{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T23:44:57Z","timestamp":1789429497714,"version":"build-2803163510"},"reference-count":61,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Academic Emergency Medicine"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Population aging is reshaping emergency care. Older adults already account for 15%\u201325% of U.S. emergency department (ED) visits and, compared with younger patients, present with greater numbers of comorbidities, higher resource utilization, longer stays, and markedly higher admission rates (35%\u201345%), return visits, and mortality. Medication exposure is a central driver of risk with an estimated ~10% of older\u2010adult ED visits being medication\u2010related. We conducted a narrative review of the literature surrounding medication safety for geriatric patients presenting to the ED and strategies that can be employed to optimize pharmacotherapy management. Medication\u2010safety elements include medication reconciliation, the systematic reduction of potentially inappropriate medications using tools such as Beers, STOPP\/START, or GEMS\u2010Rx, and geriatric\u2010tailored order sets for common presentations (e.g., pain, delirium, hip fracture). Additionally, system\u2010based interventions such as utilization of Clinical Decision Support Systems (CDSS), Geriatric Emergency Department Accreditation (GEDA), and alignment with regulatory agencies are explored. The combination of robust emergency medicine pharmacist integration, clinical decision support, and disciplined measurement offers a pragmatic path to reduce potentially inappropriate prescribing and ADEs resulting in improved safety and outcomes for older adults in the ED.<\/jats:p>","DOI":"10.1111\/acem.70325","type":"journal-article","created":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T05:44:21Z","timestamp":1778910261000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Medication Safety Strategies for Geriatric Patients in the Emergency Department: A Narrative Review"],"prefix":"10.1111","volume":"33","author":[{"given":"Elise","family":"Metts","sequence":"first","affiliation":[{"name":"University of Kentucky Chandler Medical Center  Lexington Kentucky USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4436-3198","authenticated-orcid":false,"given":"Seth","family":"Carroll","sequence":"additional","affiliation":[{"name":"Trinity Health Ann Arbor  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Posen","sequence":"additional","affiliation":[{"name":"University of Illinois Hospital and Health Sciences System  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6542-518X","authenticated-orcid":false,"given":"Megan A.","family":"Rech","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs Center of Innovation for Complex Chronic Healthcare, Edward Hines, Jr. VA Medical Center  Hines Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0835-7955","authenticated-orcid":false,"given":"Kyle","family":"Weant","sequence":"additional","affiliation":[{"name":"University of South Carolina College of Pharmacy  Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,15]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"S163","volume-title":"The World Report on Ageing and Health","author":"Beard J. 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