Steven M Handler

Summary

Country: USA

Publications

  1. ncbi request reprint Development and evaluation of a charge capture program for long-term care providers
    Steven M Handler
    The Division of Geriatric Medicine, the University of Pittsburgh Institute on Aging, The Center for Biomedical Informatics, Pittsburgh, Pennsylvania 15213, USA
    J Am Med Dir Assoc 5:337-41. 2004
  2. ncbi request reprint Medication error reporting in long term care
    Steven M Handler
    Division of Geriatric Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA
    Am J Geriatr Pharmacother 2:190-6. 2004
  3. pmc Use of antipsychotics among older residents in VA nursing homes
    Walid F Gellad
    Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, 7180 Highland Drive, Pittsburgh, PA 15206, USA
    Med Care 50:954-60. 2012
  4. pmc Provider management of and satisfaction with laboratory testing in the nursing home setting: results of a national internet-based survey
    Brian H Shirts
    School of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA
    J Am Med Dir Assoc 10:161-166.e3. 2009
  5. pmc Potential underuse, overuse, and inappropriate use of antidepressants in older veteran nursing home residents
    Joseph T Hanlon
    Geriatric Research, Education and Clinical Center, and Center for Health Equity Research and Promotion, Veterans Affairs Pittsburgh Health System, Pittsburgh, Pennsylvania, USA
    J Am Geriatr Soc 59:1412-20. 2011
  6. pmc Identifying modifiable barriers to medication error reporting in the nursing home setting
    Steven M Handler
    Division of Geriatric Medicine, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA
    J Am Med Dir Assoc 8:568-74. 2007
  7. pmc Counseling about medication-induced birth defects with clinical decision support in primary care
    Eleanor Bimla Schwarz
    1 Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
    J Womens Health (Larchmt) 22:817-24. 2013
  8. pmc A review of the effectiveness of antidepressant medications for depressed nursing home residents
    Richard D Boyce
    Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, PA, USA
    J Am Med Dir Assoc 13:326-31. 2012
  9. pmc Prevalence of unplanned hospitalizations caused by adverse drug reactions in older veterans
    Zachary A Marcum
    Departments of Geriatrics, School of Pharmacy, University of Pittsburgh, Pittsburgh, PA 15213, USA
    J Am Geriatr Soc 60:34-41. 2012
  10. pmc Consensus list of signals to detect potential adverse drug reactions in nursing homes
    Steven M Handler
    Division of Geriatric Medicine, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
    J Am Geriatr Soc 56:808-15. 2008

Detail Information

Publications43

  1. ncbi request reprint Development and evaluation of a charge capture program for long-term care providers
    Steven M Handler
    The Division of Geriatric Medicine, the University of Pittsburgh Institute on Aging, The Center for Biomedical Informatics, Pittsburgh, Pennsylvania 15213, USA
    J Am Med Dir Assoc 5:337-41. 2004
    ..The purpose of this study was to develop, implement, and evaluate a handheld charge capture program for use by providers in the long-term care setting...
  2. ncbi request reprint Medication error reporting in long term care
    Steven M Handler
    Division of Geriatric Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA
    Am J Geriatr Pharmacother 2:190-6. 2004
    ..Before better reporting systems can be developed to reduce clinically significant medication errors, it is necessary to understand how current medication error reporting systems function...
  3. pmc Use of antipsychotics among older residents in VA nursing homes
    Walid F Gellad
    Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, 7180 Highland Drive, Pittsburgh, PA 15206, USA
    Med Care 50:954-60. 2012
    ..Because little is known about their use in Veterans Affairs (VA) nursing homes [ie, Community Living Centers (CLCs)], we assessed the prevalence and risk factors for antipsychotic use in older residents of VA CLCs...
  4. pmc Provider management of and satisfaction with laboratory testing in the nursing home setting: results of a national internet-based survey
    Brian H Shirts
    School of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA
    J Am Med Dir Assoc 10:161-166.e3. 2009
    ..To describe the management of and satisfaction with laboratory testing, and desirability of laboratory health information technology in the nursing home setting...
  5. pmc Potential underuse, overuse, and inappropriate use of antidepressants in older veteran nursing home residents
    Joseph T Hanlon
    Geriatric Research, Education and Clinical Center, and Center for Health Equity Research and Promotion, Veterans Affairs Pittsburgh Health System, Pittsburgh, Pennsylvania, USA
    J Am Geriatr Soc 59:1412-20. 2011
    ..To examine prevalence and resident- and site-level factors associated with potential underuse, overuse, and inappropriate use of antidepressants in older Veterans Affairs (VA) Community Living Center (CLC) residents...
  6. pmc Identifying modifiable barriers to medication error reporting in the nursing home setting
    Steven M Handler
    Division of Geriatric Medicine, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA
    J Am Med Dir Assoc 8:568-74. 2007
    ..To have health care professionals in nursing homes identify organizational-level and individual-level modifiable barriers to medication error reporting...
  7. pmc Counseling about medication-induced birth defects with clinical decision support in primary care
    Eleanor Bimla Schwarz
    1 Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
    J Womens Health (Larchmt) 22:817-24. 2013
    ..We evaluated how computerized clinical decision support (CDS) affects the counseling women receive when primary care physicians (PCPs) prescribe potential teratogens and how this counseling affects women's behavior...
  8. pmc A review of the effectiveness of antidepressant medications for depressed nursing home residents
    Richard D Boyce
    Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, PA, USA
    J Am Med Dir Assoc 13:326-31. 2012
    ..Despite a significant increase in the rate of antidepressant prescribing over the past several decades, little is known about the effectiveness of these agents in the NH population...
  9. pmc Prevalence of unplanned hospitalizations caused by adverse drug reactions in older veterans
    Zachary A Marcum
    Departments of Geriatrics, School of Pharmacy, University of Pittsburgh, Pittsburgh, PA 15213, USA
    J Am Geriatr Soc 60:34-41. 2012
    ....
  10. pmc Consensus list of signals to detect potential adverse drug reactions in nursing homes
    Steven M Handler
    Division of Geriatric Medicine, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
    J Am Geriatr Soc 56:808-15. 2008
    ..To develop a consensus list of agreed-upon laboratory, pharmacy, and Minimum Data Set signals that a computer system can use in the nursing home to detect potential adverse drug reactions (ADRs)...
  11. pmc Use and perceived benefits of mobile devices by physicians in preventing adverse drug events in the nursing home
    Steven M Handler
    Department of Biomedical Informatics, School of Medicine, University of Pittsburgh, Pittsburgh, PA Division of Geriatric Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA Geriatric Research Education and Clinical Center GRECC, Veterans Affairs Pittsburgh Healthcare System VAPHS, Pittsburgh, PA Center for Health Equity Research and Promotion CHERP, VAPHS, Pittsburgh, PA Geriatric Pharmaceutical Outcomes and Geroinformatics Research and Training Program, University of Pittsburgh, Pittsburgh, PA Electronic address
    J Am Med Dir Assoc 14:906-10. 2013
    ..The goal of this study was to conduct a survey of a nationally representative sample of NH physicians to quantify the use and perceived benefits of mobile devices in preventing ADEs in the NH setting...
  12. pmc Utility of an adverse drug event trigger tool in Veterans Affairs nursing facilities
    Zachary A Marcum
    Division of Geriatric Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
    Consult Pharm 28:99-109. 2013
    ..e., positive predictive value [PPV] and time requirement) of an adverse drug event (ADE) trigger tool in Veterans Affairs (VA) nursing facilities and to describe the most common types of potential ADEs detected with the trigger tool...
  13. pmc Prevalence of potentially preventable unplanned hospitalizations caused by therapeutic failures and adverse drug withdrawal events among older veterans
    Zachary A Marcum
    Department of Medicine Geriatrics, School of Medicine, University of Pittsburgh, 3471 Fifth Avenue, Pittsburgh, PA 15213, USA
    J Gerontol A Biol Sci Med Sci 67:867-74. 2012
    ..Conclusions. TF-related unplanned hospitalizations occur more frequently than ADWE-related admissions among older Veterans. Almost all TFs and/or ADWEs are potentially preventable...
  14. doi request reprint Comparison of three pharmacovigilance algorithms in the ICU setting: a retrospective and prospective evaluation of ADRs
    Sandra L Kane-Gill
    Department of Pharmacy and Therapeutics, School of Pharmacy, University of Pittsburgh, Pittsburgh, PA 15261, USA
    Drug Saf 35:645-53. 2012
    ..Pharmacovigilance algorithms are used to assess the likelihood of adverse drug reaction (ADR) occurrence. The preferred instrument for use in the intensive care unit (ICU) is not established...
  15. pmc Year in review: medication mishaps in the elderly
    Emily P Peron
    Division of Geriatric Medicine, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
    Am J Geriatr Pharmacother 9:1-10. 2011
    ..This paper reviews articles from 2010 that examined medication mishaps (ie, medication errors and adverse drug events [ADEs]) in the elderly...
  16. pmc Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety
    Nicholas G Castle
    Department of Health Policy and Management, A620 Crabtree Hall, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    J Patient Saf 6:59-67. 2010
    ....
  17. pmc Impact of the raising immunizations safely and effectively (RISE) program on healthcare worker influenza immunization rates in long term care settings
    David A Nace
    Division of Geriatric Medicine, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA
    J Am Med Dir Assoc 13:806-10. 2012
    ..There is a critical need to identify and deploy successful models of HCW influenza immunization programs to LTC facilities. This report describes one potential model that has been successfully initiated in a network of LTC facilities...
  18. pmc Frequency of laboratory monitoring of chronic medications administered to nursing facility residents: results of a national Internet-based study
    Steven M Handler
    Department of Medicine, Division of Geriatric Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA
    Consult Pharm 23:387-95. 2008
    ....
  19. pmc Potentially inappropriate prescribing of primarily renally cleared medications for older veterans affairs nursing home patients
    Joseph T Hanlon
    Division of Geriatric Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA
    J Am Med Dir Assoc 12:377-83. 2011
    ..Inappropriate prescribing of primarily renally cleared medications in older patients with kidney disease can lead to adverse outcomes...
  20. pmc Interventions to improve suboptimal prescribing in nursing homes: A narrative review
    Zachary A Marcum
    Department of Medicine Geriatrics, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    Am J Geriatr Pharmacother 8:183-200. 2010
    ..Appropriate medication prescribing for nursing home residents remains a challenge...
  21. pmc Increasing influenza and pneumococcal immunization rates in a nursing home network
    David A Nace
    Division of Geriatric Medicine, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA
    J Am Med Dir Assoc 12:678-84. 2011
    ..Improving immunization rates across multiple LTC facilities remains an elusive challenge. This quality improvement study sought to improve immunization rates across 6 LTC facilities and identify persistent barriers to better performance...
  22. pmc Nursing home deficiency citations for safety
    Nicholas G Castle
    Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania 15261, USA
    J Aging Soc Policy 23:34-57. 2011
    ..In many cases, this likely influences the quality of life and quality of care of residents...
  23. pmc A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse drug events in the hospital setting
    Steven M Handler
    Department of Medicine, Division of Geriatric Medicine, University of Pittsburgh, 3471 Fifth Ave, Suite 500, Pittsburgh, PA 15213, USA
    J Am Med Inform Assoc 14:451-8. 2007
    ..The objective of this study was to conduct a systematic review of pharmacy and laboratory signals used by clinical event monitors to detect ADEs in hospitalized adults...
  24. pmc Determining the incidence of drug-associated acute kidney injury in nursing home residents
    Steven M Handler
    Department of Biomedical Informatics, School of Medicine, University of Pittsburgh, Pittsburgh, PA Division of Geriatric Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA Geriatric Pharmaceutical Outcomes and Geroinformatics Research and Training Program, University of Pittsburgh, Pittsburgh, PA Center for Pharmaceutical Policy and Prescribing, University of Pittsburgh, Pittsburgh, PA Center for Critical Care Nephrology, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA Electronic address
    J Am Med Dir Assoc 15:719-24. 2014
    ..The goal of this study was to determine the incidence of drug-associated AKI using the RIFLE (Risk, Injury, Failure, Loss of kidney function, or End-Stage kidney disease) criteria in NH residents...
  25. doi request reprint Evaluating the impact of computer-generated rounding reports on physician workflow in the nursing home: a feasibility time-motion study
    Patrice T Thorpe-Jamison
    Department of Biomedical Informatics, University of Pittsburgh School of Medicine, Pittsburgh, PA 15206, USA
    J Am Med Dir Assoc 14:358-62. 2013
    ..To determine the feasibility and impact of a computer-generated rounding report on physician rounding time and perceived barriers to providing clinical care in the nursing home (NH) setting...
  26. pmc Age-related changes in antidepressant pharmacokinetics and potential drug-drug interactions: a comparison of evidence-based literature and package insert information
    Richard D Boyce
    Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    Am J Geriatr Pharmacother 10:139-50. 2012
    ..Little is known about the best source of pharmacotherapy information to consult about key factors necessary to safely prescribe these medications to older patients...
  27. ncbi request reprint Information primary care physicians want to receive about their hospitalized patients
    Kenneth J Smith
    Department of Medicine, University of Pittsburgh, PA 15213, USA
    Fam Med 44:425-30. 2012
    ..It is unclear what hospital information PCPs would find most valuable in their patients' continuing care, as is how and when they would prefer to receive such information...
  28. pmc Antidepressant prescribing in US nursing homes between 1996 and 2006 and its relationship to staffing patterns and use of other psychotropic medications
    Joseph T Hanlon
    Division of Geriatric Medicine, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA
    J Am Med Dir Assoc 11:320-4. 2010
    ..Few studies have examined factors associated with antidepressant prescribing in older nursing home residents...
  29. doi request reprint Evaluating the positive predictive values of antidote signals to detect potential adverse drug reactions (ADRs) in the medical intensive care unit (ICU)
    Sandra L Kane-Gill
    School of Pharmacy, Center for Pharmacoinformatics and Outcomes Research, University of Pittsburgh, Pittsburgh, PA, USA
    Pharmacoepidemiol Drug Saf 18:1185-91. 2009
    ....
  30. pmc Medication misadventures in the elderly: a year in review
    Zachary A Marcum
    Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
    Am J Geriatr Pharmacother 8:77-83. 2010
    ..This paper reviews recent articles examining medication misadventures that can be defined as medication errors and adverse drug events in the elderly...
  31. doi request reprint Adverse drug reactions in hospital and ambulatory care settings identified using a large administrative database
    Sandra L Kane-Gill
    School of Pharmacy and Clinical Translational Science Institute, University of Pittsburgh, Pittsburgh, PA 15261, USA
    Ann Pharmacother 44:983-93. 2010
    ..Previous studies are limited in sample size and number of sites for the detection and characterization of adverse drug reactions (ADRs) in ambulatory care and hospital settings...
  32. pmc Results of a longitudinal analysis of national data to examine relationships between organizational and market characteristics and changes in antipsychotic prescribing in US nursing homes from 1996 through 2006
    Nicholas G Castle
    Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
    Am J Geriatr Pharmacother 7:143-50. 2009
    ..The aim of this work was to examine the association between organizational characteristics, market characteristics, and changes in antipsychotic medication use in US nursing homes over time...
  33. pmc Assessing the impact of cognitive impairment on the usability of an electronic medication delivery unit in an assisted living population
    Frank M Ligons
    Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, PA, United States Geriatric Pharmaceutical Outcomes and Geroinformatics Research and Training Program, University of Pittsburgh, Pittsburgh, PA, United States
    Int J Med Inform 83:841-8. 2014
    ..To examine the relationship between cognitive status and the usability of an integrated medication delivery unit (MDU) in older adults who reside in an Assisted Living Facility (ALF)...
  34. pmc Assessing the quality of prescribing and monitoring erythropoiesis-stimulating agents in the nursing home setting
    An Kwok I Wong
    Department of Biomedical Informatics, School of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA
    J Am Med Dir Assoc 10:436-9. 2009
    ..The objectives of this study were to determine the prevalence and appropriateness of prescribing and monitoring of erythropoiesis-stimulating agents (ESAs) used to treat anemia in the NH setting...
  35. doi request reprint Nursing home deficiency citations for infection control
    Nicholas G Castle
    Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA
    Am J Infect Control 39:263-9. 2011
    ..This study examined the deficiency citation for infection control (ie, F-Tag 441). This information represents potential problems in infection control as identified in the yearly certification process of almost all US nursing homes...
  36. pmc Nursing Home Provider Perceptions of Telemedicine for Reducing Potentially Avoidable Hospitalizations
    Julia Driessen
    Department of Health Policy and Management, University of Pittsburgh, Pittsburgh, PA Department of Biomedical Informatics, School of Medicine, University of Pittsburgh, Pittsburgh, PA
    J Am Med Dir Assoc 17:519-24. 2016
    ..The goal of this study was to survey a nationally representative sample of NH physicians and advanced practice providers to quantify provider perceptions and desired functionality of telemedicine in NHs to reduce PAHs...
  37. pmc Risk factors for acute kidney injury in older adults with critical illness: a retrospective cohort study
    Sandra L Kane-Gill
    The Center for Critical Care Nephology, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, and University of Pittsburgh Medical Center, Pittsburgh, PA Department of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy, Pittsburgh, PA
    Am J Kidney Dis 65:860-9. 2015
    ..Risk for acute kidney injury (AKI) in older adults has not been evaluated systematically. We sought to delineate the determinants of risk for AKI in older compared with younger adults...
  38. pmc Home-care nurses' perceptions of unmet information needs and communication difficulties of older patients in the immediate post-hospital discharge period
    Katrina M Romagnoli
    Department of Biomedical Informatics, School of Medicine, University of Pittsburgh, 5607 Baum Boulevard, BAUM 417D, Pittsburgh, PA 15206 3701, USA
    BMJ Qual Saf 22:324-32. 2013
    ....
  39. pmc A Multicenter Evaluation of Off-Label Medication Use and Associated Adverse Drug Reactions in Adult Medical ICUs
    Pamela L Smithburger
    1Department of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy, Pittsburgh, PA 2Department of Pharmacy, Banner Good Samaritan Medical Center, Phoenix, AZ 3Department of Pharmaceutical Services, University of Chicago Medical Center, Chicago, IL 4Department of Pharmacy, Rush University Medical Center, Chicago, IL 5Department of Geriatric Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA 6Department of Biomedical Informatics, University of Pittsburgh School of Medicine, Pittsburgh, PA 7Department of Pharmaceutical Sciences, University of Pittsburgh School of Pharmacy, Pittsburgh, PA
    Crit Care Med 43:1612-21. 2015
    ..The study objective was to determine the prevalence of adverse drug reactions associated with off-label use and evaluate off-label use as a risk factor for the development of adverse drug reactions in an adult ICU population...
  40. pmc Clinical decision support to promote safe prescribing to women of reproductive age: a cluster-randomized trial
    Eleanor Bimla Schwarz
    Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA
    J Gen Intern Med 27:831-8. 2012
    ..Potentially teratogenic medications are frequently prescribed without provision of contraceptive counseling...
  41. ncbi request reprint Achieving and sustaining high rates of influenza immunization among long-term care staff
    David A Nace
    Division of Geriatric Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA
    J Am Med Dir Assoc 8:128-33. 2007
    ..Immunization of health care workers has been shown to reduce the impact of influenza in this setting, yet few studies address improvement efforts aimed at long-term care staff immunization...
  42. pmc Consensus guidelines for oral dosing of primarily renally cleared medications in older adults
    Joseph T Hanlon
    Department of Medicine, University of Pittsburgh, Pennsylvania 15213, USA
    J Am Geriatr Soc 57:335-40. 2009
    ..To establish consensus oral dosing guidelines for primarily renally cleared medications prescribed for older adults...
  43. ncbi request reprint Epidemiology of medication-related adverse events in nursing homes
    Steven M Handler
    Division of Geriatric Medicine, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
    Am J Geriatr Pharmacother 4:264-72. 2006
    ....