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Journal Article > Commentary
Spear SJ. Harv Bus Rev. September 2005;83:78-91.
This commentary provides a broad overview of the issues facing health care systems in their efforts to promote quality and safety. The author discusses pervasive cultural barriers and process limitations that contribute to errors, while providing a series of anecdotes to demonstrate how easy and frequent these events can occur. Approaches for improvement that draw from the experiences of non-health care organizations, such as Toyota, are included. The strength of the commentary lies in the compelling stories shared and the perspectives offered to foster change.
Journal Article > Review
Health outcomes of deprescribing interventions among older residents in nursing homes: a systematic review and meta-analysis.
Kua CH, Mak VSL, Huey Lee SW. J Am Med Dir Assoc. 2019;20:362–372.e11.
This systematic review examined the effects of deprescribing on clinical outcomes among patients in long-term care facilities. Researchers found that interventions in which medications were reviewed according to prespecified criteria resulted in reduced mortality and fewer falls. They recommend that deprescribing guided by medication review be widely implemented in long-term care settings.