prescription-appropriateness-review

Assess geriatric prescriptions using Beers Criteria, STOPP/START, and renal/hepatic dosing rules.

53|12|Updated Jan 26, 2026
One-click install
npx skills add https://github.com/langcare/langcare-mcp-fhir --skill prescription-appropriateness-review
Or copy as Structured Prompt for Agent
Please help me install this Agent Skill.
Skill: prescription-appropriateness-review
Source: https://github.com/langcare/langcare-mcp-fhir/tree/main/skills/core/medication-management/prescription-appropriateness-review
Command: npx skills add https://github.com/langcare/langcare-mcp-fhir --skill prescription-appropriateness-review

SYSTEM DOCUMENTATION & REQUIREMENTS

💡 This Skill includes references (resource) components.

What problem does it solve?

Clinicians struggle to optimize medications for older adults, and this Skill provides a structured, evidence-based evaluation against Beers Criteria, STOPP/START, and renal/hepatic dosing to reduce inappropriate prescribing and optimize safety.

Core Features & Use Cases

  • Applies AGS 2023 Beers Criteria and STOPP/START to identify potentially inappropriate medications and prescribing omissions in elderly patients.
  • Integrates renal and hepatic dosing considerations using eGFR and liver function to adjust or deprescribe medications.
  • Produces a structured, actionable report including deprescribing recommendations, monitoring plans, and safer alternatives.

Quick Start

Review a patient’s medications and diagnoses to generate an evidence-based Beers/STOPP/START review with renal/hepatic dose considerations.

Frequently Asked Questions about prescription-appropriateness-review

High-intent search queries and answers about installing and using this skill.

FAQPage Schema
How do I review geriatric prescriptions for appropriateness using Beers Criteria?

Geriatric prescription review applies AGS 2023 Beers Criteria, STOPP/START rules, and renal/hepatic dosing to active medications and diagnoses, generating a structured safety report with flagged items and deprescribing recommendations.

What is STOPP/START assessment for elderly medication safety?

STOPP/START assessment identifies potentially inappropriate medications and prescribing omissions in elderly patients by evaluating active diagnoses and medications against evidence-based criteria to produce actionable optimization steps.

Can I adjust medication doses based on renal and hepatic function in older adults?

Renal and hepatic dosing adjustments are calculated using patient eGFR and liver function labs to modify or deprescribe medications, ensuring geriatric prescription safety reviews include accurate pharmacokinetic considerations.

How do I identify PPI overuse and other potentially inappropriate medications in seniors?

Identifying PPI overuse and inappropriate medications involves applying AGS 2023 Beers Criteria and STOPP/START rules to active medication lists, returning a structured report with deprescribing suggestions and monitoring plans.

What patient data do I need for a comprehensive geriatric medication safety review?

A comprehensive geriatric medication safety review requires patient demographics, active medications, active diagnoses, and renal/hepatic lab values to apply Beers Criteria and STOPP/START rules accurately.

Does geriatric prescription review provide deprescribing recommendations and monitoring plans?

Geriatric prescription review outputs a structured report containing flagged inappropriate medications, suggested deprescribing steps, safer alternatives, and specific monitoring plans based on Beers Criteria and STOPP/START evaluation.