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  1. Article ; Online: Assessing the accessibility to the IPOST at admission to the Emergency Department.

    Harrison, Lindsey / O'Connor, Emilie / Renner, Catherine Hackett / Kluesner, Nicholas

    The American journal of emergency medicine

    2018  Volume 37, Issue 1, Page(s) 162–163

    MeSH term(s) Advance Directive Adherence ; Advance Directives ; Aged ; Aged, 80 and over ; Documentation ; Electronic Health Records ; Emergency Service, Hospital/organization & administration ; Humans ; Midwestern United States ; Prospective Studies ; Skilled Nursing Facilities/organization & administration
    Language English
    Publishing date 2018-05-22
    Publishing country United States
    Document type Letter ; Observational Study
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2018.05.042
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Potentially inappropriate medication prescribing in the elderly: Is the Beers Criteria relevant in the Emergency Department today?

    Harrison, Lindsey / O'Connor, Emilie / Jie, Chunfa / Benzoni, Thomas / Renner, Catherine Hackett / McCracken, Ryan

    The American journal of emergency medicine

    2019  Volume 37, Issue 9, Page(s) 1734–1737

    Abstract: Study objective: To investigate the frequency of Beers Criteria (BC) medication and opioid use in patients age 65 years and older arriving in the Emergency Department.: Methods: We performed a retrospective observational study of a convenience sample ...

    Abstract Study objective: To investigate the frequency of Beers Criteria (BC) medication and opioid use in patients age 65 years and older arriving in the Emergency Department.
    Methods: We performed a retrospective observational study of a convenience sample of 400 patients, age 65 years and older, arriving to and discharged solely from the Emergency Department. We examined 400 sequential patient charts with visit dates April-July 2017, for the presence of a Beers Criteria medication or opioid prescription. We also examined each chart for nine specific chief complaints, including return visits and subsequent admissions.
    Results: Of the 400 patients included in this study, 304 patients (76%; 95% confidence interval [CI] 72% to 80%) had at least 1 prescription at the index ED visit for an "avoid" or "use with caution" Beers Criteria medication. Of these patients, 194 (64%; 95% CI 58% to 69%) had ≥2 Beers medication prescriptions and 122 patients (40%; 95% CI 35% to 46%) had ≥3 Beers medication prescriptions. We found no difference in the number of patients with a chief complaint of interest between the BC medication list (28%) and lacking a BC medication (29%) (p-value = 1). No patients returned in the next 7 days for a medication-related complaint.
    Conclusion: The results of this study call into question the routine application of lists without high-quality evidence to critique the prescribing of certain medications. Further patient-oriented study of the relevance of the Beers Criteria list, especially in light of the changed face of medication profiles and populations, is called for.
    MeSH term(s) Analgesics, Opioid/administration & dosage ; Emergency Service, Hospital/statistics & numerical data ; Female ; Humans ; Inappropriate Prescribing/statistics & numerical data ; Male ; Potentially Inappropriate Medication List/standards ; Potentially Inappropriate Medication List/statistics & numerical data ; Practice Patterns, Physicians' ; Retrospective Studies
    Chemical Substances Analgesics, Opioid
    Language English
    Publishing date 2019-05-28
    Publishing country United States
    Document type Journal Article ; Observational Study
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2019.05.052
    Database MEDical Literature Analysis and Retrieval System OnLINE

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