Improving sedative-hypnotic prescribing in older hospitalized patients: Provider-perceived benefits and barriers of a computer-based reminder

Journal of General Internal Medicine

Volumn 23, Issue 1 SUPPL., 2008, Pages 32-36

  Agostini, Joseph V ^a,b   Concato, John ^a,b   Inouye, Sharon K ^c  

^a VA CONNECTICUT HEALTHCARE SYSTEM   (United States)

^b YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c HARVARD MEDICAL SCHOOL   (United States)

Author keywords

Aged; Computers; Medical order entry systems; Point of care systems; Sedatives and hypnotics

Indexed keywords

DIAZEPAM; DIPHENHYDRAMINE; HYPNOTIC SEDATIVE AGENT; LORAZEPAM; TRAZODONE;

AGE DISTRIBUTION; AGED; ARTICLE; CLINICAL PRACTICE; COMPUTER SYSTEM; CONFUSION; DELIRIUM; ELDERLY CARE; FALLING; HEALTH CARE PERSONNEL; HUMAN; PATIENT SATISFACTION; PHYSICIAN; PRESCRIPTION; QUALITATIVE ANALYSIS; REMINDER SYSTEM; SEDATION; SEMI STRUCTURED INTERVIEW; SIDE EFFECT; SLEEP DISORDER; UNIVERSITY HOSPITAL; UNSPECIFIED SIDE EFFECT;

ACCIDENTAL FALLS; AGED; AGED, 80 AND OVER; BOSTON; DELIRIUM; DRUG THERAPY, COMPUTER-ASSISTED; DRUG UTILIZATION; FEMALE; FORECASTING; GERIATRIC ASSESSMENT; HEALTH CARE SURVEYS; HOSPITALIZATION; HOSPITALS, UNIVERSITY; HUMANS; HYPNOTICS AND SEDATIVES; MALE; MEDICATION ERRORS; POINT-OF-CARE SYSTEMS; QUALITY OF HEALTH CARE; REMINDER SYSTEMS; RISK ASSESSMENT;

EID: 37349007820     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-007-0238-9     Document Type: Article

References (18)

1. 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;47:30-9.
2. Gray SL, Lai KV, Larson EB. Drug-induced cognition disorders in the elderly: incidence, prevention and management. Drug Saf. 1999;21:101-22.
3. Gurwitz JH, Field TS, Avorn J, et al. Incidence and preventability of adverse drug events in nursing homes. Am J Med. 2000;109:87-94.
4. O'Reilly R, Rusnak C. The use of sedative-hypnotic drugs in a university teaching hospital. CMAJ. 1990;142:585-9.
5. Meissner HH, Riemer A, Santiago SM, et al. Failure of physician documentation of sleep complaints in hospitalized patients. West J Med. 1998;169:146-9.
6. Lenhart SE, Buysse DJ. Treatment of insomnia in hospitalized patients. Ann Pharmacother. 2004;35:1449-57.
7. McDowell JA, Mion LC, Lydon TJ, Inouye SK. A nonpharmacologic sleep protocol for hospitalized older patients. J Am Geriatr Soc. 1998;46:700-5.
8. Shea S, DuMouchel W, Bahamonde L. A meta-analysis of 16 randomized controlled trials to evaluate computer-based clinical reminder systems for preventive care in the ambulatory setting. J Am Med Inform Assoc. 1996;3:399-409.
9. Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press; 2001.
10. Evans RS, Pestotnik SL, Classen DC, et al. A computer-assisted management program for antibiotics and other antiinfective agents. N Engl J Med. 1998;338:232-8.
11. Bates DW, Teich JM, Merchia PR, Schmiz JL, Kuperman GJ, Spurr CD. Effects of computerized physician order entry on prescribing practices. Arch Intern Med. 2000;160:2741-7.
12. Chertow GM, Lee J, Kuperman GJ, et al. Guided medication dosing for inpatients with renal insufficiency. JAMA. 2001;286:2839-44.
13. Agostini JV, Zhang Y, Inouye SK. Use of a computer-based reminder to improve sedative-hypnotic prescribing in older hospitalized patients. J Am Geriatr Soc. 2007;55:43-8.
14. Strauss A, Corbin JM. Basics of qualitative research. Techniques and procedures for developing grounded theory. Thousand Oaks, CA: Sage Publications; 1998.
15. Bates DW, Kuperman GJ, Wang S, et al. Ten commandments for effective clinical decision support: making the practice of evidence-based medicine a reality. J Am Med Inform Assoc. 2003;10:523-30.
16. Peterson JF, Kuperman GJ, Shek C, Patel M, Avorn J, Bates DW. Guided prescription of psychotropic medications for geriatric inpatients. Arch Intern Med. 2005;165:802-7.
17. Inouye SK, Bogardus ST Jr, Baker DI, Leo-Summers L, Cooney LM. The Hospital Elder Life Program: a model of care to prevent cognitive and functional decline in older hospitalized patients. Hospital Elder Life Program. J Am Geriatr Soc. 2000;48:1697-706.
18. Demakis JG, Beauchamp C, Cull WLR, et al. Improving residents' compliance with standards of ambulatory care: results from the VA Cooperative Study on Computerized Reminders. JAMA 2000;284:1411-6.