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- W159933600 abstract "Pharmacotherapy frequently is used for the treatment of medical problems in older veteran community living center (CLC) patients. Unfortunately, many of these drug therapies carry significant risks, including adverse drug reactions (ADRs). To our knowledge the only published study of ADRs in older VA CLC patients found that, over a 6-month period, 95 of 175 residents (54%) experienced an ADR.1Prescribing errors, especially of primarily renally cleared oral medications (such as digoxin, glyburide, and spirononolactone), are commonly the cause of ADRs. A study by Papaioannou and colleagues (of 456 patients at 4 long-term care facilities in Canada) found that prescribing problems were common for 20 primarily renally cleared medications.2 However, in a non-VA nursing home study, it was shown that computerized alerts at the time of electronic prescribing can improve dosing of primarily renally cleared medications.3To address the problem of inappropriate prescribing of these medications at the VA Pittsburgh Healthcare System (VAPHS) in Pennsylvania, health professional faculty members from the VAPHS Geriatric Research Education and Clinical Center (GRECC) and the VAPHS Center for Health Equity Research and Promotion implemented a 3-step approach. This approach involved compiling an agreed-upon list of medications and dosing recommendations for primarily renally cleared oral medications, determining the frequency of potentially inappropriate prescribing of these medications, and designing a quality improvement program geared toward improving the prescribing of these medications. Here, in greater detail, we describe each of the 3 steps of our approach." @default.
- W159933600 created "2016-06-24" @default.
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- W159933600 date "2010-09-01" @default.
- W159933600 modified "2023-09-23" @default.
- W159933600 title "Program to Improve Prescribing of Primarily Renally Cleared Oral Medications in Older Veteran Community Living Center Patients." @default.
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