May 15, 2026 · Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · DOI: 10.1111/acem.70321

High-Risk Medication Prescribing Among Older Adults in the Emergency Department: A National Assessment

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The authors aimed to assess the prevalence and trends of high-risk medication prescribing among older adults discharged from the emergency department (ED) using the Geriatric Emergency Medication Safety Recommendations (GEMS-Rx) list. They found that 9.4% of older adults filled a GEMS-Rx medication within three days of discharge, with a notable decline in such fills from 2017 to 2022. The study highlights the need for improved geriatric medication safety, particularly for younger cohorts of older adults and females who were more likely to receive these high-risk medications.

Sarah E Follman, Maureen Canavan, Craig Rothenberg, Mark Iscoe, Arjun K Venkatesh, Reshma Ramachandran, Cameron J Gettel

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