The GEMS-Rx high-risk prescription list was designed to assist ED practitioners in improving medication management and patient safety during the transition from ED to community.
The geriatric emergency medication safety recommendations is the first expert consensus-based list identifying high-risk medication classes that should not be prescribed to older patients visiting the emergency department .Around half of the geriatric patients presenting to the ED get discharged with new prescriptions. Some of the newly prescribed drugs may not be appropriate for use in individuals aged ≥ 65 years, thereby increasing the risk for unfavorable adverse events.
They reviewed over 30 medication classes from the 2019 AGS Beers Criteria that were deemed inappropriate for use in older patients. Despite them not being included in the Beers list, the use of short- and long-acting opioids was also discussed.
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