The 2019 update included the same 13-member interdisciplinary panel, as well as representatives from the Centers for Medicare and Medicaid Services, the National Committee for Quality Assurance, and the Pharmacy Quality Alliance.
They reviewed of over 17,000 references, including 67 systematic reviews and/or meta-analyses, 29 controlled clinical trials, and 281 observational studies.
Older adults experience the highest prevalence of adverse drug events (Taché, Sönnichsen, & Ashcroft, 2011) and many of these events are avoidable.
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The 2019 update includes approximately 70 modifications to the 2015 AGS Beers Criteria.
Methods of review were based on the Grading of Recommendations Assessment, Development and Evaluation (GRADE) guidelines for clinical practice guideline development and consistent with recommendations from the National Academy of Medicine.
VALIDITY AND RELIABILITY: The AGS Beers Criteria was developed in 2012 using an evidence-based approach which substantially followed the Institute of Medicine standards for evidence and transparency, including a peer and public review of the draft.
The 2015 update followed the same process as in 2012, was completed by a panel of 13 experts convened by AGS, and included a review of over 6,700 clinical trials and research studies from over 20,000 articles since publication of the 2012 AGS Beers Criteria.
STRENGTHS AND LIMITATIONS: The AGS Beers Criteria increase awareness of inappropriate medication use in older adults, as well as assist nurses and interprofessional team members in medication reviews and ongoing monitoring.
Additionally, they inform prescribers and clinical decision support providers as they work to improve patient outcomes. START (screening tool to alert doctors to the right treatment)--an evidence-based screening tool to detect prescribing omissions in elderly patients. Hamilton, H., Gallagher, P., Ryan, C., Byrne, S., & O'Mahony, D. Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients.
A comparison with the Screening Tool of Older Person's Potentially Inappropriate Prescriptions.
The American Geriatric Society has updated the Beers Criteria list based on evidence-based recommendations.
a set of pharmacologic features that make certain drugs particularly hazardous for patients over 65 years of age.
A list of such drugs was first published in 1991 and has been periodically revised by specialists in geriatrics.
At the recent NCPDP Joint Technical Work Group Meetings, held in Scottsdale in early May, the membership voted to approve three emergency external code list changes.