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Abstract
The classic audit cycle has been applied to the prescribing practice to improve aspects of the quality of prescribing in the setting of a department of health care for older people in a district general hospital. Details the methods used both to increase the appropriate prescribing of drugs of proven benefit, and also to restrict the use of drugs which may prove hazardous. The latter provides an example of risk management. Also discusses the dilemmas posed in treating older people with multiple pathologies, on the one hand, trying to avoid an ageist approach, on the other, attempting to minimise the pitfalls of polypharmacy.
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