{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T16:34:13Z","timestamp":1762187653796,"version":"build-2065373602"},"reference-count":25,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2018,11,13]],"date-time":"2018-11-13T00:00:00Z","timestamp":1542067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P30AG024827"],"award-info":[{"award-number":["P30AG024827"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P30AG028716"],"award-info":[{"award-number":["P30AG028716"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["R18 HS023779","K12HS022982"],"award-info":[{"award-number":["R18 HS023779","K12HS022982"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["U01AG00678"],"award-info":[{"award-number":["U01AG00678"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:p>\n                    Improving the quality of medication use and medication safety in older adults is an important public health priority and is of paramount importance for clinicians who care for them. We selected four important articles from 2017 that address these issues to annotate and critique, and we discuss the broader implications for optimizing medication use. A longer list of articles is given in an online appendix. The first study provides national data on the prevalence of central nervous system\u2013active medication polypharmacy in older adults and how this has changed over a 9\u2010year period (2004\u20132013). The second study characterizes prevalence of and factors associated with nonadherence to antiepileptic drugs in 36,912 older adults with epilepsy, with an emphasis on minorities. The third study describes the extent of antibiotic use in residents of 381 long\u2010term care facilities (LTCF) in British Columbia, Canada, from 2007 to 2014. Finally, we discuss a meta\u2010analysis of 42 studies that evaluated the prevalence of hospital admissions caused by adverse drug reactions in older adults. This article is intended to provide a narrative review of important publications on medication use quality and safety for clinicians and researchers committed to optimizing medication use in older adults.\n                    <jats:bold>J Am Geriatr Soc 66:2254\u20132258, 2018<\/jats:bold>\n                    .\n                  <\/jats:p>","DOI":"10.1111\/jgs.15665","type":"journal-article","created":{"date-parts":[[2018,11,13]],"date-time":"2018-11-13T13:09:59Z","timestamp":1542114599000},"page":"2254-2258","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Update on Medication Use Quality and Safety in Older Adults, 2017"],"prefix":"10.1111","volume":"66","author":[{"given":"Shelly L.","family":"Gray","sequence":"first","affiliation":[{"name":"Department of Pharmacy, School of Pharmacy University of Washington  Seattle Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zachary A.","family":"Marcum","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, School of Pharmacy University of Washington  Seattle Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth E.","family":"Schmader","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Medicine, School of Medicine Duke University Medical Center  Durham North Carolina"},{"name":"Geriatric Research, Education, and Clinical Center Durham Veterans Affairs Medical Center  Durham North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph T.","family":"Hanlon","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Medicine School of Medicine  Pittsburgh Pennsylvania"},{"name":"Department of Pharmacy and Therapeutics, School of Pharmacy University of Pittsburgh  Pittsburgh Pennsylvania"},{"name":"Department of Epidemiology, School of Public Health University of Pittsburgh  Pittsburgh Pennsylvania"},{"name":"Geriatric Research, Education, and Clinical Center Veterans Affairs Pittsburgh Healthcare System  Pittsburgh Pennsylvania"},{"name":"Center for Health Equity Research and Promotion Veterans Affairs Pittsburgh Healthcare System  Pittsburgh Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,11,13]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2017.09.003"},{"key":"e_1_2_6_3_1","first-page":"849","volume-title":"Brocklehurst's Textbook of Geriatric Medicine","author":"Naples JN","year":"2016"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13702"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afu145"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13807"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2016.9225"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.16m10713"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14930"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/pds.1797"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/gln043"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2008.02127.x"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002396"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2016.10.017"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2012.08.027"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjopharm.2011.02.004"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000001023"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2017.09.018"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-12-73"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2011.13"},{"key":"e_1_2_6_21_1","unstructured":"Providence Healthcare.2016. Antimicrobial Stewardship Program Annual Report 2015\u20132016 (online). Available athttp:\/\/www.providencehealthcare.org\/sites\/default\/files\/AMSProvidence Annual Report 2016.pdf. 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