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A good reminder to consider careful prescribing to older patients at the time of ED discharge.
From this study: “Nearly 1 in 10 older adults filled a high-risk GEMS-Rx medication within 3?days of ED discharge between 2017 and 2022. Despite a decline in GEMS-Rx medication fills over time, younger cohorts of older adults and females were more likely to fill a high-risk medication upon ED discharge.”
Click for Gems-RX list
Additional Information
Medications on GEMS Rx list
- Benzodiazepines
- Barbiturates
- Z medications (sedative hypnotics)
- Metoclopramide
- First generation Antihistamines
- First generation antipsychotics
- sulfonylureas
- Skeletal Muscle relaxers
References
S. E. Follman, M. Canavan, C. Rothenberg, et al., “ High-Risk Medication Prescribing Among Older Adults in the Emergency Department: A National Assessment,” Academic Emergency Medicine 33, no. 5 (2026): e70321, https://doi.org/10.1111/acem.70321.