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Risk of Medical Events for Falls, Fractures, Confusion, and Delirium for Patients with Filled Prescriptions for Drugs Listed on Beers Criteria Compared to Well-Matched Controls
December 1, 2020
Using the 2013 edition of the Truven Marketscan® Administrative Claims database, this study looks to link the expected side effects of Beers Criteria medications to logical hospital admissions. This study sets to examine hospital admissions and emergency department visits for community-dwelling elderly individuals 65 years or older specifically for falls and fracture as well as confusion and delirium admissions. These hospital admission types constitute a significant number of admissions the elderly experience due to the medication side effects which affect balance, gait, and cognition. Through the use of 2.6 million propensity-score matched patients, 1.297 million having been exposed to Beers Criteria medications and 1.297 million patients not exposed, this study was able to confirm the linkage between the expected side effects of the medication classes and their logical hospital admissions. Antipsychotics and benzodiazepines were the most frequent prescribed medications to both groups of admission and were also associated with the highest increase in risk of hospitalizations. Future research into medication specific research in regards to falls and fractures, and confusion and delirium in the elderly is warranted.
Implementing a Simulated Electronic Medical Record System for Undergraduate and Graduate Interprofessional Healthcare Education.
May 1, 2014
The traditional standard of educating healthcare professionals separate from one another is no longer conducive to the nature of healthcare delivery. Interprofessional healthcare education has emerged and is quickly gaining acceptance as the standard framework for educating healthcare professionals. Studies show that the traditional structure of educating a healthcare student in “silos” can lead to the development of assumed perceptions of their colleagues in other health professions (Ateah et al., 2011). Interprofessional healthcare education fosters the communication skills necessary for the student’s success in their chosen career path. In addition to the development and implementation of an interprofessional healthcare education seminar, the addition of an electronic medical record system to this seminar will add a layer of realism to the experience. Through the seminar, students will utilize modules of the electronic medical record system to complete documentation and tasks responsible of their job role while developing therapeutic care plans for weekly patient cases.