DescriptionPurpose of Project: The purpose of this DNP project was to conduct a gap analysis to understand the differences between current practice and evidence-based recommendations and to develop a tailored toolkit for healthcare providers to optimize pharmacological management of older adults.
Methodology: Using a gap analysis methodology, healthcare providers from four suburban offices in New Jersey participated in a nine-question electronic survey to assess current practices of polypharmacy management. A gap analysis was performed and a toolkit consisting of useful resources was developed to address the identified gaps.
Results: Fifteen participants successfully completed the survey. Although the majority of healthcare providers maintain several good practices regarding polypharmacy management, less than half (40%) of them use specific evidence-based screening tools to identify high-risk medications on a routine basis. Consistent with prior research, this DNP project demonstrates healthcare providers underutilize evidence-based recommendations and screening tools when managing polypharmacy in older adults.
Implications for Practice: Utilization of an evidence-based toolkit may improve healthcare providers’ polypharmacy management and deprescribing practices. Furthermore, a consistent approach to polypharmacy management may improve medication quality and safety resulting in overall improved patient outcomes.