2024
Scaling the EQUIPPED medication safety program: Traditional and hub‐and‐spoke implementation models
Vandenberg A, Hwang U, Das S, Genes N, Nyamu S, Richardson L, Ezenkwele U, Legome E, Richardson C, Belachew A, Leong T, Kegler M, Vaughan C. Scaling the EQUIPPED medication safety program: Traditional and hub‐and‐spoke implementation models. Journal Of The American Geriatrics Society 2024, 72: 2184-2194. PMID: 38259070, DOI: 10.1111/jgs.18746.Peer-Reviewed Original ResearchPotentially inappropriate medicationsHub-and-spoke modelEmergency departmentSpoke sitesReduce potentially inappropriate medicationMedication safety programQuality improvement initiativesElectronic medical recordsInappropriate medicationsHealth systemImprovement initiativesPrescribing dataHub-and-spokeDisproportionate barriersImplementation modelMedical recordsSite engagementInterview dataSafety programCOVID-19 pandemicProgramEQUIP programCOVID-19BarriersHealth
2022
Use of the consolidated framework for implementation research in a mixed methods evaluation of the EQUIPPED medication safety program in four academic health system emergency departments
Kegler M, Rana S, Vandenberg A, Hastings S, Hwang U, Eucker S, Vaughan C. Use of the consolidated framework for implementation research in a mixed methods evaluation of the EQUIPPED medication safety program in four academic health system emergency departments. Frontiers In Health Services 2022, 2: 1053489. PMID: 36925898, PMCID: PMC10012623, DOI: 10.3389/frhs.2022.1053489.Peer-Reviewed Original ResearchEmergency departmentConsolidated FrameworkVeterans Administration health care systemPrimary implementation outcomeImplementation researchMedication safety programAcademic health systemImplementation outcomesQuality Improvement ProgramFidelity of deliveryHealth care systemEvidence-based approachProviders' receiptInappropriate medicationsMixed-methods evaluationEvidence-informed programsED providersED settingPrescribing practicesAcademic detailingMedication safetyPatient needsEffective quality improvement programOrder setsHealth system
2021
Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme
Vaughan CP, Hwang U, Vandenberg AE, Leong T, Wu D, Stevens MB, Clevenger C, Eucker S, Genes N, Huang W, Ikpe-Ekpo E, Nassisi D, Previl L, Rodriguez S, Sanon M, Schlientz D, Vigliotti D, Hastings SN. Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. BMJ Open Quality 2021, 10: e001369. PMID: 34750188, PMCID: PMC8576471, DOI: 10.1136/bmjoq-2021-001369.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationAcademic health systemElectronic medical recordsHealth systemMedical recordsPrescribing outcomesOlder adultsVA health systemMedication safety programMonthly proportionEpic electronic medical recordDifferent health systemsSignificant reductionBeers criteriaMonthly prescribingMonths preimplementationInappropriate medicationsBenzodiazepine prescriptionsPrescribing ratesEmergency departmentMonths postimplementationDrug classesHealth AdministrationOrder setsVA system
2020
Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system
Vandenberg AE, Kegler M, Hastings SN, Hwang U, Wu D, Stevens MB, Clevenger C, Eucker S, Genes N, Huang W, Ikpe-Ekpo E, Nassisi D, Previll L, Rodriguez S, Sanon M, Schlientz D, Vigliotti D, Vaughan CP. Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. International Journal For Quality In Health Care 2020, 32: 470-476. PMID: 32671390, DOI: 10.1093/intqhc/mzaa077.Peer-Reviewed Original ResearchConceptsMedication safety programHealth systems researchHealth systemLearning health systemTime of dischargeEffective Programs frameworkEmergency department providersAcademic emergency departmentQuality improvement projectCommunity-based settingsImplementation packageFocus groupsInappropriate medicationsClinical decision supportEmergency departmentMedication safetyMAIN OUTCOMESafety programImplementation team membersIntervention packageImprovement projectImplementation yearYearsLarge-scale disseminationMultiple sites