Patient Safety Resources - Drug Safety

QMIS Measure Specification:  Measure ID: 10508 https://www.qualitynet.org/qmis/measureDetailView.htm?measureId=10508&viewType=1

Numerator:  The number of Part D enrollees in the denominator with > 1 PIM during measurement period.

Denominator: The number of Part D enrollees ages > 65 with at least one Prescription Drug Event (PDE) claim during measurement period.

• Table 1 PIMS [pdf]
• Table HEDIS 2009 DAE-A [pdf]

• Commonly Prescribed Potentially Inappropriate Medications in the Maryland Elderly [pdf]
• Sample Provider Letter - anticholinergics/CNS [pdf]
• Sample Provider Letter - estrogens [pdf]
• Sample Provider Letter - nitrofuranton [pdf]
• Sample Provider Letter - meperidine [pdf]

• A randomized study to decrease the use of potentially inappropriate medications among community-dwelling older adults in a southeastern managed care organization.  Am J Manag Care. 2004; 10(11pt 1): 761-768. Fick DM, Maclean JR, Rodriguez NA, Short L, Heuvel RV, Waller JL, et al
  http://www.ajmc.com/issue/managed-care/2004/2004-11-vol10-n11Pt1/Nov04-1943p761-768

• Potentially Inappropriate Medication Use in the Community-Dwelling Elderly. Findings From the 1996 Medical Expenditure Panel Survey JAMA 2001;286:2823-2829. Zhan C, Sangl J, Bierman AS, et al.
  http://jama.ama-assn.org/cgi/reprint/286/22/2823

• Updating the Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. Arch Intern Med. 2003;163:2716-2724. Fick DM, Cooper JW, Wade WE, et al.
  http://archinte.ama-assn.org/cgi/reprint/163/22/2716

• Healthcare outcomes associated with Beers’ criteria:  a systematic review.  Ann Pharmacother. 2007; 41(3) :438-447. Jano E & Aparasu RR. 
  http://www.theannals.com/cgi/content/abstract/41/3/438

• Effect of prescriber education on the use of medications contraindicated in older adults in a managed Medicare population. J Manag Care Pharm.  2005; 11(3):211-219.  Kaufman MB, Brodin KA, & Sarafian A.
  http://www.amcp.org/data/jmcp/Research_211-219.pdf

• Patient Safety Advisory – Demerol:  Is It the Best Analgesic? http://www.patientsafetyauthority.org/ADVISORIES/AdvisoryLibrary/2006/Jun3(2)/Pages/18.aspx

• Inappropriate prescribing in an acutely ill population of elderly patients as determined by
  Beers’ Criteria. Age and Ageing 2008;37:96-101. Gallagher PF, Barry PJ, Ryan C, et al.
  http://ageing.oxfordjournals.org/cgi/reprint/37/1/96

• Drug Utilization Review Reveals Potentially Inappropriate Medication Use Among Elderly Population
  http://www.medicalnewstoday.com/articles/146022.php