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Related Experiment Video

Updated: Jun 1, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
07:13

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

Principles of conservative prescribing.

Gordon D Schiff1, William L Galanter, Jay Duhig

  • 1Center for Patient Safety Research and Practice, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA. gschiff@partners.org

Archives of Internal Medicine
|June 15, 2011
PubMed
Summary
This summary is machine-generated.

This study outlines six principles for judicious prescribing to ensure safe medication use. Clinicians should prioritize non-drug therapies, strategic drug use, vigilance for adverse effects, and patient-centered care for better health outcomes.

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Last Updated: Jun 1, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
07:13

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

Area of Science:

  • Pharmacology
  • Clinical Medicine
  • Patient Safety

Background:

  • Judicious prescribing is essential for safe and effective medication use.
  • Recent studies highlight issues with commonly prescribed medications, necessitating a review of prescribing practices.
  • Evidence-based principles are needed to guide clinicians toward more conservative and cautious prescribing.

Purpose of the Study:

  • To present a series of principles for more cautious and conservative prescribing.
  • To guide clinicians in optimizing medication use and minimizing potential harms.
  • To promote evidence-based and patient-centered prescribing strategies.

Main Methods:

  • The study proposes six core principles for judicious prescribing.
  • These principles are derived from evidence and lessons learned from recent studies.
  • The methods involve outlining actionable strategies for clinicians to implement.

Main Results:

  • Principle 1: Consider non-drug therapies and treatable causes before initiating drug treatment.
  • Principle 2: Practice strategic prescribing, including deferring nonurgent treatment and avoiding unwarranted drug switching.
  • Principle 3: Maintain vigilance for adverse effects and withdrawal syndromes.
  • Principle 4: Exercise caution with new drugs, seeking unbiased information and being skeptical of surrogate outcomes.
  • Principle 5: Collaborate with patients for a shared agenda, addressing drug requests and nonadherence.
  • Principle 6: Consider long-term impacts and the potential of system improvements over marginal drug benefits.

Conclusions:

  • Adopting these principles can lead to safer and more appropriate medication use.
  • A shift towards more conservative and evidence-based prescribing is advocated.
  • These guidelines aim to improve patient outcomes and reduce medication-related harms.