2017
Enhancing Quality of Provider Practices for Older Adults in the Emergency Department (EQUiPPED)
Stevens M, Hastings SN, Markland AD, Hwang U, Hung W, Vandenberg AE, Bryan W, Cross D, Powers J, McGwin G, Fattouh N, Ho W, Clevenger C, Vaughan CP. Enhancing Quality of Provider Practices for Older Adults in the Emergency Department (EQUiPPED). Journal Of The American Geriatrics Society 2017, 65: 1609-1614. PMID: 28388818, DOI: 10.1111/jgs.14890.Peer-Reviewed Original ResearchConceptsOlder adultsAmerican Geriatrics Society 2012 Beers CriteriaMulticomponent quality improvement initiativeEmergency department dischargeNumber of PIMsUse of PIMsElectronic clinical decision supportQuality improvement initiativesPost-intervention comparisonBeers criteriaPIM prescriptionInappropriate medicationsClinical decision supportEmergency departmentSafe prescribingCenter EDMedication safetyProvider practicesOlder veteransSustained reductionMulticomponent programPoisson regressionED sitesImprovement initiativesIndividual providers
2016
Improving geriatric prescribing in the ED: a qualitative study of facilitators and barriers to clinical decision support tool use
Vandenberg AE, Vaughan CP, Stevens M, Hastings SN, Powers J, Markland A, Hwang U, Hung W, Echt KV. Improving geriatric prescribing in the ED: a qualitative study of facilitators and barriers to clinical decision support tool use. International Journal For Quality In Health Care 2016, 29: 117-123. PMID: 27852639, DOI: 10.1093/intqhc/mzw129.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overDecision Support Systems, ClinicalDrug PrescriptionsEmergency Service, HospitalHospitals, VeteransHumansQuality ImprovementConceptsEmergency departmentQuality improvement initiativesClinical decision supportOrder setsMedical recordsOrder set useSettings of carePatients' medical recordsGeriatric prescribingPrescribing practicesAdoption of CDSOlder veteransProvider groupsOlder adultsPhone interviewsImprovement initiativesPrescribingSafety concernsOrder entry processProvider autonomyQualitative studyProvidersEntry process