2022
Development of High-Risk Geriatric Polypharmacy Electronic Clinical Quality Measures and a Pilot Test of EHR Nudges Based on These Measures
Persell S, Brown T, Doctor J, Fox C, Goldstein N, Handler S, Hanlon J, Lee J, Linder J, Meeker D, Rowe T, Sullivan M, Friedberg M. Development of High-Risk Geriatric Polypharmacy Electronic Clinical Quality Measures and a Pilot Test of EHR Nudges Based on These Measures. Journal Of General Internal Medicine 2022, 37: 2777-2785. PMID: 34993860, PMCID: PMC9411452, DOI: 10.1007/s11606-021-07296-1.Peer-Reviewed Original ResearchConceptsHigh-risk criteriaNon-dihydropyridine calcium channel blockersMore high-risk criteriaSingle large health systemThree-arm pilotChronic kidney diseaseHigh-risk medicationsCalcium channel blockersLarge health systemDrug-drug interactionsClinical quality measuresElectronic health recordsEHR alertMain MeasuresRatesMore medicationsPatients 65Older patientsHeart failureKey ResultsAmongKidney diseaseNovel electronic health recordPolypharmacyChannel blockersFall historyPatients
2020
Clinician-Level Variation in Three Measures Representing Overuse Based on the American Geriatrics Society Choosing Wisely Statement
Rowe T, Brown T, Lee J, Linder J, Friedberg M, Doctor J, Meeker D, Ciolino J, Persell S. Clinician-Level Variation in Three Measures Representing Overuse Based on the American Geriatrics Society Choosing Wisely Statement. Journal Of General Internal Medicine 2020, 35: 1797-1802. PMID: 32128687, PMCID: PMC7280408, DOI: 10.1007/s11606-020-05748-8.Peer-Reviewed Original ResearchConceptsDiabetes measuresPSA measuresUrine cultureOlder adultsUrinalysis/urine cultureProstate-specific antigen (PSA) testingHealth systemNon-specific reasonsOral hypoglycemic medicationsOveruse of testingInappropriate useSame health systemMedical servicesIntermediate outcome measuresClinical quality measuresDesignRetrospective analysisHypoglycemic medicationsElderly patientsAntigen testingDiabetes mellitusCare cliniciansHighest quartileOffice visitsOdds ratioOutcome measures