Factors influencing providers' willingness to deprescribe medications. | PSNet

Provide Feedback |

Submit a Case

Register

Study

Factors influencing providers' willingness to deprescribe medications.

December 1, 2021

Davila H, Rosen AK, Stolzmann K, et al. J Am Coll Clin Pharm. 2022;5:15-25.

View more articles from the same authors.

Deprescribing is a patient safety strategy to reduce the risk of adverse drug events, particularly for patients taking five or more medications. Physicians, nurse practitioners, physician assistants, and clinical pharmacists in Veterans Affairs primary care clinics were surveyed about their beliefs, attitudes, and experiences with deprescribing. While most providers reported having patients taking potentially inappropriate or unnecessary medications, they did not consistently recommend deprescribing to their patients.

Related Resources From the Same Author(s)

RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice.

August 17, 2022

Quality improvement for patient safety: project-level versus program-level learning.

February 22, 2012

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

September 16, 2020

Evaluating the Patient Safety Indicators: how well do they perform on Veterans Health Administration data?

September 7, 2005

Dashboards for visual display of patient safety data: a systematic review.

October 27, 2021

Workforce planning and safe workload in sterile compounding hospital pharmacy services.

November 24, 2021

Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review and meta-meta-analysis.

November 24, 2021

Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clinical and research implications.

August 1, 2012

Patient safety in geriatrics: a call for action.

December 15, 2010

Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing facility.

July 21, 2021

Assessing experiences of racism among Black and White patients in the emergency department.

January 25, 2023

Using harm-based weights for the AHRQ Patient Safety for Selected Indicators composite (PSI-90): does it affect assessment of hospital performance and financial penalties in Veterans Health Administration hospitals?

February 1, 2017

Testing the association between Patient Safety Indicators and hospital structural characteristics in VA and nonfederal hospitals.

November 18, 2009

We're all in this together: how COVID-19 revealed the co-construction of mindful organising and organisational reliability.

February 9, 2022

Using patient safety indicators to estimate the impact of potential adverse events on outcomes.

January 30, 2008

Applying the high reliability health care maturity model to assess hospital performance: a VA case study.

August 31, 2016

Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study.

December 2, 2020

Medication discrepancies in integrated electronic health records.

December 12, 2012

Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review.

July 27, 2022

Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes.

March 6, 2019

Using AHRQ Patient Safety Indicators to detect postdischarge adverse events in the Veterans Health Administration.

September 18, 2013

Using a learning system approach to improve safety for prone-position ventilation patients.

April 26, 2023

Development and testing of tools to detect ambulatory surgical adverse events.

June 5, 2013

Residency training at a crossroads: duty-hour standards 2010.

November 3, 2010

Comparing safety climate in naval aviation and hospitals: implications for improving patient safety.

April 21, 2010

The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center.

November 17, 2021

Latest Results From the "FIRST" Trial.

March 1, 2017

Validity of Patient Safety Indicators in the Veterans Health Administration.

June 22, 2011

How safe is prehospital care? A systematic review.

November 17, 2021

Identifying risks and opportunities in outpatient surgical patient safety: a qualitative analysis of Veterans Health Administration staff perceptions.

January 31, 2018

Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback.

March 24, 2021

Hospital safety climate and safety outcomes: is there a relationship in the VA?

March 10, 2010

Fast does not imply flawed: analyzing emergency physician productivity and medical errors.

December 14, 2022

Health care-associated infections among critically ill children in the US, 2013-2018.

October 28, 2020

Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs case study.

July 31, 2013

Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment?

May 21, 2014

Workforce perceptions of hospital safety culture: development and validation of the patient safety climate in healthcare organizations survey.

September 26, 2007

Factors influencing family member perspectives on safety in the intensive care unit: a systematic review.

December 9, 2020

The association of nursing home characteristics and quality with adverse events after a hospitalization.

April 28, 2021

Alert burden in pediatric hospitals: a cross-sectional analysis of six academic pediatric health systems using novel metrics.

November 3, 2021

A systematic review of patient safety measures in adult primary care.

May 18, 2016

Failure-to-rescue: comparing definitions to measure quality of care.

October 10, 2007

Decreased incidence of cesarean surgical site infection rate with hospital-wide perioperative bundle.

September 29, 2021

How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital?

April 1, 2009

Consensus building for development of outpatient adverse drug event triggers.

June 15, 2011

Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education.

November 4, 2020

Correlation between the number of patient-reported adverse events, adverse drug events, and quality of life in older patients: an observational study.

November 2, 2022

Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review.

May 26, 2021

Relationship of hospital organizational culture to patient safety climate in the Veterans Health Administration.

March 25, 2009

US emergency department visits for acute harms from over-the-counter cough and cold medications, 2017-2019.

December 15, 2021

Medication complexity, medication number, and their relationships to medication discrepancies.

July 27, 2016

Identifying organizational cultures that promote patient safety.

November 18, 2009

Tracking rates of patient safety indicators over time: lessons from the Veterans Administration.

September 6, 2006

Optimizing situation awareness to reduce emergency transfers in hospitalized children.

October 20, 2021

Gender biases in estimation of others' pain.

April 28, 2021

Recruitment of hospitals for a safety climate study: facilitators and barriers.

April 30, 2008

Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology.

May 19, 2021

Predicting avoidable hospital events in Maryland.

December 1, 2021

Risk reduction strategy to decrease incidence of retained surgical items.

August 31, 2022

Nurse's Achilles Heel: using big data to determine workload factors that impact near misses.

April 14, 2021

Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration: the case of readmissions.

October 17, 2012

An overview of patient safety climate in the VA.

April 9, 2008

Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system.

December 12, 2021

Racial disparities in diagnostic delay among women with breast cancer.

August 18, 2021

Examining medication ordering errors using AHRQ Network of Patient Safety Databases.

February 22, 2023

Risk factors for clinically relevant deviations in patients' medication lists reported by patients in personal health records: a prospective cohort study in a hospital setting.

March 2, 2022

Assessing resident and attending error and adverse events in the emergency department.

March 2, 2022

Pharmacist-led program to improve transitions from acute care to skilled nursing facility care.

July 8, 2020

Crisis preparedness: a systems-based framework for avoiding harm in surgery.

November 30, 2022

Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims.

November 10, 2021

Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration.

February 28, 2018

Examining the validity of AHRQ's Patient Safety Indicators (PSIs): is variation in PSI composite score related to hospital organizational factors?

November 26, 2014

Rates of surgical consultations after emergency department admission in Black and White Medicare patients.

October 26, 2022

Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field.

February 11, 2015

Comparing safety climate between two populations of hospitals in the United States.

October 14, 2009

Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital

August 25, 2021

Human factors and ergonomics to improve performance in intensive care units during the COVID-19 pandemic.

June 2, 2021

How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals.

September 25, 2019

Development of trigger tools for surveillance of adverse events in ambulatory surgery.

November 10, 2010

Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting system in long-term care.

March 24, 2021

There's no place like home--integrating a pharmacist into the hospital-in-home model.

March 17, 2021

Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data.

October 15, 2008

Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients.

June 9, 2021

Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital setting.

October 25, 2006

Applying trigger tools to detect adverse events associated with outpatient surgery.

March 16, 2011

Validity of selected patient safety indicators: opportunities and concerns.

October 27, 2010

Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals.

April 14, 2021

Opioid prescribing to US children and young adults in 2019.

September 1, 2021

Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform.

September 12, 2007

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

December 15, 2021

'It depends': The complexity of allowing residents to fail from the perspective of clinical supervisors.

November 24, 2021

Pediatric transport safety collaborative: adverse events with parental presence during pediatric critical care transport.

November 10, 2021

Assessing the potential adoption and usefulness of concurrent, action-oriented, electronic adverse drug event triggers designed for the outpatient setting.

June 24, 2015

Validating the Patient Safety Indicators in the Veterans Health Administration: do they accurately identify true safety events?

November 2, 2011

Understanding the factors influencing implementation of a new national patient safety policy in England: lessons from 'Learning from Deaths'.

May 18, 2022

Detecting adverse events in surgery: comparing events detected by the Veterans Health Administration Surgical Quality Improvement Program and the Patient Safety Indicators.

June 4, 2014

State medical board regulation of compounding in physician offices.

June 9, 2021

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

The impact of health information management professionals on patient safety: a systematic review.

December 22, 2021

A description of medical malpractice claims involving advanced practice providers.

July 15, 2020

View More

Related Resources

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

May 10, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

"We're not taken seriously": describing the experiences of perceived discrimination in medical settings for Black women.

March 22, 2023

Patient and health care professional perspectives on stigma in integrated behavioral health: barriers and recommendations.

March 15, 2023

Minimize medication errors in urgent care clinics.

March 15, 2023

Partnering with patients and families living with chronic conditions to coproduce diagnostic safety through OurDX: a previsit online engagement tool.

February 15, 2023

Involving patients and carers in patient safety in primary care: a qualitative study of a co-designed patient safety guide.

February 15, 2023

Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes.

January 18, 2023

Effect of prescriber notifications of patient’s fatal overdose on opioid prescribing at 4 to 12 months: a randomized clinical trial.

January 18, 2023

Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers.

January 18, 2023

Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardous prescribing in general practices: multiple interrupted time series study.

January 11, 2023

Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify inadequate drug treatment.

December 14, 2022

CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022.

November 16, 2022

Understanding factors that could influence patient acceptability of the use of the PINCER intervention in primary care: a qualitative exploration using the Theoretical Framework of Acceptability.

November 9, 2022

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

October 5, 2022

Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review.

October 5, 2022

Challenges and strategies for patient safety in primary care: a qualitative study.

September 28, 2022

Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: a qualitative evaluation.

July 20, 2022

Long-term risk of overdose or mental health crisis after opioid dose tapering.

July 13, 2022

Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study.

May 11, 2022

The patient's "story": an examination of patient-reported safety incidents in general practice.

May 4, 2022

Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes.

April 13, 2022

When no news is bad news: improving diagnostic testing communication through patient engagement.

March 9, 2022

WebM&M Cases

A Loss of Trust and a Missed Diagnosis

February 23, 2022

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

December 15, 2021

Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis.

November 24, 2021

Filling a gap in safety metrics: development of a patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process in ambulatory care.

October 27, 2021

Patient Safety Primers

Deprescribing as a Patient Safety Strategy

October 27, 2021

Patient perceptions of safety in primary care: a qualitative study to inform care.

October 13, 2021

Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study.

September 15, 2021

View More

See More About The Topic

Ambulatory Clinic or Office

Health Care Providers

Medication Errors/Preventable Adverse Drug Events

To sign up for updates or to access your subscriber preferences, please enter your email address below.

5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364