A systems approach to identifying the challenges of implementing deprescribing in older adults across different health-care settings and countries: a narrative review

Author:

Sawan Mouna12ORCID,Reeve Emily34,Turner Justin5,Todd Adam6,Steinman Michael A.7,Petrovic Mirko8,Gnjidic Danijela19

Affiliation:

1. Sydney Pharmacy School, Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia

2. Departments of Clinical Pharmacology and Aged Care, Kolling Institute of Medical Research, St Leonards, Australia

3. Quality Use of Medicines and Pharmacy Research Centre, School of Pharmacy and Medical Sciences, Division of Health Sciences, University of South Australia, Adelaide, Australia

4. Geriatric Medicine Research, Faculty of Medicine and College of Pharmacy, Dalhousie University and Nova Scotia Health Authority, Halifax, Canada

5. Faculty of Medicine, University of Montreal, Montreal, Canada

6. School of Pharmacy, Faculty of Medical Science, Newcastle University, Newcastle upon Tyne, UK

7. Division of Geriatrics, University of California, San Francisco and the San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA

8. Section of Geriatrics, Department of Internal Medicine and Paediatrics, Ghent University, Ghent, Belgium

9. Charles Perkins Centre, The University of Sydney, Camperdown, Australia

Funder

Australian National Health and Medical Research Council

U.S. National Institute on Aging

Publisher

Informa UK Limited

Subject

Pharmacology (medical),General Pharmacology, Toxicology and Pharmaceutics,General Medicine

Reference115 articles.

1. World Health Organization. Global Patient Safety Challenge on Medication Safety; 2017 [cited 2020 Jan 28]. Available from: https://apps.who.int/iris/bitstream/handle/10665/255263/WHO-HIS-SDS-2017.6-eng.pdf;jsessionid=ABAC16CD211D1397F08BCA9BEC7E6C1E?sequence=1

2. Cautionary Tales in the Interpretation of Clinical Studies Involving Older Persons

3. Potentially inappropriate prescribing and adverse drug reactions in the elderly: a population-based study

4. The feasibility and effect of deprescribing in older adults on mortality and health: a systematic review and meta‐analysis

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