Updating the beers criteria for potentially inappropriate medication
Fick DM, Cooper JW, Wade WE, Waller JL, Maclean JR, Beers MH. This article is the foundation for what nursing homes across the United States are using to define inappropriate prescribing.Updating the Beers criteria for potentially inappropriate medication use in older adults: Results of a US consensus panel of experts. There is an increased risk for medical and safety consequences, most notably falls, in the elderly population as a result of inappropriate prescribing.
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. 2003;116-2724 From the Department of Medicine, Center for Health Care Improvement (Drs Fick and Maclean); and Office of Biostatistics (Dr Waller), Medical College of Georgia, Augusta; Department of Veterans Affairs Medical Center, Augusta (Dr Fick); Department of Clinical and Administrative Pharmacy, College of Pharmacy, University of Georgia, Athens, (Drs Cooper and Wade); and Merck & Co Inc, West Point, Pa (Dr Beers).
The authors have no relevant financial interest in this article.
TOXIC EFFECTS of medications and drug-related problems can have profound medical and safety consequences for older adults and economically effect the health care system.
Thirty percent of hospital admissions in elderly patients may be linked to drugrelated problems or drug toxic effects.
1 Adverse drug events (ADEs) have been linked to preventable problems in elderly patients such as depression, constipation, falls, immobility, confusion, and hip fractures.
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.