Five ways you can reduce inappropriate prescribing in the elderly: a systematic review.

Robert M Garcia

Review

Five ways you can reduce inappropriate prescribing in the elderly: a systematic review.

April 26, 2006

Garcia RM. J Fam Pract. 2006;55(4):305-12.

View more articles from the same authors.

The author presents five evidence-based recommendations for improving the accuracy of prescribing practices as well as suggestions for implementation.

PubMed citation

Available at

Related Resources From the Same Author(s)

This isn't my information! The impact of accurate identity management on patient safety.

April 17, 2013

The end of the beginning: patient safety five years after 'To Err Is Human.'

March 6, 2005

Why diagnostic errors don't get any respect--and what can be done about them.

September 15, 2010

Knowledge-based information to improve the quality of patient care.

February 25, 2009

Roundtable on public policy affecting patient safety.

March 16, 2011

Using near-miss events to improve MRI safety in a large academic centre.

May 15, 2019

Identification of inpatient DNR status: a safety hazard begging for standardization.

January 2, 2008

Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors.

September 23, 2015

Strategies to improve patient safety: the evidence base matures.

March 6, 2013

Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services.

August 14, 2019

Characteristics of quality and patient safety curricula in major teaching hospitals.

July 21, 2010

Another surgeon's error: must you tell the patient?

October 15, 2014

Prevalence of adverse events in the hospitals of five Latin American countries: results of the 'Iberoamerican Study of Adverse Events' (IBEAS).

August 10, 2011

Clinical problem-solving. Lost in transcription.

October 18, 2006

Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents.

June 23, 2010

How doctors think: common diagnostic errors in clinical judgment--lessons from an undiagnosed and rare disease program.

March 15, 2017

Clinically missed cancer: how effectively can radiologists use computer-aided detection?

May 16, 2012

On the prospects for a blame-free medical culture.

November 4, 2009

Safe but sound: patient safety meets evidence-based medicine.

April 12, 2006

Measuring experiences and outcomes of patient safety in primary care: a systematic review of available instruments.

October 29, 2014

Accuracy of harm scores entered into an event reporting system.

April 22, 2015

Proposal for a 'surgical checklist' for ambulatory oral surgery.

June 15, 2011

Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting.

May 17, 2017

Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out.

December 5, 2007

Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients.

August 20, 2008

June 30, 2010

Impact of duty-hour restriction on resident inpatient teaching.

October 28, 2009

Hospital performance trends on national quality measures and the association with Joint Commission accreditation.

October 26, 2011

Delivery of optimized inpatient anticoagulation therapy: consensus statement from the Anticoagulation Forum.

June 5, 2013

Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions.

December 12, 2007

Potential risk of medication discrepancies and reconciliation errors at admission and discharge from an inpatient medical service.

October 20, 2010

Portable advanced medical simulation for new emergency department testing and orientation.

May 10, 2006

E-learning on risk management. An opportunity for sharing knowledge and experiences in patient safety.

January 30, 2019

Error in body weight estimation leads to inadequate parenteral anticoagulation.

July 27, 2011

January 31, 2007

Is there a relationship between high-quality performance in major teaching hospitals and residents' knowledge of quality and patient safety?

November 18, 2009

Patient safety in dentistry: dental care risk management plan.

January 26, 2011

Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project.

January 30, 2005

Shift change handovers and subsequent interruptions: potential impacts on quality of care.

March 12, 2014

Declines in opioid prescribing after a private insurer policy change—Massachusetts, 2011–2015.

November 9, 2016

Medication errors in the care transition of trauma patients

December 18, 2019

Patient safety at ten: unmistakable progress, troubling gaps.

December 2, 2009

Personal accountability in healthcare: searching for the right balance.

September 12, 2012

Could computerization harm patient safety?

July 12, 2006

Expected and unanticipated consequences of the quality and information technology revolutions.

June 21, 2006

Opportunities to mine EHRs for malpractice risk management and patient safety.

September 7, 2022

Overcoming diagnostic errors in medical practice.

May 24, 2017

Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit.

November 19, 2014

Measuring communication in the surgical ICU: better communication equals better care.

February 24, 2010

Remote patient monitoring during COVID-19: an unexpected patient safety benefit.

March 23, 2022

Developing a programme for medication reconciliation at the time of admission into hospital.

September 7, 2011

Medication reconciliation in oncological patients: a randomized clinical trial.

June 15, 2016

Balancing "no blame" with accountability in patient safety.

October 7, 2009

Progress in patient safety: a glass fuller than it seems.

August 28, 2013

Resolving the productivity paradox of health information technology: a time for optimism.

June 6, 2018

Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue.

September 30, 2009

Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely.

September 2, 2009

The faces of errors: a case-based approach to educating providers, policy makers, and the public about patient safety.

March 6, 2005

The second victim of unanticipated adverse events.

December 14, 2022

Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy.

January 30, 2005

Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study.

September 14, 2016

Incidence of adverse events related to health care in Spain: results of the Spanish National Study of Adverse Events.

December 3, 2008

Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes.

May 25, 2016

A pause in pediatrics: implementation of a pediatric diagnostic time-out.

September 14, 2022

Prevalence of medication administration errors in two medical units with automated prescription and dispensing.

September 28, 2011

Financial incentives and mortality: taking pay for performance a step too far.

March 16, 2016

Evaluation of organizational culture among different levels of healthcare staff participating in the Institute for Healthcare Improvement's 100,000 Lives Campaign.

February 29, 2012

Consensus-based recommendations for standardizing terminology and reporting adverse events for emergency department procedural sedation and analgesia in children.

May 13, 2009

Forum: The 100,000 Lives Campaign: a scientific and policy review [with IHI response].

November 1, 2006

Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system.

December 18, 2019

Computerised provider order entry combined with clinical decision support systems to improve medication safety: a narrative review.

April 30, 2014

Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer.

January 30, 2005

Effective physician–nurse communication: a patient safety essential for labor and delivery.

January 30, 2005

Bringing diagnosis into the quality and safety equations.

October 3, 2012

Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges.

July 21, 2010

The wisdom and justice of not paying for "preventable complications."

May 14, 2008

Medicare's decision to withhold payment for hospital errors: the devil is in the details.

January 30, 2008

Tracking progress in patient safety: an elusive target.

August 16, 2006

Influence of burnout on patient safety: systematic review and meta-analysis.

October 23, 2019

Technical mistakes during the acquisition of the electrocardiogram.

October 28, 2009

Venous thromboembolism after trauma: a never event?

October 10, 2012

Technology-induced errors associated with computerized provider order entry software for older patients.

August 23, 2017

An examination of Leapfrog safety measures and Magnet designation.

April 5, 2023

Clinical diagnoses and autopsy findings: discrepancies in critically ill patients.

April 11, 2012

Coping strategies in health care providers as second victims: a systematic review.

August 4, 2021

Improving the quality and safety of care on the medical ward: a review and synthesis of the evidence base.

January 14, 2015

Rethinking medical ward quality.

November 9, 2016

Refocusing the lens: patient safety in ambulatory chronic disease care.

July 1, 2009

Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure.

July 16, 2008

Incidence, severity and preventability of medication-related visits to the emergency department: a prospective study.

June 18, 2008

Patient safety is not elective: a debate at the NPSF Patient Safety Congress.

December 3, 2014

The impact of duty hours on resident self reports of errors.

March 7, 2007

Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nurses, trainees, and patients.

January 22, 2014

Accountability measures—using measurement to promote quality improvement.

June 30, 2010

Inability of providers to predict unplanned readmissions.

April 6, 2011

Reducing medication errors for adults in hospital settings.

December 15, 2021

Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations.

May 5, 2010

Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study.

February 15, 2023

I-CaRe: a case review tool focused on improving inpatient care.

February 4, 2009

Preventing and mitigating radiology system failures: a guide to disaster planning.

February 2, 2022

Related Resources

Optimizing Pediatric Patient Safety in the Emergency Care Setting.

October 19, 2022

Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study.

September 14, 2022

Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-directional relationship?

August 31, 2022

Intersystem medical error discovery: a document analysis of ethical guidelines.

January 12, 2022

Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review.

January 12, 2022

Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database.

December 1, 2021

Infection Prevention Compendium For Long-Term Care Facilities.

September 1, 2021

Patient factors associated with new prescribing of potentially inappropriate medications in multimorbid US older adults using multiple medications.

May 12, 2021

Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls: a qualitative study.

May 5, 2021

Evaluating the relationship between health information technology and safer-prescribing in the long-term care setting: a systematic review.

March 17, 2021

Finding the right balance: an evidence-informed guidance document to support the re-opening of Canadian nursing homes to family caregivers and visitors during the coronavirus disease 2019 pandemic.

October 28, 2020

Association of current opioid use with serious adverse events among older adult survivors of breast cancer.

October 14, 2020

Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP.

August 26, 2020

Omissions of care in nursing home settings: a narrative review.

June 3, 2020

American Geriatrics Society (AGS) Policy Brief: COVID-19 and assisted living facilities.

June 3, 2020

Prescription drug overload: critics fighting to curb an epidemic of medication side effects.

January 29, 2020

A brief analysis of telemetry–related events.

January 14, 2020

STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older people: origin and progress.

January 8, 2020

A systematic review of clinical outcomes associated with intrahospital transitions

December 4, 2019

Safety in office-based anesthesia: an updated review of the literature from 2016 to 2019

December 4, 2019

Deprescribing as a clinical improvement focus.

November 20, 2019

Adverse Events in Anesthesia: An Integrative Review.

November 6, 2019

ASHP guidelines on perioperative pharmacy services.

August 28, 2019

The impact of racism on child and adolescent health.

July 1, 2019

American Geriatrics Society 2019 Updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.

June 12, 2019

WebM&M Cases

Hip Fractures in Older Patients: the Case for Geriatrics Comanagement

April 1, 2019

Medication appropriateness in vulnerable older adults: healthy skepticism of appropriate polypharmacy.

February 27, 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

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

October 24, 2018

See More About The Topic

Physicians

Geriatrics

Practice Guidelines

Five ways you can reduce inappropriate prescribing in the elderly: a systematic review.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Five ways you can reduce inappropriate prescribing in the elderly: a systematic review.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Case

Continue as a Guest

Continue Logged In

Submit Your Case

Continue as a Guest

Already have a PSNet

Account?

New Users

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