Factors Influencing Hospital Physicians' Recognition of Prescribing Cascades: A Qualitative Interview Study.

ABSTRACT:

Introduction

A prescribing cascade occurs when a medication is prescribed to manage a side effect of another medication. Prescribing cascades represent a key component of problematic prescribing and can result in harm to patients, especially older adults with multimorbidity and polypharmacy.

Objective

The objective of this study was to explore factors influencing hospital physicians' recognition of prescribing cascades using the Theoretical Domains Framework (TDF), a validated theory-based qualitative methodology.

Methods

Semi-structured interviews were conducted in May-July 2024 with hospital physicians of all grades. Interviews were audio-recorded and transcribed verbatim. Transcripts underwent conventional and directed content analysis to identify themes and TDF do

SUBMITTER: Daunt R 

PROVIDER: S-EPMC12436563 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature