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 (39)

•Medication Safety (117)

•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 (170)

•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 (83)

•Active Errors (33)

•Latent Errors (12)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (43)

•Legal and Policy Approaches (14)

•Error Reporting and Analysis (43)

•Communication Improvement (63)

•Human Factors Engineering (10)

•Teamwork (4)

•Specialization of Care (14)

•Logistical Approaches (6)

•Culture of Safety (23)

•Technologic Approaches (38)

•Education and Training (34)

Clinical Areas
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Geriatrics

Target Audience

•Health Care Providers (154)

•Health Care Executives and Administrators (130)

•Non-Health Care Professionals (42)

•Patients (9)

Setting of Care

•Hospitals (81)

•Psychiatric Facilities (3)

•Residential Facilities (72)

•Ambulatory Care (47)

•Patient Transport (1)

1 - 20 of 199

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STUDY

Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes.

Lapane KL, Hughes CM, Daiello LA, Cameron KA, Feinberg J. J Am Geriatr Soc. 2011;59:1238-1245.

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

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

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

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.

COMMENTARY

Medication Reconciliation Victory after an Avoidable Error

Cutler TW. AHRQ WebM&M [serial online]. February/March 2009.

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

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

Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults.

Hayes BD, Klein-Schwartz W. Clin Toxicol (Phila). 2010;48:68-71.

COMMENTARY

Fumbled Handoff.

Vidyarthi A. AHRQ WebM&M [serial online]. March 2004.

STUDY

Fall prevention in acute care hospitals: a randomized trial.

Dykes PC, Carroll DL, Hurley A, et al. JAMA. 2010;304:1912-1918.

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

Computerized decision support to reduce potentially inappropriate prescribing to older emergency department patients: a randomized, controlled trial.

Terrell KM, Perkins AJ, Dexter PR, Hui SL, Callahan CM, Miller DK. J Am Geriatr Soc. 2009;57:1388-1394.

COMMENTARY

Reducing the risk of adverse drug events in older adults.

Pretorius RW, Gataric G, Swedlund SK, Miller JR. Am Fam Physician. 2013;87:331-336.

STUDY

Inappropriate medication use in the elderly: results from a quality improvement project in 99 primary care practices.

Wessell AM, Nietert PJ, Jenkins RG, Nemeth LS, Ornstein SM. Am J Geriatr Pharmacother. 2008;6:21-27.

STUDY

Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project.

Ward KT, Bates-Jensen B, Eslami MS, et al. Am J Geriatr Pharmacother. 2008;6:205-211.

STUDY

Medication error reporting in nursing homes: identifying targets for patient safety improvement.

Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.

AUDIOVISUAL

Healthcare 411: Making hospital discharges safer for seniors.

Rockville, MD: Agency for Healthcare Research and Quality. June 3, 2009.

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