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Antipsychotic and sedative medication use in seniors admitted to Calgary hospitalists

Calgary zone hospitalists partnered with the Physician Learning Program to examine prescribing practices and determine if facilitated educational sessions could result in increased adherence to the principles of deprescribing and appropriate use of antipsychotics and sedatives in seniors.

Current
  • Choosing Wisely
  • Geriatric Medicine, Hospital Medicine, Psychiatry

Project Lead

  • Dr. Lara Cooke, Associate Dean, Continuing Education and Professional Development, University of Calgary
  • Dr. Shawn Dowling, Medical Director, Physician Learning Program, University of Calgary
  • Dr. Sarah Evans, Hospitalist General Department, Rockyview General Hospital
  • Dr. Jayna M. Holroyd-Leduc, Scientific Director, Alberta Seniors Health SCN Associate Professor, Section of Geriatrics Departments of Medicine and CHS, University of Calgary
  • Dr. Sunita Chacko, Head of the CHIC committee, Foothills Medical Centre
  • Judy Schoen, Acute Care Program Manager, Department of Family Medicine, Alberta Health Services - Calgary and Zone

Intended Outcome

The reports will provide Calgary hospitalists with a snapshot of their senior patients’ anti-psychotics and sedative medication profile by providing answers to the following questions:

  1. What are the anti-psychotic and sedative medications commonly given to the senior patients during hospitalists’ management in hospital?
  2. How many senior patients started anti-psychotics and sedative medication use during hospitalists’ management in hospital?
  3. How many senior patients stopped anti-psychotics and sedative medication use during hospitalists’ management in hospital?

The aggregate data for the whole hospitalist group will also be provided for comparison.

Project Timeline

Three data pulls were complete and two iterations of reports were sent to all 66 individual participants

Project updates

The first batch of 34 participants’ data pull is complete. Reports design is in progress.

Educational resources

  1. Rounds presentation on “Managing Behavioural Symptoms in Those with Advanced Dementia” by Dr. Jayna M Holroyd-Leduc.  Free full podcast is available at http://albertaplp.ca/podcast/managing-behavioural-symptoms-those-advanced-dementia, please sign in before viewing. If you have not registered with PLP, please sign up at http://albertaplp.ca/user/register.
  2. Rounds presentation on “An Approach to Chronic Sedative Hypnotic Use among Older Adults” by Dr. Jacqueline McMillan. Free full podcast is available at http://albertaplp.ca/podcast/approach-chronic-sedative-hypnotic-use-among-older-adults, please sign in before viewing. If you have not registered with PLP, please sign up at http://albertaplp.ca/user/register.
  3. American Geriatrics Society Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. Full text is available here:http://www.americangeriatrics.org/files/documents/beers/2012BeersCriteria_JAGS.pdf
  4. Canadian Geriatrics Society Choosing Wisely recommendation. Full text is available here:http://www.choosingwiselycanada.org/recommendations/geriatrics/.
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