Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study.

Lea Domenica Brühwiler; Andrea Niederhauser; Simone Fischer; David L B Schwappach

Study

Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study.

October 27, 2021

Brühwiler LD, Niederhauser A, Fischer S, et al. BMJ Open. 2021;11(10):e054364.

View more articles from the same authors.

Polypharmacy and potentially inappropriate medications continue to pose health risks in older adults. Using a Delphi approach, experts identified 85 minimal requirements for safe medication prescribing in nursing homes. The five key topics recommend structured, regular review and monitoring, interprofessional collaboration, and involving the resident.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Speaking up about patient safety in psychiatric hospitals - a cross-sectional survey study among healthcare staff.

November 6, 2019

Safe opioid prescribing: a prognostic machine learning approach to predicting 30-day risk after an opioid dispensation in Alberta, Canada.

June 16, 2021

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

May 19, 2021

Speaking up or remaining silent about patient safety concerns in rehabilitation: a cross-sectional survey to assess staff experiences and perceptions.

July 6, 2022

Incidence, duration and risk factors associated with delayed and missed diagnostic opportunities related to tuberculosis: a population-based longitudinal study.

March 24, 2021

Patient feedback for safety improvement in primary care: results from a feasibility study.

July 29, 2020

How do patients respond to safety problems in ambulatory care? Results of a retrospective cross-sectional telephone survey.

December 1, 2021

Exploring the factors that promote or diminish a psychologically safe environment: a qualitative interview study with critical care staff.

September 22, 2021

Responses of physicians to an objective safety and quality knowledge test: a cross-sectional study.

October 6, 2021

Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective.

March 31, 2021

Patients' perceptions of safety in emergency medical services: an interview study.

December 2, 2020

Safe clinical practice for patients hospitalised in mental health wards during a suicidal crisis: qualitative study of patient experiences.

December 23, 2020

Exploring patient safety outcomes for people with learning disabilities in acute hospital settings: a scoping review.

June 30, 2021

Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals.

September 1, 2021

Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a contingent valuation survey.

February 16, 2022

Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study.

November 18, 2020

Adverse event reviews in healthcare: what matters to patients and their family? A qualitative study exploring the perspective of patients and family.

June 1, 2022

Instruments for measuring patient safety competencies in nursing: a scoping review.

June 15, 2022

Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review.

October 5, 2022

'It's all about patient safety': an ethnographic study of how pharmacy staff construct medicines safety in the context of polypharmacy.

March 10, 2021

NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year of a countrywide patient safety programme.

July 21, 2021

The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department.

July 27, 2022

Exploration of prescribing error reporting across primary care: a qualitative study.

April 13, 2022

Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review.

January 12, 2022

Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study.

May 11, 2022

Role of the regulator in enabling a just culture: a qualitative study in mental health and hospital care.

August 10, 2022

STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration.

October 14, 2016

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

March 9, 2022

Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report.

January 16, 2013

The impact of "missed nursing care" or "care not done" on adults in health care: a rapid review for the Consensus Development Project.

April 13, 2022

Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study.

May 19, 2021

Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis.

February 3, 2021

Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study.

October 7, 2020

Effects of interorganisational information technology networks on patient safety: a realist synthesis.

December 9, 2020

Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework.

June 1, 2022

An e-Delphi study to obtain expert consensus on the level of risk associated with preventable e-prescribing events.

April 13, 2022

Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019.

March 22, 2023

Towards safer healthcare: qualitative insights from a process view of organisational learning from failure.

August 25, 2021

Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care.

March 23, 2022

Impact of full personal protective equipment on alertness of healthcare workers: a prospective study.

February 2, 2022

Assessing quality of older persons' emergency transitions between long-term and acute care settings: a proof-of-concept study.

May 18, 2022

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

January 19, 2022

How safe are paediatric emergency departments? A national prospective cohort study.

August 3, 2022

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

September 7, 2022

The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study.

August 24, 2022

Experience of hospital-initiated medication changes in older people with multimorbidity: a multicentre mixed-methods study embedded in the OPtimising thERapy to prevent Avoidable hospital admissions in Multimorbid older people (OPERAM) trial.

December 7, 2022

Improving medication appropriateness in nursing homes via structured interprofessional medication-review supported by health information technology: a non-randomized controlled study.

February 24, 2021

Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project.

December 22, 2021

Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety.

May 4, 2022

Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis.

September 21, 2016

Patient safety in inpatient mental health settings: a systematic review.

February 5, 2020

Omissions of care in nursing homes: a uniform definition for research and quality improvement.

November 18, 2020

Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations.

August 4, 2021

June 8, 2022

A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist.

July 27, 2022

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

Should electronic differential diagnosis support be used early or late in the diagnostic process? A multicentre experimental study of Isabel.

October 27, 2021

Publication of inspection frameworks: a qualitative study exploring the impact on quality improvement and regulation in three healthcare settings.

October 6, 2021

Explaining the negative effects of patient participation in patient safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands.

February 1, 2023

Standardized assessment of medication reconciliation in post-acute care.

April 27, 2022

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

September 28, 2022

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

August 26, 2020

A system-wide approach to explaining variation in potentially avoidable emergency admissions: national ecological study.

January 8, 2014

The evidence base for US Joint Commission hospital accreditation standards: cross sectional study.

July 13, 2022

Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted tool with automated electronic integration of population-based community drug data: the RightRx project.

January 10, 2018

Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study.

January 9, 2019

Trainee perceptions of resident duty hour restrictions: a qualitative study of online discussion forums.

October 19, 2022

Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis.

October 26, 2022

Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safety programme.

June 22, 2022

Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events.

May 25, 2022

Adverse events in intensive care and continuing care units during bed-bath procedures: the prospective observational NURSIng during critical carE (NURSIE) study.

December 23, 2020

Support for healthcare workers and patients after medical error through mutual healing: another step towards patient safety.

January 18, 2023

The quality of hospital work environments and missed nursing care is linked to heart failure readmissions: a cross-sectional study of US hospitals.

March 4, 2015

The benefits and harms of open notes in mental health: a Delphi survey of international experts.

December 8, 2021

Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review.

November 28, 2018

Medication errors' causes analysis in home care setting: a systematic review.

February 9, 2022

Chief resident indirect supervision in training safety study: is a chief resident general surgery service safe for patients?

September 1, 2021

Cohort study of diagnostic delay in the clinical pathway of patients with chronic wounds in the primary care setting.

December 14, 2022

Patient safety and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning.

July 22, 2020

How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user experience.

February 5, 2020

Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents: an observational study.

September 7, 2022

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

November 24, 2021

National cross-sectional cohort study of the relationship between quality of mental healthcare and death by suicide.

June 1, 2022

July 20, 2022

Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing home: a before-after study.

February 12, 2020

Improving diagnostic performance through feedback: the Diagnosis Learning Cycle.

September 1, 2021

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

April 14, 2021

Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD).

September 15, 2021

Severe illness getting noticed sooner - SIGNS-for-Kids: developing an illness recognition tool to connect home and hospital.

January 15, 2020

Abusive supervision: a systematic review and fundamental rethink.

December 8, 2021

Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice?

December 7, 2022

Examining the effect of quality improvement initiatives on decreasing racial disparities in maternal morbidity.

May 4, 2022

Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices.

June 30, 2021

Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study.

March 24, 2021

Outcome differences between surgeons performing first and subsequent coronary artery bypass grafting procedures in a day: a retrospective comparative cohort study.

June 29, 2022

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

March 23, 2022

Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach.

December 2, 2020

Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records.

August 10, 2022

Lessons learned from a systems approach to engaging patients and families in patient safety transformation.

February 12, 2020

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

March 1, 2023

Related Resources

Managing patient safety and staff safety in nursing homes: exploring how leaders of nursing homes negotiate their dual responsibilities- a case study.

February 28, 2024

National Healthcare Quality and Disparities Reports.

January 9, 2024

Nurses' perspectives on medication errors and prevention strategies in residential aged care facilities through a national survey.

December 20, 2023

Challenge Competition: Impact of Patient Safety Tools.

December 12, 2023

The complexities of communication at hospital discharge of older patients: a qualitative study of healthcare professionals' views.

November 29, 2023

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

November 1, 2023

A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings.

October 4, 2023

Do not PIMP my nursing home ride! The impact of Potentially Inappropriate Medications Prescribing on residents' emergency care use.

September 20, 2023

Handling polypharmacy--a qualitative study using focus group interviews with older patients, their relatives, and healthcare professionals.

September 13, 2023

Exploring the impact of safety culture on incident reporting: lessons learned from machine learning analysis of NHS England staff survey and incident data.

August 30, 2023

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

August 16, 2023

Long-term care healthcare-associated infections in 2022: an analysis of 20,216 reports.

May 24, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

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

March 1, 2023

The impact of medication reconciliation and review in patients using oral chemotherapy.

March 1, 2023

Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives.

February 15, 2023

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

February 8, 2023

Surveys on Patient Safety Culture Nursing Home Survey: 2023 User Database Report.

February 8, 2023

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

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

December 14, 2022

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

November 30, 2022

Polypharmacy.

November 16, 2022

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

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

September 28, 2022

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

September 21, 2022

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

August 31, 2022

Using health information technology in residential aged care homes: an integrative review to identify service and quality outcomes.

August 17, 2022

Communication disparities between nursing home team members.

July 20, 2022

Individualized medication review in older people with multimorbidity: a comparative analysis between patients living at home and in a nursing home.

May 25, 2022

May 4, 2022

See More About The Topic

Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study.

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