Research Topics
| Jennifer TjiaSummaryAffiliation: University of Massachusetts Medical School Country: USA Publications
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Detail Information
Publications
Studies to reduce unnecessary medication use in frail older adults: a systematic reviewJennifer Tjia
University of Massachusetts Medical School Biotech Four, 377 Plantation Street, Suite 315, Worcester, MA, 01605, USA
Drugs Aging 30:285-307. 2013..Overuse of unnecessary medications in frail older adults with limited life expectancy remains an understudied challenge...
Dementia and risk of adverse warfarin-related events in the nursing home settingJennifer Tjia
University of Massachusetts Medical School, Worcester, MA 01605, USA
Am J Geriatr Pharmacother 10:323-30. 2012..Little attention has been focused on the safety of medications administered to treat non illnesses in nursing home residents with dementia. It is unclear whether this population is at increased risk of adverse drug events...
Challenge of changing nursing home prescribing cultureJennifer Tjia
Division of Geriatric Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA
Am J Geriatr Pharmacother 10:37-46. 2012..We concluded by describing current models, including our study funded by the Agency for Healthcare Research and Quality, to identify the best methods of disseminating evidence-based medication use guides in NHs...
Ethical framework for medication discontinuation in nursing home residents with limited life expectancyJennifer Tjia
Division of Geriatric Medicine, University of Massachusetts Medical School, Worcester, MA 01605, USA
Clin Geriatr Med 28:255-72. 2012..Despite these challenges, physicians should be able to perform systematic medication reviews and monitor discontinuation trials in their NH patients for whom this is consistent with their goals of care...
Daily medication use in nursing home residents with advanced dementiaJennifer Tjia
Division of Geriatric Medicine, University of Massachusetts Medical School, Worcester, Massachusetts 01605, USA
J Am Geriatr Soc 58:880-8. 2010..To describe the pattern and factors associated with daily medication use in nursing home (NH) residents with advanced dementia...
Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory settingJennifer Tjia
Division of Geriatric Medicine, University of Massachusetts, 377 Plantation St, Ste 315, Worcester, MA 01605, USA
Am J Manag Care 16:489-96. 2010..To develop guidelines to monitor high-risk medications and to assess the prevalence of laboratory testing for these medications among a multispecialty group practice...
Baseline and follow-up laboratory monitoring of cardiovascular medicationsJennifer Tjia
Department of Medicine, Division of Geriatric Medicine, University of Massachusetts Medical School, Worcester, MA, USA
Ann Pharmacother 45:1077-84. 2011..It is unclear whether black box warnings (BBWs) as well as evidence- and consensus-based clinical guidelines increase the likelihood of appropriate monitoring...
Quality measurement of medication monitoring in the "meaningful use" eraJennifer Tjia
Division of Geriatric Medicine, University of Massachusetts Medical School, Biotech Four, 377 Plantation St, Ste 315, Worcester, MA 01605, USA
Am J Manag Care 17:633-7. 2011....
Predicting nursing home adherence to a clinical trial intervention: lessons for the conduct of cluster randomized trialsJennifer Tjia
Division of Geriatric Medicine, Medical School, University of Massachusetts, Worcester, Massachusetts 01605, USA
J Am Geriatr Soc 59:2332-6. 2011..To describe factors predictive of nursing home (NH) adherence to a clinical trial intervention...
Disparities in combination drug therapy use in older adults with coronary heart disease: a cross-sectional time-series in a nationally representative US sampleJennifer Tjia
Department of Medicine, University of Massachusetts Medical School, Division of Geriatric Medicine, Worcester, Massachusetts 01605, USA
Drugs Aging 27:149-58. 2010..Despite evidence of effective combination drug therapy for secondary prevention of coronary heart disease (CHD), older adults with this condition remain undertreated...
Medicare beneficiaries and free prescription drug samples: a national surveyJennifer Tjia
Meyers Primary Care Institute, Fallon Clinic Foundation, Worcester, MA, USA
J Gen Intern Med 23:709-14. 2008..Little is known about the prevalence of patient activity in requesting or receiving free prescription drug samples, or the characteristics of patients who access drug samples...
Beneath the surface: discovering the unvoiced concerns of older adults with type 2 diabetes mellitusJennifer Tjia
Department of Medicine, University of Massachusetts Medical School, Worcester, MA 01605, USA
Health Educ Res 23:40-52. 2008..In order to encourage greater patient involvement in medication decision making for diabetes treatment, educational messages promoting patient-physician dialogue need to take more account of patient concerns...
Prescription drug benefits and use of guideline recommended medications by elderly Medicare beneficiaries with diabetes mellitusJennifer Tjia
Division of Geriatric Medicine, University of Massachusetts Medical School, Worcester, Massachusetts 01605, USA
J Am Geriatr Soc 56:1879-86. 2008..To determine whether prescription drug benefits are associated with the use of guideline recommended medications by older persons with type 2 diabetes mellitus (DM)...
Medication discrepancies upon hospital to skilled nursing facility transitionsJennifer Tjia
Division of Geriatric Medicine, University of Massachusetts Medical School, 377 Plantation Street, Suite 315, Biotech Four, Worcester, MA 01605, USA
J Gen Intern Med 24:630-5. 2009..Failure to reconcile medications across transitions in care is an important source of harm to patients. Little is known about medication discrepancies upon admission to skilled nursing facilities (SNFs)...
Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safetyJennifer Tjia
Division of Geriatric Medicine, University of Massachusetts Medical School, Worcester, Massachusetts 01605, USA
J Patient Saf 5:145-52. 2009..The goal of this study was to describe nurses' perceptions of nurse-physician communication in the long-term care (LTC) setting...
Interest in breast cancer chemoprevention among older womenJennifer Tjia
The University of Massachusetts Medical School, Biotech Four, Worcester, MA 01605, USA
Breast Cancer Res Treat 108:435-53. 2008....
Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approachTerry S Field
Meyers Primary Care Institute, University of Massachusetts Medical School, Fallon Community Health Plan, Fallon Clinic, Worcester, USA
Am J Med 124:179.e1-7. 2011..Prior research has demonstrated compelling evidence of safety problems with warfarin therapy in this setting, often associated with suboptimal communication between nursing home staff and prescribing physicians...
A systematic review of validated methods for identifying heart failure using administrative dataJane S Saczynski
Division of Geriatric Medicine and Meyers Primary Care Institute, University of Massachusetts Medical School, Worcester, MA 01605, USA
Pharmacoepidemiol Drug Saf 21:129-40. 2012..To identify and describe the validity of algorithms used to detect heart failure (HF) using administrative and claims data sources...
Medicare part D and changes in prescription drug use and cost burden: national estimates for the Medicare population, 2000 to 2007Becky A Briesacher
Division of Geriatric Medicine and Meyers Primary Care Institute, University of Massachusetts Medical School and Meyers Primary Care, Worcester, Boston, MA, USA
Med Care 49:834-41. 2011..The full effect of Medicare Part D, after the initial policy transition period and across the United States Medicare population, remains unclear...
Patient completion of laboratory tests to monitor medication therapy: a mixed-methods studyShira H Fischer
Beth Israel Deaconess Medical Center, Division of Clinical Informatics, 1330 Beacon St, Suite 400, Brookline, MA 02446, USA
J Gen Intern Med 28:513-21. 2013..Little is known about the contribution of patient behavior to incomplete laboratory monitoring, and the reasons for patient non-completion of ordered laboratory tests remain unclear...
Unexplained variation across US nursing homes in antipsychotic prescribing ratesYong Chen
Meyers Primary Care Institute, University of Massachusetts Medical School, Worcester, 01605, USA
Arch Intern Med 170:89-95. 2010..We assessed the extent to which resident clinical characteristics and institutional prescribing practice were associated with antipsychotic prescribing...
Impact of health information technology interventions to improve medication laboratory monitoring for ambulatory patients: a systematic reviewShira H Fischer
Division of Geriatric Medicine, University of Massachusetts Medical School, Worcester, Massachusetts 01605, USA
J Am Med Inform Assoc 17:631-6. 2010..Whether HIT improves laboratory monitoring of certain high-risk medications for ambulatory patients remains unclear, and further research is needed to clarify this important question...
Self-reported colorectal cancer screening of Medicare beneficiaries in family medicine vs. internal medicine practices in the United States: a cross-sectional studyAngela Y Higgins
Department of Family Medicine and Community Health, University of Massachusetts UMass Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA
BMC Gastroenterol 12:23. 2012..This study compared self-reported CRC screening rates and patient awareness of the need for CRC screening of patients receiving care from family medicine (FPs) vs. internal medicine (internists) physicians...
A systematic review of validated methods for identifying cerebrovascular accident or transient ischemic attack using administrative dataSusan E Andrade
Meyers Primary Care Institute Reliant Medical Group, Fallon Community Health Plan, and University of Massachusetts Medical School, Worcester, MA 01605, USA
Pharmacoepidemiol Drug Saf 21:100-28. 2012..To perform a systematic review of the validity of algorithms for identifying cerebrovascular accidents (CVAs) or transient ischemic attacks (TIAs) using administrative and claims data...
Racial and ethnic differences in hospice use among patients with heart failureJane L Givens
Hebrew SeniorLife Institute for Aging Research, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02131, USA
Arch Intern Med 170:427-32. 2010..Racial and ethnic differences in hospice patients are well documented for patients with cancer but poorly described for those with heart failure...
Will the Medicare prescription drug benefit eliminate cost barriers for older adults with diabetes mellitus?Jennifer Tjia
Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
J Am Geriatr Soc 54:606-12. 2006....
Diagnostic E-codes for commonly used, narrow therapeutic index medications poorly predict adverse drug eventsCharles E Leonard
Center for Clinical Epidemiology and Biostatistics, Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Philadelphia, PA 19104 6021, USA
J Clin Epidemiol 61:561-71. 2008..We sought to examine the validity of specific hospital discharge codes in identifying drug toxicity precipitating hospitalization, among elderly users of high-risk medications...
Factors associated with undertreatment of medical student depressionJennifer Tjia
University of Pennsylvania, Philadelphia, USA
J Am Coll Health 53:219-24. 2005..The authors' findings support the need for targeted messages to help medical students recognize their depression and refer themselves for appropriate treatment...
Depressed medical students' use of mental health services and barriers to useJane L Givens
Student Health Services, University of Pennsylvania School of Medicine, Philadelphia, 19104, USA
Acad Med 77:918-21. 2002..Early treatment of impaired future caregivers may have far-reaching implications for the individual students, their colleagues, and their future patients...
