TY  - JOUR
T1  - TIme to change the paradigm—from “potentially inappropriate” to real patient harms
AU  - Shehab N, Budnitz DS
Y1  - 2011/03/14
N1  - 10.1001/archinternmed.2011.48
JO  - Archives of Internal Medicine
SP  - 473
EP  - 474
VL  - 171
IS  - 5
N2  - 
The recent study by Mattison et al1 demonstrated a statistically significant reduction in potentially inappropriate (Beers criteria) medication (PIM) orders for hospitalized older patients after the introduction of a computerized provider order entry (CPOE) warning system; however, the authors provided no evidence that patient harms were reduced or outcomes were improved as a result of PIM warnings. Thus, we disagree with their conclusions that a reduction from 12 to 10 PIM orders per day is clinically significant, and we caution against overreliance on CPOE warnings of PIM use as a “tool for improving the safety of hospitalized older adults.”1(p1336)

SN  - 0003-9926
M3  - doi: 10.1001/archinternmed.2011.48
UR  - http://dx.doi.org/10.1001/archinternmed.2011.48
ER  -