Difference between revisions of "List of some PIM use independent of patient conditions and diagnosis (drugs with ADE severity rating of HIGH only)"

Revision as of 06:03, 2 June 2006

Potentially Inappropriate Medications for Older Adults: 65 and Older - Independent of Diagnoses or Conditions - Based on 2000 Upated Beers Criteria (drugs with ADE severity rating of HIGH only)

Also See Potentially Inappropriate Medications for Older Adults: 65 and Older Based on Updated Beers Criteria

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CDS

Medication-Based Safety Rules

The list of drugs and drug-classes below have Concerns that Marked with HIGH in regard to prescribe to Older Adults: 65 and Older Based on 2000 Updated and revised Beers Criteria Independent of Diagnoses or Conditions.

The following rule is derived for the medications below:

Assumptions and conditions

-- Based on 2000 Updated and revised Beers Criteria
-- Drugs or Drug-Classes utilized by the rule are the "Generic" names
-- Some Drugs are no longer in use
-- All Drugs below are marked with HIGH Concern
-- The patient has no other conditions beside the one intended to be treated with the drugs below

The Rule

Evoking Event: Prescribe new drug OR Add new drug OR Change current Drug
Conditions
If the patient is male or female and is 65 years or older
And
If the patient has no other conditions 
And
If the drug being prescribed is from the list below
And
If patient has no allergy to this drug
   Else: This is a drug-allergy interaction
And
If patient is not on any other drugs that are contradicting to this drug
   Else: This is a drug-drug interaction
And
If the drug is dose Independent) 
   OR (If the drug is dose dependent AND the dose intended is greater than or  equal to the dose listed in  
      the table))
Then
The decision to prescribe the drug should be re-evaluated as the order has a HIGH potential for being used inappropriately  
in older adults.

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CDS

Medication-Based Safety Rules

References

Donna M. Fick, PhD, RN, et al. Updating the Beers Criteria for Potentially Inappropriate Medication Use in Older Adults:Results of a US Consensus Panel of Experts. Archives of Internal Medicine. 2003;163:2716-2724

Aiman Alrawabdeh 5/28/2006