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Am J Manag Care. 2007 Jan;13(1):29-35.

Computerized indicators of potential drug-related emergency department and hospital admissions.

Author information

1
Salt Lake City IDEAS Center (182), Veterans Affairs Salt Lake City Health Care System, 500 Foothill Dr, Salt Lake City, UT 84148, USA. brian.sauer@utah.edu

Abstract

OBJECTIVES:

To computerize indicators of potential drug-related emergency department and hospital admissions and to report the incidence of these potential drug-related morbidities for a managed care organization.

STUDY DESIGN:

Retrospective review of healthcare organizations' pharmacy and administrative claims databases.

METHODS:

Thirty-nine indicators were coded and were used in an automated search of claims data. The indicators of potential drug-related morbidities comprised a pattern of care and an associated adverse outcome. Poisson distribution regression analysis was performed to assess the association of patient factors with indicator positives.

RESULTS:

The incidence densities for indicator positives were 1.96 (95% confidence interval, 1.60-2.40) per 1000 patient-years in the general population and 13.6 (95% confidence interval, 8.8-20.2) per 1000 patient-years among older persons. Age, male sex, number of medical conditions, and number of medications from different classes were associated with an increased rate of indicator positives.

CONCLUSIONS:

Indicators of potential drug-related morbidities can be fully automated and used to search through medical and pharmacy claims. The indicators investigated in this study show promise as a quality improvement tool and should be further developed and evaluated.

PMID:
17227201
[Indexed for MEDLINE]
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