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  1. The intention of the AGS Beers Criteria® is to: (1) reduce older adults’ exposure to Potentially Inappropriate Medications (PIMs) by improving medication selection; (2) educate clinicians and patients; and (3) serve as a tool for evaluating quality of care, cost, and patterns of drug use in older adults.

  2. The Beers Criteria was created to assist healthcare professionals in recognizing which medications may present more risks than benefits to adults ages 65 and older. The guidance is recommended to pertain to adults in any setting, other than those who are in hospice or receiving end-of-life care.

  3. This clinical tool, based on The AGS 2012 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults (AGS 2012 Beers Criteria), has been developed to assist healthcare providers in improving medication safety in older adults.

  4. tapering may be needed (e.g., benzodiazepines, corticosteroids, acetylcholinesterase inhibitors, PPIs).2 The chart below summarizes the 2019 Beers list, potential therapeutic alternatives, and other considerations.

  5. The AGS Beers Criteria® include the same five main categories as in 2015: (1) potentially inappropriate medications in older adults; (2) potentially inappropriate medications to avoid in older adults with certain conditions; (3) medications to be used with considerable caution in older adults; (4) medication combinations that may lead to harmful...

  6. The intentions of the criteria include improving the selection of prescription drugs by clinicians and patients, evaluating patterns of drug use within populations, educating clinicians and patients on proper drug usage, and evaluating health-outcome, quality of care, cost, and utilization data.

  7. The role of this guide is to inform clinical decision-making, research, training, quality measures and regulations concerning the prescribing of medications for older adults to improve safety and quality of care. It is based on The 2019 AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults.

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