Pharm Research Guide: Beers Summary? Created by Mark Beers, MD to be able to easily recognize meds that the harm outweighsthe benefits? Criteria focuses mainly on older adults in nursing homes and older adults? Five general categories used when they updated the criteriao Possible inappropriate medications for older adultso Inappropriate medications to avoid in adults with specific conditionso Medications to use cautiously in older adultso Medication combinations with possible harmful interactionso Medications to watch out for renal complications? Medication management criteria age cutoff is adults 65 or older? Beers is helpful to reduce exposure to harmful medications for older adults? Helping make sure that the patient is able to afford and adhere to the drug they are taking? The panel for the 2023 update consisted of people from multiple different areas in thehealth care world? Designed for practicing clinicians? 2019 version helped weigh benefits vs risks compared to alternative treatments? Review process focuses on "adverse drug effects" and "adverse drug reactions"Table 1 - Designation of quality of evidence and strength of recommendations? ACP- Based Approacho High quality evidence? One or more well designed randomized controlled trials that yieldconsistent and directly relatable resultso Moderate quality evidence? Evidence obtained from randomized controlled trials with importantlimitations? There is evidence from controlled trials without ran

Pharm Research Guide: Beers Summary I Created by Mark Beers, MD to be able to easily recognize meds that the harm outweighs the benefits I Criteria focuses mainly on older adults in nursing homes and older adults I Five general categories used when they updated the criteria Possible inappropriate medications for older adults o Inappropriate medications to avoid in adults with specific conditions D Medications to use cautiously in older adults o Medication combinations with possible harmful interactions D Medications to watch out for renal complications I Medication management criteria age cutoff is adults 65 or older I Beers is helpful to reduce exposure to harmful medications for older adults Helping make sure that the patient is able to afford and adhere to the drug they are taking The panel for the 2023 update consisted of people from multiple different areas in the health care world O Designed for practicing clinicians 0 2019 version helped weigh benefits us risks compared to alternative treatments Review process focuses on "adverse drug effects" and "adverse drug reactions" Table I - Designation of quality of evidence and strength of recommendations O ACP- Based Approach o High quality evidence I One or more well designed randomized controlled trials that yield consistent and directly relatable results Moderate quality evidence I Evidence obtained from randomized controlled trials with important limitations I There is evidence from controlled trials without randomization o Low quality evidence O Obtained from observational studies Needs further research for better quality of evidence O GRADE based approach o Considers 5 factors for best evidence Risk of bias Inconsistency Indirectness O Imprecision I Publication bias Table 2 - AGS Beers Criteria for potentials inappropriate medications for the older adult I Low quality evidence D Anti -Infectives I Nitrofurantoin - avoid in Cr CI