Incidence and types of preventable adverse events in elderly patients: population based review of medical records.
Thomas EJ, Brennan TA. BMJ. 2000;320:741-744.
This retrospective study reviewed 15,000 medical records following hospital discharge to determine the rate and characteristics of preventable
. Using a random sample of records, the study design required a physician and a nurse to review charts and identify 18 criteria associated with an adverse event. These events were subsequently reviewed by two study investigators to judge preventability. Results indicated a significant number of adverse events in both elderly (>65) and nonelderly patient populations. A detailed table in the paper presents the number and types of events recorded. The authors conclude that elderly patients experience higher rates of falls, preventable
adverse drug events
, and events related to procedures; these findings suggest potential areas for safety interventions.
Free full text
Fall prevention for older adults.
Lyons SS. University of Iowa Gerontological Nursing Interventions Research Center, Research Dissemination Core. 1996 (revised 2004 Feb). NGC:003480.
Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents.
Lau DT, Kasper JD, Potter DE, Lyles A, Bennett RG. Arch Intern Med. 2005;165:68-74.
Risk of medication errors at hospital discharge and barriers to problem resolution.
Enguidanos SM, Brumley RD. Home Health Care Serv Q. 2005;24:123-135.
Medication reconciliation for reducing drug-discrepancy adverse events.
Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.
View all related resources...
Find Related Resources by...
Setting of Care
United States of America
Produced for the
Agency for Healthcare Research and Quality
team of editors
University of California, San Francisco
with guidance from a prominent
. The AHRQ PSNet site was designed and implemented by Silverchair.
Contact AHRQ PSNet
Terms & Conditions
Freedom of Information Act
The White House
USA.gov: U.S. Government Official Web Portal
Agency for Healthcare Research and Quality • 540 Gaither Road Rockville, MD 20850 • Telephone: (301) 427-1364