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Care of the older person
Hospital admission may increase the risk of potentially inappropriate prescribing among older primary care patients
  1. Manuel Schwanda, BSc, MScN, RN1,
  2. Rita Gruber, BScN, MSc, RN1,2
  1. 1 Department of Health Sciences, St. Pölten University of Applied Sciences, St. Pölten, Austria, Lower Austria
  2. 2 School of Nursing, Bildungszentrum Diakonissen, Linz, Austria
  1. Correspondence to Manuel Schwanda, BSc, MScN and RN, St. Pölten University of Applied Sciences, Austria; manuel.schwanda{at}

Statistics from

Commentary on: Pérez T, Moriarty F, Wallace E, et al. Prevalence of potentially inappropriate prescribing in older people in primary care and its association with hospital admission: longitudinal study. BMJ 2018;363:k4524. doi: 10.1136/bmj.k4524.

Implications for practice and research

  • The process of medication reconciliation could be a strategy to reduce the risk of potentially inappropriate prescribing among older primary care patients.

  • There exists a significant association between hospital admission and potentially inappropriate prescribing, but further research regarding medication management across all involved healthcare professions is needed.


A crucial approach of the WHO’s third global patient safety challenge is to identify potentially inappropriate prescribing, associated with adverse drug events, hospital admissions and reduced quality of life.1 The omission of beneficial drugs, the use of drugs with a drug–drug interaction, the use of incorrect drug dosages and/or prescribing durations and the prescribing of drugs primarily associated with risks are recognised potentially inappropriate prescribing methods. The prevalence rate of potentially inappropriate prescribing detected via the Screening Tool …

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