Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017.

Melissa R Riester; Parag Goyal; Michael A Steinman; Yuan Zhang; Mariela F Rodriguez; Dakota Rome Paul; Andrew R Zullo

Study

Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017.

July 5, 2023

Riester MR, Goyal P, Steinman MA, et al. J Gen Intern Med. 2023;38(6):1563-1566.

View more articles from the same authors.

Potentially inappropriate medication (PIM) prescribing in older adults is common and can lead to medication-related harm. This retrospective study of Medicare beneficiaries estimated that the prevalence of PIM use was 77% among long-stay nursing home residents (defined as >101 consecutive days in a nursing home). The most common PIMs were benzodiazepines, antipsychotics, and insulin.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Patient safety indicators during the initial COVID-19 pandemic surge in the United States.

March 27, 2024

Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19.

April 12, 2023

Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization.

February 12, 2020

Value assessment of deprescribing interventions: suggestions for improvement.

August 16, 2023

Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020.

September 23, 2020

Optimizing Pediatric Patient Safety in the Emergency Care Setting.

October 19, 2022

Surgical safety does not happen by accident: learning from perioperative near miss case studies.

January 24, 2024

Families as partners in hospital error and adverse event surveillance.

March 8, 2017

A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative.

July 13, 2011

A practical framework for patient care teams to prospectively identify and mitigate clinical hazards.

February 11, 2009

Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations in children.

November 24, 2010

Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study.

October 7, 2020

Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system."

August 16, 2006

Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women.

December 2, 2020

Use of "Doctor" badges for physician role identification during clinical training.

September 11, 2019

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

August 31, 2011

The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors.

June 14, 2023

Infection control assessment of ambulatory surgical centers.

June 23, 2010

Extended work shifts and neurobehavioral performance in resident-physicians.

March 10, 2021

Effects on resident work hours, sleep duration and work experience in a Randomized Order Safety Trial Evaluating Resident-physician Schedules (ROSTERS).

June 26, 2019

Racial and ethnic differences in emergency department pain management of children with fractures.

April 22, 2020

Effect of promoting high-quality staff interactions on fall prevention in nursing homes: a cluster-randomized trial.

October 25, 2017

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.

August 4, 2021

Simulation in graduate medical education 2008: a review for emergency medicine.

August 13, 2008

Racial implicit bias and communication among physicians in a simulated environment.

April 3, 2024

Disparities in diagnostic timeliness and outcomes of pediatric appendicitis.

February 21, 2024

Variability in collection and use of race/ethnicity and language data in 93 pediatric hospitals.

October 14, 2020

Readiness of US general surgery residents for independent practice.

October 4, 2017

Diagnostic assessment of deep learning algorithms for detection of lymph node metastases in women with breast cancer.

January 10, 2018

Prolonged hospital stay and the resident duty hour rules of 2003.

January 13, 2010

Did duty hour reform lead to better outcomes among the highest risk patients?

November 4, 2009

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues.

November 12, 2014

5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data.

September 24, 2014

A mixed methods evaluation of medication reconciliation in the primary care setting.

March 2, 2022

Clinical communities at Johns Hopkins Medicine: an emerging approach to quality improvement.

September 2, 2015

Preventing home medication administration errors.

March 14, 2022

Changes in prognosis after the first postoperative complication.

April 3, 2005

Effect of different interventions to help primary care clinicians avoid unsafe opioid prescribing in opioid-naive patients with acute noncancer pain: a cluster randomized clinical trial.

September 7, 2022

Unit of measurement used and parent medication dosing errors.

July 30, 2014

Information chaos in primary care: implications for physician performance and patient safety.

November 30, 2011

Not sick enough to worry? "Influenza-like" symptoms and work-related behavior among healthcare workers and other professionals: results of a global survey.

June 3, 2020

The consequences of whistle-blowing: an integrative review.

July 26, 2017

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial.

August 18, 2021

Effect of genetic diagnosis on patients with previously undiagnosed disease.

November 7, 2018

Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre.

July 22, 2020

Crew resource management training--clinicians' reactions and attitudes.

September 28, 2005

Findings of the first consensus conference on medical emergency teams.

August 16, 2006

Insulin pump-associated adverse events: a qualitative descriptive study of clinical consequences and potential root causes.

August 2, 2023

Using social and behavioural science to support COVID-19 pandemic response.

June 3, 2020

Creating a high-reliability health care system: improving performance on core processes of care at Johns Hopkins Medicine.

January 21, 2015

Safety climate and medical errors in 62 US emergency departments.

January 9, 2013

The safety of emergency care systems: results of a survey of clinicians in 65 US emergency departments.

March 4, 2009

The National Emergency Department Safety Study: study rationale and design.

January 9, 2008

Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients.

March 7, 2018

Communication practices on 4 Harvard surgical services: a surgical safety collaborative.

November 11, 2009

Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system.

September 9, 2020

Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme.

January 19, 2022

The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running two rooms" does not compromise outcomes or patient safety in joint arthroplasty.

September 12, 2018

State-mandated hospital infection reporting is not associated with decreased pediatric health care–associated infections.

September 9, 2015

Handoffs in the era of duty hours reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements.

March 14, 2012

CT for suspected appendicitis in children: an analysis of diagnostic errors.

March 1, 2006

Physicians' perspectives regarding prescription drug monitoring program use within the Department of Veterans Affairs: a multi-state qualitative study.

April 18, 2018

Disclosure and reporting of surgical complications: a double-edged sword?

August 18, 2010

Patient factors and hospital outcomes associated with atypical presentation in hospitalized older adults with COVID-19 during the first surge of the pandemic.

August 18, 2021

Safety of overlapping inpatient orthopaedic surgery: a multicenter study.

January 16, 2019

Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative.

May 18, 2022

Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care.

October 11, 2023

Making residents part of the safety culture: improving error reporting and reducing harms.

February 15, 2017

Competencies for improving diagnosis: an interprofessional framework for education and training in health care.

August 28, 2019

Special report: suicidal ideation among American surgeons.

February 2, 2011

Developing and implementing a standardized process for Global Trigger Tool application across a large health system.

July 10, 2013

Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001–2011.

May 23, 2012

Operating room traffic as a modifiable risk factor for surgical site infection.

January 11, 2017

Interventions to reduce pediatric medication errors: a systematic review.

July 30, 2014

Understanding differences in electronic health record (EHR) use: linking individual physicians' perceptions of uncertainty and EHR use patterns in ambulatory care.

June 19, 2013

Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors.

July 18, 2012

Evaluation and accurate diagnoses of pediatric diseases using artificial intelligence.

February 27, 2019

The nature and occurrence of registration errors in the emergency department.

July 4, 2007

Routine multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases of severe maternal morbidity.

March 30, 2022

How safe are paediatric emergency departments? A national prospective cohort study.

August 3, 2022

Standardizing opioid prescriptions to patients after ambulatory oncologic surgery reduces overprescription.

July 1, 2020

How trainees would disclose medical errors: educational implications for training programmes.

April 13, 2011

A method to identify pediatric high-risk diagnoses missed in the emergency department.

August 8, 2018

Drug-drug interactions and actual harm to hospitalized patients: a multicentre study examining the prevalence pre- and post-electronic medication system implementation.

April 10, 2024

The attitudes and experiences of trainees regarding disclosing medical errors to patients.

March 19, 2008

Intravenous chemotherapy compounding errors in a follow-up pan-Canadian observational study.

May 9, 2018

Resident wellness in US ophthalmic graduate medical education: the resident perspective.

May 23, 2018

The Research on Adverse Drug Events and Reports (RADAR) project.

May 18, 2005

An observational study to evaluate the usability and intent to adopt an artificial intelligence–powered medication reconciliation tool.

June 8, 2016

Clinical impact associated with corrected results in clinical microbiology testing.

June 22, 2005

The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care.

November 8, 2006

Surgeons' disclosures of clinical adverse events.

July 27, 2016

One needle, one syringe, only one time? A survey of physician and nurse knowledge, attitudes, and practices around injection safety.

November 15, 2017

Identifying failure modes in telemedicine: an instructional needs assessment.

August 9, 2023

The importance of establishing regimen concordance in preventing medication errors in anticoagulant care.

September 13, 2006

Cumulative effect of flexible duty-hour policies on resident outcomes: long-term follow-up results from the FIRST trial.

July 15, 2020

Effect on patient safety of a resident physician schedule without 24-hour shifts.

July 15, 2020

New persistent opioid use after minor and major surgical procedures in US adults.

April 26, 2017

Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study.

November 12, 2008

Related Resources

Potentially inappropriate prescribing in long-term care and its relationship with probable delirium.

January 24, 2024

Informatics tools in deprescribing and medication optimization in older adults: development and dissemination of VIONE methodology in a high reliability organization.

November 15, 2023

A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings.

October 4, 2023

STOPP/START criteria for potentially inappropriate prescribing in older people: version 3.

September 27, 2023

Do not PIMP my nursing home ride! The impact of Potentially Inappropriate Medications Prescribing on residents' emergency care use.

September 20, 2023

Exploring the impact of safety culture on incident reporting: lessons learned from machine learning analysis of NHS England staff survey and incident data.

August 30, 2023

American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.

August 16, 2023

Value assessment of deprescribing interventions: suggestions for improvement.

August 16, 2023

Family conferences to facilitate deprescribing in older outpatients with frailty and with polypharmacy: the COFRAIL cluster randomized trial.

May 10, 2023

A cluster randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program.

April 26, 2023

Evaluation of effectiveness and safety of pharmacist independent prescribers in care homes: cluster randomised controlled trial.

March 1, 2023

Long-Term Trends of Psychotropic Drug Use in Nursing Homes.

February 1, 2023

Polypharmacy.

November 16, 2022

Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis.

October 5, 2022

Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review.

September 28, 2022

Impact of medication reviews on potentially inappropriate medications and associated costs among older women in aged care.

September 21, 2022

Standardized assessment of medication reconciliation in post-acute care.

April 27, 2022

Medication discrepancy rates and sources upon nursing home intake: a prospective study.

April 6, 2022

Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients.

December 22, 2021

Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice.

December 15, 2021

Patient Safety Primers

Deprescribing as a Patient Safety Strategy

October 27, 2021

Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study.

October 27, 2021

Drive to Deprescribe.

June 23, 2021

Medication use and cognitive impairment among residents of aged care facilities.

June 23, 2021

Transforming the medication regimen review process using telemedicine to prevent adverse events.

December 16, 2020

Measuring the impact of medication-related interventions on 30-day readmission rates in a skilled nursing facility.

July 1, 2020

Economic analysis of the prevalence and clinical and economic burden of medication error in England.

July 1, 2020

Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized controlled trial.

July 1, 2020

Use of an electronic clinical decision support system in primary care to assess inappropriate polypharmacy in young seniors with multimorbidity: observational, descriptive, cross-sectional study

April 8, 2020

Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting.

April 8, 2020

See More About The Topic

Long-Term Care

Health Care Providers

Pharmacists

Geriatrics

Pharmacy

Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017.

Deprescribing as a Patient Safety Strategy

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017.

Deprescribing as a Patient Safety Strategy

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site