Potentially Inappropriate Prescribing for Elderly Patients in 2 Outpatient Settings

Vittorio Maio, Christine W. Hartmann, Sara Poston, Xinyue Liu-Chen, James Diamond, Christine Arenson

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

Research has shown a high prevalence of potentially inappropriate medication prescribing (PIP) for elderly patients in outpatient settings, but little is known about whether a physician's practice setting influences prescribing attitudes. This study examines the prevalence of PIP among elderly patients in 2 out-patient practices, 1 located in a senior citizens center and 1 in a general family medicine clinic. The authors conducted a retrospective chart review of a random sample of 50 individuals aged 65 years or older from each practice. The 2003 version of the Beers criteria was used to identify PIP. Results show that some one fourth of the elderly sampled in both practices had 1 or more incidents of PIP. The most common potentially inappropriate drug classes prescribed were psychotropic agents and anti-inflammatory drugs. Demographic patient variables were not significantly associated with PIP. This study suggests that PIP may be prevalent across physician groups.

Original languageEnglish (US)
Pages (from-to)162-168
Number of pages7
JournalAmerican Journal of Medical Quality
Volume21
Issue number3
DOIs
StatePublished - May 2006
Externally publishedYes

Keywords

  • ambulatory
  • Beers criteria
  • elderly
  • medication safety
  • prescribing

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