Updating the beers criteria for potentially inappropriate
The application of the Beers criteria and other tools for identifying potentially inappropriate medication use will continue to enable providers to plan interventions for decreasing both drug-related costs and overall costs and thus minimize drug-related problems.
AB - Background: Medication toxic effects and drug-related problems can have profound medical and safety consequences for older adults and economically affect the health care system.
The criteria reviewed covered 2 types of statements: (1) medications or medication classes that should generally be avoided in persons 65 years or older because they are either ineffective or they pose unnecessarily high risk for older persons and a safer alternative is available and (2) medications that should not be used in older persons known to have specific medical conditions.
Results: This study identified 48 individual medications or classes of medications to avoid in older adults and their potential concerns and 20 diseases/conditions and medications to be avoided in older adults with these conditions. PY - 2003/12/8Y1 - 2003/12/8N2 - Background: Medication toxic effects and drug-related problems can have profound medical and safety consequences for older adults and economically affect the health care system.
The purpose of this initiative was to revise and update the Beers criteria for potentially inapropriate medication use in adults 65 years and older in the United States.
6 Others have calculated the cost of medicationrelated problems to be .6 billion to ambulatory care, billion to hospitals, and billion to nursing home facilities.
CME course available at aforementioned IOM report has focused increased attention on finding solutions for unsafe medication practices, polypharmacy, and drug-related problems in the care of older adults.
There are many ways to define medication-related prob- ARCH INTERN MED/ VOL 163, DEC 8/22, 2003 WWW. COM 2716 Downloaded from ©2003 Medical at Association.
Beers, MD Background: Medication toxic effects and drugrelated problems can have profound medical and safety consequences for older adults and economically affect the health care system.
Of these potentially inappropriate drugs, 66 were considered by the panel to have adverse outcomes of high severity.
1,2 A 1997 study of ADEs found that 35% of ambulatory older adults experienced an ADE and 29% required health care services (physician, emergency department, or hospitalization) for the ADE.