AHRQ Patient Safety Network

The Collection > Geriatrics

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Safety Target

•Device-related Complications (1)

•Diagnostic Errors (12)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (37)

•Medication Safety (114)

•Medical Complications (23)

•Surgical Complications (6)

•Transfusion Complications (1)

•Psychological and Social Complications (6)

Origin/Sponsor

•Africa (1)

•Asia (3)

•Australia and New Zealand (4)

Resource Types

•Clinical Guideline (2)

•Journal Article (165)

•Legislation/Regulation (1)

•Meeting/Conference (1)

•Newspaper/Magazine Article (10)

•Special or Theme Issue (2)

•Tools/Toolkit (3)

•Web Resource (2)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (81)

•Active Errors (32)

•Latent Errors (11)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (42)

•Legal and Policy Approaches (13)

•Error Reporting and Analysis (42)

•Communication Improvement (62)

•Human Factors Engineering (11)

•Teamwork (4)

•Specialization of Care (15)

•Logistical Approaches (7)

•Culture of Safety (23)

•Technologic Approaches (36)

•Education and Training (32)

Clinical Areas
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Geriatrics

Target Audience

•Health Care Providers (150)

•Health Care Executives and Administrators (127)

•Non-Health Care Professionals (41)

•Patients (9)

Setting of Care

•Hospitals (79)

•Psychiatric Facilities (3)

•Residential Facilities (72)

•Ambulatory Care (47)

•Patient Transport (1)

1 - 20 of 193

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STUDY

The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation.

Smith DH, Perrin N, Feldstein A, et al. Arch Intern Med. 2006;166:1098-1104.

STUDY

Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.

Mattison MLP, Afonso KA, Ngo LH, Mukamal KJ. Arch Intern Med. 2010;170:1331-1336.

STUDY

Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications in older people.

Simon SR, Smith DH, Feldstein AC, et al. J Am Geriatr Soc. 2006;54:963-968.

STUDY

Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes.

Hastings SN, Barrett A, Weinberger M, et al. J Patient Saf. 2011;7:19-25.

STUDY

Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting.

Gurwitz JH, Field TS, Rochon P, et al. J Am Geriatr Soc. 2008;56:2225-2233.

STUDY

Computerized clinical decision support during medication ordering for long-term care residents with renal insufficiency.

Field TS, Rochon P, Lee M, Gavendo L, Baril JL, Gurwitz JH. J Am Med Inform Assoc. 2009;16:480-485.

REVIEW

Year in review: medication mishaps in the elderly.

Peron EP, Marcum ZA, Boyce R, Hanlon JT, Handler SM. Am J Geriatr Pharmacother. 2011;9:1-10.

STUDY

Adherence to black box warnings for prescription medications in outpatients.

Lasser KE, Seger DL, Yu DT, et al. Arch Intern Med. 2006;166:338-344.

STUDY

Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) patients admitted on weekends.

Schneider EB, Hirani SA, Hambridge HL, et al. J Surg Res. 2012;177:295-300.

COMMENTARY

Beyond the prescription: medication monitoring and adverse drug events in older adults.

Steinman MA, Handler SM, Gurwitz JH, Schiff GD, Covinsky KE. J Am Geriatr Soc. 2011;59:1513-1520.

STUDY

Repeat medication errors in nursing homes: contributing factors and their association with patient harm.

Crespin DJ, Modi AV, Wei D, et al. Am J Geriatr Pharmacother. 2010;8:258-270.

STUDY

Adverse drug events in the outpatient setting: an 11-year national analysis.

Bourgeois FT, Shannon MW, Valim C, Mandl KD. Pharmacoepidemiol Drug Saf. 2010;19:901-910.

STUDY

Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms.

Hume AL, Quilliam BJ, Goldman R, Eaton C, Lapane KL. BMJ Qual Saf. 2011;20:875-884.

NEWSPAPER/MAGAZINE ARTICLE

Multiple latent failures align to allow a serious drug interaction to harm a patient.

ISMP Medication Safety Alert! Acute Care Edition. May 5, 2011;16:1-3.

STUDY

Using computerized provider order entry and clinical decision support to improve referring physicians' implementation of consultants' medical recommendations.

Were MC, Abernathy G, Hui SL, Kempf C, Weiner M. J Am Med Inform Assoc. 2009;16:196-202.

STUDY

The association between a prolonged stay in the emergency department and adverse events in older patients admitted to hospital: a retrospective cohort study.

Ackroyd-Stolarz S, Read Guernsey J, Mackinnon NJ, Kovacs G. BMJ Qual Saf. 2011;20:564-569.

STUDY

Inappropriate medications in elderly ICU survivors: where to intervene?

Morandi A, Vasilevskis EE, Pandharipande PP, et al. Arch Intern Med. 2011;171:1032-1034.

STUDY

Emergency hospitalizations for adverse drug events in older Americans.

Budnitz DS, Lovegrove MC, Shehab N, Richards CL. N Engl J Med. 2011;365:2002-2012.

COMMENTARY

Recurrent Hypoglycemia: A Care Transition Failure?

Eytan T. AHRQ WebM&M [serial online]. October 2008.

STUDY

Older veterans and emergency department discharge information.

Hastings S, Stechuchak K, Oddone E, et al. BMJ Qual Saf. 2012;21:835-842.

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