dc.contributor.author |
Wallis, Katharine A |
|
dc.contributor.author |
Elley, C Raina |
|
dc.contributor.author |
Moyes, Simon |
|
dc.contributor.author |
Kerse, Ngaire |
|
dc.coverage.spatial |
England |
|
dc.date.accessioned |
2022-08-19T02:20:24Z |
|
dc.date.available |
2022-08-19T02:20:24Z |
|
dc.date.issued |
2018-10 |
|
dc.identifier.citation |
(2018). BJGP Open, 2(3), bjgpopen18X101594-. |
|
dc.identifier.issn |
2398-3795 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/60863 |
|
dc.description.abstract |
<h4>Background</h4>High-risk prescribing places patients at increased risk of adverse drug events (ADEs). High-risk prescribing and ADE hospitalisations are increasingly common as people are living longer and taking more medicines for multiple chronic conditions. The Safer Prescribing and Care for the Elderly (SPACE) intervention is designed to foster patient engagement in medicines management and prompt medicines review.<h4>Aim</h4>To pilot the SPACE intervention in preparation for a larger cluster randomised controlled trial (RCT).<h4>Design & setting</h4>A pilot study in two general practices. Study participants were all patients at increased risk of an adverse drug reaction (ADE) from non-steroidal anti-inflammatory drugs (NSAIDs) and/or antiplatelet medicines. The primary outcome was the proportion of participants receiving high-risk prescribing at 6 months and 12 months compared with baseline.<h4>Method</h4>The SPACE intervention comprised automated practice audit to identify and generate for each GP a list of patients with high-risk prescribing for these medicines; an outreach visit by clinical advisory pharmacist to deliver education and to go through with each GP their list of at-risk patients and indicate in a tick-box the intended action for each patient; and a mail-out from GPs to selected patients containing a medicines information brochure and a letter encouraging patients to discuss their medicines when they next see their GP.<h4>Results</h4>SPACE can be delivered within existing primary care infrastructure. The rate of high-risk prescribing was reduced at 6 months following the delivery of the intervention, but these improvements were not evident at 12 months.<h4>Conclusion</h4>SPACE prompts medicines review and shows promising signs of supporting safer prescribing in general practice in the short term. A randomised trial of SPACE started in 2018. |
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dc.format.medium |
Electronic-eCollection |
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dc.language |
eng |
|
dc.publisher |
Royal College of General Practitioners |
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dc.relation.ispartofseries |
BJGP open |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://creativecommons.org/licenses/by/4.0/ |
|
dc.subject |
General practice |
|
dc.subject |
drug related side-effects and adverse reactions |
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dc.subject |
multimorbidity |
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dc.subject |
polypharmacy |
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dc.subject |
prescriptions |
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dc.subject |
Clinical Trials and Supportive Activities |
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dc.subject |
Clinical Research |
|
dc.subject |
7 Management of diseases and conditions |
|
dc.subject |
7.3 Management and decision making |
|
dc.subject |
1117 Public Health and Health Services |
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dc.subject |
Health services & systems |
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dc.subject |
Health Services Research |
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dc.title |
Safer Prescribing and Care for the Elderly (SPACE): a pilot study in general practice. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.3399/bjgpopen18x101594 |
|
pubs.issue |
3 |
|
pubs.begin-page |
bjgpopen18X101594 |
|
pubs.volume |
2 |
|
dc.date.updated |
2022-07-31T05:46:59Z |
|
dc.rights.holder |
Copyright: The authors |
en |
dc.identifier.pmid |
30564727 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/30564727 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
research-article |
|
pubs.subtype |
Journal Article |
|
pubs.elements-id |
784830 |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
Population Health |
|
pubs.org-id |
Gen.Practice& Primary Hlthcare |
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dc.identifier.eissn |
2398-3795 |
|
dc.identifier.pii |
01594 |
|
pubs.record-created-at-source-date |
2022-07-31 |
|
pubs.online-publication-date |
2018-07-10 |
|