investigators were able to develop
a relatively standardized process
model to improve ED prescribing
practices for clinicians caring for
older adults. The implementation
model captures factors at the level
of context (alignment with priorities
of care), inputs (resources available),
outputs (activities and participation),
and outcomes (short, medium, and
long-term). In addition to the process
model, EQUiPPED has developed
an implementation tool kit, which
includes order set logic, the Beers
look-up tool developed by Durham,
education materials, and provider
The implementation model and
components of the tool kit are available by request through the Birmingham/Atlanta GRECC. With these
materials, the EQUiPPED project is
poised for implementation at other
VA EDs or at sites beyond the VA.
Successful implementation of
EQUiPPED, an innovative geriatric
practice intervention to reduce PIM
prescribing in the ED, is dependent
on careful planning and site custom-
ization. Distilling factors that differed
across VA sites resulted in a model
intended to promote implementation
and dissemination of the EQUIPPED
The authors report no actual or potential conflicts of interest with regard to
The opinions expressed herein are those
of the authors and do not necessarily
reflect those of Federal Practitioner,
Frontline Medical Communications
Inc., the U.S. Government, or any of its
agencies. This article may discuss unlabeled or investigational use of certain
drugs. Please review the complete prescribing information for specific drugs
or drug combinations—including indications, contraindications, warnings,
and adverse effects—before administering pharmacologic therapy to
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