Health Care Facility

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Lauren A. Beste - One of the best experts on this subject based on the ideXlab platform.

  • Health Care Facility characteristics are associated with variation in human immunodeficiency virus pre exposure prophylaxis initiation in veteran s Health administration
    Aids and Behavior, 2019
    Co-Authors: Elliott Lowy, Puja Van Epps, Michael E. Ohl, Maggie Chartier, Marissa Maier, Ina Gylyscolwell, Lauren A. Beste
    Abstract:

    To quantify Health Care Facility-level variation in pre-exposure prophylaxis (PrEP) use in the Veteran’s Health Administration (VHA); to identify Facility characteristics associated with PrEP use. Retrospective analysis of the Health Care Facility-level rate of PrEP initiation in VHA through June 30, 2017. Standardized PrEP initiation rates were used to rank facilities. Characteristics of facilities, prescribers, and PrEP recipients were examined within quartiles. Multiple linear regression was used to identify associations between Facility characteristics and PrEP use. We identified 1600 PrEP recipients. Mean PrEP initiation rate was 20.0/100,000 (SD 22.8), ranging from 3.0/100,000 (SD 2.0) in the lowest quartile to 48.1/100,000 (SD 29.1) in the highest. PrEP prescribing was positively associated with proportions of urban dwellers and individuals < 45, tertiary Care status, and location. Variability in PrEP uptake across a national Health Care system highlights opportunities to expand access in non-tertiary Care facilities and underserved areas.

  • Health Care Facility Characteristics are Associated with Variation in Human Immunodeficiency Virus Pre-exposure Prophylaxis Initiation in Veteran’s Health Administration
    AIDS and behavior, 2018
    Co-Authors: Marissa M. Maier, Ina Gylys-colwell, Elliott Lowy, Puja Van Epps, Michael E. Ohl, Maggie Chartier, Lauren A. Beste
    Abstract:

    To quantify Health Care Facility-level variation in pre-exposure prophylaxis (PrEP) use in the Veteran’s Health Administration (VHA); to identify Facility characteristics associated with PrEP use. Retrospective analysis of the Health Care Facility-level rate of PrEP initiation in VHA through June 30, 2017. Standardized PrEP initiation rates were used to rank facilities. Characteristics of facilities, prescribers, and PrEP recipients were examined within quartiles. Multiple linear regression was used to identify associations between Facility characteristics and PrEP use. We identified 1600 PrEP recipients. Mean PrEP initiation rate was 20.0/100,000 (SD 22.8), ranging from 3.0/100,000 (SD 2.0) in the lowest quartile to 48.1/100,000 (SD 29.1) in the highest. PrEP prescribing was positively associated with proportions of urban dwellers and individuals 

Marissa Maier - One of the best experts on this subject based on the ideXlab platform.

  • Health Care Facility characteristics are associated with variation in human immunodeficiency virus pre exposure prophylaxis initiation in veteran s Health administration
    Aids and Behavior, 2019
    Co-Authors: Elliott Lowy, Puja Van Epps, Michael E. Ohl, Maggie Chartier, Marissa Maier, Ina Gylyscolwell, Lauren A. Beste
    Abstract:

    To quantify Health Care Facility-level variation in pre-exposure prophylaxis (PrEP) use in the Veteran’s Health Administration (VHA); to identify Facility characteristics associated with PrEP use. Retrospective analysis of the Health Care Facility-level rate of PrEP initiation in VHA through June 30, 2017. Standardized PrEP initiation rates were used to rank facilities. Characteristics of facilities, prescribers, and PrEP recipients were examined within quartiles. Multiple linear regression was used to identify associations between Facility characteristics and PrEP use. We identified 1600 PrEP recipients. Mean PrEP initiation rate was 20.0/100,000 (SD 22.8), ranging from 3.0/100,000 (SD 2.0) in the lowest quartile to 48.1/100,000 (SD 29.1) in the highest. PrEP prescribing was positively associated with proportions of urban dwellers and individuals < 45, tertiary Care status, and location. Variability in PrEP uptake across a national Health Care system highlights opportunities to expand access in non-tertiary Care facilities and underserved areas.

Gary A Smith - One of the best experts on this subject based on the ideXlab platform.

  • non Health Care Facility medication errors resulting in serious medical outcomes
    Clinical Toxicology, 2018
    Co-Authors: Nichole L Hodges, Henry A Spiller, Marcel J Casavant, Thiphalak Chounthirath, Gary A Smith
    Abstract:

    AbstractObjective: The objective of this study is to provide an epidemiologic analysis of medication errors occurring outside of Health Care facilities that result in serious medical outcomes (defined by the National Poison Database System as “moderate effect,” “major effect,” “death,” or “death, indirect report”).Methods: National Poison Database System data from 2000 through 2012 were used for this retrospective analysis of non-Health Care Facility medication errors.Results: From 2000 through 2012, Poison Control Centers in the United States received data on 67,603 exposures related to unintentional therapeutic pharmaceutical errors that occurred outside of Health Care facilities that resulted in serious medical outcomes. The overall average rate of these medication errors was 1.73 per 100,000 population, and there was a 100.0% rate increase during the 13-year study period. Medication error frequency and rates increased for all age groups except children younger than 6 years of age. Medical outcome was ...

  • Non-Health Care Facility Medication Errors Associated with Hormones and Hormone Antagonists in the United States
    Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2017
    Co-Authors: Pranav Magal, Nichole L Hodges, Henry A Spiller, Marcel J Casavant, Thiphalak Chounthirath, Gary A Smith
    Abstract:

    Hormones and hormone antagonists are frequently associated with medication errors and may result in important adverse outcomes. The purpose of this study is to investigate non-Health Care Facility (non-HCF) medication errors associated with hormones and hormone antagonists in the United States (US). A retrospective analysis of National Poison Data System data was conducted to identify characteristics and trends of unintentional non-HCF therapeutic errors involving hormones and hormone antagonists among individuals of all ages from 2000 to 2012. From 2000 to 2012, US poison control centers received 169,695 calls regarding unintentional non-HCF therapeutic errors associated with hormone therapies, averaging 13,053 medication error calls annually. The rate of reported errors increased significantly by 162.6% (p 

  • Non-Health Care Facility anticonvulsant medication errors in the United States.
    Human & experimental toxicology, 2017
    Co-Authors: Emily A Dedonato, Nichole L Hodges, Henry A Spiller, Marcel J Casavant, Thiphalak Chounthirath, Gary A Smith
    Abstract:

    INTRODUCTION This study provides an epidemiological description of non-Health Care Facility medication errors involving anticonvulsant drugs. METHODS A retrospective analysis of National Poison Data System data was conducted on non-Health Care Facility medication errors involving anticonvulsant drugs reported to US Poison Control Centers from 2000 through 2012. RESULTS During the study period, 108,446 non-Health Care Facility medication errors involving anticonvulsant pharmaceuticals were reported to US Poison Control Centers, averaging 8342 exposures annually. The annual frequency and rate of errors increased significantly over the study period, by 96.6 and 76.7%, respectively. The rate of exposures resulting in Health Care Facility use increased by 83.3% and the rate of exposures resulting in serious medical outcomes increased by 62.3%. In 2012, newer anticonvulsants, including felbamate, gabapentin, lamotrigine, levetiracetam, other anticonvulsants (excluding barbiturates), other types of gamma aminobutyric acid, oxcarbazepine, topiramate, and zonisamide, accounted for 67.1% of all exposures. CONCLUSIONS The rate of non-Health Care Facility anticonvulsant medication errors reported to Poison Control Centers increased during 2000-2012, resulting in more frequent Health Care Facility use and serious medical outcomes. Newer anticonvulsants, although often considered safer and more easily tolerated, were responsible for much of this trend and should still be administered with caution.

  • Non-Health Care Facility Cardiovascular Medication Errors in the United States.
    The Annals of pharmacotherapy, 2017
    Co-Authors: Amrit K. Kamboj, Nichole L Hodges, Henry A Spiller, Marcel J Casavant, Thiphalak Chounthirath, Gary A Smith
    Abstract:

    Background: Prior studies have not examined national trends and characteristics of unintentional non–Health Care Facility (HCF) medication errors associated with cardiovascular drugs. Objective: To investigate non-HCF medication errors associated with cardiovascular drugs reported to poison control centers in the United States. Methods: A retrospective analysis of non-HCF medication errors associated with cardiovascular drugs from 2000 to 2012 was conducted using the National Poison Data System database. Results: There were 278 444 medication errors associated with cardiovascular drugs reported to US poison control centers during the study period, averaging 21 419 exposures annually. The overall rate of cardiovascular medication errors per 100 000 population increased 104.6% from 2000 to 2012 (P < 0.001) and the highest rates were among older adults. Most cases (83.6%) did not require treatment at a HCF. Serious medical outcomes were reported in 4.0% of exposures. The cardiovascular drugs most commonly im...

Elliott Lowy - One of the best experts on this subject based on the ideXlab platform.

  • Health Care Facility characteristics are associated with variation in human immunodeficiency virus pre exposure prophylaxis initiation in veteran s Health administration
    Aids and Behavior, 2019
    Co-Authors: Elliott Lowy, Puja Van Epps, Michael E. Ohl, Maggie Chartier, Marissa Maier, Ina Gylyscolwell, Lauren A. Beste
    Abstract:

    To quantify Health Care Facility-level variation in pre-exposure prophylaxis (PrEP) use in the Veteran’s Health Administration (VHA); to identify Facility characteristics associated with PrEP use. Retrospective analysis of the Health Care Facility-level rate of PrEP initiation in VHA through June 30, 2017. Standardized PrEP initiation rates were used to rank facilities. Characteristics of facilities, prescribers, and PrEP recipients were examined within quartiles. Multiple linear regression was used to identify associations between Facility characteristics and PrEP use. We identified 1600 PrEP recipients. Mean PrEP initiation rate was 20.0/100,000 (SD 22.8), ranging from 3.0/100,000 (SD 2.0) in the lowest quartile to 48.1/100,000 (SD 29.1) in the highest. PrEP prescribing was positively associated with proportions of urban dwellers and individuals < 45, tertiary Care status, and location. Variability in PrEP uptake across a national Health Care system highlights opportunities to expand access in non-tertiary Care facilities and underserved areas.

  • Health Care Facility Characteristics are Associated with Variation in Human Immunodeficiency Virus Pre-exposure Prophylaxis Initiation in Veteran’s Health Administration
    AIDS and behavior, 2018
    Co-Authors: Marissa M. Maier, Ina Gylys-colwell, Elliott Lowy, Puja Van Epps, Michael E. Ohl, Maggie Chartier, Lauren A. Beste
    Abstract:

    To quantify Health Care Facility-level variation in pre-exposure prophylaxis (PrEP) use in the Veteran’s Health Administration (VHA); to identify Facility characteristics associated with PrEP use. Retrospective analysis of the Health Care Facility-level rate of PrEP initiation in VHA through June 30, 2017. Standardized PrEP initiation rates were used to rank facilities. Characteristics of facilities, prescribers, and PrEP recipients were examined within quartiles. Multiple linear regression was used to identify associations between Facility characteristics and PrEP use. We identified 1600 PrEP recipients. Mean PrEP initiation rate was 20.0/100,000 (SD 22.8), ranging from 3.0/100,000 (SD 2.0) in the lowest quartile to 48.1/100,000 (SD 29.1) in the highest. PrEP prescribing was positively associated with proportions of urban dwellers and individuals 

Maggie Chartier - One of the best experts on this subject based on the ideXlab platform.

  • Health Care Facility characteristics are associated with variation in human immunodeficiency virus pre exposure prophylaxis initiation in veteran s Health administration
    Aids and Behavior, 2019
    Co-Authors: Elliott Lowy, Puja Van Epps, Michael E. Ohl, Maggie Chartier, Marissa Maier, Ina Gylyscolwell, Lauren A. Beste
    Abstract:

    To quantify Health Care Facility-level variation in pre-exposure prophylaxis (PrEP) use in the Veteran’s Health Administration (VHA); to identify Facility characteristics associated with PrEP use. Retrospective analysis of the Health Care Facility-level rate of PrEP initiation in VHA through June 30, 2017. Standardized PrEP initiation rates were used to rank facilities. Characteristics of facilities, prescribers, and PrEP recipients were examined within quartiles. Multiple linear regression was used to identify associations between Facility characteristics and PrEP use. We identified 1600 PrEP recipients. Mean PrEP initiation rate was 20.0/100,000 (SD 22.8), ranging from 3.0/100,000 (SD 2.0) in the lowest quartile to 48.1/100,000 (SD 29.1) in the highest. PrEP prescribing was positively associated with proportions of urban dwellers and individuals < 45, tertiary Care status, and location. Variability in PrEP uptake across a national Health Care system highlights opportunities to expand access in non-tertiary Care facilities and underserved areas.

  • Health Care Facility Characteristics are Associated with Variation in Human Immunodeficiency Virus Pre-exposure Prophylaxis Initiation in Veteran’s Health Administration
    AIDS and behavior, 2018
    Co-Authors: Marissa M. Maier, Ina Gylys-colwell, Elliott Lowy, Puja Van Epps, Michael E. Ohl, Maggie Chartier, Lauren A. Beste
    Abstract:

    To quantify Health Care Facility-level variation in pre-exposure prophylaxis (PrEP) use in the Veteran’s Health Administration (VHA); to identify Facility characteristics associated with PrEP use. Retrospective analysis of the Health Care Facility-level rate of PrEP initiation in VHA through June 30, 2017. Standardized PrEP initiation rates were used to rank facilities. Characteristics of facilities, prescribers, and PrEP recipients were examined within quartiles. Multiple linear regression was used to identify associations between Facility characteristics and PrEP use. We identified 1600 PrEP recipients. Mean PrEP initiation rate was 20.0/100,000 (SD 22.8), ranging from 3.0/100,000 (SD 2.0) in the lowest quartile to 48.1/100,000 (SD 29.1) in the highest. PrEP prescribing was positively associated with proportions of urban dwellers and individuals