Menu
×
West Ashley Library
9 a.m. - 7 p.m.
Phone: (843) 766-6635
Folly Beach Library
Closed
Phone: (843) 588-2001
Edgar Allan Poe/Sullivan's Island Library
Closed for renovations
Phone: (843) 883-3914
Wando Mount Pleasant Library
9 a.m. - 8 p.m.
Phone: (843) 805-6888
Village Library
9 a.m. - 1 p.m.
Phone: (843) 884-9741
St. Paul's/Hollywood Library
9 a.m. - 8 p.m.
Phone: (843) 889-3300
Otranto Road Library
9 a.m. - 8 p.m.
Phone: (843) 572-4094
Mt. Pleasant Library
9 a.m. - 8 p.m.
Phone: (843) 849-6161
McClellanville Library
9 a.m. - 6 p.m.
Phone: (843) 887-3699
Keith Summey North Charleston Library
9 a.m. - 8 p.m.
Phone: (843) 744-2489
John's Island Library
9 a.m. - 8 p.m.
Phone: (843) 559-1945
Hurd/St. Andrews Library
9 a.m. - 8 p.m.
Phone: (843) 766-2546
Miss Jane's Building (Edisto Library Temporary Location)
2 p.m. – 6 p.m.
Phone: (843) 869-2355
Dorchester Road Library
9 a.m. - 8 p.m.
Phone: (843) 552-6466
John L. Dart Library
9 a.m. - 7 p.m.
Phone: (843) 722-7550
Baxter-Patrick James Island
9 a.m. - 8 p.m.
Phone: (843) 795-6679
Main Library
9 a.m. - 8 p.m.
Phone: (843) 805-6930
Bees Ferry West Ashley Library
9 a.m. - 8 p.m.
Phone: (843) 805-6892
Mobile Library
9 a.m. - 5 p.m.
Phone: (843) 805-6909
Today's Hours
West Ashley Library
9 a.m. - 7 p.m.
Phone: (843) 766-6635
Folly Beach Library
Closed
Phone: (843) 588-2001
Edgar Allan Poe/Sullivan's Island Library
Closed for renovations
Phone: (843) 883-3914
Wando Mount Pleasant Library
9 a.m. - 8 p.m.
Phone: (843) 805-6888
Village Library
9 a.m. - 1 p.m.
Phone: (843) 884-9741
St. Paul's/Hollywood Library
9 a.m. - 8 p.m.
Phone: (843) 889-3300
Otranto Road Library
9 a.m. - 8 p.m.
Phone: (843) 572-4094
Mt. Pleasant Library
9 a.m. - 8 p.m.
Phone: (843) 849-6161
McClellanville Library
9 a.m. - 6 p.m.
Phone: (843) 887-3699
Keith Summey North Charleston Library
9 a.m. - 8 p.m.
Phone: (843) 744-2489
John's Island Library
9 a.m. - 8 p.m.
Phone: (843) 559-1945
Hurd/St. Andrews Library
9 a.m. - 8 p.m.
Phone: (843) 766-2546
Miss Jane's Building (Edisto Library Temporary Location)
2 p.m. – 6 p.m.
Phone: (843) 869-2355
Dorchester Road Library
9 a.m. - 8 p.m.
Phone: (843) 552-6466
John L. Dart Library
9 a.m. - 7 p.m.
Phone: (843) 722-7550
Baxter-Patrick James Island
9 a.m. - 8 p.m.
Phone: (843) 795-6679
Main Library
9 a.m. - 8 p.m.
Phone: (843) 805-6930
Bees Ferry West Ashley Library
9 a.m. - 8 p.m.
Phone: (843) 805-6892
Mobile Library
9 a.m. - 5 p.m.
Phone: (843) 805-6909
Patron Login
menu
Item request has been placed!
×
Item request cannot be made.
×
![loading](/sites/all/modules/hf_eds/images/loading.gif)
Activating pharmacists to reduce the frequency of medication-related problems (ACTMed): a stepped wedge cluster randomised trial.
Item request has been placed!
×
Item request cannot be made.
×
![loading](/sites/all/modules/hf_eds/images/loading.gif)
- Author(s): Spinks J;Spinks J; Violette R; Violette R; Violette R; Boyle DI; Boyle DI; Petrie D; Petrie D; Fanning L; Fanning L; Fanning L; Hall KK; Hall KK; Kelly F; Kelly F; Wheeler AJ; Wheeler AJ; Wheeler AJ; Ware RS; Ware RS; Byrnes J; Byrnes J; Chen E; Chen E; Donald A; Donald A; Ellis N; Ellis N; DelDot M; DelDot M; Nissen L; Nissen L
- Source:
The Medical journal of Australia [Med J Aust] 2023 Oct 02; Vol. 219 (7), pp. 325-331. Date of Electronic Publication: 2023 Aug 16.- Publication Type:
Randomized Controlled Trial; Journal Article; Research Support, Non-U.S. Gov't- Language:
English - Source:
- Additional Information
- Source: Publisher: Australasian Medical Publishing Co Country of Publication: Australia NLM ID: 0400714 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1326-5377 (Electronic) Linking ISSN: 0025729X NLM ISO Abbreviation: Med J Aust Subsets: MEDLINE
- Publication Information: Publication:
: Pyrmont, NSW : Australasian Medical Publishing Co.
Original Publication: Sydney : Australasian Medical Pub. Co. - Subject Terms:
- Abstract: Background: Medicines are the most frequent health care intervention type; their safe use provides significant benefits, but inappropriate use can cause harm. Systemic primary care approaches can manage serious medication-related problems in a timely manner.
Objectives: ACTMed (ACTivating primary care for MEDicine safety) uses information technology and financial incentives to encourage pharmacists to work more closely with general practitioners to reduce the risk of harm, improve patients' experience of care, streamline workflows, and increase the efficiency of medical care.
Methods and Analysis: The stepped wedge cluster randomised trial in 42 Queensland primary care practices will assess the effectiveness of the ACTMed intervention. The primary outcome will be the proportion of people at risk of serious medication-related problems - patients with atrial fibrillation, heart failure, cardiovascular disease, type 2 diabetes, or asthma or chronic obstructive pulmonary disease - who experience such problems. We will also estimate the cost per averted serious medication-related problem and the cost per averted potentially preventable medication-related hospitalisation.
Ethics Approval: The University of Queensland Human Research Ethics Committee approved the pilot (2021/HE002189) and trial phases of the ACTMed study (2022/HE002136). Access to Patron data was granted by the Patron Data Governance Committee (PAT052ACTMed). Access to linked hospitalisations and deaths data are subject to Public Health Act approval (pending).
Dissemination of Findings: A comprehensive dissemination plan will be co-developed by the researchers, the ACTMed steering committee and consumer advisory group, project partners, and trial site representatives. Aboriginal and Torres Strait Islander communities will be supported in leading community-level dissemination.
Trial Registration: Australian New Zealand Clinical Trials Registry (pilot: ACTRN12622000595718; 21 April 2022; full trial: ACTRN12622000574741; 14 April 2022).
(© 2023 The Authors. Medical Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of AMPCo Pty Ltd.) - References: Australian Commission on Safety and Quality in Health Care. National safety and quality health service standards. Sept 2012. www.safetyandquality.gov.au/sites/default/files/migrated/NSQHS-Standards-Sept-2012.pdf (viewed Mar 2022).
Roughead EE, Semple SJ. Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and causes of medication problems 2002-2008. Aust New Zealand Health Policy 2009; 6: 18.
Roughhead L, Semple S, Rosenfeld E. Literature review: medication safety in Australia. Australian Commission on Safety and Quality in Health Care; Aug 2013. www.safetyandquality.gov.au/sites/default/files/migrated/Literature-Review-Medication-Safety-in-Australia-2013.pdf (viewed Mar 2022).
Spinks J, Birch S, Wheeler AJ, et al. Provision of home medicines reviews in Australia: linking population need with service provision and available pharmacist workforce. Aust Health Rev 2020; 44: 973-982.
Donaldson LJ, Kelley ET, Dhingra-Kumar N, et al. Medication without harm: WHO's third global patient safety challenge. Lancet 2017; 389: 1680-1681.
Pirmohamed M, James S, Meakin S, et al. Adverse drug reactions as cause of admission to hospital: prospective analysis of 18 820 patients. BMJ 2004; 329: 15-19.
Lim R, Ellett LMK, Semple S, Roughead EE. The extent of medication-related hospital admissions in Australia: a review from 1988 to 2021. Drug Saf 2022; 45: 249-257.
Pharmaceutical Society of Australia. Medicine safety: take care. Jan 2019. www.psa.org.au/wp-content/uploads/2019/01/PSA-Medicine-Safety-Report.pdf (viewed Mar 2022).
Pharmacy Programs Adminstrator. Medication medicine programs. 2022. https://www.ppaonline.com.au/programs/medication-management-programs (viewed Mar 2022).
Holland R, Desborough J, Goodyer L, et al. Does pharmacist-led medication review help to reduce hospital admissions and deaths in older people? A systematic review and meta-analysis. Br J Clin Pharmacol 2008; 65: 303-316.
Huiskes VJB, Burger DM, van den Ende CHM, van den Bemt BJF. Effectiveness of medication review: a systematic review and meta-analysis of randomized controlled trials. BMC Fam Pract 2017; 18: 5.
Avery AJ, Rodgers S, Cantrill JA, et al. A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis. Lancet 2012; 379: 1310-1319.
Dreischulte T, Donnan P, Grant A, et al. Safer prescribing: a trial of education, informatics, and financial incentives. N Engl J Med 2016; 374: 1053-1064.
Dreischulte T, Grant A, Donnan P, et al. A cluster randomised stepped wedge trial to evaluate the effectiveness of a multifaceted information technology-based intervention in reducing high-risk prescribing of non-steroidal anti-inflammatory drugs and antiplatelets in primary medical care: the DQIP study protocol. Implement Sci 2012; 7: 24.
Guthrie B, Kavanagh K, Robertson C, et al. Data feedback and behavioural change intervention to improve primary care prescribing safety (EFIPPS): multicentre, three arm, cluster randomised controlled trial. BMJ 2016; 354: i4079.
Hemming K, Haines TP, Chilton PJ, et al. The stepped wedge cluster randomised trial: rationale, design, analysis, and reporting. BMJ 2015; 350: h391.
Australian Commission on Safety and Quality in Health Care. Medication reconciliation. Undated. www.safetyandquality.gov.au/our-work/medication-safety/medication-reconciliation (viewed May 2023).
Brisbane South Primary Health Network. Quality improvement. Quality improvement. Undated. www.bsphn.org.au/support/for-your-practice/quality-improvement/#tools-and-toolkits (viewed Mar 2023).
Kalisch LM, Caughey GE, Barratt JD, et al. Prevalence of preventable medication-related hospitalizations in Australia: an opportunity to reduce harm. Int J Qual Health Care 2012; 24: 239-249.
Spinks JM, Kalisch Ellett LMK, Spurling G, et al. Adaptation of potentially preventable medication-related hospitalisation indicators for Indigenous populations in Australia using a modified Delphi technique. BMJ Open 2019; 9: e031369.
Wheeler AJ, Spinks J, Kelly F, et al. Protocol for a feasibility study of an Indigenous Medication Review Service (IMeRSe) in Australia. BMJ Open 2018; 8: e026462.
Melbourne Medical School. Data for Decisions and the Patron program of research. Undated. www.gp.unimelb.edu.au/datafordecisions (viewed Mar 2022).
Van de Ven AH, Delbecq AL. The nominal group as a research instrument for exploratory health studies. Am J Public Health 1972; 62: 337-342.
National Heart Foundation of Australia. Clinical fact sheet: stroke prevention in non-valvular atrial fibrillation using CHA2DS2-VA score. 2019. www.heartfoundation.org.au/getmedia/eb9cefa4-c201-478b-a787-5402beaccc0a/Clinical_Fact_Sheet_-_Stroke_AF.pdf (viewed Feb 2023).
Mercer SW, Maxwell M, Heaney D, Watt GCM. The consultation and relational empathy (CARE) measure: development and preliminary validation and reliability of an empathy-based consultation process measure. Fam Pract 2004; 21: 699-705.
PRIMIS Team (University of Nottingham). PINCER national rollout. Progress report to NHS England and the AHSN Network. Extended executive summary. July 2020. www.nottingham.ac.uk/primis/documents/pincer/pincer-progress-report-ext-exec-summary-july-2020.pdf (viewed Feb 2023).
Hemming K, Girling A. A menu-driven facility for power and detectable-difference calculations in stepped-wedge cluster-randomized trials. Stata J 2014; 14: 363-380.
Royal Australian College of General Practitioners. Standards for general practices. Fifth edition. Melbourne: RACGP, 2020. www.racgp.org.au/FSDEDEV/media/documents/Advocacy/Standards-for-general-practice-5th-edition.pdf (viewed Mar 2022).
Independent Health and Aged Care Pricing Authority. ICD-10-AM/ACHI/ACS. Twelfth edition. 15 June 2023. www.ihacpa.gov.au/resources/icd-10-amachiacs-twelfth-edition (viewed Feb 2023).
National Health and Medical Research Council; Australian Research Council; Universities Australia. National Statement on Ethical Conduct in Human Research. 2007, updated 2018. www.nhmrc.gov.au/file/9131/download?token=4Qw7LMvh (viewed Feb 2023).
Melbourne Medical School. Governance and ethics: data governance committee. In: Data for Decisions and the Patron program of research. 15 Aug 2019. https://medicine.unimelb.edu.au/school-structure/general-practice-and-primary-care/research/data-for-decisions/about-us/governance-and-ethics (viewed Feb 2023). - Grant Information: MRFQ1000023 Medical Research Future Fund (Australian Government)
- Contributed Indexing: Keywords: General practice; Patient safety; Pharmacist; Primary care; Quality assurance, health care
- Molecular Sequence: ANZCTR ACTRN12622000595718; ACTRN12622000574741
- Publication Date: Date Created: 20230816 Date Completed: 20231003 Latest Revision: 20231004
- Publication Date: 20231215
- Accession Number: 10.5694/mja2.52073
- Accession Number: 37586750
- Source:
Contact CCPL
Copyright 2022 Charleston County Public Library Powered By EBSCO Stacks 3.3.0 [350.3] | Staff Login
No Comments.