A stewardship program to facilitate anticholinergic and sedative medication deprescribing using the drug burden index in electronic medical records.

ABSTRACT:

Aims

The drug burden index (DBI) measures a person's total exposure to anticholinergic and sedative medications, which are commonly associated with harm. Through incorporating the DBI in electronic medical records (eMR) and implementing a DBI stewardship program, we aimed to determine (i) uptake of the steward's recommendations to deprescribe anticholinergic and/or sedative drugs by the medical team and (ii) whether accepted recommendations were actioned in hospital or recommended for follow-up by the General Practitioner post-discharge.

Methods

A single-arm, non-randomised feasibility study was performed at an Australian tertiary referral metropolitan hospital. The stewardship pharmacist reviewed eMRs of patients aged ≥75 years with DBI scores > 0, during admission. The ste

SUBMITTER: Masnoon N 

PROVIDER: S-EPMC10953400 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature