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Updating and validating quality prescribing indicators for use in Australian general practice

Citation

Dang, CPL and Toh, L and Cooling, N and Jackson, S and Curtain, C and Thompson, A and Peterson, G, Updating and validating quality prescribing indicators for use in Australian general practice, Australian Journal of Primary Health pp. A-L. ISSN 1836-7399 (2019) [Refereed Article]

Copyright Statement

Copyright 2019 La Trobe University

DOI: doi:10.1071/PY19060

Abstract

This study aims to update and validate quality prescribing indicators (QPIs) for Australian general practice. The study comprised two phases: (1) developing preliminary potential QPIs based on the 2006 National Prescribing Service (NPS) MedicineWise indicators, published literature, international indicators and guidelines, and through qualitative focus group discussions; and (2) validating the proposed QPIs through a two-round online survey using the Delphi technique. The Delphi panel included four GPs, four pharmacists and two clinical pharmacologists. The Delphi panel rated the potential QPIs for their validity, importance and feasibility using a 1–10 Likert scale. In round one, all proposed QPIs presented as ‘prescribing rules’ achieved high scores regarding validity, importance and feasibility No rule was eliminated and three new rules were introduced. Rules were reworded into ‘prescribing indicators’ for round two, which resulted in 35 indicators being accepted and two indicators being eliminated. The final QPIs also include seven drug–drug interactions, which received high scores in round one. In conclusion, 42 QPIs were nominated for use in Australian general practice, based on their validity, importance and feasibility. If implemented, these QPIs have the potential to assist in efforts to improve the quality and safety of medicines management

Item Details

Item Type:Refereed Article
Keywords:drugs, general practice, medication-related problem, prescribing, quality indicator, quality of care
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Primary Health Care
Objective Division:Health
Objective Group:Public Health (excl. Specific Population Health)
Objective Field:Public Health (excl. Specific Population Health) not elsewhere classified
UTAS Author:Dang, CPL (Miss Cuu Dang)
UTAS Author:Toh, L (Dr Li Shean Toh)
UTAS Author:Cooling, N (Dr Nick Cooling)
UTAS Author:Jackson, S (Dr Shane Jackson)
UTAS Author:Curtain, C (Mr Colin Curtain)
UTAS Author:Thompson, A (Mr Angus Thompson)
UTAS Author:Peterson, G (Professor Gregory Peterson)
ID Code:136499
Year Published:2019
Deposited By:Pharmacy
Deposited On:2020-01-02
Last Modified:2020-05-13
Downloads:0

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