Department of Health Services, Policy, and Practice, Brown University School of Public Health, 121 South Main Street, Providence, RI 02912, USA.
Department of Pharmacy, University of Washington, School of Pharmacy, 1959 Northeast Pacific Street, Box 357630, Seattle, WA 98195, USA.
Clin Geriatr Med. 2018 Feb;34(1):39-54. doi: 10.1016/j.cger.2017.09.003. Epub 2017 Oct 14.
Older adults are at high risk for inappropriate medication use given their myriad medical conditions and medications. Screening efforts may seem overwhelming, but starting with a focused approach and leveraging a team-based strategy can help practicing clinicians gain initial momentum. Future research is needed to strengthen the evidence base for medication use in older adults and to elucidate effective and scalable interventions to improve medication safety.
老年人由于身患多种疾病并服用多种药物，存在药物使用不当的高风险。虽然筛选工作似乎令人望而却步，但从有针对性的方法入手并利用团队合作策略，可以帮助执业临床医生获得初步动力。需要进一步研究来加强老年人药物使用的证据基础，并阐明有效且可扩展的干预措施以提高药物安全性。
