Low-value Care

Adverse Drug Events After Hospitalization—Are We Missing the Mark?

Abstract: At least 20% of older adults will experience an adverse event in the weeks following hospitalization, with most being secondary to adverse drug-related events (ADEs). Of these, half are considered preventable or ameliorable.

Publication: JAMA Internal Medicine

Date Published: March 1, 2021

Author(s): Tasce Bongiovanni, MD, MPP and Michael A. Steinman, MD

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To eliminate medication overload, serious cultural, educational, and policy changes are needed. This action plan offers recommendations for policymakers, health care institutions, clinicians, and patients across five key categories to reduce harm from multiple medication use. Suggested Citation: Eliminating medication overload: A national action plan. Working Group on Medication Overload. Brookline, MA: The Lown Institute, 2020. DOI: https://doi.org/10.46241/LI.YLBW4885

Pharmaceutical marketing is a significant factor in the growing public health crisis of medication overload, which puts millions of older adults at risk of preventable harm and premature death. This issue brief provides recommendations to reduce pharmaceutical industry influence by limiting pharma sales rep visits to clinicians and direct-to-consumer advertising.

This issue brief provides recommendations for clinical practice guidelines and electronic health records that would give clinicians the information they need to appropriately prescribe and deprescribe.