Investigation of rational drug use in elderly inpatients in multi-hospital campus based on Beers criteria and full medication order review
Objective To investigate the potential inappropriate medication(PIM)in elderly inpatients ≥ 65 years old in a multi-hospital campus based on Beers criteria and full medication order review.Methods The full prescription reviews were conducted for the elderly patients ≥ 65 years old in Jiefang Road Campus and Bo'ao Campus of the Second Affiliated Hos-pital Zhejiang University School of Medicine on June 15,2023.PIM medical orders and those with medication risks that re-quire strengthened drug treatment monitoring were recorded.The types of PIM,the incidence of PIM in the medical system,the incidence of PIM in the surgical system,and the incidence of PIM in two different hospitals were observed.Results A total of 2 050 hospitalized patients were investigated,including 888 elderly patients(43.32％),and there were 213 patients with PIM(23.98％).There was no significant difference in the incidence of PIM between Jiefang Road Campus and Bo'ao Campus(P＞0.05).In addition,there was no significant difference in the incidence of PIM between medical system and sur-gical system(P＞0.05).The types of PIM in elderly patients ≥ 65 years old included insufficient preventive measures for adverse reactions,inappropriate drug selection in the disease state,inappropriate drug selection in the same class,inappro-priate usage and dosage,and the risk of drug interaction.Conclusion Paying attention to rational drug use in elderly inpa-tients can not only improve the efficacy and shorten the average length of stay,but also reduce the overall treatment cost and the occurrence of adverse events.Through the investigation,the hospital can clarify the baseline level and plan to carry out the symptomatic intervention of the centralized manage-ment.
Elderly patientsRational drug usePotential inappropriate medicationBeers criteriaMedication orders review
万方数据
维普
