Facility-level variation in potentially inappropriate prescribing for older veterans.

Walid F Gellad; Chester B Good; Megan E Amuan; Zachary A Marcum; Joseph T Hanlon; Mary Jo Pugh V

Study

Facility-level variation in potentially inappropriate prescribing for older veterans.

August 15, 2012

Gellad WF, Good CB, Amuan ME, et al. J Am Geriatr Soc. 2012;60(7):1222-9.

View more articles from the same authors.

Substantial variation was found between Veterans Affairs hospitals in the frequency of prescribing inappropriate medications for elderly patients.

PubMed citation

Available at

Related Resources From the Same Author(s)

Addressing the opioid epidemic in the United States: lessons from the Department of Veterans Affairs.

April 5, 2017

Dual health care system use and high-risk prescribing in patients with dementia: a national cohort study.

December 14, 2016

Year in review: medication mishaps in the elderly.

April 27, 2011

Potentially inappropriate prescribing in elderly veterans: are we using the wrong drug, wrong dose, or wrong duration?

August 24, 2005

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

April 18, 2018

Incidence- versus prevalence-based measures of inappropriate prescribing in the Veterans Health Administration.

September 30, 2015

Alternative medications for medications in the Use of High-Risk Medications in the Elderly and Potentially Harmful Drug–Disease Interactions in the Elderly quality measures.

November 18, 2015

Potential safety gaps in order entry and automated drug alerts: a nationwide survey of VA physician self-reported practices with computerized order entry.

June 22, 2011

Epidemiology of medication-related adverse events in nursing homes.

November 8, 2006

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

Potentially inappropriate medication combination with opioids among older dental patients: a retrospective review of insurance claims data.

October 7, 2020

Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases.

November 28, 2018

Overprescribing of opioids to adults by dentists in the U.S., 2011-2015.

March 18, 2020

Identifying modifiable barriers to medication error reporting in the nursing home setting.

December 5, 2007

A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse drug events in the hospital setting.

May 23, 2007

Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit.

July 4, 2007

Clinical information transfer and medication reconciliation in patients transferred from the pediatric intensive care unit.

December 12, 2007

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

February 12, 2020

Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model.

April 17, 2019

Health care worker perspectives of their motivation to reduce health care–associated infections.

September 6, 2017

The safety culture in a children's hospital.

July 12, 2006

Preventable harm occurring to critically ill children.

September 5, 2007

Personal formularies of primary care physicians across 4 health care systems.

August 4, 2021

Electronic health record alert–related workload as a predictor of burnout in primary care providers.

August 30, 2017

Applying fault tree analysis to the prevention of wrong-site surgery.

March 11, 2015

Observation for assessment of clinician performance: a narrative review.

November 11, 2015

Factors associated with emergency department visits and hospital admissions after invasive outpatient procedures in the Veterans Health Administration.

May 30, 2018

December 2, 2015

Developing and evaluating the success of a family activated medical emergency team: a quality improvement report.

January 21, 2015

Saving lives: a meta-analysis of team training in healthcare.

August 3, 2016

Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation.

May 11, 2022

Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic.

August 29, 2007

Enhancing the effectiveness of team debriefings in medical simulation: more best practices.

March 11, 2015

Toward the development of the perfect medical team: critical components for adaptation.

March 17, 2021

Pediatric obesity and safety in inpatient settings: a systematic literature review.

May 21, 2014

Under-reporting of deaths to the coroner by doctors: a retrospective review of deaths in two hospitals in Melbourne, Australia.

June 27, 2007

Association of rapid response teams with hospital mortality in Medicare patients.

October 19, 2022

A systematic review of team training in health care: ten questions.

March 8, 2017

Understanding patient and clinician reported nonroutine events in ambulatory surgery.

March 22, 2023

Duty hours in emergency medicine: balancing patient safety, resident wellness, and the resident training experience: a consensus response to the 2008 Institute of Medicine resident duty hours recommendations.

August 11, 2010

U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned.

June 17, 2015

Physicians' needs in coping with emotional stressors: the case for peer support.

March 29, 2012

Reducing harm to patients. Using patient safety dashboards at the board level.

December 5, 2007

The impact of a nursing-led intervention bundle with a bedside checklist to reduce mortality during the initial COVID-19 pandemic and implications for future emergencies.

May 24, 2023

Infection prevention in the operating room anesthesia work area.

January 30, 2019

Neurobehavioral performance of residents after heavy night call vs after alcohol ingestion.

September 14, 2005

Error training: missing link in surgical education.

April 11, 2012

Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error.

October 26, 2005

Implementing root cause analysis in an area health service: views of the participants.

November 16, 2005

Burnout syndrome among healthcare professionals.

December 13, 2017

Implementation and impact of a rapid response team in a children's hospital.

July 11, 2007

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

December 16, 2020

How to "DEAL" with disruptive physician behavior.

February 12, 2020

Pediatric medication administration errors and workflow following implementation of a bar code medication administration system.

August 6, 2014

Costs associated with surgical site infections in Veterans Affairs hospitals.

July 9, 2014

Hand-off bundle implementation associated with decreased medical errors and preventable adverse events on an academic family medicine in-patient unit: A pre-post study.

October 30, 2019

Addressing prehospital patient safety using the science of injury prevention and control.

November 5, 2008

An official Critical Care Societies Collaborative statement: burnout syndrome in critical care healthcare professionals: a call for action.

July 27, 2016

Large-scale deployment of the Global Trigger Tool across a large hospital system: refinements for the characterisation of adverse events to support patient safety learning opportunities.

February 2, 2011

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

November 30, 2022

Confronting unprofessional behaviour in medicine.

March 28, 2018

Diagnostic error in the pediatric hospital: a narrative review.

February 9, 2022

Journey to no preventable risk: The Baylor Health Care System patient safety experience.

November 3, 2010

Association of electronic health record use above meaningful use thresholds with hospital quality and safety outcomes.

October 21, 2020

A randomized experimental study to assess the effect of language on medical students' anxiety due to uncertainty.

August 21, 2019

Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursing facility.

May 7, 2008

Health care huddles: managing complexity to achieve high reliability.

March 26, 2014

Evaluation of a redesign initiative in an internal-medicine residency.

April 21, 2010

Gross negligence manslaughter and doctors: ethical concerns following the case of Dr Bawa-Garba.

October 3, 2018

Peer support for clinicians: a programmatic approach.

July 20, 2016

Computer visualisation of patient safety in primary care: a systems approach adapted from management science and engineering.

July 20, 2005

Nursing turbulence in critical care: relationships with nursing workload and patient safety.

May 27, 2020

Improving rapid response systems: progress, issues, and future directions.

August 8, 2007

Electronic health record usability issues and potential contribution to patient harm.

April 4, 2018

The challenges to transparency in reporting medical errors.

December 2, 2009

Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic.

March 28, 2007

eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds.

June 16, 2021

Patient Safety Innovations

eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds.

April 7, 2022

Inattentional blindness and failures to rescue the deteriorating patient in critical care, emergency and perioperative settings: four case scenarios.

December 7, 2016

How should clinicians minimize bias when responding to suspicions about child abuse?

February 22, 2023

Engaging patients as safety partners: some considerations for ensuring a culturally and linguistically appropriate approach.

November 12, 2008

Processes for disciplining nurses for unprofessional conduct of a serious nature: a critique.

May 4, 2005

Culture, language, and patient safety: making the link.

September 27, 2006

Clinical risk management and patient safety education for nurses: a critique.

July 26, 2006

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

June 19, 2013

Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery.

November 9, 2022

An organizational assessment of disruptive clinician behavior: findings and implications.

April 24, 2013

We know what they did wrong, but not why: the case for 'frame-based' feedback.

May 29, 2013

Instituting a culture of professionalism: the establishment of a Center for Professionalism and Peer Support.

April 16, 2014

Hospital RNs' experiences with disruptive behavior: a qualitative study.

April 7, 2010

Randomized trial to improve prescribing safety during pregnancy.

July 11, 2007

Incorporating quality and safety values into a CLABSI simulation experience.

September 28, 2016

How to reduce stigma and bias in clinical communication: a narrative review.

October 12, 2022

Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot?

September 18, 2019

Physician burnout and medical errors: exploring the relationship, cost, and solutions received.

August 9, 2023

Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study.

October 12, 2016

Addressing safety concerns about U-500 insulin in a hospital setting.

January 26, 2011

Humanizing harm: using a restorative approach to heal and learn from adverse events.

May 4, 2022

Promoting patient safety using an early warning scoring system.

August 27, 2008

Medical errors: where are we now?

November 15, 2006

Related Resources

Uptake of pharmacist recommendations by patients after discharge: implementation study of a patient-centered medicines review service.

May 3, 2023

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

April 26, 2023

Interdisciplinary collaboration across secondary and primary care to improve medication safety in the elderly (The IMMENSE study) - a randomized controlled trial.

November 30, 2022

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

September 21, 2022

The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study.

August 10, 2022

Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports.

July 13, 2022

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

January 19, 2022

Patient Safety Primers

Deprescribing as a Patient Safety Strategy

October 27, 2021

Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020.

September 15, 2021

Evaluation of older persons' medications: a critical incident technique study exploring healthcare professionals' experiences and actions.

June 23, 2021

Drive to Deprescribe.

June 23, 2021

Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by Suicide, Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri.

February 10, 2021

System issues leading to "found-on-floor" incidents: a multi-incident analysis.

January 27, 2021

Health information technology-related wrong-patient errors: context is critical.

January 27, 2021

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

January 13, 2021

Risk factors associated with medication ordering errors.

December 16, 2020

Linking patient safety culture to quality ratings in the nursing home setting.

December 9, 2020

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

October 28, 2020

Deprescribing for community-dwelling older adults: a systematic review and meta-analysis.

September 16, 2020

Safety climate associated with adverse events in nursing homes: a national VA study.

August 26, 2020

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

July 29, 2020

Potentially inappropriate medications according to STOPP-J criteria and risks of hospitalization and mortality in elderly patients receiving home-based medical services

December 18, 2019

Inappropriate prescribing defined by STOPP and START criteria and its association with adverse drug events among hospitalized older patients: a multicentre, prospective study.

August 28, 2019

Sharing lessons learned to prevent adverse events in anesthesiology nationwide.

August 21, 2019

Medication Overload: America's Other Drug Problem.

June 19, 2019

Health outcomes of deprescribing interventions among older residents in nursing homes: a systematic review and meta-analysis.

January 16, 2019

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

December 19, 2018

Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases.

November 28, 2018

Patterns of dementia treatment and frank prescribing errors in older adults with Parkinson disease.

October 24, 2018

October 3, 2018

See More About The Topic

Hospitals

Physicians

Quality and Safety Professionals

Geriatrics

Ordering/Prescribing Errors

Facility-level variation in potentially inappropriate prescribing for older veterans.

eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds.

Deprescribing as a Patient Safety Strategy

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Facility-level variation in potentially inappropriate prescribing for older veterans.

eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds.

Deprescribing as a Patient Safety Strategy

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

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