objective
To test the efficacy of an easy-to-use checklist aimed at supp...
Citations
... The prevalence of IP in 44.2% of the patients was attributed to variations in training, experience and awareness among health care providers and as well as the lack of pharmacist involvement in patient care. 18 GPs that received pharmacist support along with a computerised feedback were reported to make fewer prescribing errors, emphasising the need for a multidisciplinary collaborative care approach and provision for clinical medication reviews in preventing IPs. 8,19 Awareness evaluations of Palestinian pharmacists on complications associated with psychotropic medications in older patients indicated lack of awareness in geriatric pharmacotherapy. ...
Background
The American Geriatric Society Beers criteria comprise a screening tool to identify potentially inappropriate medications (PIMs) and guide healthcare providers (HCPs) in prescribing, dispensing, and recommending appropriate medications. The extent of awareness about PIMs and geriatric medicine among HCPs needs to be assessed. Therefore, this study aimed to examine the level of awareness regarding PIMs and Beers criteria among HCPs in Palestine.
Method
This was a cross-sectional study conducted using a self-administered 20-item questionnaire involving physicians and pharmacists in Palestine. Ten clinical vignettes presenting different medical statuses in the elderly necessitating appropriate prescription advice were used to assess awareness on geriatric medication.
Results
A total of 306 participants, including 116 physicians and 190 pharmacists, participated in the study. 34.0% of the participants had poor awareness, 30.1% had average and 23.2% participants had good awareness about PIMs in the elderly. Only a small percentage of participants had very poor or very good awareness (6.9% vs. 5.9%, respectively) with no difference in the results in terms of profession. There was a significant relationship between the familiarity with Beers criteria and the level of awareness. Finally, participants perceived drug–drug interactions as a major barrier to appropriate prescribing.
Conclusion
The majority of participating HCPs had a low level of awareness, and a close proportion had moderate awareness on PIMs and Beers criteria. Consequently, there is a need to increase HCP's awareness of medication use in the elderly. Continued education and training in geriatric pharmacotherapy may be valuable.
... It ranges from 14.6% to 91.9%. [33][34][35][36][37][38][39][40] This difference relates to the several methodological aspects used. The highest prevalence of overall IP was found by Hanlon et al (91.9%). ...
Inappropriate prescribing (IP) is a major healthcare problem in elderly patients. The risk of this problem increases during hospitalization. This is due to increase morbidity and thus increases the use of medications by the inpatients. This study will clarify the problem of IP for elderly people during hospitalization and will identify the different types of it. It also will highlight some tools that are used to assess the different types of IP and the prevalence of it in elderly patients during hospitalization. Finally, the study will address the consequences of IP in the elderly inpatients and the risks associated with the use of some potentially inappropriate medications (PIMs) in the elderly.
