Clin-STAR corner: Practice changing advances in prescribing for geriatric emergency department patients.
Clin-STAR corner: Practice changing advances in prescribing for geriatric emergency department patients.
复制标题
Clin-STAR 角：实践老年急诊科患者处方的不断变化的进步。
DOI：
10.1111/jgs.18619
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发表时间：
2023
影响因子：
6.3
通讯作者：
Carpenter,ChristopherR
中科院分区：
文献类型：
--
作者：
Goldberg,ElizabethM;Dresden,ScottM;Carpenter,ChristopherR
在异质且往往混乱的急诊科(ED)环境中，减少老年人的不良药物事件需要多学科的方法。最近的研究评估了旨在减少急诊医生开出潜在不适当药物(PIM)的多组分方案的影响，包括跨学科培训和利用电子健康记录提供实时替代、更安全的药物，同时向处方人员提供个性化反馈。大多数新研究都不是随机试验数据。尽管目前的研究并未持续显示PIMs处方的减少，但这些研究为急诊医疗团队、老年医生和药剂师与健康信息学合作，继续推进急性护理期间更安全用药处方的前沿提供了基础。
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.