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

Phuong Linh Dang, Cuu; Shean Toh, Li; Cooling, Nick; Jackson, Shane; Curtain, Colin; Thompson, Angus; Peterson, Greg

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Authors

Cuu Phuong Linh Dang

Nick Cooling

Shane Jackson

Colin Curtain

Angus Thompson

Greg Peterson



Abstract

© 2019 La Trobe University. 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.

Citation

Phuong Linh Dang, C., Shean Toh, L., Cooling, N., Jackson, S., Curtain, C., Thompson, A., & Peterson, G. (2020). Updating and validating quality prescribing indicators for use in Australian general practice. Australian Journal of Primary Health, 26(1), 31-42. https://doi.org/10.1071/PY19060

Journal Article Type Article
Acceptance Date Aug 18, 2019
Online Publication Date Dec 23, 2019
Publication Date 2020
Deposit Date Nov 14, 2019
Publicly Available Date Mar 29, 2024
Journal Australian Journal of Primary Health
Print ISSN 1448-7527
Electronic ISSN 1836-7399
Publisher CSIRO Publishing
Peer Reviewed Peer Reviewed
Volume 26
Issue 1
Pages 31-42
DOI https://doi.org/10.1071/PY19060
Keywords Public Health, Environmental and Occupational Health; Health Policy
Public URL https://nottingham-repository.worktribe.com/output/2451584
Publisher URL https://www.publish.csiro.au/PY/justaccepted/PY19060

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