{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T04:17:17Z","timestamp":1783829837829,"version":"3.55.0"},"reference-count":36,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2022,7,9]],"date-time":"2022-07-09T00:00:00Z","timestamp":1657324800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K76 AG059983"],"award-info":[{"award-number":["K76 AG059983"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>We sought to examine the effectiveness of the Enhancing the Quality of Prescribing Practices for Older Adults Discharged from the Emergency Department (EQUiPPED) medication safety program in three emergency departments (EDs) within the largest health system in Rhode Island (RI) with funding through a quality incentive payment by a private insurance partner.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study utilized a quasi\u2010experimental interrupted time series design to implement EQUiPPED, a three\u2010prong intervention aimed at reducing potentially inappropriate medication (PIM) prescriptions to 5% or less per month. We included clinicians who prescribed medications to older ED patients during the pre\u2010and post\u2010intervention periods from July 2018 to January 2021. We determined the monthly rate of PIM prescribing among older adults discharged from the ED, according to the American Geriatrics Society Beers Criteria, using Poisson regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      247 ED clinicians (48% attendings [\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0119], 27% residents [\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a067], 25% advanced practice providers [\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a061]) were included in EQUiPPED, of which 92% prescribed a PIM during the study period. In the pre\u2010implementation period (July 2018\u2013July 2019) the average monthly rate of PIM prescribing was 9.30% (95% CI: 8.82%, 9.78%). In the post\u2010implementation period (October 2019\u2013January 2021) the PIM prescribing rate decreased significantly to 8.62% (95% CI: 8.14%, 9.10%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). During pre\u2010implementation, 1325 of the 14,193 prescribed medications were considered inappropriate, while only 1108 of the 13,213 prescribed medications in post\u2010implementation were considered inappropriate. The greatest reduction was observed among antihistamines, skeletal muscle relaxants, and benzodiazepines.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>EQUiPPED contributed to a modest improvement in PIM prescribing to older adults among clinicians in these RI EDs even in the midst of the COVID\u201019 pandemic. The quality incentive funding model demonstrates a successful strategy for implementation and, with greater replication, could shape national policy regarding health care delivery and quality of care for older adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.17955","type":"journal-article","created":{"date-parts":[[2022,7,9]],"date-time":"2022-07-09T11:33:46Z","timestamp":1657366426000},"page":"2905-2914","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Enhancing the quality of prescribing practices for older adults discharged from the emergency department in Rhode Island"],"prefix":"10.1111","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1817-0705","authenticated-orcid":false,"given":"Elizabeth M.","family":"Goldberg","sequence":"first","affiliation":[{"name":"Emergency Medicine Brown University  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timmy R.","family":"Lin","sequence":"additional","affiliation":[{"name":"Emergency Medicine Brown University  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheston B.","family":"Cunha","sequence":"additional","affiliation":[{"name":"Infectious Disease Brown University  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadia","family":"Mujahid","sequence":"additional","affiliation":[{"name":"Division of Geriatric &amp; Palliative Medicine Brown University  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6532-8088","authenticated-orcid":false,"given":"Natalie M.","family":"Davoodi","sequence":"additional","affiliation":[{"name":"Emergency Medicine Brown University  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6713-794X","authenticated-orcid":false,"given":"Camille P.","family":"Vaughan","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Gerontology Emory University, Birmingham\/Atlanta VA GRECC  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,7,9]]},"reference":[{"issue":"1","key":"e_1_2_13_2_1","first-page":"32","article-title":"Polypharmacy: evaluating risks and deprescribing","volume":"100","author":"Halli\u2010Tierney AD","year":"2019","journal-title":"Am Fam Physician"},{"key":"e_1_2_13_3_1","unstructured":"MatherMSP KilduffL.Fact sheet: aging in the United States. 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