Geriatric Psychotropic Stewardship Team to de-escalate inappropriate psychotropic medications in general medicine inpatients: An evaluation.

Abstract:

OBJECTIVES:To assess the feasibility and effectiveness of a Geriatric Psychotropic Stewardship Team (GPST) and to achieve inpatient de-escalation of inappropriate psychotropic medications in patients aged over 65 years on a general medicine ward. METHODS:A multidisciplinary GPST conducted twice-weekly rounds on general medicine inpatients known to be taking psychotropic medications. A consensus recommendation was generated, with subsequent treating team action recorded. RESULTS:A total of 125 patients taking 180 psychotropic medications were identified for GPST review. Of these, 32 medications (18%) had been ceased by the treating team prior to GPST review. Adoption of GPST recommendations at 24 hours and at discharge occurred for 85 medications (57%) and 79 medications (53%), respectively. CONCLUSIONS:This study demonstrates the feasibility of a structured multidisciplinary approach in the de-escalation of inappropriate psychotropic medications in older hospital patients on a general medicine ward. Further studies are required to assess scalability and long-term clinical outcomes.

journal_name

Australas J Ageing

authors

Pellicano OA,Tong E,Yip G,Monk L,Loh X,Ananda-Rajah M,Dooley M

doi

10.1111/ajag.12501

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

E37-E41

issue

2

eissn

1440-6381

issn

1741-6612

journal_volume

37

pub_type

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