Patient Safety Resources - Drug Safety
Potentially Inappropriate Medications (PIM)
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.
Intervention Tools
- 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]
Additional Resources (Providers/Professional)
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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
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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
