69IMPROVING PRESCRIBING FOR THE ELDERLY (IMPE): TRANSLATING EVIDENCE INTO CLINICAL PRACTICE FOR MEDICINES MANAGEMENT IN THE OLDER PATIENT FOR ACUTE CARE

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Abstract

Introduction: Adverse drug reactions (ADRs) account for 6% of hospital admissions. Older patients are particularly vulnerable as age-related physiology changes and multi-morbidity make prescribing challenging. The STOPP tool is a validated research instrument (65 criteria) developed to identify potentially inappropriate medications (PIMs) in older patients. The ImPE structured medications review form was developed as a means of translating this evidence to practice on the busy time-pressured environment of the Acute Medical Unit (AMU).

Methods: Between 06/12/2010 and 28/06/2012, 1,177 medication reviews were undertaken using ImPE tool on:

Results: The mean number of medications on admission 8.38 (95% CI: 8.18–8.61), range 0–25. The mean age 82.2 (95% CI: 81.75–82.64), range 70–102.

Conclusion: The ImPE tool is a novel methodology to translate evidence-based structured medication into clinical practice.

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