Ken Harvey wrote:
[I'd be interested in whether people thought an computer alert (generated at the time of prescribing one of these drugs in an elderly patient) might be a useful way of addressing the problem?]
Only if the prescriber acted on it - I think the question should rather be if the people who prescribed these items actually thought/knew they were "possibly inappropriate"
T


Roughead EE, Anderson B, Gilbert AL. Potentially inappropriate prescribing among Australian veterans and war widows/widowers. Internal Medicine Journal 2007; 37 (6): 402–405.

ABSTRACT: This study examined the extent of potentially inappropriate medicine, as defined by explicit criteria, dispensed to Australian veterans using the Repatriation Pharmaceutical Benefits Scheme Pharmacy Claims database.

Twenty-one per cent of the 192 363 veterans aged 70 years, with an eligible gold card, were dispensed at least one potentially inappropriate medicine in the first 6 months of 2005.

Long-acting benzodiazepines, amitriptyline, amiodarone, oxybutynin and doxepin were the medicines most commonly implicated. Strategies to support quality prescribing of medicines to the elderly must include a focus on these medicines.

Cheers
Ken
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