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Park Haesuk H University of Florida College of Pharmacy, HPNP Bldg, Rm. 3325, Gainesville, FL 32611. - - 2014
The implementation of Medicare Part D provided insurance coverage for outpatient medications, but when persons reach the "gap," they have very limited or no medication insurance coverage until they reach a second threshold for catastrophic coverage. In addition, some patients have a low-income subsidy (LIS), and their out-of-pocket costs do ...
Iyengar Reethi N RN Express Scripts, 4600 N. Hanley Rd., PTIC08, St. Louis, MO 63134. - - 2014
Medication adherence, defined as taking medications as prescribed, is a key component in controlling disease progression and managing chronic illnesses such as diabetes, hypertension, and high blood cholesterol. These diseases constitute 3 of the top 5 most prevalent conditions among Medicare beneficiaries, warranting further attention to find ways to promote ...
Couto Joseph E JE Cigna Healthcare, 900 Cottage Grove Rd., B8MM, Bloomfield, CT 06002. - - 2014
Previous literature has emphasized the importance of cost sharing, health literacy, socioeconomic status, cognitive function, disease burden, and polypharmacy as some of the determinants of medication adherence. Little research has been published examining disparities in adherence rates when comparing different regions of the United States. To examine the impact of ...
Lee Jacky W Y JW *Department of Ophthalmology, University of Hong Kong, †Department of Ophthalmology, Caritas Medical Centre ‡Department of Ophthalmology, Queen Mary Hospital, Hong Kong, SAR, People's Republic of - - 2014
The purpose of this study was to investigate the efficacy of selective laser trabeculoplasty (SLT) in the treatment of normal tension glaucoma (NTG). This prospective cohort study recruited consecutive cases of NTG on antiglaucoma medication. Cases were excluded for previous glaucoma surgery or laser. All patients underwent a 1-month washout ...
Hoffman Andrea S AS Department of Paediatrics, Division of Developmental Paediatrics, Holland Bloorview Kids Rehabilitation Hospital, University of Toronto, 150 Kilgour Road, M4G 1R8, Toronto, Canada, - - 2014
Studies of elective surgical procedures indicate that cancellation is common and preventable. Little is known about cancellation of anesthesia-supported elective diagnostic imaging. To describe the reasons for same-day cancellation of MRI studies performed under sedation or anesthesia and identify patient characteristics associated with cancellations. This case-control study was carried out ...
Manias Elizabeth E Deakin University, Burwood, VIC, Australia The University of Melbourne, Parkville, VIC, Australia - - 2014
To systematically examine the research literature to identify which interventions reduce medication errors in pediatric intensive care units. Databases were searched from inception to April 2014. Studies were included if they involved the conduct of an intervention with the intent of reducing medication errors. In all, 34 relevant articles were ...
Leung Victoria C VC *Faculty of Medicine †Department of Ophthalmology and Vision Sciences ‡Dalla Lana School of Public Health, University of Toronto, Toronto, ON §Department of Ophthalmology and Visual Sciences, University of British Columbia, Vancouver, BC, - - 2014
To investigate the relationship between sociodemographic factors and nonpersistence with topical glaucoma medication. This was a retrospective, observational cohort study. We invited glaucoma patients on medical therapy from a general ophthalmology practice to complete a standardized questionnaire between November 2011 and April 2012. Nonpersistence was defined as having ≥1 gaps ...
Devlin Megan K MK Department of Medicine, University of Toronto, Toronto, Ontario, - - 2014
Handover is the process of transferring pertinent patient information and clinical responsibility between health care practitioners. Few studies have examined morning handover from the overnight trainee to the daytime team. To characterize current morning handover practices in 2 academic medical centers by assessing the frequency of omissions of clinically important ...
Maggiore Ronald J RJ Portland Veterans Affairs Medical Center and Oregon Health & Science University, Portland, - - 2014
To evaluate the prevalence of polypharmacy and potentially inappropriate medication (PIM) use and the association between these and chemotherapy-related adverse events in older adults with cancer undergoing chemotherapy. Secondary analysis of prospectively collected data. Outpatient oncology clinics in seven academic medical centers. Adults aged 65 and older with cancer undergoing ...
Yin H Shonna HS Department of Pediatrics, New York University School of Medicine and Bellevue Hospital Center, New York, New York; - - 2014
Adopting the milliliter as the preferred unit of measurement has been suggested as a strategy to improve the clarity of medication instructions; teaspoon and tablespoon units may inadvertently endorse nonstandard kitchen spoon use. We examined the association between unit used and parent medication errors and whether nonstandard instruments mediate this ...
Albrecht J S JS Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, 220 Arch Street, 12th floor, Room 01-234, Baltimore, MD, 21201, USA, - - 2014
Little is known regarding the prevalence or risk factors for non-comprehension and non-compliance with discharge instructions among older adults. To quantify the prevalence of non-comprehension and non-compliance with discharge instructions and to identify associated patient characteristics. Prospective cohort study. Four hundred and fifty adults aged ≥ 65 admitted to medical ...
Marie Chater Angel A a Centre for Behavioural Medicine, UCL School of Pharmacy, University College - - 2014
Abstract Objective: Nonadherence to phosphate binding medication (PBM) compromises the efficacy of treatment for chronic kidney disease (CKD), but its causes are poorly understood. This study sought to explore patient attitudes towards PBM and to evaluate the utility of the Necessity-Concerns Framework for understanding adherence to PBM. Design: A sample ...
Hampton Lee M LM Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, - - 2014
In 2011, an estimated 26.8 million US adults used prescription medications for mental illness. To estimate the numbers and rates of adverse drug event (ADE) emergency department (ED) visits involving psychiatric medications among US adults between January 1, 2009, and December 31, 2011. Descriptive analyses of active, nationally representative surveillance ...
Mixon Amanda S AS Department of Veterans Affairs, Tennessee Valley Healthcare System Geriatric Research Education and Clinical Center, Nashville, Tennessee; Section of Hospital Medicine, Division of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University, Nashville, Tennessee; Center for Health Services Research, Vanderbilt University, Nashville, Tennessee. Electronic address: - - 2014
To examine the association of patient- and medication-related factors with postdischarge medication errors. The Vanderbilt Inpatient Cohort Study includes adults hospitalized with acute coronary syndromes and/or acute decompensated heart failure. We measured health literacy, subjective numeracy, marital status, cognition, social support, educational attainment, income, depression, global health status, and medication ...
Kisambu J J *Uganda Prisons Services, Kampala, - - 2014
<sec id="st1"> <title>OBJECTIVE</title> To estimate the levels of adherence to anti-tuberculosis medications and associated risk factors in a pastoral community practising transhumance in North-Eastern Uganda. </sec> <sec id="st2"> <title>DESIGN</title> A cross-sectional retrospective study of a cohort of tuberculosis (TB) patients and their community volunteers registered from August 2008 to July ...
McAdam-Marx Carrie C University of Utah, 30 S. 2000 E., Rm. 4980, Salt Lake City, UT 84112. - - 2014
Managed care organizations put great effort into managing the population of patients with type 2 diabetes mellitus (T2DM) because of the health and economic burden of this disease. In patients with T2DM, weight loss and glycemic control are primary treatment aims to help improve patient outcomes, but these goals are ...
Porter Evelyn E University of California San Francisco, Department of Emergency Medicine, San Francisco, - - 2014
The objective of our study was to estimate the incidence of prescribing medication errors specifically made by a trainee and identify factors associated with these errors during the simulated resuscitation of a critically ill child. The results of the simulated resuscitation are described. We analyzed data from the simulated resuscitation ...
Li Xiaojuan X Department of Epidemiology, UNC Gillings School of Global Public Health, Chapel Hill, - - 2014
Epidemiologic studies of prescription medications increasingly rely on large administrative health care databases. These data do not capture patients' use of medication samples. This could potentially bias studies of short-term effects where date of initiation may be inaccurate. To assess the extent of sample use among patients initiating statin therapy. ...
Bailit Jennifer L JL Department of Obstetrics and Gynecology of Case Western Reserve University-MetroHealth Medical Center, Cleveland, OH. Electronic address: - - 2014
To compare maternal and neonatal outcomes in nulliparous women with non-medically indicated inductions at term versus those expectantly managed. Data were obtained from maternal and neonatal charts for all deliveries on randomly selected days across 25 US hospitals over a three-year period. A low-risk subset of nulliparas with vertex non-anomalous ...
Friedman Benjamin W BW Department of Emergency Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, NY, USA - - 2014
Published data from 1998 revealed that most patients treated for migraine in an emergency department received opioids. Over the intervening years, a large body of evidence has emerged demonstrating the efficacy and safety of non-opioid alternatives. Expert opinion during these years has cautioned against use of opioids for migraine. Our ...
Peterson Cora C National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia; - - 2014
Health consequences of shaken baby syndrome, or pediatric abusive head trauma (AHT), can be severe and long-lasting. We aimed to estimate the multiyear medical cost attributable to AHT.METHODS: Using Truven Health MarketScan data, 2003-2011, we identified children 0 to 4 years old with commercial or Medicaid insurance and AHT diagnoses. ...
Zedler Barbara B Venebio Group, Richmond, Virginia, - - 2014
Prescription opioid use and deaths related to serious toxicity, including overdose, have increased dramatically in the United States since 1999. However, factors associated with serious opioid-related respiratory or central nervous system (CNS) depression or overdose in medical users are not well characterized. The objective of this study was to examine ...
Sri-On Jiraporn J Emergency Department, Massachusetts General Hospital, Boston, - - 2014
Hospital crowding and emergency department (ED) boarding are large and growing problems. To date, there has been a paucity of information regarding the quality of care received by patients boarding in the ED compared with the care received by patients on an inpatient unit. We compared the rate of delays ...
Hawkins Lee Ann LA Indiana Wesleyan University, Marion, IN, USA; VA Loma Linda Healthcare System, Loma Linda, CA, USA. Electronic address: - - 2014
(a) To evaluate efficacy of a pictorial medication sheet to improve adherence in veterans with heart failure (HF) and cognitive impairment (CI); (b) to describe acceptance of the intervention. CI is prevalent in HF and is associated with worsened medication adherence. The Veteran's Administration has developed a medication image library; ...
Rajan Shobana S Department of General Anesthesiology, Anesthesiology Institute, Cleveland Clinic, 9500 Euclid Avenue, E-31, Cleveland, OH 44195, - - 2014
Hypertension is common in deep brain stimulator (DBS) placement predisposing to intracranial hemorrhage. This retrospective review evaluates factors predicting incremental antihypertensive use intraoperatively. Medical records of Parkinson's disease (PD) patients undergoing DBS procedure between 2008-2011 were reviewed after Institutional Review Board approval. Anesthesia medication, preoperative levodopa dose, age, preoperative use ...
Solomon D H DH Division of Pharmacoepidemiology, Brigham and Women's Hospital, Boston, MA, USA, - - 2014
Among 125,954 new users of osteoporosis (OP) medications, 77 % of subjects stopped OP medications, and 23 % of subjects added or started a new OP medication during follow-up, with the first addition or start of a new OP medication occurring in a mean of 739 days after original OP treatment. We described ...
Mochari-Greenberger Heidi H Department of Medicine, Columbia University Medical Center, New - - 2014
In the United States, hypertension and diabetes are more common among blacks and Hispanics than among others; the comorbidity is associated with worse clinical outcomes than each condition alone. Racial/ethnic differences in outcomes may be related to differential uptake of antihypertensive therapies, but data to evaluate this in real-world settings ...
Nuckols Teryl K - - 2014
The Health Information Technology for Economic and Clinical Health (HITECH) Act subsidizes implementation by hospitals of electronic health records with computerized provider order entry (CPOE), which may reduce patient injuries caused by medication errors (preventable adverse drug events, pADEs). Effects on pADEs have not been rigorously quantified, and effects on ...
Murphy Gaetanne K - - 2014
Rural residents face numerous barriers to healthcare access and studies suggest poorer health outcomes for rural patients. Therefore we undertook a systematic review to determine if cardiovascular medication utilization and adherence patterns differ for rural versus urban patients. A comprehensive search of major electronic datasets was undertaken for controlled clinical ...
Suehs Brandon T BT Comprehensive Health Insights, Inc., 325 W. Main St., WFP6W, Louisville, KY 40202. - - 2014
Varenicline, a nicotinic acetylcholine receptor partial agonist, is a pharmacotherapy indicated for smoking cessation treatment. To date, no research has examined the relationship between out-of-pocket (OOP) expense and varenicline adherence among Medicare beneficiaries. To (a) characterize medication utilization patterns of varenicline among Medicare members newly initiated on varenicline and (b) ...
Razali S M SM Discipline of Psychological and Behavioural Medicine, Faculty of Medicine, Universiti Teknologi Mara, Sungai Buloh Campus, 47000 Sungai Buloh, Selangor, - - 2014
OBJECTIVE. Adherence to medication is essential for maximising the outcomes of patients with schizophrenia as the consequences of poor adherence are devastating. The study aimed to compare medication adherence between patients with relapse schizophrenia and those attending psychiatric follow-up clinics, and to determine the factors affecting adherence. METHODS. This was ...
Patterson P Daniel - - 2014
Abstract Objectives. We sought to test reliability of two approaches to classify adverse events (AEs) associated with helicopter EMS (HEMS) transport. Methods. The first approach for AE classification involved flight nurses and paramedics (RN/Medics) and mid-career emergency physicians (MC-EMPs) independently reviewing 50 randomly selected HEMS medical records. The second approach ...
Wimmer Barbara Caecilia BC Sansom Institute, School of Pharmacy and Medical Sciences, University of South Australia, Adelaide, SA, Australia, - - 2014
Older people often take multiple medications. It is a policy priority to facilitate older people to stay at home longer. Three-quarters of nursing home placements in the US are preceded by a hospitalization. To investigate the association between polypharmacy and medication regimen complexity with hospital discharge destination among older people. ...
Wimmer Barbara C BC Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Melbourne, Australia Sansom Institute, School of Pharmacy and Medical Sciences, University of South Australia, Adelaide, Australia - - 2014
Medication-related problems and adverse drug events are leading causes of preventable hospitalizations. Few previous studies have investigated the possible association between medication regimen complexity and unplanned rehospitalization. To investigate the association between discharge medication regimen complexity and unplanned rehospitalization over a 12-month period. The prospective study comprised patients aged ≥70 ...
O'Shea M P MP Department of Pharmacology and Therapeutics, Trinity Centre for Health Science, St James's Hospital, Dublin 8, Ireland, - - 2014
Few studies have investigated regional variation in medication-taking behaviour. The purpose of this study was to investigate whether there are regional differences in non-persistence and non-adherence to oral anti-hyperglycaemic agents in patients initiating therapy and examine if any association exists between different types of comorbidity in terms of medication-taking behaviour. ...
Stout Molly J MJ Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis MO, USA. Electronic address: - - 2014
To estimate inter-observer variability and correct classification of preterm birth into spontaneous and indicated subtypes. This is a cross-sectional study in which a trained obstetric nurse, maternal fetal medicine (MFM) fellow, and MFM faculty member independently reviewed discharge summaries and full medical records to classify preterm birth into spontaneous and ...
Schutz Lusana L Department of Emergency Medicine, University of California at Davis School of Medicine, Sacramento, CA, - - 2014
Expedition ships to Antarctica travel to remote areas with limited medical support. This study determines the rate and patterns of passenger illness and injuries among those traveling on expedition ships to Antarctica. We hypothesize that severe medical conditions are encountered that require physicians serving on these ships to be skilled ...
Kojima Gotaro G a The John A. Hartford Foundation Center of Excellence in Geriatrics, Department of Geriatric Medicine, John A. Burns School of Medicine , University of Hawaii , Honolulu , Hawaii , - - 2014
ABSTRACT To examine sustained effects of an educational intervention, we repeated a successful quality improvement (QI) project on medication safety and cost-effectiveness. In October 2007 and August 2008, facility leadership and geriatrics faculty identified all patients receiving ≥9 medications (polypharmacy cohort) in a 170-bed teaching nursing home and taught Geriatric ...
Fraser Lisa-Ann LA Western University, London, ON, - - 2014
Many medications used in older adults have strong anticholinergic (ACH) properties, which may increase the risk of falls and fractures. Use of these medications was identified in a population-based Canadian cohort. To identify the fall and fracture risk associated with ACH medication use. Data collection and analysis were conducted at ...
Pitkälä Kaisu H KH Unit of Primary Health Care, Helsinki University Central Hospital, Department of General Practice, University of Helsinki, Helsinki, Finland. Electronic address: - - 2014
The objectives of this study were (1) to investigate the effect of nurse training on the use of potentially harmful medications; and (2) to explore the effect of nurse training on residents' health-related quality of life (HRQoL), health service utilization, and mortality. A randomized controlled trial. In total, 227 residents ...
Al-Dabagh Amir - - 2014
Background:The use of systemic corticosteroids is discouraged in major psoriasis treatment guidelines.Purpose:Our objective was to assess how often systemic corticosteroids are prescribed for psoriasis and trends in their use over time.Methods:We used National Ambulatory Medical Care Survey (NAMCS) data to determine the systemic medications prescribed for psoriasis from 1989 to ...
Abraham Joseph H JH U.S. Army Public Health Command, 5158 Blackhawk Road Aberdeen Proving Ground, MD, - - 2014
Deployed military personnel are exposed to inhalational hazards that may increase their risk of chronic lung conditions. This evaluation assessed associations between Operation Iraqi Freedom (OIF) deployment and postdeployment medical encounters for respiratory symptoms and medical conditions. This retrospective cohort study was conducted among military personnel who, between January 2005 ...
Hasegawa Kohei K Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, - - 2014
This study was designed to determine the percentage of asthma-related emergency department (ED) visits made by patients who recently ran out of their inhaled short-acting beta-agonists or inhaled corticosteroids and to characterize this understudied patient population. A secondary analysis was performed of data from four ED-based multicenter studies of acute ...
Bestvina Christine M CM Duke Cancer Institute; Duke Clinical Research Institute; Durham Veterans Affairs Medical Center, Durham; University of North Carolina, Chapel Hill, NC; and Dana Farber Cancer Institute, Boston, - - 2014
Little is known about the association between patient-oncologist discussion of cancer treatment out-of-pocket (OOP) cost and medication adherence, a critical component of quality cancer care. We surveyed insured adults receiving anticancer therapy. Patients were asked if they had discussed OOP cost with their oncologist. Medication nonadherence was defined as skipping ...
Marco Catherine A CA The Department of Emergency Medicine, University of Toledo College of Medicine, Toledo, OH; The American Board of Emergency Medicine, East Lansing, - - 2014
The American Board of Emergency Medicine (ABEM) Maintenance of Certification (MOC) program is a four-step process that includes the Continuous Certification (ConCert) examination. The ConCert examination is a validated, summative examination that assesses medical knowledge and clinical reasoning. ABEM began administering the ConCert examination in 1989. The ConCert examination must ...
Keers Richard N RN Centre for Pharmacoepidemiology and Drug Safety Research, Manchester Pharmacy School, University of Manchester, Manchester, M13 9PT, UK, - - 2014
There is a need to identify effective interventions to minimize the threat posed by medication administration errors (MAEs). Our objective was to review and critically appraise interventions designed to reduce MAEs in the hospital setting. Ten electronic databases were searched between 1985 and November 2013. Randomized controlled trials (RCTs) and ...
Liu Qing Q Department of Epidemiology and Statistic, School of Public Health, Wuhan University, Wuhan, - - 2014
Few studies have evaluated adherence to antihypertensive medication in Chinese and South Asian populations and little is known about the long-term outcome. Our objectives were to compare adherence to antihypertensive medications and assess the association of adherence and long-term mortality in Chinese, South Asian, and white patients with newly diagnosed ...
Sakuma Mio M Division of General Internal Medicine, Hyogo College of Medicine, , Nishinomiya, Hyogo, - - 2014
Knowledge about the epidemiology of adverse drug events (ADEs) and medication errors in paediatric inpatients is limited outside Western countries. To improve paediatric patient safety worldwide, assessing local epidemiology is essential. The Japan Adverse Drug Events (JADE) Study was a cohort study. Paediatric inpatients at two tertiary care teaching hospitals ...
Conway Richard R Department of Internal Medicine, St James's Hospital, Dublin, - - 2014
There is interest in health service reform and efficiencies; health service providers collect statistics, set targets and compare institutions. In January 2009, in Ireland, a national waiting time target of 6 h was set from registration in the emergency department (ED) to admission or discharge. The aim of this study ...
Galvan Frank H FH a Bienestar Human Services , Los Angeles , California , - - 2014
HIV-positive Latino men have been found to have poorer medication adherence compared to Whites. This study sought to identify how cultural conceptualisations of masculinity are associated with self-reported medication adherence among Latino men. A total of 208 HIV-positive men reported the number of doses of antiretroviral medication missed in the ...
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