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In addition to identifying drugs for which safer pharmacological alternatives are available, in many instances a safer nonpharmacological therapy could be substituted for the use of these medications, highlighting that a “less-is-more approach” is often the best way to improve health outcomes in older adults.
Since the early 1990s, the prevalence of PIM usage has been examined in more than 500 studies, including a number of long-term care, outpatient, acute care, and community settings.
Methods to address medication-related problems include implicit and explicit criteria.PIMs now form an integral part of policy and practice and are incorporated into several quality measures.
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