Journal
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
Volume 56, Issue 10, Pages 1946-1952Publisher
WILEY
DOI: 10.1111/j.1532-5415.2008.01916.x
Keywords
discontinuing medications; drug withdrawal; medication-use process; adverse drug withdrawal events; older adults
Categories
Funding
- National Institutes of Health Roadmap Multidisciplinary Clinical Research Career [1 KL2 RR024154-01]
- a Merck/AFAR Junior Investigator Award in Geriatric Clinical Pharmacology
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Thousands of Americans are Injured or die each year from adverse drug reactions, many of which are preventable. The burden of harm conveyed by the use of medications is a significant public health problem, and therefore, improving the medication process Is a priority. Recent and ongoing efforts to improve the medication-use process have focused primarily on improving medication prescribing, and not much emphasis has been put on improving medication discontinuation. A formalized approach for rationally discontinuing medications is a necessary antecedent to improving medication safety and improving the nation's quality of care. This article proposes a conceptual framework for revising the prescribing stage of the medication-use process to Include discontinuing, medications. This framework has substantial practice and research implications, especially for the clinical care of older persons, who are particularly susceptible to the adverse effects of medications.
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