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An assessment of potentially inappropriate medications to improve senior consumer safety in an outpatient mental health setting
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Burger, Freja. An assessment of potentially inappropriate medications to improve senior consumer safety in an outpatient mental health setting. Retrieved from https://doi.org/doi:10.7282/t3-rtkh-2j31

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TitleAn assessment of potentially inappropriate medications to improve senior consumer safety in an outpatient mental health setting
NameBurger, Freja (author); Patusky, Kathleen (chair); Rutgers University; School of Nursing - RBHS
Date Created2021
Other Date2021-05 (degree)
SubjectPotentially inappropriate medications, Older people -- Medical care, Psychiatric/Mental Health Nurse Practitioner
Extent1 online resource (59 pages)
DescriptionPurpose of Project: To improve older adult consumer safety within a large outpatient mental health organization (pseudonym: “Jersey Health”) by identifying potential problem areas of prescribing safety through use of a medication chart review.

Methodology: A retrospective chart review (guided by 2019 American Geriatrics Association Beers Criteria) examining potentially inappropriate prescribing trends of PIMs and polypharmacy for senior consumers over a one-year period in this outpatient setting.

Results: 25.6% of all prescriptions issued to seniors were PIMs, and 53.8% of the total sample were prescribed one or more PIMs. Benzodiazepines were the most frequently prescribed PIMs. The polypharmacy rate was only 5.0%, but medications prescribed to consumers in other settings were omitted from this study so this number is likely much higher.

Implications for Practice: Jersey Health should set a quality improvement target of lowering their PIM rate, specifically targeting their high benzodiazepine prescription rate, and aiming deprescribing interventions at both prescribers and consumers. Further, the true rates of polypharmacy were not detected as Jersey Health’s electronic medical record (EMR) does not integrate primary healthcare information with behavioral healthcare information. Jersey Health should consider an alternative EMR that will link their consumers’ behavioral and primary health information together to enhance medication transparency and reduce the risk for drug-drug interactions and polypharmacy.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-rtkh-2j31
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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