Identifying inappropriate prescribing for older people

Rohan Andrew Elliott, Paulina Stehlik

Research output: Contribution to journalArticleResearchpeer-review

12 Citations (Scopus)


Older people are at risk of polypharmacy, inappropriateprescribing and adverse drug reactions. Reasonsinclude comorbidities, altered pharmacodynamics andpharmacokinetics, and limited evidence to guide drugtherapy decisions, especially for people aged > 75 years.Tools to assist with identifying inappropriate prescribing forolder people have been developed. The most well known isthe Beers criteria, a list of medications that an expert panelagreed should usually be avoided. Criticism of the Beerscriteria and limited applicability outside of North America,led to the development of other tools and a major revision ofthe Beers criteria in 2012. Since 2008, the Screening Tool ofOlder Persons? Prescriptions and the Screening Tool to Alertdoctors to Right Treatment have gained popularity. Australianindicators and electronic decision support systems have alsobeen developed. This article provides an overview of thetools for identifying (and avoiding) inappropriate prescribingand their application in clinical practice and research.
Original languageEnglish
Pages (from-to)312-319
Number of pages8
JournalJournal of Pharmacy Practice and Research
Issue number4
Publication statusPublished - 2013

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