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

Dang, CPL, Toh, L ORCID: 0000-0002-9228-6266, Cooling, N ORCID: 0000-0003-3211-1656, Jackson, S, Curtain, C ORCID: 0000-0001-5029-7541, Thompson, A ORCID: 0000-0001-8677-0249 and Peterson, G ORCID: 0000-0002-6764-3882 2019 , 'Updating and validating quality prescribing indicators for use in Australian general practice' , Australian Journal of Primary Health , A-L , doi: 10.1071/PY19060.

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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 PrescribingService (NPS) MedicineWise indicators, published literature, international indicators and guidelines, and throughqualitative focus group discussions; and (2) validating the proposed QPIs through a two-round online survey using theDelphi technique. The Delphi panel included four GPs, four pharmacists and two clinical pharmacologists. The Delphipanel rated the potential QPIs for their validity, importance and feasibility using a 1–10 Likert scale. In round one, allproposed QPIs presented as ‘prescribing rules’ achieved high scores regarding validity, importance and feasibility No rulewas 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 sevendrug–drug interactions, which received high scores in round one. In conclusion, 42 QPIs were nominated for use inAustralian general practice, based on their validity, importance and feasibility. If implemented, these QPIs have thepotential to assist in efforts to improve the quality and safety of medicines management

Item Type: Article
Authors/Creators:Dang, CPL and Toh, L and Cooling, N and Jackson, S and Curtain, C and Thompson, A and Peterson, G
Keywords: drugs, general practice, medication-related problem, prescribing, quality indicator, quality of care
Journal or Publication Title: Australian Journal of Primary Health
Publisher: C S I R O Publishing
ISSN: 1836-7399
DOI / ID Number: 10.1071/PY19060
Copyright Information:

Copyright 2019 La Trobe University

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