Improving Australian care home medicine supply services: evaluation of a quality improvement intervention

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Abstract

Aim: The study aims to determine the impact of a quality improvement intervention on how accurately and suitably medicines are supplied to residents of residential aged-care facilities (RACFs). 

Methods: Between September 2012 and January 2013, pharmacy-supplied dose administration aids (DAAs) were audited at 45 Victorian RACFs (Australia). RACFs had previously received an intervention (education session/toolkit) and were involved in an earlier DAA audit. Recently supplied DAAs containing regular medicines were compared to prescriber-prepared medicine charts to identify, and classify risks of, inaccurate or unsuitable packing incidents. 

Results: Of 2389 DAAs audited for 983 residents, 770 incidents in 502 DAAs were identified. The overall DAA incident rate increased significantly from 11.5% pre-intervention to 21.0% post-intervention (P <0.001). The proportion of DAAs affected by incidents classified as ‘insignificant’ or ‘minor’ risk increased post-intervention (P <0.001). 

Conclusions: Further wide-scale evaluation of RACF medicine supply services is needed. Interventions that are effective in reducing DAA incidents should be explored.

Original languageEnglish
Pages (from-to)E1-E6
Number of pages6
JournalAustralasian Journal on Ageing
Volume35
Issue number2
DOIs
Publication statusPublished - 1 Jun 2016

Keywords

  • delivery of health care
  • home for the older people
  • medication error
  • medicine

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