Deprescribing for Community-Dwelling Older Adults: a Systematic Review and Meta-analysis.

Background: Polypharmacy and use of inappropriate medications have been linked to increased risk of falls, hospitalizations, cognitive impairment, and death. The primary objective of this review was to evaluate the effectiveness, comparative effectiveness, and harms of deprescribing interventions among community-dwelling older adults.

Methods: We searched OVID MEDLINE Embase, CINAHL, and the Cochrane Library from 1990 through February 2019 for controlled clinical trials comparing any deprescribing intervention to usual care or another intervention.

Design and implementation of a targeted approach for pharmacist-mediated medication management at care transitions.

Objectives: To improve patient care through the development of a clinical risk stratification tool to identify high-risk patients and implementation of pharmacist-mediated medication management after patient care transitions.

Setting: Minneapolis Veterans Affairs (VA) Health Care System from December 1, 2014, to April 1, 2015.

Practice Description: A composite care transition score was developed based on risk factors obtained from a literature review and combined with a national stratification tool unique to the Veterans Health Administration (VHA) primary care population, the Care Assessment Need (CAN) score.