Updating the beers criteria for potentially inappropriate medication

New additions in the 2015 update include (1) a list of medication combinations that may lead to harmful interactions and (2) a list of medications that should be avoided or dosed differently for those with poor renal function. TARGET POPULATION: Older adults 65 years of age in all ambulatory and institutional care settings. Greenberg, Ph D, RN, GNP-BC, New York University Rory Meyers College of Nursing WHY: The American Geriatrics Society (AGS) 2015 Updated Beers Criteria, updated and expanded from 2012, are designed to reduce older adults' drug-related problems including, but not limited to exposure to potentially inappropriate medications, drug-disease interactions, and medications that warrant extra caution in the older adult population.

With better research and treatment, people can realistically hope to maintain better cognitive and emotional health in later life.The AGS Updated Beers Criteria do not substitute for professional judgment or the need to tailor care to each patient's individual needs, goals, and unique situation. Consideration should be given that the AGS Updated Beers Criteria may be used in conjunction with other criteria, such as The Screening Tool of Older Persons Potentially Inappropriate Prescriptions and Screening Tool to Alert Doctors to the Right Treatment (STOPP/START criteria), to best guide health care providers through the medication decision-making process (Fick & Semla, 2012). Each recommendation included a rationale and rating of the quality of evidence and strength of recommendation, using the American College of Physicians’ Guideline Grading System. 2012 American Geriatrics Society Beers Criteria: New year, new criteria, new perspective.

Consensus was achieved among an interdisciplinary panel of 11 experts in geriatric care and pharmacotherapy. BEST TOOL: The American Geriatrics Society Updated Beers Criteria (AGS, 2015). Hamilton, H., Gallagher, P., Ryan, C., Byrne, S., & O'Mahony, D. Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients.

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