Proportion of Fracture Hospital Admission Preceded by Potentially Suboptimal Medication-Related Processes of Care

Identifying Attributes

Care Settings
Residential Aged Care
Country
Australia
Publishing Organisation
Kalisch et al. (2021); Caughey et al. (2014)
Type of Quality Indicator
Outcome
IOM Quality Dimension
Safety
Domain
Medication-Related

Defining Attributes

Definition

Proportion of fracture hospital admission preceded by potentially suboptimal medication-related processes of care

Numerator

Number of aged care residents admitted to hospital due to a fracture, who are female, have a history of osteoporosis or fractures and no use of hormone replacement therapy, bisphosphonates, denosumab, teriparatide or selective oestrogen receptor modulators.

Denominator

Total number of hospital admissions amongst aged care residents for that diagnosis

Exclusions

None

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

Dementia status

Data Attributes

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

Source and Reference Attributes

Evidence Source

Kalisch Ellett, L. M. et al. Medication-related hospital admissions in aged care residents. Australas. J. Ageing 40, e323–e331 (2021); Caughey, G. E., Ellett, L. M. K. & Wong, T. Y. Development of evidence-based Australian medication-related indicators of potentially preventable hospitalisations: a modified RAND appropriateness method. BMJ Open 4, e004625 (2014).

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
Yes
Upload Date
23 July 2025