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Some Older ER Patients Are Getting the Wrong Medicines, U-M Study Finds
Date:3/12/2010

Ten medications accounted for 86.5 percent of PIMs used in the ED. The five most common ones were promethazine, ketorolac, propoxyphene, meperidine, and diphenhydramine; and two of these – promethazine and ketorolac – accounted for nearly 40%.

Meurer suggested that further efforts are needed to educate doctors about the suitability of certain medications for older adults.

He also says the study showed that prescribing inappropriate medications was less likely to occur if a resident or intern was involved in the treatment, probably due to the fact that younger doctors have had recent training about medications.

There was substantial regional and hospital type (teaching vs. non-teaching) variability. PIMs were less likely to occur in visits to hospitals in the Northeast and twice as likely in other parts of the country. And receiving a potentially inappropriate medication was more likely to occur at for-profit hospitals.

The study did not explore the possi
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SOURCE University of Michigan Health System
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