In hospital deprescribing in the real world

Niharikareddy Meenigea

Abstract


In hospital deprescribing is the process of safely reducing or stopping medication use when it is no longer necessary or potentially harmful. In the real world, successful implementation of deprescribing in hospitals requires a coordinated effort among healthcare providers, including physicians, nurses, pharmacists, and patients. Strategies such as patient education, medication review, and interprofessional collaboration can help facilitate deprescribing and improve patient outcomes. However, barriers to deprescribing, such as time constraints, lack of resources, and patient reluctance, must also be addressed to ensure its effectiveness. A lack of clear guidelines for medication cessation has contributed to the proliferation of polypharmacy. Hospitalisation provides a unique opportunity for initiating deprescribing. Deprescribing interventions are usually pharmacist- or multidisciplinary team-led and are typically safe and beneficial for patients. However, few studies have explored interventions that are implementable by clinicians at the bedside.

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