ArticleGerontology & geriatrics education2014
Combining quality improvement and geriatrics training: the nursing home polypharmacy outcomes project.
Article in Gerontology & geriatrics education, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions to improve the appropriate use of polypharmacy for older people.The Cochrane database of systematic reviews · 2018Pooled it
- A Scoping Review on Strategies for Navigating Conflicting Rights Between Safety and Autonomy in Residential Long-Term Care in the United States.Journal of the American Geriatrics Society · 2026Article
- Preparing Physicians to Care for Older Adults: Strategies for Making Your Educational Program More "Age-Friendly".Medical science educator · 2025Article
- Healthcare Quality Improvement Competency: A Clinical and Training Imperative for Geropsychology.Journal of clinical psychology in medical settings · 2021Article
- Quality improvement in long-term care settings: a scoping review of effective strategies used in care homes.European geriatric medicine · 2021Article
- Polypharmacy Management in the Older Adults: A Scoping Review of Available Interventions.Frontiers in pharmacology · 2021Article
- Integrating Quality Improvement Education into the Nephrology Curricular Milestones Framework and the Clinical Learning Environment Review.Clinical journal of the American Society of Nephrology : CJASN · 2017Article
- Potentially inappropriate medications in a sample of Portuguese nursing home residents: Does the choice of screening tools matter?International journal of clinical pharmacy · 2016Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
To examine sustained effects of an educational intervention, the authors repeated a successful quality improvement (QI) project on medication safety and cost effectiveness. In October 2007 and August 2008, the facility leadership and geriatrics faculty identified all patients receiving nine or more medications (polypharmacy cohort) in a 170-bed teaching nursing home. They then taught Geriatric Medicine fellows (n = 12 in 2007, 11 in 2008) to (a) systematically collect medication data; (b) generate medication recommendations (stop, taper, or continue) based on expert criteria (Beers criteria) or drug-drug interaction programs; (c) discuss recommendations with patients' attending physicians; and (d) implement approved recommendations. Over the two projects, the polypharmacy cohorts demonstrated decreased potentially inappropriate medications (odds ratio [OR] = .78, 95% confidence interval [95% CI] [0.69, 0.88], p < .001), contraindicated medications (OR = .63, 95% CI [0.47, 0.85], p = .002) and medication costs (OR = .97, 95% CI [0.96, 0.99], p < .001). Findings suggest that programs planning educational QI projects for trainees may benefit from a multiyear approach to maximize clinical and educational benefits.
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Registered trials
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.