Patient Safety In Older Adults Flashcards
What is DIAE
Drug induced adverse events
5 criteria used to identify DIAE
Drug Burden Index Anticholinergic Scales Beer's criteria FORTA ( Fit for The Age) STOPP ( screening tool of Older Person's Prescription) criteri
The outcomes of Drug-induced adverse events are most commonly related to what?
MOA -mechanism of action
Are the outcomes of drug induced adverse events well documented
May or may not be documented
4 Factors that increase risk of drug induced adverse events
1- frailty
2- coexisting medical problems
3-memory issues
4-use of multiple-prescribed and non-prescribed MEDICATIONS
2 limitations to identifying DIAE
1- incomplete medical records
- Thought process of DR. may not be in notes
- Medical records may be filed away
2-patients’ inability to describe issues
* patients complaints may NOT be documented or issues may lead to hospitalizations
Best way to identify DIAE regarding patients involvement
A patient complaint AFTER starting a NEW medication
Transition of care include what
1- Setting
2-Service
3-Practitioner
4-Level of care
What is Medication reconciliation
Process of comparing a patient’s medication orders to ALL medications that a patient has been taking
What is MR ROSS
Medication reconciliation- review of subject’s systems
Prescribing cascade
Occurs when a new(chronic) drug is prescribed to treat the SYMPTOMS arising from an UNRECOGNIZED ADVERSE EVENT related to an EXISTING MEDICATION
With prescribing cascade the unrecognized adverse event is thought to be WHAT to the patient and provider
1-The event is thought to due to NORMAL AGING
2-Misinterpreted as a NEW diagnosis common in older adults
3 Factors which increases the risk for prescribing cascade
1- age
2-multiple co-morbid conditions
3-multiple drug therapies
Broad spectrum antibiotics cause C. Difficile are treated with what 2 possible
Vancomycin
Metronidazole
Acceptable prescribing cascade
Standard of care dictates the treatment of one medication with another medication to PREVENT NEGATIVE OUTCOMES
Example: furosemide ➡️ KCL