Update on Medication Use Quality and Safety in Older Adults, 2017

• Published in: Journal of the American Geriatrics Society (JAGS) 2018-12, Vol.66 (12), p.2254-2258
• Main Authors: Gray, Shelly L., Marcum, Zachary A., Schmader, Kenneth E., Hanlon, Joseph T.
• Format: Article
• Language: English
• Subjects: adverse drug events; Aged; Antiepileptic agents; British Columbia; Central nervous system; Deprescriptions; Drug Prescriptions; Drug-Related Side Effects and Adverse Reactions - etiology; drug‐related problems; Epilepsy; Hospitalization - statistics & numerical data; Humans; inappropriate prescribing; Inappropriate Prescribing - adverse effects; Inappropriate Prescribing - trends; Medication Adherence - ethnology; Medication Adherence - statistics & numerical data; Older people; Patient Safety; Polypharmacy; Public health; Safety
• ISSN: 0002-8614; 1532-5415
• DOI: 10.1111/jgs.15665

Improving the quality of medication use and medication safety in older adults is an important public health priority and is of paramount importance for clinicians who care for them. We selected four important articles from 2017 that address these issues to annotate and critique, and we discuss the broader implications for optimizing medication use. A longer list of articles is given in an online appendix. The first study provides national data on the prevalence of central nervous system–active medication polypharmacy in older adults and how this has changed over a 9‐year period (2004–2013). The second study characterizes prevalence of and factors associated with nonadherence to antiepileptic drugs in 36,912 older adults with epilepsy, with an emphasis on minorities. The third study describes the extent of antibiotic use in residents of 381 long‐term care facilities (LTCF) in British Columbia, Canada, from 2007 to 2014. Finally, we discuss a meta‐analysis of 42 studies that evaluated the prevalence of hospital admissions caused by adverse drug reactions in older adults. This article is intended to provide a narrative review of important publications on medication use quality and safety for clinicians and researchers committed to optimizing medication use in older adults. J Am Geriatr Soc 66:2254–2258, 2018.