Results 41 to 50 of about 6,881 (206)

Same Patients, Different Health Care Systems—Revisited. Geriatric Care Models in the U.S., Canada, and Europe

Journal of the American Geriatrics Society, EarlyView.
ABSTRACT Health care systems differ worldwide, allowing learning from each other and improving care for older adults with similar clinical profiles. In the early 1990s, Dr. Howard Bergman and Dr. Mark Clarfield from Canada and Dr. Joseph Ouslander from the United States described the approach to care for the same patient in their respective health care
Nathalie van der Velde, Mark A. Supiano, Manuel Montero‐Odasso, Paula A. Rochon, Mirko Petrovic   +4 more
wiley   +1 more source

Lessons learned from Canadian family physicians deprescribing medications in older adults – a five-year retrospective review of medico-legal cases

BMC Geriatrics
Background Medication-related safety incidents are more common in older adults than in younger populations. Medication review and optimization, including deprescribing, are essential components of strategies to reduce medication-related harm ...
Jeffrey D Smith, Cheryl A Sadowski, Justin Y Lee, Catherine Bernard, Genevieve M Casey, Katherine E Larivière, PJ Finestone, Cathy Zhang, Gary E Garber   +8 more
doaj   +1 more source

Barriers and enablers to deprescribing in long-term care: A qualitative investigation into the opinions of healthcare professionals in Ireland

PLoS ONE, 2022
Introduction The prevalence of polypharmacy increases with age, increasing the exposure of older adults to potentially inappropriate medications (PIMs).
Clara H. Heinrich, Sheena McHugh, Suzanne McCarthy, Maria D. Donovan   +3 more
doaj  

Deprescribing for older patients [PDF]

Canadian Medical Association Journal, 2014
The principles that guide optimal prescribing for older patients[1][1],[2][2] ([Box 1][3]) include deprescribing medications that are no longer indicated, appropriate or aligned with evolving goals of care.
Christopher, Frank, Erica, Weir
openaire   +2 more sources

Substitution Patterns After Discontinuation of CNS‐Active Medications in Older Adults in Primary Care

Journal of the American Geriatrics Society, EarlyView.
ABSTRACT Background Little is known about substitution of alternative medications in the context of deprescribing. The objectives were to: (1) determine the frequency of medication substitutions among those who discontinued a central nervous system (CNS)‐active medication, and (2) characterize substitutions as potentially inappropriate (as per the 2023
Shelly L. Gray, Annalisa V. Piccorelli, Laura A. Hart, Andrea J. Cook, Brian D. Williamson, Benjamin H. Balderson, Elizabeth A. Phelan   +6 more
wiley   +1 more source

Factors influencing healthcare providers’ behaviours in deprescribing: a cross-sectional study

Journal of Pharmaceutical Policy and Practice
Introduction: Deprescribing serves as a pivotal measure to mitigate the drug-related problem due to polypharmacy. This study aimed to map the factors influencing healthcare providers’ deprescribing decision using the Behaviour Change Wheel framework and ...
Chee Tao Chang, Huan-Keat Chan, Ewilly Jie Ying Liew, Muhammad Radzi Abu Hassan, Jason Choong Yin Lee, Wee Kooi Cheah, Xin Jie Lim, Philip Rajan, Siew Li Teoh, Shaun Wen Huey Lee   +9 more
doaj   +1 more source

An Electronic Health Record “Nudge” to Reduce Antipsychotic Medication Prescribing for Primary Care Patients With Dementia: A Pragmatic RCT

Journal of the American Geriatrics Society, EarlyView.
ABSTRACT Background We hypothesized that an electronic health record (EHR) alert grounded in behavioral science could reduce new antipsychotic medication prescriptions for older adults with dementia. Methods We conducted a pragmatic clinical trial at a large academic health system, randomizing providers to receive the alert (intervention) or not ...
Catherine A. Sarkisian, Chad Wes Villaflores, Anne M. Walling, Sitaram S. Vangala, Eric M. Cheng, Suzanne Bliven Shu, Ajaya Pillai, Grace Y. Cheng, Noah Goldstein, John Mafi   +9 more
wiley   +1 more source

The patient’s perspectives of safe and routine proactive deprescribing in primary care for older people living with polypharmacy: a qualitative study

BMC Geriatrics
Background The process of identifying and discontinuing medicines in instances in which harms outweigh benefits (deprescribing) can mitigate the negative consequences of problematic polypharmacy.
D. A. Okeowo, B. Fylan, S. T. R. Zaidi, D. P. Alldred   +3 more
doaj   +1 more source

Stakeholder Perspectives on the Use of Telehealth to Support Deprescribing for Older Patients Transitioning From the Hospital to Home Health Care

Journal of the American Geriatrics Society, EarlyView.
ABSTRACT Background Multimorbidity affects most older adults in home health care (HHC), leading to inappropriate polypharmacy and increased risks for adverse outcomes. While deprescribing can mitigate these risks, fragmented communication during hospital‐to‐home transitions remains a major barrier.
Jinjiao Wang, Jenny Y. Shen, Fang Yu, Sandra F. Simmons, Amanda S. Mixon, Kobi Nathan, Marian S. Moskow, Judith D. Brasch, Sally A. Norton, Kathi L. Heffner, Yun Jiang, Sudha Seshadri, Neela Patel, Lixin Song, Joseph A. Zorek, Christine Lam, Thomas V. Caprio   +16 more
wiley   +1 more source

Interventions to Optimize Medication Management in Older Adults: An Umbrella Review of Systematic Reviews

Journal of the American Geriatrics Society, EarlyView.
ABSTRACT Objective Medication management in older adults with multimorbidity and polypharmacy is inherently challenging. This umbrella review consolidates evidence on interventions aimed at mitigating these challenges to promote safe and effective medication use. Methods This was an umbrella review.
Saibal Das, Sanskriti Shukla, Rajesh Aadityan, Kristina Skender, Deepasree Sukumaran, Jerin Jose Cherian, Mihir Bhatta, Ashish Pathak, Samiran Panda, Santanu Kumar Tripathi, Cecilia Stålsby Lundborg   +10 more
wiley   +1 more source