ArticleJournal of the American Geriatrics Society2013
Adverse drug events after hospital discharge in older adults: types, severity, and involvement of Beers Criteria Medications.
Article in Journal of the American Geriatrics Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 4 of them syntheses that pooled it.
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Who cites it
57 citing papers in PubMed, 4 syntheses or guidelines pooled it, 124 citations in OpenAlex.
- Potentially inappropriate prescribing and its associations with health-related and system-related outcomes in hospitalised older adults: A systematic review and meta-analysis.British journal of clinical pharmacology · 2021Pooled it
- Tools to evaluate medication management for caregivers of people living with dementia: A systematic review.Health expectations : an international journal of public participation in health care and health policy · 2021Pooled it
- Interventions at Hospital Discharge to Guide Caregivers in Medication Management for People Living with Dementia: a Systematic Review.Journal of general internal medicine · 2021Pooled it
- Prevalence and Nature of Medication Errors and Medication-Related Harm Following Discharge from Hospital to Community Settings: A Systematic Review.Drug safety · 2020Pooled it
- Pharmacists and transitions of care from emergency department to home.The American journal of managed care · 2023Trial
- The Pharmacist Discharge Care (PHARM-DC) study: A multicenter RCT of pharmacist-directed transitional care to reduce post-hospitalization utilization.Contemporary clinical trials · 2021Trial
- Primary Care Providers' Opening of Time-Sensitive Alerts Sent to Commercial Electronic Health Record InBaskets.Journal of general internal medicine · 2017Trial
- The impact of hospitalization on potentially inappropriate prescribing in an acute medical geriatric division.International journal of clinical pharmacy · 2015Trial
- An electronic health record-based intervention to increase follow-up office visits and decrease rehospitalization in older adults.Journal of the American Geriatrics Society · 2014Trial
- Article
- Clinical and Economic Outcomes of Korea's National Polypharmacy Management Program for Hospitalized Older Adults: 90-Day Readmission and Healthcare Costs.Drugs & aging · 2026Article
- Evaluating a Mobile Integrated Health Transitional Care Program to Reduce Readmissions: Findings From a Quasi-Experimental Design.Journal of the American Geriatrics Society · 2026Observational
- Patient and program level correlates of 30-day readmissions: a retrospective analysis of a transitional care program.BMC health services research · 2025Article
- Benefits of Cardiac Rehabilitation: Mechanisms to Restore Function and Clinical Impact.Circulation research · 2025Review
- Using shared clinical decision support to reduce adverse drug events and improve patient safety.Frontiers in digital health · 2025Review
- Assessing patient work system factors for medication management during transition of care among older adults: an observational study.BMJ quality & safety · 2024Observational
- Reductions in renin-angiotensin system inhibitors following hospitalization for heart failure.ESC heart failure · 2024Article
- Validation of an algorithm to prioritize patients for comprehensive medication management in primary care settings.International journal of clinical pharmacy · 2024Article
- Nurse-led medication management as a critical component of transitional care for preventing drug-related problems.Aging clinical and experimental research · 2024Review
- Central nervous system medication use around hospitalization.Journal of the American Geriatrics Society · 2024Article
Corrections and comments
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Authors and funding
11 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesTo characterize adverse drug events (ADEs) occurring within the high-risk 45-day period after hospitalization in older adults.
designClinical pharmacists reviewed the ambulatory records of 1,000 consecutive discharges.
settingA large multispecialty group practice closely aligned with a Massachusetts-based health plan.
participantsHospitalized individuals aged 65 and older discharged home. MEASUREMENTS: Possible drug-related incidents occurring during the 45-day period after hospitalization were identified and presented to a pair of physician-reviewers who classified incidents as to whether an ADE was present, whether the event was preventable, and the severity of the event. Medications implicated in ADEs were further characterized according to their inclusion in the 2012 Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.
resultsAt least one ADE was identified during the 45-day period in 18.7% (n = 187) of the 1,000 discharges. Of the 242 ADEs identified, 35% (n = 84) were deemed preventable, of which 32% (n = 27) were characterized as serious, and 5% (n = 4) as life threatening. More than half of all ADEs occurred within the first 14 days after hospitalization. The percentage of ADEs in which Beers Criteria medications were implicated was 16.5% (n = 40). Beers criteria medications with both a high quality of evidence and strong strength of recommendation were implicated in 6.6% (n = 16) of the ADEs.
conclusionADEs are common and often preventable in older adults after hospital discharge, underscoring the need to address medication safety during this high-risk period in this vulnerable population. Beers criteria medications played a small role in these events, suggesting that efforts to improve the quality and safety of medication use during this critical transition period must extend beyond a singular focus on Beers criteria medications.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.