Publication:
In Beers We Trust: Using Deprescribing Tools to Reduce Inappropriate Polypharmacy in Adults Age ≥ 65

Simple item page
dc.contributor.advisorDr. Raeann G. LeBlanc, PhD, DNP, AGPCNP-BC, CHPN
dc.contributor.advisorDr. Raeann G. LeBlanc, PhD, DNP, AGPCNP-BC, CHPN
dc.contributor.advisorKim Groner, MSN, RN, ANP-BC, CCRC, NE-BC
dc.contributor.authorFerrazzi, Angelica
dc.contributor.departmentUniversity of Massachusetts Amherst
dc.contributor.departmentDoctor of Nursing Practice
dc.contributor.departmentAdult Gerontological Primary Care Nurse Practitioner (AGPCNP)
dc.date2024-01-22T14:15:09.000
dc.date.accessioned2024-04-26T19:34:57Z
dc.date.available2024-04-26T19:34:57Z
dc.date.issued2020-01-01
dc.date.submittedMay
dc.description.abstractBackground: Adverse drug events (ADEs) are a significant cause of morbidity and mortality in older adults (age ≥ 65). Polypharmacy and potentially inappropriate medications (PIMs) are especially prevalent in this population and are a notable contributing risk factor for ADEs. Research demonstrates that comprehensive medication reconciliation that includes evaluation of both the risks and benefits of medications, in conjunction with deprescribing practices, can reduce PIMs; therefore, reducing ADEs. Purpose: The aim of this quality improvement project was to empower clinicians to deprescribe current medications that are inappropriate, as well as reduce the rate of newly prescribed PIMs among patients age ≥ 65 in the primary care setting by establishing a multi-modal educational intervention. Methods: A detailed educational program that incorporated evidence-based resources composed of the American Geriatrics Society (AGS) 2019 Beers Criteria®, PIMs, and deprescribing was introduced to 88 clinicians in a large academic, urban-based general internal medicine primary care clinic. Data was collected through pre-post intervention surveys to assess provider knowledge, prescribing practices, and self-efficacy in deprescribing. A retrospective medication chart review then assessed actual trends of prescribed PIMs in the clinic. Results: The 34 clinicians who completed each survey demonstrated an increased knowledge of AGS Beers Criteria® medications and reported a greater frequency in medication reconciliation performance. Notably, a paired t-test was performed to measure 13 providers’ reported self-efficacy deprescribing; and each participant’s response improved post-intervention. Conclusion: Proper medication safety standards in older adults is a complex issue that requires significant education in order for clinicians to adopt informed prescribing practices, thus ongoing provider education and evaluation are recommended. This multi-modal educational intervention is feasible for implementation in various healthcare settings to expand provider knowledge.
dc.identifier.doihttps://doi.org/10.7275/17603878
dc.identifier.urihttps://hdl.handle.net/20.500.14394/37921
dc.relation.urlhttps://scholarworks.umass.edu/cgi/viewcontent.cgi?article=1251&context=nursing_dnp_capstone&unstamped=1
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/
dc.source.statuspublished
dc.subjectdeprescribing
dc.subjectinappropriate polypharmacy
dc.subjectolder adults
dc.subjectpotentially inappropriate medications
dc.subjectBeers Criteria
dc.subjectprovider education
dc.subjectFamily Practice Nursing
dc.subjectGeriatric Nursing
dc.subjectGeriatrics
dc.subjectInterprofessional Education
dc.subjectMedical Pharmacology
dc.subjectNursing
dc.titleIn Beers We Trust: Using Deprescribing Tools to Reduce Inappropriate Polypharmacy in Adults Age ≥ 65
dc.typeopen
dc.typearticle
digcom.contributor.authorisAuthorOfPublication|email:aferrazzi@umass.edu|institution:University of Massachusetts Amherst|Ferrazzi, Angelica
digcom.identifiernursing_dnp_capstone/215
digcom.identifier.contextkey17603878
digcom.identifier.submissionpathnursing_dnp_capstone/215
dspace.entity.typePublication
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
In_Beers_We_Trust_DNP_Scholarly_Project_Aferrazzi.pdf
Size:
2.3 MB
Format:
Adobe Portable Document Format
Thumbnail Image
Name: In_Beers_We_Trust_DNP_Scholarly_Project_Aferrazzi.pdf
Size: 2.3 MB
Kind: Adobe PDF
Collections
Doctor of Nursing Practice (DNP) Projects