title: [Avoidable hospital drug prescription in the elderly. A review of the literature].
abstract: Elderly persons are particularly exposed to drug reactions, especially drug interactions subsequent to multiple prescriptions. It is also recognized that the drug risk is the leading hospital risk involving 1 to 10% of all hospitalized patients. An analysis of the avoidable nature of drug reactions leads to consideration of a sequence of 4 events leading to drug exposure: prescription, delivery, administration and compliance. Each event in this sequence corresponds to a distinct person: physician, pharmacist, nurse, patient. This suggests that the prevention of drug reactions in hospitalized elderly persons requires implementation of an "alert-causal attributability-avoidability-prevention" system by the healthcare teams where physicians, pharmacists, and nurses work in close coordination with the patient.
authors: Service Evaluation, Qualité, Accréditation, Sécurité Sanitaire, AP-HP, Paris, France.
authors: Fabien
authors: F
authors: Lesourd
authors: Anne-Marie
authors: AM
authors: Mathieu
authors: Joël
authors: J
authors: Ankri
authors: Marie-Laure
authors: ML
authors: Pibarot
authors: Olivier
authors: O
authors: Henry
authors: Georges
authors: G
authors: Sebbane
authors: Christophe
authors: C
authors: Trivalle
authors: Pierre
authors: P
authors: Demolis
authors: Philippe
authors: P
authors: Davrinche
authors: Didier
authors: D
authors: Guillemot
mesh_terms: D000368:Aged; D004347:Drug Interactions; D006760:Hospitalization; D006801:Humans; D019338:Polypharmacy