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Prescribing cascade. A proposed new way to evaluate it
Marcelo L Ponte1,2, Lionel Wachs1, Adolfo Wachs1
1Hospital General de Agudos Dr. Cosme Argerich, Buenos Aires, Argentina.
Medicina
|February 1, 2017
Summary
The prescribing cascade, where drug side effects are mistaken for new conditions and lead to more prescriptions, is a growing problem. This study introduces a scoring system and algorithm to identify probable prescribing cascades and improve medication safety.
Area of Science:
- Pharmacovigilance
- Clinical Pharmacy
- Drug Safety
Background:
- The prescribing cascade occurs when adverse drug events are misinterpreted as new medical conditions, leading to additional prescriptions.
- This phenomenon is increasingly prevalent in clinical practice, posing risks to patient health and increasing healthcare costs.
- Identifying and mitigating prescribing cascades is crucial for rational medication use.
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