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Electronic prescribing of high risk medications may be contributing to falls in elderly patients

Certain medications are thought-about high risk in elders. In a current research of 287 people ≥65 years who skilled a fall whereas hospitalized at an city educational hospital, 62 % of falls occurred in patients in whom high risk medications had been administered inside the 24 hours earlier than the autumn.

High risk medications have been typically administered at larger than beneficial geriatric every day doses, in specific benzodiazepines and benzodiazepine-receptor agonists, for which the dose was larger than advisable in 57 % of instances. The hospital’s digital medical document default doses for digital prescribing have been larger than really helpful for 41 % of medications that have been examined.

“Before the widespread use of electronic prescribing, physicians had to consciously determine the appropriate drug dosage for an individual. This study highlights that with electronic prescribing, default doses do matter and lowering defaults for vulnerable patient groups such as elderly patients may be an easy way to reduce inappropriate use of high risk drugs for these patients”, stated Dr. Rosanne Leipzig, senior clinician-author of the Journal of the American Geriatrics Society research.

Article: High-Risk Medications in Hospitalized Elderly Adults: Are We Making It Easy to Do the Wrong Thing? Nina L. Blachman MD, Rosanne M. Leipzig MD, PhD, Madhu Mazumdar PhD and Jashvant Poeran MD, PhD., Journal of the American Geriatrics Society, doi: 10.1111/jgs.14703, revealed 28 November 2016.

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