If a Resident With Two or More Risk Factors for Gastrointestinal Bleeding Is Treated With Daily Aspirin of Any Kind, Then He or She Should Be Treated Concomitantly With Misoprostol or a Proton Pump Inhibitor
Identifying Attributes
Care Settings
Residential Aged Care
Country
United States of America
Publishing Organisation
Practice-Based Quality Measures for Primary Care Providers in Long-Term Care by Mays et al. (2018)
Type of Quality Indicator
Process
IOM Quality Dimension
Safety
Setting-Specific Domain
Medication-Related
Defining Attributes
Definition
If a resident with two or more risk factors for GI bleeding (age ≥75, peptic ulcer disease, history of GI bleeding, anticoagulant/antiplatelet use, chronic glucocorticoid use) is treated with daily aspirin of any kind, then he or she should be treated concomitantly with misoprostol or a proton pump inhibitor.
Numerator
Denominator
Exclusions
None
Use of Risk Adjustment
No
Risk Adjustments
None
Stratifications
None
Collection and Reporting 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
Mays, A. M. et al. Quality indicators of primary care provider engagement in nursing home care. J. Am. Med. Dir. Assoc. 19, 824–832 (2018).
Technical Specifications
Link to Measurement Tools
Domain
Not Assigned
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
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
Yes
Upload Date
23 July 2025
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Date Modified 11 June 2026