Inappropriate Prescribing for Contraindicated Medications for Individuals With Dementia

Identifying Attributes

Care Settings
Dementia Care
Country
Canada
Publishing Organisation
Ontario Physician Networks Quality Indicators
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Interventions to Promote Cognition, Independence and Wellbeing

Defining Attributes

Definition

Inappropriate prescribing for contraindicated medications for individuals with dementia

Numerator

Individuals who had filled a prescription for a medication that was contraindicated for the condition(s) noted during the observation period . Contraindicated medications included: Anticholinergics and tricyclic antidepressants for those with dementia.

Denominator

Individuals aged 65 and older and living in the community (i.e., not in long-term care) with no history of psychosis and who received a diagnosis of dementia

Exclusions

History of psychosis

Use of Risk Adjustment
No
Risk Adjustments
Stratifications

Data Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Ontario health administrative databases

Frequency of Data Collection
Continuous
Frequency of Data Collection in Days
1
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

Stukel TA, Croxford R, Rahman F, Bierman AS, Glazier RH. Variations in Quality Indicators Across Ontario Physician Networks. Toronto: Institute for Clinical Evaluative Sciences; 2016.

Technical Specifications
Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
No
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
23 July 2025