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
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 ResearchConceptsEmergency 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 processImpact of Clinical Pharmacy Specialists on the Design and Implementation of a Quality Improvement Initiative to Decrease Inappropriate Medications in a Veterans Affairs Emergency Department
Moss JM, Bryan WE, Wilkerson LM, Jackson GL, Owenby RK, Van Houtven C, Stevens MB, Powers JS, Vaughan CP, Hung WW, Hwang U, Markland AD, McGwin G, Hastings SN. Impact of Clinical Pharmacy Specialists on the Design and Implementation of a Quality Improvement Initiative to Decrease Inappropriate Medications in a Veterans Affairs Emergency Department. Journal Of Managed Care & Specialty Pharmacy 2016, 22: 10.18553/jmcp.2016.22.1.74. PMID: 27015054, PMCID: PMC10397930, DOI: 10.18553/jmcp.2016.22.1.74.Peer-Reviewed Original ResearchConceptsClinical pharmacy specialistsVeterans Affairs emergency departmentPIM prescribingEmergency departmentQuality improvement initiativesPIM ratesAcademic detailingED providersPharmacy specialistsRate of PIMInappropriate medication useQI projectOlder adult patientsImprovement initiativesVA Medical CenterComputerized patient record systemHealth care systemBeers criteriaPIM prescriptionInappropriate medicationsAdult patientsMedication usePrescribing practicesProvider educationMedical Center
2015
Enhancing the Quality of Prescribing Practices for Older Veterans Discharged from the Emergency Department (EQUiPPED): Preliminary Results from Enhancing Quality of Prescribing Practices for Older Veterans Discharged from the Emergency Department, a Novel Multicomponent Interdisciplinary Quality Improvement Initiative
Stevens MB, Hastings SN, Powers J, Vandenberg AE, Echt KV, Bryan WE, Peggs K, Markland AD, Hwang U, Hung WW, Schmidt AJ, McGwin G, Ikpe-Ekpo E, Clevenger C, Johnson TM, Vaughan CP. Enhancing the Quality of Prescribing Practices for Older Veterans Discharged from the Emergency Department (EQUiPPED): Preliminary Results from Enhancing Quality of Prescribing Practices for Older Veterans Discharged from the Emergency Department, a Novel Multicomponent Interdisciplinary Quality Improvement Initiative. Journal Of The American Geriatrics Society 2015, 63: 1025-1029. PMID: 25945692, DOI: 10.1111/jgs.13404.Peer-Reviewed Original ResearchConceptsQuality improvement initiativesOlder veteransPrescribing practicesStaff providersEmergency departmentProvider educationEmergency department studyNumber of PIMsUse of PIMsImprovement initiativesAverage monthly proportionBeers criteriaED dischargeInappropriate medicationsClinical decision supportAcademic detailingSustained reductionHealth outcomesPoisson regressionSuboptimal medicationOrder setsDepartment studyOlder adultsMonthly proportionVeterans