Appropriateness of use of medicines in elderly inpatients: qualitative study.

Anne Spinewine; Christian Swine; Soraya Dhillon; Bryony Dean Franklin; Paul M Tulkens; Léon Wilmotte; Vincent Lorant

Study

Appropriateness of use of medicines in elderly inpatients: qualitative study.

August 31, 2005

Spinewine A, Swine C, Dhillon S, et al. BMJ. 2005;331(7522).

View more articles from the same authors.

The investigators studied five acute care wards in Belgium to explore factors contributing to inappropriate medication use in elderly patients. They determined that focus on short-term treatment, passive attitudes toward learning, and physician-patient relationships affected prescribing activity.

Available at

Free full text

PubMed citation

Related Resources From the Same Author(s)

Is health care getting safer?

November 26, 2008

The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety.

July 22, 2020

Carers' medication administration errors in the domiciliary setting: a systematic review.

February 8, 2017

Safety of medication use in primary care.

March 4, 2015

Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids.

April 9, 2014

How reliable are clinical systems in the UK NHS? A study of seven NHS organisations.

April 25, 2012

Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital.

July 11, 2018

Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of incident reports.

February 12, 2020

The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.

August 22, 2007

Development and performance evaluation of the Medicines Optimisation Assessment Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems.

July 31, 2019

Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective observational study.

March 18, 2020

Methodological variations and their effects on reported medication administration error rates.

February 27, 2013

Failure mode and effects analysis outputs: are they valid?

August 15, 2012

Failure mode and effects analysis: too little for too much?

April 18, 2012

Patient involvement in medication safety in hospital: an exploratory study.

July 16, 2014

Is failure mode and effect analysis reliable?

May 27, 2009

Exploring the theory, barriers and enablers for patient and public involvement across health, social care and patient safety: a systematic review of reviews.

February 10, 2021

Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis.

April 5, 2023

Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement project.

April 27, 2016

The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis.

February 23, 2022

May 3, 2023

The incidence and nature of prescribing and medication administration errors in paediatric inpatients.

February 24, 2010

Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions.

September 2, 2009

The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit.

January 10, 2007

Medication errors with electronic prescribing (eP): two views of the same picture.

July 21, 2010

Understanding the facilitators and barriers to barcode medication administration by nursing staff using behavioural science frameworks. A mixed methods study.

November 1, 2023

User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study.

July 29, 2020

Intravenous infusion administration: a comparative study of practices and errors between the United States and England and their implications for patient safety.

July 10, 2019

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

November 16, 2022

Clinical handover incident reporting in one UK general hospital.

October 20, 2010

Systematic review of medication errors in pediatric patients.

October 25, 2006

The contribution of staffing to medication administration errors: a text mining analysis of incident report data.

December 18, 2019

A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting.

August 2, 2017

Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis.

December 18, 2019

Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis.

February 23, 2022

Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study.

December 14, 2016

Electronic tools to support medication reconciliation—a systematic review.

July 13, 2016

The effect of the electronic transmission of prescriptions on dispensing errors and prescription enhancements made in English community pharmacies: a naturalistic stepped wedge study.

May 14, 2014

Approaches for improving continuity of care in medication management: a systematic review.

October 9, 2013

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

February 5, 2020

To what extent is the World Health Organization's Medication Safety Challenge being addressed in English hospital organizations? A descriptive study.

February 16, 2022

Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incident data.

February 21, 2024

A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies.

January 25, 2023

Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study.

June 6, 2018

What constitutes a prescribing error in paediatrics?

October 19, 2005

A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study.

December 19, 2018

Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase.

February 23, 2011

Information overload and missed test results in electronic health record–based settings.

March 13, 2013

Multidisciplinary centres for safety and quality improvement: learning from climate change science.

April 27, 2011

Using video to assess and improve patient safety during simulated and actual neonatal resuscitation.

October 30, 2019

Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review.

June 12, 2019

Identifying boundary spanning reporter roles in patient safety events.

August 24, 2022

Test-retest reliability of an experienced Global Trigger Tool review team.

October 27, 2021

Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation.

October 20, 2021

Cognitive errors detected in anaesthesiology: a literature review and pilot study.

January 25, 2012

Correlation between hospital finances and quality and safety of patient care.

September 4, 2019

Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors.

March 29, 2012

Safety standards: implementing fall prevention interventions and sustaining lower fall rates by promoting the culture of safety on an inpatient rehabilitation unit.

December 9, 2015

Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literature review.

December 6, 2023

Adverse events experienced by homecare patients: a scoping review of the literature.

March 10, 2010

A comparative review of patient safety initiatives for national health information technology.

February 6, 2013

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

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

February 16, 2022

Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic review of reviews.

September 28, 2022

SNOMED CT: electronic health record enhances anesthesia patient safety.

November 16, 2005

Responding to large-scale testing errors.

March 31, 2010

Building capacity and capability for patient safety education: a train-the-trainers programme for senior doctors.

May 29, 2013

Dying for the weekend: a retrospective cohort study on the association between day of hospital presentation and the quality and safety of stroke care.

July 25, 2012

Measurement and monitoring patient safety in prehospital care: a systematic review.

February 24, 2021

The outcomes of recent patient safety education interventions for trainee physicians and medical students: a systematic review.

July 15, 2015

Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis.

May 16, 2018

A comprehensive grassroots model for statewide safety improvement.

December 14, 2005

Systematic approaches to adverse events in obstetrics, Part 1 & Part 2.

July 12, 2017

Building a safer foundation: the Lessons Learnt patient safety training programme.

November 6, 2013

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

September 22, 2021

Duplicate medication order errors: safety gaps and recommendations for improvement.

October 12, 2022

The impact of transparency on patient safety and liability.

April 23, 2008

Medication errors and professional practice of registered nurses.

April 21, 2005

Opioids for chronic noncancer pain: a position paper of the American Academy of Neurology.

October 15, 2014

John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital.

March 6, 2005

Error disclosure and family members' reactions: does the type of error really matter?

February 18, 2015

Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety.

May 14, 2008

Improving efficiencies and patient safety in healthcare through human factors and ergonomics.

March 23, 2011

Three simple rules to improve medication safety.

September 14, 2016

Patient safety skills in primary care: a national survey of GP educators.

February 4, 2015

Cognitive bias and public health policy during the COVID-19 pandemic.

July 22, 2020

Diagnostic error in internal medicine.

July 27, 2005

Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns.

March 14, 2018

How safe is prehospital care? A systematic review.

November 17, 2021

Misdiagnosed food allergy resulting in severe malnutrition in an infant.

September 18, 2013

Error codes at autopsy to study potential biases in diagnostic error.

January 10, 2024

Getting it right when things go wrong.

March 17, 2010

Obstetric safety and quality.

August 26, 2015

Perioperative COVID-19 defense: an evidence-based approach for optimization of infection control and operating room management.

April 22, 2020

Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration.

January 9, 2019

Perspective: ten thousand hours to patient safety, sooner or later.

January 30, 2005

Science and patient safety.

October 17, 2012

Understanding and responding to adverse events.

March 6, 2005

Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm.

September 6, 2017

Adverse effects of computers during bedside rounds in a critical care unit.

August 1, 2018

Related Resources

Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017.

July 5, 2023

Patient Safety Innovations

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

May 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Registered nurses' efforts to ensure safety for home-dwelling older patients.

February 22, 2023

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

December 14, 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

Annual Perspective

Annual Perspective: Topics in Medication Safety

March 31, 2022

Perceptions of providing safe care for frail older people at home: a qualitative study based on focus group interviews with home care staff.

November 10, 2021

Patient Safety Primers

Deprescribing as a Patient Safety Strategy

October 27, 2021

Evaluation of older persons' medications: a critical incident technique study exploring healthcare professionals' experiences and actions.

June 23, 2021

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

May 5, 2021

Communication on safe caregiving between community nurse case managers and family caregivers.

April 7, 2021

WebM&M Cases

The Impact of Communication on Medication Errors

March 15, 2021

Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems.

January 13, 2021

WebM&M Cases

Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression

May 27, 2020

Use of an electronic clinical decision support system in primary care to assess inappropriate polypharmacy in young seniors with multimorbidity: observational, descriptive, cross-sectional study

April 8, 2020

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

Non-dispensing pharmacists' actions and solutions of drug therapy problems among elderly polypharmacy patients in primary care.

November 6, 2019

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

July 10, 2019

Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States.

December 19, 2018

Prevalence of potentially inappropriate prescribing in older people in primary care and its association with hospital admission: longitudinal study.

December 5, 2018

Provider interruptions and patient perceptions of care: an observational study in the emergency department.

November 7, 2018

Polypharmacy and potentially inappropriate medication in people with dementia: a nationwide study.

June 13, 2018

Nurses' communication of safety events to nursing home residents and families.

November 15, 2017

Long-term outcomes of medication intervention using the screening tool of older persons potentially inappropriate prescriptions screening tool to alert doctors to right treatment criteria.

April 26, 2017

Too many, too few, or too unsafe? Impact of inappropriate prescribing on mortality, and hospitalization in a cohort ofcommunity-dwelling oldest old.

January 25, 2017

Severe drug interactions and potentially inappropriate medication usage in elderly cancer patients.

November 9, 2016

Safe implementation of standard concentration infusions in paediatric intensive care.

August 24, 2016

The Feasibility of Determining the Effectiveness and Cost-effectiveness of Medication Organisation Devices Compared with Usual Care for Older People in a Community Setting: Systematic Review, Stakeholder Focus Groups and Feasibility RCT.

August 10, 2016

Interventions to address potentially inappropriate prescribing in community-dwelling older adults: a systematic review of randomized controlled trials.

July 27, 2016

See More About The Topic

Appropriateness of use of medicines in elderly inpatients: qualitative study.

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

Deprescribing as a Patient Safety Strategy

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Appropriateness of use of medicines in elderly inpatients: qualitative study.

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

Deprescribing as a Patient Safety Strategy

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