Medication Prescription
Identifying Attributes
Care Settings
Hospital Care
Country
United States of America
Publishing Organisation
American College of Emergency Physicians
Type of Quality Indicator
Process
IOM Quality Dimension
Safety
Setting-Specific Domain
Medications and Medication Management
Defining Attributes
Definition
The percentage of adults 65 years of age and older who were prescribed an acute high risk medication at discharge.
Numerator
All patients included in the denominator who were prescribed one/more of the acute high-risk medications.
Denominator
All patients 65 years of age and older with an ED visit and were discharged.
Exclusions
Seizure disorder, rapid eye movement sleep disorder, ethanol withdrawal, benzodiazepine withdrawal, severe generalised anxiety disorder, end of life care, allergic reactions, dermatitis, ED visit for prescription refill.
Use of Risk Adjustment
No
Risk Adjustments
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Standardised clinical data
Data Collection Methods
Clinical Emergency Data Registry
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No
Source and Reference Attributes
Evidence Source
Technical Specifications
Link to Measurement Tools
Domain
Medication-Related
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
Yes
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
Can the Quality Indicator be Readily Implemented at a Population Level in Australia Given its Current Data Landscape?
Implementation of this quality indicator was not assessed.
Identified by PHARMA-Care Project
No
Upload Date
23 July 2025
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Date Modified 10 June 2026