Literature Review

All posts tagged with “Guest Editors | Drew Mihalyo.”



Evaluating the clinical reasoning of generative AI in palliative care: A comparison with five years of pharmacy learners

09/16/25 at 03:00 AM

Evaluating the clinical reasoning of generative AI in palliative care: A comparison with five years of pharmacy learners Journal of Palliative Medicine; by Mikaila T Lane, Toluwalase A Ajayi, Kyle P Edmonds, Rabia S Atayee; 9/9/25Context: Artificial intelligence (AI), particularly large language models (LLMs), offers the potential to augment clinical decision-making, including in palliative care pharmacy, where personalized treatment and assessments are important. Conclusions: While LLMs [large language models] show potential for augmenting clinical decision-making, their limitations in patient-centered care highlight the necessity of human oversight and reinforce that they cannot replace human expertise in palliative care. This study was conducted in a controlled research setting, where LLMs were prompted to answer clinical reasoning questions despite default safety restrictions.

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Study reveals how medication side effects can lead to dangerous medication cycles in adults 65+

08/05/25 at 03:00 AM

Study reveals how medication side effects can lead to dangerous medication cycles in adults 65+ McKnights Long-Term Care News; by Donna Shryer; 7/31/25 When doctors treat drug side effects as new illnesses, older adults may be prescribed even more medications — a cycle known as a “prescribing cascade.” A new study says this prescribing cycle can increase the risk of harm. Guest Editor's Note, Drew Mihaylo, PharmD: Practicing clinical vigilance regarding medication utilization is essential at any stage of illness. Prescribing cascades are common, under-recognized and often harmful. Approaching the emotional topic of medication change must be done with compassion and sensitivity tied to patient specific goals of care. Creativity to this end has been a focus of mine for sometime now as a clinical pharmacist serving serious illness patients nationally.

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