AMDA—Choosing Wisely

Vance, Jacqueline

doi:10.1016/j.jamda.2013.07.004

Cited by 21 publications

(13 citation statements)

References 39 publications

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“…Item 4 on this list was "Don't prescribe antipsychotic medications for behavioral and psychological symptoms of dementia (BPSD) in individuals with dementia without an assessment for an underlying cause of the behavior." 9 The most recent UK audit of primary care data showed a decrease in antipsychotic prescribing to individuals with dementia from approximately 17% in 2006 to 7% in 2011. 10 The audit showed widespread and significant variation in practice across the country, ranging from approximately 3% of individuals with dementia receiving antipsychotic medication at the time of the audit in London and the southeast to approximately 13% in the northwest.…”

mentioning

confidence: 99%

Interventions to Reduce Inappropriate Prescribing of Antipsychotic Medications in People With Dementia Resident in Care Homes: A Systematic Review

Thompson-Coon

Abbott

Rogers

et al. 2014

Journal of the American Medical Directors Association

118

116

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mentioning

confidence: 99%

Interventions to Reduce Inappropriate Prescribing of Antipsychotic Medications in People With Dementia Resident in Care Homes: A Systematic Review

Thompson-Coon

Abbott

Rogers

et al. 2014

Journal of the American Medical Directors Association

118

116

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“…Inappropriately labeling a patient as having a UTI may also lead to delayed recognition of the correct underlying problem that caused the individual's symptoms. 39 Our study has limitations. The results presented are from a quasi-experimental before-after evaluation and, as such, any changes in outcomes could have been due to other factors at play in those facilities.…”

Section: Discussionmentioning

confidence: 89%

“…Appropriate use of antibiotics is a timely issue with the rise of MDROs 4,5,[32][33][34][35][36] and CDI in LTC. 37 Several organizations have issued guidelines and recommendations 8,15,[38][39][40] not to treat bacteriuria in older individuals unless there are signs or symptoms of a UTI. Inappropriately labeling a patient as having a UTI may also lead to delayed recognition of the correct underlying problem that caused the individual's symptoms.…”

Section: Discussionmentioning

confidence: 99%

A Statewide Program to Improve Management of Suspected Urinary Tract Infection in Long‐Term Care

Salem‐Schatz¹,

Griswold²,

Kandel

et al. 2019

J American Geriatrics Society

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BACKGROUND/OBJECTIVES Suspected urinary tract infection (UTI) is the most common indication for antibiotic use in long‐term care (LTC). Due to the high prevalence of asymptomatic bacteriuria, for which antibiotics are not warranted, these antibiotics are frequently unnecessary. We implemented a collaborative quality improvement program to improve the management of suspected UTI in LTC residents by increasing awareness of current guidelines, with a focus on decreasing treatment in the absence of symptoms. DESIGN/INTERVENTION Two separate collaboratives included workshops, webinars, and coaching calls. PARTICIPANTS A total of 31 facilities participated in the first collaborative, with 17 submitting sufficient data for analysis and 34 in the second, with data analyzed from 25. MEASUREMENTS Facilities reported monthly numbers of urine cultures, UTI diagnoses, Clostridioides difficile infections (CDIs), and resident days. RESULTS When comparing the baseline period to the first collaborative period, the intercollaborative period to the second collaborative period, and the first collaborative period to the second, the incident rate ratios (95% confidence intervals) were 0.74 (0.68‐0.81), 0.83 (0.73‐0.94), and 0.63 (0.57‐0.69), respectively, for urine culturing rate; 0.73 (0.64‐0.83), 0.86 (0.70‐1.05), and 0.60 (0.51‐0.69), respectively, for UTI diagnosis rate; and 0.56 (0.40‐0.82), 1.61 (0.71‐4.14), and 0.45 (0.27‐0.74), respectively, for CDI rate. CONCLUSION The program we implemented was associated with reductions in urine cultures, UTI diagnosis, and CDI; and it suggests that this type of intervention can promote appropriate management of UTI in the LTC setting. J Am Geriatr Soc 68:62–69, 2019

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“…Die Vorschläge der American Geriatric Society [6] und der American Medical Director Association [7] werden von M. Gogol in seinem Beitrag "Choosing Wisely" vorgestellt. Die grundsätzliche Idee hinter der ABIM-Initiative ist zu begrüßen, doch ist zu prüfen, ob eine solche Initiative auch in der deutschen Versorgungskultur realisiert werden kann.…”

unclassified

Geriatrie in einem sich verändernden Versorgungssystem

Gogol

2014

Z Gerontol Geriat

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AMDA—Choosing Wisely

Cited by 21 publications

References 39 publications

Interventions to Reduce Inappropriate Prescribing of Antipsychotic Medications in People With Dementia Resident in Care Homes: A Systematic Review

Interventions to Reduce Inappropriate Prescribing of Antipsychotic Medications in People With Dementia Resident in Care Homes: A Systematic Review

A Statewide Program to Improve Management of Suspected Urinary Tract Infection in Long‐Term Care

Geriatrie in einem sich verändernden Versorgungssystem

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