2022
Strategies Associated With Reducing Benzodiazepine Prescribing to Older Adults: A Mixed Methods Study
Maust DT, Takamine L, Wiechers IR, Blow FC, Bohnert ASB, Strominger J, Min L, Krein SL. Strategies Associated With Reducing Benzodiazepine Prescribing to Older Adults: A Mixed Methods Study. The Annals Of Family Medicine 2022, 20: 328-335. PMID: 35879067, PMCID: PMC9328717, DOI: 10.1370/afm.2825.Peer-Reviewed Original ResearchConceptsAverage daily doseDaily doseOlder adultsVeterans Health AdministrationHealth care facilitiesCommunity-based settingsLorazepam equivalentsAppropriate prescribingPrescribing practicesBZD prescribingBZD treatmentOlder veteransCare facilitiesMethods studyHealth AdministrationPotential patientsBenzodiazepinesPrescribingPatient identificationIndividualized recommendationsMixed-methods studyAdultsCliniciansDoseVeterans
2021
Trends in Medication Prescribing in Patients With PTSD From 2009 to 2018: A National Veterans Administration Study.
Holder N, Woods A, Neylan TC, Maguen S, Seal KH, Bernardy N, Wiechers I, Ryder A, Urbieta AM, Cohen BE. Trends in Medication Prescribing in Patients With PTSD From 2009 to 2018: A National Veterans Administration Study. The Journal Of Clinical Psychiatry 2021, 82 PMID: 34004087, DOI: 10.4088/jcp.20m13522.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAntipsychotic AgentsDrug PrescriptionsHumansLongitudinal StudiesMaleMiddle AgedPractice Patterns, Physicians'Psychotropic DrugsRetrospective StudiesSelective Serotonin Reuptake InhibitorsSerotonin and Noradrenaline Reuptake InhibitorsStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransConceptsPosttraumatic stress disorderPercentage of patientsVeterans Health AdministrationVHA careAdjunctive medicationsOutpatient prescription recordsSSRIs/SNRIsVeterans Administration studyClinical practice guidelinesICD-10 codesAdverse side effectsEvidence-based psychotherapiesPsychotic spectrum disordersAAP useMedication classesBenzodiazepine prescriptionsMedication prescribingPrescription recordsSymptom improvementNational cohortPractice guidelinesMedicationsSide effectsICD-9Patients
2020
Benzodiazepine Use among Medicare, Commercially Insured, and Veteran Older Adults, 2013–2017
Maust DT, Kim HM, Wiechers IR, Ignacio RV, Bohnert ASB, Blow FC. Benzodiazepine Use among Medicare, Commercially Insured, and Veteran Older Adults, 2013–2017. Journal Of The American Geriatrics Society 2020, 69: 98-105. PMID: 32951209, PMCID: PMC7856043, DOI: 10.1111/jgs.16825.Peer-Reviewed Original Research
2016
No End in Sight: Benzodiazepine Use in Older Adults in the United States
Maust DT, Kales HC, Wiechers IR, Blow FC, Olfson M. No End in Sight: Benzodiazepine Use in Older Adults in the United States. Journal Of The American Geriatrics Society 2016, 64: 2546-2553. PMID: 27879984, PMCID: PMC5173408, DOI: 10.1111/jgs.14379.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overBenzodiazepinesCross-Sectional StudiesFemaleHealth Care SurveysHumansMalePractice Patterns, Physicians'United StatesConceptsMental health diagnosesBenzodiazepine useBenzodiazepine usersOlder adultsNonpsychiatrist physiciansNational Ambulatory Medical Care SurveyVisit ratesAmbulatory Medical Care SurveyAnnual visit rateHealth diagnosisEffective alternative treatmentCross-sectional analysisPatient ageOutpatient encountersClinical mental health diagnosisCare SurveyVisit characteristicsChronic usersAlternative treatmentYoung adultsVisitsDecades of evidenceOverall proportionAdultsSafety concerns
2012
Impact of a Metabolic Screening Bundle on Rates of Screening for Metabolic Syndrome in a Psychiatry Resident Outpatient Clinic
Wiechers IR, Viron M, Stoklosa J, Freudenreich O, Henderson DC, Weiss A. Impact of a Metabolic Screening Bundle on Rates of Screening for Metabolic Syndrome in a Psychiatry Resident Outpatient Clinic. Academic Psychiatry 2012, 36: 118-121. PMID: 22532201, DOI: 10.1176/appi.ap.10090138.Peer-Reviewed Original ResearchConceptsElectronic medical recordsAntipsychotic medicationMedical recordsMetabolic syndromeIndividual patient electronic medical recordsMetabolic screeningSecond-generation antipsychoticsMetabolic syndrome screeningPatients' electronic medical recordsCardiometabolic side effectsRate of documentationRates of screeningQuality improvement interventionsResident outpatient clinicOutpatient clinicResident clinicQI interventionsAudit periodSide effectsQuarterly auditsPatientsMedicationsAntipsychoticsSyndromeClinic