Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems.

Michael P Friebe; Joseph R LeGrand; Bryan E Shepherd; Elizabeth A Breeden; Scott D. Nelson

Study

Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems.

January 13, 2021

Friebe MP, LeGrand JR, Shepherd BE, et al. Appl Clin Inform. 2020;11(5):865-872.

View more articles from the same authors.

The prescribing of potentially inappropriate medications, particularly among older adults, is an ongoing quality and safety concern. Among adults 65 years and older, this study found that clinical decision support integrated with a new electronic health record system significantly reduced potentially inappropriate medications.

PubMed citation

Available at

Related Resources From the Same Author(s)

Application of human factors methods to understand missed follow-up of abnormal test results.

November 11, 2020

Transitions from one electronic health record to another: challenges, pitfalls, and recommendations.

December 16, 2020

Optimizing Pediatric Patient Safety in the Emergency Care Setting.

October 19, 2022

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

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

November 16, 2022

Inpatient suicide and suicide attempts in Veterans Affairs hospitals.

August 20, 2008

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

August 4, 2021

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

Families as partners in hospital error and adverse event surveillance.

March 8, 2017

Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions.

July 13, 2022

Physician task load and the risk of burnout among US physicians in a national survey.

December 2, 2020

Clinical features and preventability of delayed diagnosis of pediatric appendicitis.

September 29, 2021

A blinded, prospective study of error detection during physician chart rounds in radiation oncology.

October 14, 2020

Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study.

December 19, 2018

Patient safety in the cardiac operating room: human factors and teamwork: a scientific statement from the American Heart Association.

August 21, 2013

Effect of genetic diagnosis on patients with previously undiagnosed disease.

November 7, 2018

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

How to mitigate the effects of cognitive biases during patient safety incident investigations.

September 28, 2022

The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned.

March 17, 2021

COVID-19: to be or not to be; that is the diagnostic question.

July 8, 2020

Should electronic differential diagnosis support be used early or late in the diagnostic process? A multicentre experimental study of Isabel.

October 27, 2021

Changes in medical errors after implementation of a handoff program.

November 12, 2014

Critical care clinicians' experiences of patient safety during the COVID-19 pandemic.

November 30, 2022

Extended work shifts and neurobehavioral performance in resident-physicians.

March 10, 2021

Readiness of US general surgery residents for independent practice.

October 4, 2017

Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey.

September 2, 2020

Potentially inappropriate medication use is associated with increased risk of incident disability in healthy older adults.

September 6, 2023

Medication safety at the interface: evaluating risks associated with discharge prescriptions from mental health hospitals.

January 20, 2016

Outcomes of missed diagnosis of pediatric appendicitis, new-onset diabetic ketoacidosis, and sepsis in five pediatric hospitals.

September 13, 2023

Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery.

April 3, 2005

The impact of racism on child and adolescent health.

July 1, 2019

Preventing home medication administration errors.

March 14, 2022

Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study.

June 14, 2023

Physician and nurse well-being and preferred interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety.

July 19, 2023

Pain management best practices from multispecialty organizations during the COVID-19 pandemic and public health crises.

April 29, 2020

Use of an expedited review tool to screen for prior diagnostic error in emergency department patients.

September 28, 2015

Indication alerts to improve problem list documentation.

January 26, 2022

Family safety reporting in hospitalized children with medical complexity.

July 20, 2022

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

January 11, 2017

Identifying trigger concepts to screen emergency department visits for diagnostic errors.

December 16, 2020

Severe staffing and personal protective equipment shortages faced by nursing homes during the COVID-19 pandemic.

September 16, 2020

"Are we there yet?" Ten persistent hazards and inefficiencies with the use of medication administration technology from the perspective of practicing nurses.

March 22, 2023

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

June 3, 2020

Using medication containers during pharmacist transitional care visits and impact on medication discrepancies identified and hospital readmission risk.

November 11, 2020

Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019.

January 4, 2021

Effect of communication errors during calls to an antimicrobial stewardship program.

March 26, 2008

Crowding in the Emergency Department: Challenges for the Care of Children.

March 15, 2023

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

April 22, 2020

Delay or avoidance of medical care because of COVID-19-related concerns--United States, June 2020.

October 7, 2020

Survival from in-hospital cardiac arrest during nights and weekends.

February 27, 2008

Gender bias in risk management reports involving physicians in training - a retrospective qualitative study.

November 9, 2022

The impact of nursing work environments on patient safety outcomes: the mediating role of burnout engagement.

June 14, 2006

The simulated ward: ideal for training clinical clerks in an era of patient safety.

May 9, 2012

Expert consensus on currently accepted measures of harm.

September 9, 2020

Cognitive bias and public health policy during the COVID-19 pandemic.

July 22, 2020

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

January 9, 2008

A randomized trial of nighttime physician staffing in an intensive care unit.

June 5, 2013

Validation of the second victim experience and support tool-revised in the neonatal intensive care unit.

January 12, 2022

Quality and safety: learning from the past and (re)imagining the future.

March 29, 2023

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

September 28, 2005

Voluntarily reported emergency department errors.

November 30, 2005

Care transition of trauma patients: processes with articulation work before and after handoff.

February 16, 2022

Clinical and financial implications of second-opinion surgical pathology review.

April 7, 2021

Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study.

July 22, 2020

The Veterans Affairs root cause analysis system in action.

March 27, 2005

Body CT: technical advances for improving safety.

August 3, 2011

Accuracy of practitioner estimates of probability of diagnosis before and after testing.

May 5, 2021

Survey of nurses' experiences applying The Joint Commission's medication management titration standards.

November 3, 2021

A new professionalism? Surgical residents, duty hours restrictions, and shift transitions.

November 17, 2010

Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes.

June 22, 2022

A randomized trial of a multifactorial strategy to prevent serious fall injuries.

July 29, 2020

Changes in burnout and satisfaction with work-life integration in physicians over the first 2 years of the COVID-19 pandemic.

October 26, 2022

Use of unsolicited patient observations to identify surgeons with increased risk for postoperative complications.

March 1, 2017

The effects of rudeness, experience, and perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong diagnosis: a randomized controlled simulation trial.

December 9, 2020

Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States.

December 19, 2018

Inflammation and the Host Response to Injury, a Large-Scale Collaborative Project: patient-oriented research core—standard operating procedures for clinical care. II. Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient.

May 31, 2006

Handoffs and teamwork: a framework for care transition communication.

June 29, 2022

Factors associated with workarounds in barcode-assisted medication administration in hospitals.

August 26, 2020

Safety of overlapping surgery at a high-volume referral center.

January 18, 2017

Reducing pediatric medication errors: children are especially at risk for medication errors.

May 18, 2005

Findings of the first consensus conference on medical emergency teams.

August 16, 2006

Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety.

December 19, 2007

An intervention to decrease narcotic-related adverse drug events in children's hospitals.

October 29, 2008

Analysis of lawsuits related to diagnostic errors from point-of-care ultrasound in internal medicine, paediatrics, family medicine and critical care in the USA.

June 24, 2020

Opioid prescribing for opioid-naive patients in emergency departments and other settings: characteristics of prescriptions and association with long-term use.

October 25, 2017

How accurately do older adult emergency department patients recall their medications?

August 12, 2020

Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation.

September 16, 2020

Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic.

November 10, 2021

Validation of a teamwork perceptions measure to increase patient safety.

August 27, 2014

The association of acute COVID-19 infection with Patient Safety Indicator-12 events in a multisite healthcare system.

May 25, 2022

Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes.

June 1, 2022

Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey.

March 3, 2021

Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture.

September 2, 2020

Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update.

June 22, 2022

Patient safety and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning.

July 22, 2020

Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study.

September 16, 2020

Perceptions of institutional support for “second victims” are associated with safety culture and workforce well-being.

February 24, 2021

An examination of medical malpractice claims involving physician trainees.

August 19, 2020

COVID-19 has united patients and providers against institutional betrayal in health care: a battle to be heard, believed, and protected.

August 19, 2020

Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017.

May 10, 2017

Related Resources

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

October 4, 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

The impact of transition to a digital hospital on medication errors (TIME study).

August 16, 2023

Using sociotechnical theory to understand medication safety work in primary care and prescribers' use of clinical decision support: a qualitative study.

May 24, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Perspectives on Safety

Annual Perspective

Technology as a Tool for Improving Patient Safety

March 29, 2023

Allergic adverse drug events after alert overrides in hospitalized patients.

September 21, 2022

Overall performance of a drug-drug interaction clinical decision support system: quantitative evaluation and end-user survey.

April 13, 2022

Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications.

October 20, 2021

Prescribing errors with low-molecular-weight heparins.

October 13, 2021

Safer prescribing for hospitalized older adults with an electronic health records‐based prescribing context.

October 28, 2020

Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial.

July 29, 2020

WebM&M Cases

Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing

June 24, 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

How common mental shortcuts can cause major physician errors.

March 4, 2020

The MedSafer Study: a controlled trial of an electronic decision support tool for deprescribing in acute care.

July 31, 2019

Modification of potentially inappropriate prescribing following fall-related hospitalizations in older adults.

July 10, 2019

Evaluation of an electronic dosing calculator to reduce pediatric medication errors.

February 20, 2019

Evaluation of harm associated with high dose-range clinical decision support overrides in the intensive care unit.

January 23, 2019

Prevalence of potentially inappropriate prescribing in older people in primary care and its association with hospital admission: longitudinal study.

December 5, 2018

Beyond Dr. Google: the evidence on consumer-facing digital tools for diagnosis.

August 22, 2018

Meaningful use's benefits and burdens for US family physicians.

May 30, 2018

How health care changes when algorithms start making diagnoses.

May 23, 2018

Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis.

May 23, 2018

Errors in electronic health record–based data query of statin prescriptions in patients with coronary artery disease in a large, academic, multispecialty clinic practice.

May 2, 2018

Electronic health record reviews to measure diagnostic uncertainty in primary care.

May 2, 2018

Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting.

April 18, 2018

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

April 18, 2018

Older adults' awareness of deprescribing: a population-based survey.

February 28, 2018

Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit.

February 28, 2018

See More About The Topic

Ambulatory Care

Physicians

Information Professionals

Geriatrics

Ordering/Prescribing Errors

Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems.

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