This document, produced by Aneurin Bevan Health Board, outlines a review process for patients on 10 or more medications. It includes the NO TEARS tool to aid medication review and includes locally developed review processes.
Good Practice Case Study. Angus’ multidisciplinary medication review service for older people - NHS Tayside
This case study illustrates an example of innovative practice to improve medication safety in older people. The team from Tayside in Scotland introduced a collaborative multidisciplinary approach to medication review, which led to a reduction in polypharmacy, improved patient understanding of treatment, and prescribing cost savings.
This improvement report documents the development of a medication review tool, based on the evidence based “STOPP” (screening tool of older persons’ potentially inappropriate prescriptions) for routine use with elderly patiens across all sections of care.
This paper defines our current understanding of appropriate prescribing and outlines the potential hazards of over-prescribing for older people, while acknowledging the benefits of modern pharmacological treatment.