The revised beers criteria list 34 potentially inappropriate medications and classes to avoid in older adults. Dale moquist, md former geriatric coordinator memorial hermann family medicine residency, sugar land horseshoe bay, texas educational objectives by the end of this educational activity, the learner should be better able to. Ags beers criteria for potentially inappropriate medication use in older adults posted in. Greenberg, phd, rn, gnpbc new york university rory meyers college of nursing the 2019 american geriatrics society updated beers criteria. Beers criteria introduction as people get older, physiological changes lead to decreased absorption, distribution, metabolism and excretion of medications.
American geriatrics society 2019 updated ags beers criteria for. Specific recommendations and rationales are summarized in table 1. Updated ags beers criteria making medical treatment decisions for unbefriended older adults. Incorporate needed exceptions in the criteria as the panel deemed clinically appropriate. Potentially inappropriate medications for the elderly according to the revised beers criteria the american geriatric society has updated the beers criteria list based on evidencebased recommendations. There are other properties of a solution that change with. The 2019 american geriatrics society updated beers. The pharmacist s role in older adult fall prevention author.
View the 2012 pdf here, along with rationale for why the medications might be. Safer medication use in older persons information page. Beers criteria for potentially inappropriate med use in. The beers criteria are intended to improve medication selection, reduce adverse drug events, and provide a tool to assess cost, patterns, and quality of care of drugs used for people aged 65 years. The updated report was published in the journal of the american geriatric society. Intent of criteria the primary target audience for the ags beers criteria is practicing. Review the intent of the american geriatric so cietys beers criteria. Alternatives for medications listed in the ags beers criteria. Beers criteria printable pocketcard objective health. This clinical tool, based on the 2019 ags beers criteria for potentially inappropriate medication use in older adults, has been developed to assist healthcare providers in improving medication safety in older adults.
American geriatrics society 2019 updated ags beers. American geriatrics society 2019 updated ags beers criteria. Estimates from past studies in ambulatory and longterm care settings found that 27% of adverse drug events ades in primary care and 42% of ades in longterm care were preventable, with most problems occurring at the ordering and monitoring stages of care. The primary target audience is the practicing clinician. To accompany the updated ags beers criteria in 2015, the ags also developed a list of safer medications that are alternatives to some of the medications listed in the criteria. Pims now form an integral part of policy and practice and are incorporated into several quality measures. Help tm provides the latest tools and handson guidance to make delirium prevention a reality. Ags beers criteria for potentially inappropriate medication use in older adults. The specific aim was to update the 2015 ags beers criteria.
Save mosler 2012 beers criteria opa handout for later. While widely cited in prescribing guidelines for older adults, some geriatricians, at least anecdotally, report that. A beers law experiment introduction there are many ways to determine concentrations of a substance in solution. Implement other strategies, including nonpharmacologic options to manage conditions, address. For an order of 6 cards or more, purchase a set of 25. Sarah m mcgee md, mph primary care days care of the geriatric. Jan 29, 2019 the american geriatrics society ags beers criteria ags beers criteria for potentially inappropriate medication pim use in older adults are widely used by clinicians, educators, researchers, healthcare administrators, and regulators. Sarah m mcgee md, mph primary care days care of the. With more than 90% of older people using at least one prescription and more than 66% using three or more in any given month,1 the ags beers criteria. With more than 90% of older people using at least one prescription and more than 66% using three or more in any given month, the ags beers criteria plays a vital role in helping health professionals, older adults, and caregivers work together to ensure medications are appropriate. Greenberg, phd, rn, gnpbc, the hartford institute for geriatric nursing, new york university rory meyers college of nursing.
With more than 90% of older people using at least one prescription and more than 66% using three or more in any given month,1 the ags beers. Ags beers criteria for potentially inappropriate medication. Medications linked to falls stop medications when possible. The ags beers criteria is a frequently cited reference tool in the geriatrics field for medication appropriateness and safety. Originally conceived of in 1991 by the late mark beers, md, a geriatrician, the beers criteria catalogues medications that cause side effects in older adults due to the physiologic changes of aging. T he second is a list of alternative medications included in the current use of highrisk medications in the elderly and potentially harmful drugdisease interactions in the elderly quality measures. The ags beers criteria is an explicit list of pims that are typically best avoided by older adults in most circumstances or under speci. Always ask your healthcare provider or pharmacist if you have any questions about your medications. By the 2019 american geriatrics society beers criteria.
View the 2012 pdf here, along with rationale for why the medications might be inappropriate and the strength. This tool works best as a starting point for a discussionone guided by personal needs and priorities as we age, added michael steinman, md, a fellow cochair of the ags beers criteria panel. Apply the updated beers criteria to various clinical cases. While widely cited in prescribing guidelines for older adults, some.
Describe the individual sections that make up the beers criteria. Since 2011, the ags has been the steward of the criteria and has produced updates on a 3. To keep this tool relevant, the updated 2012 ags beers criteria must be current with other methods for determining bestpractice guidelines. Balance refers to the overall harmony of flavors in a beer. For more than 20 years, the ags beers criteria have been a valuable resource for healthcare providers about the safety of prescribing drugs for older people. Table 3 outlines a summary of advantages and disadvantages of each tool. How to use the american geriatric society 2015 beers criteria a guide for patients. American geriatrics society 2015 updated beers criteria. Alternative suggestions to medications included in the current use.
The beers criteria may well be one of the bestkept secrets in geriatrics. Order up to 5 single laminated pocket cards dimension of folded pocketcard is 4 by 6. Beers criteria for potentially inappropriate med use. Describe common polypharmacy issues in the elderly.
Our purpose is to inform clinical decisionmaking concerning the prescribing of medications for older adults in order to. American geriatrics society updated beers criteria for. These changes raise the risk and severity of adverse drug reactions. Develop a patient plan that includes medication changes, and a monitoring plan for potential side e. The pharmacists role in older adult fall prevention author. Your account will be used for ags, adgap, health in aging, myagsonline community, and other agsrelated sites. Originally conceived of in 1991 by the late mark beers, md, a geriatrician, the beers criteria catalogues medications that cause adverse drug events in older adults.
The expanded ags updated beers criteria for potentially inappropriate. Older people are, therefore, at greater danger of these complications. In january 2019, the american geriatrics society ags published an update to the 2015 beers criteria for potentially inappropriate. Using the updated 2018 beers criteria, avoid the use of problematic. Updating the beers criteria for potentially inappropriate medication use in older adults. The american geriatrics society ags beers criteria ags beers criteria for potentially inappropriate medication pim use in older adults are widely used by clinicians, educators, researchers, healthcare administrators, and regulators. More specifically, it usually refers to the levels of hops and malts. Welcome to the safer medication use in older persons information page this information page is part of an awareness campaign designed to provide care team members in long term care homes, hospitals and the community with information on medications that.
Examples of medications to avoid in older adults regardless of diseases. Alternatives for medications listed in the ags beers. The ags beers criteria should never solely dictate how medications are prescribed, nor should it justify restricting health coverage. Neither has been convincingly shown to reduce morbidity, mortality, or cost but are often used by organizations as quality measures. Improving nurse practitioner student confidence and.
In 2011, the ags sponsored its first update of the criteria. Since 2011, the ags has been the steward of the criteria and has produced updates on a 3year cycle that. What older adults can do to manage medications there are several steps you can take to lower your chances of overmedication and negative reactions to medicines. Ags beers criteria for potentially inappropriate medication use in older adults from the american geriatrics society this clinical tool, based on the ags 2012 updated beers criteria for potentially inappropriate medication use in older adults ags 2012 beers criteria, has been developed to assist healthcare providers in improving medication safety in. Medicationrelated problems are common, costly, and often preventable in older adults and lead to poor outcomes. Beers criteria definition of beers criteria by medical.
The ags beers criteria are widely used by health care providers. The list that bears his name, the beers criteria, became the watchword for practitioners, particularly consultant pharmacists, who oversee drug. Intent of criteria the 2012 ags beers criteria are intended for use in all ambulatory and institutional settings of care for populations aged 65 and older in the united states. For potentially inappropriate medication use in older adults from the american geriatrics society this clinical tool, based on the ags 2012 updated beers criteria for potentially inappropriate medication use in older adults ags 2012 beers criteria, has been developed to assist healthcare providers in improving medication safety in older adults. Keep the following tips in mind for safe medication use. So far, the only experiences you may have are acidbase titrations or possibly determining the ph of a solution to find the concentration of hydrogen ion.
Strategies for streamlined communication, interdisciplinary. The ags cocare programs provide you with tools, resources, education, and support. Alternatives for medications listed in the ags beers criteria for potentially inappropriate medication use in older adults. Greenberg, phd, rn, gnpbc, the hartford institute for geriatric nursing, new york university rory meyers college of nursing issue number 16, revised 2019 why. Ortho tm is an evidencebased geriatricsorthopedics comanagement model that can be implemented throughout your health system. Use of beers criteria a key theme underlying these recommendations is to use common sense and clinical judgement in applying the 2015 ags beers criteria and to remain mindful of nuances in the criteria should be a warning light to identify medications with an unbalanced risk vs. The 2019 american geriatrics society updated beers criteria. New additions to the criteria include megestrol, glyburide, and slidingscale insulin. The need to know nclex test plan importance of activity performance highest prepare and give meds, using rights of medication administration. Beers, md, revolutionized the way medications are prescribed for the elderly. Ags guidelines, recommendations, and position statements are always free to ags members and available to the wider community of geriatrics healthcare professionals. Identify the changes that occurred with the 2019 updates to the beers criteria. Improving nurse practitioner student confidence and competency through virtual technology and distance education 4242015 2 program purpose promote competence and confidence synthesizing principles quality geriatric care safe prescribing practices exposure to complex patient scenarios in a distance education setting. Review the intent of the american geriatrics societys beers criteria.
Beers criteria and mai advantages and disadvantages beers criteria mai advantages. In addition, snris were added to the medication list for patients with a. The 2019 american geriatrics society updated beers criteria for potentially inappropriate medication use in older adults. Originally conceived of in 1991 by the late mark beers, md, a geriatrician, the beers criteria catalogues medications that cause side effects in the elderly due to the physiologic changes of aging.
The updated 2012 ags beers criteria is published in the journal of the american geriatrics. This was accomplished through the support of the american geriatrics society ags and the work of an interdisciplinary panel of 11 experts in. The ags beers criteria for potentially inappropriate medication use in older adults. These exceptions would be designed to make the criteria more individualized to clinical practice and be more relevant across settings of care. Ccanadian list drug drug concern alternative treatment analgesics ketorolac toradol b. Criteria 2008 stoppstart 1st published 2003 beers criteria revised 1997 beers criteria revised 1991 beers criteria 1st published mark beers tools to evaluate pim use over 46 published tools 20 43% relate to previously published tools. American geriatrics society 2015 updated beers criteria for. A list of such drugs was first published in 1991 and has been periodically revised by specialists in geriatrics. The american geriatrics society ags has published the 2019 beers criteria which includes updated information on medications that may be potentially inappropriate for use in older adults.