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dc.contributor.authorTudor Car, Lorainneen_US
dc.contributor.authorPapachristou, Nikolaosen_US
dc.contributor.authorGallagher, Josephen_US
dc.contributor.authorSamra, Rajvinderen_US
dc.contributor.authorWazny, Kerrien_US
dc.contributor.authorEl-Khatib, Monaen_US
dc.contributor.authorBull, Adrianen_US
dc.contributor.authorMajeed, Azeemen_US
dc.contributor.authorAylin, Paulen_US
dc.contributor.authorAtun, Rifaten_US
dc.contributor.authorRudan, Igoren_US
dc.contributor.authorCar, Josipen_US
dc.contributor.authorBell, Helenen_US
dc.contributor.authorVincent, Charlesen_US
dc.contributor.authorFranklin, Bryony Deanen_US
dc.date.accessioned2016-12-02T15:25:38Z
dc.date.issued2016en_US
dc.identifier.citationTudor Car, L., N. Papachristou, J. Gallagher, R. Samra, K. Wazny, M. El-Khatib, A. Bull, et al. 2016. “Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study.” BMC Family Practice 17 (1): 160. doi:10.1186/s12875-016-0552-6. http://dx.doi.org/10.1186/s12875-016-0552-6.en
dc.identifier.issn1471-2296en
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:29626168
dc.description.abstractBackground: Medication error is a frequent, harmful and costly patient safety incident. Research to date has mostly focused on medication errors in hospitals. In this study, we aimed to identify the main causes of, and solutions to, medication error in primary care. Methods: We used a novel priority-setting method for identifying and ranking patient safety problems and solutions called PRIORITIZE. We invited 500 North West London primary care clinicians to complete an open-ended questionnaire to identify three main problems and solutions relating to medication error in primary care. 113 clinicians submitted responses, which we thematically synthesized into a composite list of 48 distinct problems and 45 solutions. A group of 57 clinicians randomly selected from the initial cohort scored these and an overall ranking was derived. The agreement between the clinicians’ scores was presented using the average expert agreement (AEA). The study was conducted between September 2013 and November 2014. Results: The top three problems were incomplete reconciliation of medication during patient ‘hand-overs’, inadequate patient education about their medication use and poor discharge summaries. The highest ranked solutions included development of a standardized discharge summary template, reduction of unnecessary prescribing, and minimisation of polypharmacy. Overall, better communication between the healthcare provider and patient, quality assurance approaches during medication prescribing and monitoring, and patient education on how to use their medication were considered the top priorities. The highest ranked suggestions received the strongest agreement among the clinicians, i.e. the highest AEA score. Conclusions: Clinicians identified a range of suggestions for better medication management, quality assurance procedures and patient education. According to clinicians, medication errors can be largely prevented with feasible and affordable interventions. PRIORITIZE is a new, convenient, systematic, and replicable method, and merits further exploration with a view to becoming a part of a routine preventative patient safety monitoring mechanism. Electronic supplementary material The online version of this article (doi:10.1186/s12875-016-0552-6) contains supplementary material, which is available to authorized users.en
dc.language.isoen_USen
dc.publisherBioMed Centralen
dc.relation.isversionofdoi:10.1186/s12875-016-0552-6en
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC5112691/pdf/en
dash.licenseLAAen_US
dc.subjectMedication erroren
dc.subjectPatient safetyen
dc.subjectPriority-settingen
dc.subjectCrowd-sourcingen
dc.subjectPrimary careen
dc.subjectCliniciansen
dc.titleIdentification of priorities for improvement of medication safety in primary care: a PRIORITIZE studyen
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden
dc.relation.journalBMC Family Practiceen
dash.depositing.authorAtun, Rifaten_US
dc.date.available2016-12-02T15:25:38Z
dc.identifier.doi10.1186/s12875-016-0552-6*
dash.authorsorderedfalse
dash.contributor.affiliatedAtun, Rifat
dc.identifier.orcid0000-0002-1531-5983


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