Computerized decision support to reduce potentially inappropriate prescribing to older emergency department patients: A randomized, controlled trial

Journal of the American Geriatrics Society

Volumn 57, Issue 8, 2009, Pages 1388-1394

  Terrell, Kevin M ^a,b,c   Perkins, Anthony J ^c   Dexter, Paul R ^b   Hui, Siu L ^b,c   Callahan, Christopher M ^b,c   Miller, Douglas K ^b,c  

^a REGENSTRIEF INSTITUTE   (United States)

^b INDIANA UNIVERSITY   (United States)

^c INDIANA UNIVERSITY CENTER FOR AGING RESEARCH   (United States)

Author keywords

Aged; Clinical; Decision support systems; Emergency service; Geriatrics; Hospital; Randomized controlled trials

Indexed keywords

AGED; ARTICLE; CLINICAL TRIAL; COMPUTER SYSTEM; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DECISION SUPPORT SYSTEM; ELDERLY CARE; EMERGENCY PHYSICIAN; EMERGENCY WARD; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICATION ERROR; PRESCRIPTION; RANDOMIZED CONTROLLED TRIAL; UNITED STATES;

AGED; CLINICAL PHARMACY INFORMATION SYSTEMS; DECISION SUPPORT SYSTEMS, CLINICAL; DRUG INFORMATION SERVICES; DRUG INTERACTIONS; DRUG PRESCRIPTIONS; DRUG THERAPY, COMPUTER-ASSISTED; DRUG UTILIZATION; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; INDIANA; LOGISTIC MODELS; MALE; MEDICATION ERRORS; PHYSICIAN'S PRACTICE PATTERNS;

EID: 68149174981     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/j.1532-5415.2009.02352.x     Document Type: Article

References (33)

1. McCaig LF, Stussman BJ. National Hospital Ambulatory Medical Care Survey: 1996 emergency department summary. Adv Data 1997 293 : 1 20.
2. Nawar EW, Niska RW, Xu J. National Hospital Ambulatory Medical Care Survey: 2005 emergency department summary. Adv Data 2007 386 : 1 32.
3. Gray SL, Lai KV, Larson EB. Drug-induced cognition disorders in the elderly: Incidence, prevention and management. Drug Saf 1999 21 : 101 122.
4. Hohl CM, Dankoff J, Colacone A et al. Polypharmacy, adverse drug-related events, and potential adverse drug interactions in elderly patients presenting to an emergency department. Ann Emerg Med 2001 38 : 666 671.
5. Budnitz DS, Pollock DA, Weidenbach KN et al. National surveillance of emergency department visits for outpatient adverse drug events. JAMA 2006 296 : 1858 1866.
6. Shelton PS, Fritsch MA, Scott MA. Assessing medication appropriateness in the elderly: A review of available measures. Drugs Aging 2000 16 : 437 450.
7. Fick DM, Cooper JW, Wade WE et al. Updating the Beers criteria for potentially inappropriate medication use in older adults: Results of a US consensus panel of experts. Arch Intern Med 2003 163 : 2716 2724.
8. Jano E, Aparasu RR. Healthcare outcomes associated with Beers' criteria: A systematic review. Ann Pharmacother 2007 41 : 438 447.
9. Chutka DS, Takahashi PY, Hoel RW. Inappropriate medications for elderly patients. Mayo Clin Proc 2004 79 : 122 139.
10. Hustey FM. Beers criteria and the ED: An adequate standard for inappropriate prescribing? Am J Emerg Med 2008 26 : 695 696.
11. Chin MH, Wang LC, Jin L et al. Appropriateness of medication selection for older persons in an urban academic emergency department. Acad Emerg Med 1999 6 : 1232 1242.
12. Fu AZ, Liu GG, Christensen DB. Inappropriate medication use and health outcomes in the elderly. J Am Geriatr Soc 2004 52 : 1934 1939.
13. Fick DM, Waller JL, Maclean JR et al. Potentially inappropriate medication use in a Medicare managed care population: Association with higher costs and utilization. J Manag Care Pharm 2001 7 : 407 413.
14. Lau DT, Kasper JD, Potter DE et al. Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents. Arch Intern Med 2005 165 : 68 74.
15. Hustey FM, Wallis N, Miller J. Inappropriate prescribing in an older ED population. Am J Emerg Med 2007 25 : 804 807.
16. Aparasu RR, Fliginger SE. Inappropriate medication prescribing for the elderly by office-based physicians. Ann Pharmacother 1997 31 : 823 829.
17. Aparasu RR, Sitzman SJ. Inappropriate prescribing for elderly outpatients. Am J Health Syst Pharm 1999 56 : 433 439.
18. Goulding MR. Inappropriate medication prescribing for elderly ambulatory care patients. Arch Intern Med 2004 164 : 305 312.
19. Liu GG, Christensen DB. The continuing challenge of inappropriate prescribing in the elderly: An update of the evidence. J Am Pharm Assoc 2002 42 : 847 857.
20. Wilber ST, Gerson LW. A research agenda for geriatric emergency medicine. Acad Emerg Med 2003 10 : 251 260.
21. Kawamoto K, Houlihan CA, Balas EA et al. Improving clinical practice using clinical decision support systems: A systematic review of trials to identify features critical to success. BMJ 2005 330 : 765 768.
22. Garg AX, Adhikari NKJ, McDonald H et al. Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: A systematic review. JAMA 2005 293 : 1223 1238.
23. Dexter PR, Perkins S, Overhage JM et al. A computerized reminder system to increase the use of preventive care for hospitalized patients. N Engl J Med 2001 345 : 965 970.
24. Dexter PR, Perkins SM, Maharry KS et al. Inpatient computer-based standing orders vs physician reminders to increase influenza and pneumococcal vaccination rates: A randomized trial. JAMA 2004 292 : 2366 2371.
25. Overhage JM, Tierney WM, Zhou XH et al. A randomized trial of "corollary orders" to prevent errors of omission. J Am Med Inform Assoc 1997 4 : 364 375.
26. Bates DW, Teich JM, Lee J et al. The impact of computerized physician order entry on medication error prevention. J Am Med Inform Assoc 1999 6 : 313 321.
27. Sequist TD, Gandhi TK, Karson AS et al. A randomized trial of electronic clinical reminders to improve quality of care for diabetes and coronary artery disease. J Am Med Inform Assoc 2005 12 : 431 437.
28. McDonald CJ, Tierney WM. The Medical Gopher - a microcomputer system to help find, organize and decide about patient data. West J Med 1986 145 : 823 829.
29. McDonald CJ, Overhage JM, Tierney WM et al. The Regenstrief medical record system: A quarter century experience. Int J Med Inform 1999 54 : 225 253.
30. 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 : 523 530.
31. Smith DH, Perrin N, Feldstein A et al. The impact of prescribing safety alerts for elderly persons in an electronic medical record: An interrupted time series evaluation. Arch Intern Med 2006 166 : 1098 1104.
32. Zillich AJ, Shay K, Hyduke B et al. Quality improvement toward decreasing high-risk medications for older veteran outpatients. J Am Geriatr Soc 2008 56 : 1299 1305.
33. Pallin D, Lahman M, Baumlin K. Information technology in emergency medicine residency-affiliated emergency departments. Acad Emerg Med 2003 10 : 848 852.