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

Fischer H, Hahn EE, Li BH, et al. Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure. Jt Comm J Qual Patient Saf. Epub 2022 Jan 13. doi: 10.1016/j.jcjq.2022.01.003.

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March 9, 2022
Fischer H, Hahn EE, Li BH, et al. Jt Comm J Qual Patient Saf. 2022;48(4):222-232.

While falls are common in older adults, there was a 31% increase in death due to falls in the U.S. from 2007-2016, partially associated with the increase in older adults in the population. This mixed methods study looked at the prevalence, risk factors, and contributors to potentially harmful medication dispensed after a fall/fracture of patients using the Potentially Harmful Drug-Disease Interactions in the Elderly (HEDIS DDE) codes. There were 113,809 patients with a first time fall; 35.4% had high-risk medications dispensed after their first fall. Interviews with 22 physicians identified patient reluctance to report falls and inconsistent assessment, and documentation of falls made it challenging to consider falls when prescribing medications.