Improving benzodiazepine prescribing for elderly hospital inpatients using audit and multidisciplinary feedback

Internal Medicine Journal

Volumn 31, Issue 9, 2001, Pages 529-535

  Elliott, R A ^a,b   Woodward, M C ^b   Oborne, C A ^c  

^a Bundoora Extended Care Centre   (Australia)

^b AUSTIN HEALTH   (Australia)

^c KING'S COLLEGE LONDON   (United Kingdom)

Author keywords

Audit; Benzodiazepines; Geriatrics; Hospital; Prescriber feedback; Prescribing

Indexed keywords

BENZODIAZEPINE DERIVATIVE; CLONAZEPAM; DIAZEPAM; NITRAZEPAM; OXAZEPAM; TEMAZEPAM;

AGED; ALCOHOL WITHDRAWAL; ARTICLE; CONTROLLED STUDY; DRUG CONTRAINDICATION; EPILEPSY; FEMALE; GERIATRICS; HOSPITAL PATIENT; HUMAN; MAJOR CLINICAL STUDY; MALE; MUSCLE SPASM; PHARMACY; PREMEDICATION; PRESCRIPTION; PREVALENCE; PRIORITY JOURNAL; PUBLIC HOSPITAL; SIDE EFFECT;

AGED; AGED, 80 AND OVER; AUSTRALIA; BENZODIAZEPINES; COOPERATIVE BEHAVIOR; CROSS-SECTIONAL STUDIES; DRUG UTILIZATION REVIEW; FEEDBACK; FEMALE; HUMANS; INPATIENTS; MALE; MEDICAL AUDIT; PHYSICIAN'S PRACTICE PATTERNS; PRESCRIPTIONS, DRUG; QUALITY ASSURANCE, HEALTH CARE;

EID: 0035758650     PISSN: 14440903     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1445-5994.2001.00139.x     Document Type: Article

References (28)

1. Top 10 drugs. Aust Prescriber 1999; 22: 119.
2. Mant A, Mattick RP, de Burgh S, Donnelly N, Hall W. Benzodiazepine prescribing in general practice: dispelling some myths. Fam Pract 1995; 12: 37-43.
3. Howes JB, Ryan J, Fairbrother G, O'Neill K, Howes G. Benzodiazepine prescribing in a Sydney teaching hospital. Med J Aust 1996; 165: 305-8.
4. Simon GE, VonKorff M, Barlow W, Pabiniak C, Wagner E. Predictors of chronic benzodiazepine use in a health maintenance organization sample. J Clin Epidemiol 1996; 49: 1067-73.
5. Noble T, Spiroulias M, White JM. Determinants of benzodiazepine prescribing and administration in a public hospital. Pharmacopsychiatry 1993; 26: 11-14.
6. Foy A, Drinkwater V, March S, Mearrick P. Confusion after admission to hospital in elderly patients using benzodiazepines. BMJ 1986; 293: 1072.
7. Batty GM, Oborne CA, Swift CG, Jackson SHD. Development of an indicator to identify inappropriate use of benzodiazepines in elderly medical in-patients. Int J Geriatr Psychiatry 2000; 15: 892-6.
8. Zisselman MH, Rovner BW, Yuen E, Sholevar D. Physician rationale for benzodiazepine prescriptions to elderly hospitalized patients. Am J Geriatr Psychiatry 1997; 5: 167-71.
9. Woodward M. Hypnosedatives in the elderly. A guide to appropriate use. CNS Drugs 1999; 11: 263-79.
10. Hanlon JT, Horner RD, Schmader KE et al. Benzodiazepine use and cognitive function among community-dwelling elderly. Clin Pharmacol Ther 1998; 64: 684-92.
11. Inouye SK. Delirium in hospitalised older patients. Clin Geriatr Med 1998; 14: 745-53.
12. Marcantonio ER, Juarez G, Goldman L et al. The relationship of postoperative delirium with psychoactive medications. JAMA 1994; 272: 1518-22.
13. Leipzig RM, Cumming RG, Tinetti ME. Drugs and falls in older people: a systematic review and meta-analysis: I. Psychotropic drugs. J Am Geriatr Soc 1999; 47: 30-39.
14. Gales BJ, Menard SM. Relationship between the administration of selected medications and falls in hospitalized elderly patients. Ann Pharmacother 1995; 29: 354-8.
15. Cumming RG, Klineberg RJ. Psychotropics, thiazide diuretics and hip fractures in the elderly. Med J Aust 1993; 158: 414-17.
16. Ray WA, Griffin MR, Downey W. Benzodiazepines of long and short elimination half-life and the risk of hip fracture. JAMA 1989; 262: 3303-7.
17. Hemmelgarn B, Suissa S, Huang A, Boivin J, Pinard G. Benzodiazepine use and the risk of motor vehicle crash in the elderly. JAMA 1997; 278: 27-31.
18. Zisselman MH, Rovner BW,Yuen EJ, Louis DZ. Sedative-hypnotic use and increased hospital stay and costs in older people. J Am Geriatr Soc 1996; 44: 1371-4.
19. Oborne CA, Batty GM, Maskrey V, Swift CG, Jackson SH. Development of prescribing indicators for elderly medical inpatients. Br J Clin Pharmacol 1997; 43: 91-7.
20. Cohen J. A coefficient of agreement for nominal scales. Educ Psychol Meas 1960; 20: 37-46.
21. Moulds RF. From knowledge to action: improving drug prescribing. Med J Aust 1996; 165: 299-300.
22. Thornton PD, Simon S, Mathew TH. Towards safer drug prescribing, dispensing and administration in hospitals. J Qual Clin Pract 1999; 19: 41-5.
23. Riedinger JL, Robbins LJ. Prevention of iatrogenic illness. Adverse drug reactions and nosocomial infections in hospitalised older adults. Clin Geriatr Med 1998; 114: 681-98.
24. Kruse WH. Problems and pitfalls in the use of benzodiazepines in the elderly. Drug Safety 1990; 5: 328-44.
25. McDowell JA, Mion LC, Lydon TJ, Inouye SK. A nonpharmacologic sleep protocol for hospitalised older patients. J Am Geriatr Soc 1998; 46: 700-705.
26. Morin CM, Colecchi C, Stone J, Sood R, Brink D. Behavioural and pharmacological therapies for late-life insomnia. A randomized controlled trial. JAMA 1999; 281: 991-9.
27. Hecker R, Burr M, Newbury G. Risk of benzodiazepine dependence resulting from hospital admission. Drug Alcohol Rev 1992; 2: 131-5.
28. Classen DC, Pestotnick SL, Evans RS, Lloyd JF, Burke JP. Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. JAMA 1997; 277: 301-6.