Construction and preliminary application of the checklist for over-the-counter medication use in elderly patients with consti-pation
LI Jingjing
HAN Liu
FAN Xueyan
YIN Yiyi
YU Qiushuang
HAO Yufang
ZHANG Dahua
Abstract：Objective To construct a checklist for over-the-counter medication use in elderly patients with constipation and provide an evidence-based tool for standardized clinical guidance on rational medication use.Methods Based on the methodology of constructing low value-care lists from the international ＂Choosing Wisely＂ campaign,a preliminary checklist was developed through systematic literature re-view.The expert panel meeting method was used to refine and adjust the items,finalizing the checklist content,then the checklist was prelimi-narily applied in clinical departments.Results The finalized checklist comprises two modules of medication selection and application,it cov-ered 6 themes:timing of medication initiation,stepwise therapy,medication classification,personalized use,administration methods and medi-cation guidance,total 16 items.The application of the list reduced inappropriate over-the-counter medication use in elderly patients with con-stipation,improved nurses'awareness of low value-care.Conclusion The checklist for over-the-counter medication using of elderly patients with constipation developed in the study demonstrates sound scientific validity and clinical utility,it provides healthcare professionals with an effective tool for optimizing constipation pharmacotherapy management.
Keywords：elderlyconstipationover-the-counter medicationinappropriate use of medicationlow value-carechoosing wisely
Publication Date：2025-08-10
Online Publishing Date：2025-09-24(First online date of this platform, not the publication date of the document)
Pages：5( 645-649 )