Bøger af Michael Buck

Michael R. Buck - The Dead Poet is a book of selected poems that I wrote over the years. My life of being an alcoholic and a life of death and heartbreaks, not being there for my daughters, and death, my life has always been full of ups and downs, mostly down. And I bring the pain out in my poems to help me live through this personal hell. Some poems are fiction, but for the most they all depict my life.

For over a decade, there has been a high prevalence of potentially inappropriate medication (PIM) use as defined by the "Beers criteria" in the outpatient elderly population. Using CPOE medication lists, the measured prevalence of PIMs as of April 1, 2006 was 23.3% (8,693/37,247) of patients at Intermountain Healthcare and 23.0% (5,528/24,004) at the Cleveland Clinic. Patient characteristics associated with PIMs were polypharmacy, female, and multiple primary care visits. A decision support system of geriatric precaution screening alerts for 86 PIMs was integrated into Intermountain Healthcare''s CPOE system. A 9-month prospective, randomized controlled trial of the system was conducted in 52 outpatient primary care and specialty clinics. Intervention clinics received the alerts, while control clinics received usual care. No significant difference in canceled PIM prescriptions was found between intervention clinics at 4.7% (187/3977) and control clinics at 4.8% (113/2364). None of the individual 86 PIM alerts showed significant differences. Positive physician feedback suggest the alerts have some clinical value.