Below is a summary of the proposed changes for each measure.
Updated 1/2014 Y0071_14_19077_I_002 01/06/2014 29264MUPENMUB_002 1 . 3.
Refer to the measure specifications for proposed changes. Identify evidence based alternatives to potentially inappropriate medications presented in the 2019 update of the American Geriatric Society’s Beers Criteria
High Risk Medications and Alternatives for Older Adults MEDICATION (includes combinations)1-2 ... Use of High-Risk Medications in the Elderly ... .pdf.
Alternatives for eers riteria High-Risk Medications in Older Adults Adapted from Hanlon, J. Semla, T., & Shmader, K. (2015) Alternative Medications for Medications in the Use of High - Risk Medications in the Elderly and Potentially Harmful Drug - Disease Interactions in the elderly Quality
Updated 2013.
The 2019 Beers Criteria also include additional tables, summarizing changes relative to the prior 2015 update of the Beers Criteria. Avoid Moderate Strong Bardfeld 1966 Moertel 1963 Pain Medications Meperidine Not an effective oral analgesic in dosages DOI: 10.1111/jgs.15767 Keywords: Beers list, medications, Beers Criteria, drugs, older adults. It was first published in 1991 , with the goal of reducing preventable adverse drug effects among older persons in nursing homes. • Use of High-Risk Medications in the Elderly (DAE): – Update medications to align with recommendations in the updated AGS Beers Criteria. This list focuses on medications that are safer than the potentially inappropriate medications in the AGS 2015 Beers Criteria.® Your healthcare provider may choose to substitute these alternatives in place of potentially inappropriate medications included in the criteria. Originally conceived of in 1991 by the late Mark Beers, MD, a geriatrician, the Beers Criteria catalogues medications that cause side effects in the elderly due to the physiologic changes of aging. The American Geriatrics Society is offering an evidence-based selection of alternatives to the Beers Criteria list of drugs that are problematic in the elderly. Pharmacist’s Letter/Prescriber’s Letter. In 2011, the AGS sponsored its fi rst update of the criteria, assembling a team of experts and using an enhanced, evidence-based methodology. Address correspondence to Mary Jordan Samuel, American Geriatrics Society, 40 Fulton St, 18th Floor, New York, NY 10038. Avoid Moderate Strong Marchiori 2010a Marchiori 2010b Meltzer 2006 Simmons 2007 Trimethobenzamide One of the least effective antiemetic drugs; can cause extrapyramidal adverse effects. Accessed 18 October 2013.
Older people can also be more sensitive to certain medications. safer alternatives available.
Medication-related problems are common, costly, and often preventable in older adults and lead to poor outcomes. Potentially Inappropriate Medication Use in Older Adults The American Geriatrics Society 2012 Beers Criteria Update Expert Panel Potentially inappropriate medications (PIMs) continue to be prescribed and used as first-line treatment for the most vulnerable of older adults, despite evidence of poor out-comes from the use of PIMs in older adults. AGS Beers Criteria® is to improve medication selection; From the *American Geriatrics Society, New York, New York.
Potentially Harmful Drugs in the Elderly: Beers List and More (B=Beers list drug; C=Canadian list drug) Drug Concern Alternative Treatment Analgesics Ketorolac (Toradol) (B); long-term use (C) GI bleeding.5 Meperidinea (Demerol) (B); long-term use (C) Not effective at commonly used oral doses; confusion, falls, factures, dependency, withdrawal5,15 June 2012. The Campaign on Safer Medication Use in Older Persons began as a collaborative effort to reduce the use of Beers List Drugs in long-term care homes across Ontario.
Since “anticholinergics” as a group are referenced in several different tables within the Beers Criteria, Table 7 provides a list of specific medications to avoid or use with caution.
E-mail: mjsamuel@americangeriatrics.org See related editorial by Michael Steinman et al. Objectives: Measure the burden of medications on patients 65 years of age and older, including presence of adverse drug reactions. PL Detail-Document, Potentially Harmful Drugs in the Elderly: Beers List. The Beers List is a consensus list of potentially inappropriate medications for older persons developed by Dr Mark Beers and an American panel of experts. Alternative Medications for Medications in the Use of High‐Risk Medications in the Elderly and Potentially Harmful Drug–Disease Interactions in the Elderly Quality Measures Beers List medication use was flagged for potential improvement in recent reports of the Health Quality Ontario 16 and the Ministry of Health and Long-Term Care 17 .
medication appropriateness.2 Medication use decisions must be individualized.2 If the decision is made to stop a potentially inappropriate medication, tapering may be needed (e.g., benzodiazepines, corticosteroids, acetylcholinesterase inhibitors, PPIs).2 The chart below summarizes the 2019 Beers list,
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