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Validation of prescribing appropriateness criteria for older Australians using the RAND/UCLA appropriateness method

OBJECTIVE: To further develop and validate previously published national prescribing appropriateness criteria to assist in identifying drug-related problems (DRPs) for commonly occurring medications and medical conditions in older (≥65 years old) Australians. DESIGN: RAND/UCLA appropriateness method...

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Autores principales: Basger, Benjamin Joseph, Chen, Timothy Frank, Moles, Rebekah Jane
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3467596/
https://www.ncbi.nlm.nih.gov/pubmed/22983875
http://dx.doi.org/10.1136/bmjopen-2012-001431
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author Basger, Benjamin Joseph
Chen, Timothy Frank
Moles, Rebekah Jane
author_facet Basger, Benjamin Joseph
Chen, Timothy Frank
Moles, Rebekah Jane
author_sort Basger, Benjamin Joseph
collection PubMed
description OBJECTIVE: To further develop and validate previously published national prescribing appropriateness criteria to assist in identifying drug-related problems (DRPs) for commonly occurring medications and medical conditions in older (≥65 years old) Australians. DESIGN: RAND/UCLA appropriateness method. PARTICIPANTS: A panel of medication management experts were identified consisting of geriatricians/pharmacologists, clinical pharmacists and disease management advisors to organisations that produce Australian evidence-based therapeutic publications. This resulted in a round-one panel of 15 members, and a round-two panel of 12 members. MAIN OUTCOME MEASURE: Agreement on all criteria. RESULTS: Forty-eight prescribing criteria were rated. In the first rating round via email, there was disagreement regarding 17 of the criteria according to median panel ratings. During a face-to-face second round meeting, discussion resulted in retention of 25 criteria after amendments, agreement for 14 criteria with no changes required and deletion of 9 criteria. Two new criteria were added, resulting in a final validated list of 41 prescribing appropriateness criteria. Agreement after round two was reached for all 41 criteria, measured by median panel ratings and the amount of dispersion of panel ratings, based on the interpercentile range. CONCLUSIONS: A set of 41 Australian prescribing appropriateness criteria were validated by an expert panel. Use of these criteria, together with clinical judgement and other medication review processes such as patient interview, is intended to assist in improving patient care by efficiently detecting potential DRPs related to commonly occurring medicines and medical conditions in older Australians. These criteria may also contribute to the medication management education of healthcare professionals.
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spelling pubmed-34675962012-10-19 Validation of prescribing appropriateness criteria for older Australians using the RAND/UCLA appropriateness method Basger, Benjamin Joseph Chen, Timothy Frank Moles, Rebekah Jane BMJ Open Geriatric Medicine OBJECTIVE: To further develop and validate previously published national prescribing appropriateness criteria to assist in identifying drug-related problems (DRPs) for commonly occurring medications and medical conditions in older (≥65 years old) Australians. DESIGN: RAND/UCLA appropriateness method. PARTICIPANTS: A panel of medication management experts were identified consisting of geriatricians/pharmacologists, clinical pharmacists and disease management advisors to organisations that produce Australian evidence-based therapeutic publications. This resulted in a round-one panel of 15 members, and a round-two panel of 12 members. MAIN OUTCOME MEASURE: Agreement on all criteria. RESULTS: Forty-eight prescribing criteria were rated. In the first rating round via email, there was disagreement regarding 17 of the criteria according to median panel ratings. During a face-to-face second round meeting, discussion resulted in retention of 25 criteria after amendments, agreement for 14 criteria with no changes required and deletion of 9 criteria. Two new criteria were added, resulting in a final validated list of 41 prescribing appropriateness criteria. Agreement after round two was reached for all 41 criteria, measured by median panel ratings and the amount of dispersion of panel ratings, based on the interpercentile range. CONCLUSIONS: A set of 41 Australian prescribing appropriateness criteria were validated by an expert panel. Use of these criteria, together with clinical judgement and other medication review processes such as patient interview, is intended to assist in improving patient care by efficiently detecting potential DRPs related to commonly occurring medicines and medical conditions in older Australians. These criteria may also contribute to the medication management education of healthcare professionals. BMJ Publishing Group 2012-09-15 /pmc/articles/PMC3467596/ /pubmed/22983875 http://dx.doi.org/10.1136/bmjopen-2012-001431 Text en © 2012, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/ and http://creativecommons.org/licenses/by-nc/2.0/legalcode.
spellingShingle Geriatric Medicine
Basger, Benjamin Joseph
Chen, Timothy Frank
Moles, Rebekah Jane
Validation of prescribing appropriateness criteria for older Australians using the RAND/UCLA appropriateness method
title Validation of prescribing appropriateness criteria for older Australians using the RAND/UCLA appropriateness method
title_full Validation of prescribing appropriateness criteria for older Australians using the RAND/UCLA appropriateness method
title_fullStr Validation of prescribing appropriateness criteria for older Australians using the RAND/UCLA appropriateness method
title_full_unstemmed Validation of prescribing appropriateness criteria for older Australians using the RAND/UCLA appropriateness method
title_short Validation of prescribing appropriateness criteria for older Australians using the RAND/UCLA appropriateness method
title_sort validation of prescribing appropriateness criteria for older australians using the rand/ucla appropriateness method
topic Geriatric Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3467596/
https://www.ncbi.nlm.nih.gov/pubmed/22983875
http://dx.doi.org/10.1136/bmjopen-2012-001431
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