Opioids and falls risk in older adults: a narrative review.

Roosa-Emilia Virnes; Miia Tiihonen; Niina Karttunen; Eveline P van Poelgeest; Natalie van der Velde; Sirpa Hartikainen

Review

Opioids and falls risk in older adults: a narrative review.

May 25, 2022

Virnes R-E, Tiihonen M, Karttunen N, et al. Drugs Aging. 2022;39(3):199-207.

View more articles from the same authors.

Preventing falls is an ongoing patient safety priority. This article summarizes the relationship between prescription opioids and risk of falls among older adults, and provides recommendations around opioid prescribing and deprescribing.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Scoping review of studies evaluating frailty and its association with medication harm.

June 22, 2022

Discrepancies between in-home interviews and electronic medical records on regularly used drugs among home care clients.

January 27, 2016

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

January 12, 2022

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

July 10, 2019

Potentially inappropriate medications and their effect on falls during hospital admission.

March 23, 2022

Adverse health events related to self-medication practices among elderly: a systematic review.

May 31, 2017

Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients.

April 21, 2021

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

September 16, 2020

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

October 12, 2022

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

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

October 5, 2022

Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening.

June 15, 2022

Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults.

July 13, 2022

Detectability of medication errors with a STOPP/START-based medication review in older people prior to a potentially preventable drug-related hospital admission.

December 21, 2022

Errors in adult trauma resuscitation: a systematic review.

June 30, 2021

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

Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit.

May 19, 2021

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

May 5, 2021

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

High-risk medication in home care nursing: a Delphi study.

September 7, 2022

Accuracy of pediatric trauma field triage: a systematic review.

May 30, 2018

Older patients' engagement in hospital medication safety behaviours.

June 16, 2021

Initiatives to identify and mitigate medication errors in England.

April 8, 2015

Dedicated teams to optimize quality and safety of surgery: a systematic review.

November 16, 2022

How to induce an error management climate: experimental evidence from newly formed teams.

November 2, 2022

Experiences of transgender people reviewing their electronic health records, a qualitative study.

June 29, 2022

Hospital acquired infections in surgical patients: impact of COVID-19-related infection prevention measures.

April 20, 2022

Performance of a trigger tool for detecting drug-related hospital admissions in older people: analysis from the OPERAM trial.

February 16, 2022

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

April 13, 2022

Registered nurses' and medical doctors' experiences of patient safety in health information exchange during interorganizational care transitions: a qualitative review.

November 10, 2021

Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions for geriatric patients.

January 11, 2023

Medication use and cognitive impairment among residents of aged care facilities.

June 23, 2021

Patient safety assurance in the age of defensive medicine: a review.

March 2, 2022

The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a cluster randomized clinical trial.

February 2, 2022

Recognition of adverse drug events in older hospitalized medical patients.

July 11, 2012

Diagnostic error in pediatrics: a narrative review.

March 23, 2022

Children and the opioid epidemic: age-stratified exposures and harms.

October 21, 2020

Measuring safety in older adult care homes: a scoping review of the international literature.

May 19, 2021

Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review.

August 10, 2022

Communicating uncertainty: a narrative review and framework for future research.

September 4, 2019

The development of the concept of return-on-investment from large-scale quality improvement programmes in healthcare: an integrative systematic literature review.

January 11, 2023

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

September 29, 2021

The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging.

November 16, 2022

Understanding how the design and implementation of online consultations affect primary care quality: systematic review of evidence with recommendations for designers, providers, and researchers.

November 30, 2022

Impact of a nationwide prospective drug utilization review program to improve prescribing safety of potentially inappropriate medications in older adults: an interrupted time series with segmented regression analysis.

November 4, 2020

Hospitalizations and deaths related to adverse drug events worldwide: systematic review of studies with national coverage.

May 25, 2022

Potentially inappropriate prescribing and its associations with health-related and system-related outcomes in hospitalised older adults: a systematic review and meta-analysis.

January 19, 2022

Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening and opioid-patient suicide- and overdose-related events in the Veterans Health Administration.

April 5, 2017

Benefits of reporting and analyzing nursing students' near-miss medication incidents.

March 9, 2022

A state-of-the-art review of speaking up in healthcare.

August 24, 2022

Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic.

February 23, 2022

Prescribing errors in post-COVID-19 patients: prevalence, severity, and risk factors in patients visiting a post-COVID-19 outpatient clinic.

March 23, 2022

Development of a multicomponent intervention to decrease racial bias among healthcare staff.

July 27, 2022

Medication dosage calculation among nursing students: does digital technology make a difference? A literature review.

September 14, 2022

The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review.

August 3, 2022

Training in safe opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a national survey of program directors.

October 12, 2022

An act of performance: exploring residents' decision-making processes to seek help.

April 14, 2021

What is the evidence that a pharmacy team working in an acute or emergency medicine department improves outcomes for patients: a systematic review.

November 2, 2022

Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed.

August 10, 2022

Resident and family engagement in medication management in aged care facilities: a systematic review.

July 7, 2021

Developing strategic recommendations for implementing smart pumps in advanced healthcare systems to improve intravenous medication safety.

November 16, 2022

Adverse event reporting priorities: an integrative review.

June 29, 2022

Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home.

February 17, 2021

Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive care: a retrospective cohort study.

July 28, 2021

March 16, 2022

Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study.

July 20, 2022

Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice.

December 1, 2021

Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study.

June 20, 2018

Human factors in anaesthesia: a narrative review.

February 15, 2023

Use of the Second Victim Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia professionals' second victim experiences (SVEs) and perceptions of support two years after implementation.

November 8, 2023

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

September 21, 2022

Cost of adverse drug events related to potentially inappropriate medication use: a systematic review.

June 15, 2022

Impact of computerised physician order entry (CPOE) on the incidence of chemotherapy-related medication errors: a systematic review.

April 7, 2021

Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement.

June 1, 2022

Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit: a systematic review and meta-analysis.

December 14, 2022

Diagnostic error in the pediatric hospital: a narrative review.

February 9, 2022

COVID-19 increased the risk of ICU-acquired bloodstream infections: a case-cohort study from the multicentric OUTCOMEREA network.

March 17, 2021

Routine multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases of severe maternal morbidity.

March 30, 2022

Clinical deterioration and hospital‐acquired complications in adult patients with isolation precautions for infection control: a systematic review.

October 14, 2020

Prioritising recommendations following analyses of adverse events in healthcare: a systematic review.

November 4, 2020

Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations.

June 22, 2022

Potentially inappropriate prescribing in older people with dementia in care homes: a retrospective analysis.

February 15, 2012

Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a cross-sectional survey.

May 11, 2022

Impact of pharmacist interventions on medication errors in hospitalized pediatric patients: a systematic review and meta-analysis.

October 14, 2020

Concerns regarding tablet splitting: a systematic review.

December 7, 2022

Prevalence, contributory factors and severity of medication errors associated with direct-acting oral anticoagulants in adult patients: a systematic review and meta-analysis.

January 12, 2022

Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals.

July 20, 2022

Digital health technology-specific risks for medical malpractice liability.

December 7, 2022

When disasters strike the emergency department: a case series and narrative review.

November 10, 2021

Improving medical residents’ self-assessment of their diagnostic accuracy: does feedback help?

February 2, 2022

Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses.

January 11, 2023

Second victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience and Support Tool Survey

December 23, 2020

The impact of the built environment on patient falls in hospital rooms: an integrative review.

June 16, 2021

Medication errors related to computerized provider order entry systems in hospitals and how they change over time: a narrative review.

March 10, 2021

The role of bias in clinical decision-making of people with serious mental illness and medical co-morbidities: a scoping review.

February 22, 2023

Fall prevention with the Smart Socks System reduces hospital fall rates.

September 7, 2022

Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review.

September 7, 2022

Developing critical thinking skills for delivering optimal care

July 28, 2021

Influence of opioid prescription policy on overdoses and related adverse effects in a primary care population.

May 19, 2021

Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings.

December 7, 2022

Related Resources

Patient Safety Primers

Long-term Care and Patient Safety

April 10, 2024

Development of prescribing indicators related to opioid-related harm in patients with chronic pain in primary care- a modified e-Delphi study.

January 17, 2024

Patient safety in nursing homes from an ecological perspective: an integrated review.

January 17, 2024

Aging stigma and the health of US adults over 65: what do we know?

January 10, 2024

Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems.

November 29, 2023

Intervention of pharmacist included in multidisciplinary team to reduce adverse drug event: a qualitative systematic review.

November 1, 2023

American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.

August 16, 2023

July 5, 2023

Patient Safety Innovations

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

May 31, 2023

May 3, 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

Evaluation of effectiveness and safety of pharmacist independent prescribers in care homes: cluster randomised controlled trial.

March 1, 2023

A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges.

February 8, 2023

Interventions to increase patient safety in long-term care facilities-umbrella review.

January 25, 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

Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions for geriatric patients.

January 11, 2023

Lessons learned in implementing a chronic opioid therapy management system.

December 21, 2022

ASHP Guidelines on Preventing Diversion of Controlled Substances.

December 14, 2022

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

October 5, 2022

Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review.

September 28, 2022

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

August 31, 2022

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

July 13, 2022

Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults.

July 13, 2022

Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis.

March 23, 2022

Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review.

March 23, 2022

Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure.

March 9, 2022

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

January 12, 2022

Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review.

December 8, 2021

See More About The Topic

Health Care Providers

Geriatrics

Pharmacy

Monitoring Errors and Failures

Opiates/Narcotics

Opioids and falls risk in older adults: a narrative review.

Long-term Care and Patient Safety

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Opioids and falls risk in older adults: a narrative review.

Long-term Care and Patient Safety

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

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