ArticleJournal of pharmacy practice2019
An Interdisciplinary Academic Detailing Approach to Decrease Inappropriate Medication Prescribing by Physician Residents for Older Veterans Treated in the Emergency Department.
Article in Journal of pharmacy practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses 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.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.
- Emergency Department Programs to Support Medication Safety in Older Adults: A Systematic Review and Meta-Analysis.JAMA network open · 2025Pooled it
- Strategies to improve care for older adults who present to the emergency department: a systematic review.BMC health services research · 2024Pooled it
- Evidence on interventions that target prescribing appropriateness in older adults attending the emergency department and other acute care settings: a scoping review.International journal of clinical pharmacy · 2026Article
- Enhancing primary care for older adults: the safety, efficacy, and adherence (SEA) team-based care model to reduce adverse medication outcomes.Frontiers in public health · 2025Article
- Geriatric Emergency Medication Safety Recommendations (GEMS-Rx): Modified Delphi Development of a High-Risk Prescription List for Older Emergency Department Patients.Annals of emergency medicine · 2024Article
- Clin-STAR corner: Practice changing advances in prescribing for geriatric emergency department patients.Journal of the American Geriatrics Society · 2023Article
- What works for and what hinders deimplementation of low-value care in emergency medicine practice? A scoping review.BMJ open · 2023Article
- Challenges and opportunities in creating a deprescribing program in the emergency department: A qualitative study.Journal of the American Geriatrics Society · 2023Article
- Effectiveness of Interventions to Reduce Potentially Inappropriate Medication in Older Patients: A Systematic Review.Frontiers in pharmacology · 2021Review
- Potentially Inappropriate Prescriptions to Older Patients in Emergency Departments in South Korea: A Retrospective Study.Therapeutics and clinical risk management · 2021Article
- Differences in Evaluating Fall Risk by Primary Care Provider Type.The journal for nurse practitioners : JNP · 2020Article
- Implementing the EQUiPPED Medication Management Program at 5 VA Emergency Departments.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2016Article
- Virtual academic detailing (e-Detailing): A vital tool during the COVID-19 pandemic.Journal of the American Pharmacists Association : JAPhAArticle
Corrections and comments
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Authors and funding
16 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveTo evaluate the impact of an academic detailing intervention delivered as part of a quality improvement project by a physician-pharmacist pair on (1) self-reported confidence in prescribing for older adults and (2) rates of potentially inappropriate medications (PIMs) prescribed to older adults by physician residents in a Veteran Affairs emergency department (ED).
methodsThis quality improvement project at a single site utilized a questionnaire that assessed knowledge of Beers Criteria, self-perceived barriers to appropriate prescribing in older adults, and self-rated confidence in ability to prescribe in older adults which was administered to physician residents before and after academic detailing delivered during their emergency medicine rotation. PIM rates in the resident cohort who received the academic detailing were compared to residents who did not receive the intervention.
resultsSixty-three residents received the intervention between February 2013 and December 2014. At baseline, approximately 50% of the residents surveyed reported never hearing about nor using the Beers Criteria. A significantly greater proportion of residents agreed or strongly agreed in their abilities to identify drug-disease interactions and to prescribe the appropriate medication for the older adult after receiving the intervention. The resident cohort who received the educational intervention was less likely to prescribe a PIM when compared to the untrained resident cohort with a rate ratio of 0.73 ( P < .0001).
conclusionAcademic detailing led by a physician-pharmacist pair resulted in improved confidence in physician residents' ability to prescribe safely in an older adult ED population and was associated with a statistically significant decrease in PIM rates.
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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.