Robyn Bryson PharmD Kerri Hagedorn PharmD BCPS

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Only 3 components are needed to detectpolypharmacy: indication, effectiveness,and duplicationCan be used for inpatient andambulatory patientsTakes ~10 min to completeDoes not address underuse ofappropriate prescribing
ItemWeightIs there an indication for the drug? 3Is the medication effective for the condition? 3Is the dosage correct? 2Are the directions correct? 2Are the directions practical? 1Are there clinically significant drug-drug interactions? 2Are there clinically significant drug-disease/conditioninteractions?2Is there unnecessary duplication with other drug(s)? 1Is the duration of therapy acceptable? 1Is this drug the least expensive alternative compared to others ofequal utility?1
Page 1 and 2: Robyn Bryson, PharmDKerri Hagedorn,
Page 3 and 4: In general:• 5+ Rx drugs is consi
Page 5: Due to longer life expectancy and t
Page 8 and 9: Health System-related• Longer lif
Page 10 and 11: Patient-related• Clinical conditi
Page 12 and 13: Physician-related• Prescribing ha
Page 14 and 15: Nursing homes and Care homes• Aca
Page 16 and 17: Pros• Easy to use• Easy to inco
Page 18: Used for nursing home residents Foc
Page 24 and 25: Specific meds in patient’s regime
Page 26 and 27: Similar to ARS—describesanticholi
Page 28 and 29: Physiologic changes• Decline in R
Page 30 and 31: Medication Errors• elderly are 4X
Page 32 and 33: Nonadherence• 55% of Medicare ben
Page 34: American Geriatrics Society updated

Robyn Bryson PharmD Kerri Hagedorn PharmD BCPS

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