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Subject = PRESCRIBING;
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Displaying Results 1 - 25 of 87 on page 1 of 4
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A Descriptive Study of Antidepressant Prescribing In a Semi-Rural Practice
(2018)
Walsh, M; Duffy, I
A Descriptive Study of Antidepressant Prescribing In a Semi-Rural Practice
(2018)
Walsh, M; Duffy, I
Abstract:
Mental health conditions are increasingly encountered in general practice. The aim of this study was to review the antidepressant prescribing of this practice.
http://hdl.handle.net/10147/623057
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A feasibility study of a theory-based intervention to improve appropriate polypharmacy for older people in primary care.
(2017)
Cadogan, Cathal A; Ryan, Cristín; Gormley, Gerard J; Francis, Jill J; Passmore, Peter; ...
A feasibility study of a theory-based intervention to improve appropriate polypharmacy for older people in primary care.
(2017)
Cadogan, Cathal A; Ryan, Cristín; Gormley, Gerard J; Francis, Jill J; Passmore, Peter; Kerse, Ngaire; Hughes, Carmel M
Abstract:
<p>The original article is available at www.biomedcentral.com</p>
<p>BACKGROUND: A general practitioner (GP)-targeted intervention aimed at improving the prescribing of appropriate polypharmacy for older people was previously developed using a systematic, theory-based approach based on the UK Medical Research Council's complex intervention framework. The primary intervention component comprised a video demonstration of a GP prescribing appropriate polypharmacy during a consultation with an older patient. The video was delivered to GPs online and included feedback emphasising the positive outcomes of performing the behaviour. As a complementary intervention component, patients were invited to scheduled medication review consultations with GPs. This study aimed to test the feasibility of the intervention and study procedures (recruitment, data collection).</p> <p>METHODS: GPs from two general practices were given access to the video, and receptio...
https://epubs.rcsi.ie/spharmart/37
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A guiding framework for the implementation of nurse prescribing of medical ionising radiation (X-Ray) in Ireland
(2009)
Health Service Executive (HSE) Office of the Nursing Services Director
A guiding framework for the implementation of nurse prescribing of medical ionising radiation (X-Ray) in Ireland
(2009)
Health Service Executive (HSE) Office of the Nursing Services Director
http://hdl.handle.net/10147/92645
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A RCT evaluating the effectiveness and cost-effectiveness of academic detailing versus postal prescribing feedback in changing GP antibiotic prescribing.
(2009)
Naughton, Corina; Feely, John; Bennett, Kathleen
A RCT evaluating the effectiveness and cost-effectiveness of academic detailing versus postal prescribing feedback in changing GP antibiotic prescribing.
(2009)
Naughton, Corina; Feely, John; Bennett, Kathleen
Abstract:
Abstract PURPOSE: The aim of this study is to evaluate the effectiveness of academic detailing (AD) plus postal prescribing feedback versus postal prescribing feedback alone in reducing: (i) the overall rate of antibiotic; and (ii) proportion of second-line antibiotic prescribing. In addition, the cost-effectiveness of an outreach prescriber adviser service versus a postal prescribing feedback service was evaluated. METHODS: Volunteer general practitioner practices (n = 98) were randomized to receive prescribing feedback via postal bulletin (PB) (n = 50) or academic detailing plus postal bulletin (AD) (n = 48). Data analysis was based on the HSE-primary care reimbursement service (HSE-PCRS) prescribing database. Regression (beta) coefficients, indicating proportion change in prescribing per month, and 95% confidence intervals (CIs) are presented. The cost-effectiveness ratio was calculated from the total cost of the intervention divided by percentage change in antibiotic prescribin...
http://hdl.handle.net/10147/302725
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A review of potentially inappropriate prescribing in over 65’s in Livinghealth clinic
(2015)
Sweeney, J; Laoire, F; Linehan, G; Herlihy, D
A review of potentially inappropriate prescribing in over 65’s in Livinghealth clinic
(2015)
Sweeney, J; Laoire, F; Linehan, G; Herlihy, D
Abstract:
Polypharmacy and potentially inappropriate prescribing (PIP) are areas of growing importance and concern. Optimising drug prescribing in older people is challenging and complex at the individual GP level. At a national level it is an important public health issue for the care and management of the ageing Irish population. The aim of this study was to estimate the prevalence of PIP in Livinghealth Clinic using the STOPP (Screening Tool for Older Personsâ Prescribing) criteria and to identify areas of PIP. LHC audits demonstrated PIP levels of between 16% and 29%. Our findings were similar to other studies in that proton pump inhibitors (PPIs) at maximum therapeutic dosage for >8 weeks, and long acting benzodiazepines prescribed for >1 month, continue to be significant areas of PIP. However, not all identified PIP maybe inappropriate. The STOPP criteria are a useful screening tool for older personsâ prescribing, but are best used together with clinical assessment and discret...
http://hdl.handle.net/10147/558610
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A review of the differences and similarities between generic drugs and their originator counterparts, including economic benefits associated with usage of generic medicines, using Ireland as a case study
(2013)
Dunne, Suzanne S.; Shannon, Bill; Dunne, Colum P.; Cullen, Walter
A review of the differences and similarities between generic drugs and their originator counterparts, including economic benefits associated with usage of generic medicines, using Ireland as a case study
(2013)
Dunne, Suzanne S.; Shannon, Bill; Dunne, Colum P.; Cullen, Walter
Abstract:
Generic medicines are those where patent protection has expired, and which may be produced by manufacturers other than the innovator company. Use of generic medicines has been increasing in recent years, primarily as a cost saving measure in healthcare provision. Generic medicines are typically 20 to 90% cheaper than originator equivalents. Our objective is to provide a high-level description of what generic medicines are and how they differ, at a regulatory and legislative level, from originator medicines. We describe the current and historical regulation of medicines in the world’s two main pharmaceutical markets, in addition to the similarities, as well as the differences, between generics and their originator equivalents including the reasons for the cost differences seen between originator and generic medicines. Ireland is currently poised to introduce generic substitution and reference pricing. This article refers to this situation as an exemplar of a national system on the cu...
http://hdl.handle.net/10344/3056
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Addressing potentially inappropriate prescribing in older patients: development and pilot study of an intervention in primary care (the OPTI-SCRIPT study)
(2013)
Clyne, Barbara; Bradley, Marie C; Hughes, Carmel M; Clear, Daniel; McDonnell, Ronan; Wi...
Addressing potentially inappropriate prescribing in older patients: development and pilot study of an intervention in primary care (the OPTI-SCRIPT study)
(2013)
Clyne, Barbara; Bradley, Marie C; Hughes, Carmel M; Clear, Daniel; McDonnell, Ronan; Williams, David; Fahey, Tom; Smith, Susan M; on behalf of the OPTI-SCRIPT study team
Abstract:
Abstract Background Potentially inappropriate prescribing (PIP) in older people is common in primary care and can result in increased morbidity, adverse drug events, hospitalizations and mortality. The prevalence of PIP in Ireland is estimated at 36% with an associated expenditure of over €45 million in 2007. The aim of this paper is to describe the application of the Medical Research Council (MRC) framework to the development of an intervention to decrease PIP in Irish primary care. Methods The MRC framework for the design and evaluation of complex interventions guided the development of the study intervention. In the development stage, literature was reviewed and combined with information obtained from experts in the field using a consensus based methodology and patient cases to define the main components of the intervention. In the pilot stage, five GPs tested the proposed intervention. Qualitative interviews were co...
http://dx.doi.org/10.1186/1472-6963-13-307
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An evaluation of inappropriate prescribing in long-stay elderly facilities in Greater Cork and Northern Ireland...
(2011)
Byrne, Stephen; Breen, Conor
An evaluation of inappropriate prescribing in long-stay elderly facilities in Greater Cork and Northern Ireland...
(2011)
Byrne, Stephen; Breen, Conor
Abstract:
Inappropriate prescribing in older people is a major global health problem, with serious consequences for patients, principally adverse reactions and morbidity. This team will collect data in Cork and compare with similar data from Northern Ireland. Objectives: Compare the efficacy of the Beers criteria, developed in the USA, and the STOPP criteria developed at University College Cork; quantify the cost of inappropriate prescribing; and evaluate the opinions of long-term care residents on their pharmacotherapy treatments.
http://hdl.handle.net/10147/202413
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An evaluation of prescribing trends and patterns of claims within the Preferred Drugs Initiative in Ireland (2011-2016): an interrupted time-series study.
(2018)
McDowell, Ronald; Bennett, Kathleen; Moriarty, Frank; Clarke, Sarah; Barry, Michael; Fa...
An evaluation of prescribing trends and patterns of claims within the Preferred Drugs Initiative in Ireland (2011-2016): an interrupted time-series study.
(2018)
McDowell, Ronald; Bennett, Kathleen; Moriarty, Frank; Clarke, Sarah; Barry, Michael; Fahey, Tom
Abstract:
To examine the impact of the Preferred Drugs Initiative (PDI), an Irish health policy aimed at enhancing evidence-based cost-effective prescribing, on prescribing trends and the cost of prescription medicines across seven medication classe
To examine the impact of the Preferred Drugs Initiative (PDI), an Irish health policy aimed at enhancing evidence-based cost-effective prescribing, on prescribing trends and the cost of prescription medicines across seven medication classes.
Retrospective repeated cross-sectional study spanning the years 2011-2016.
Health Service Executive Primary Care Reimbursement Service pharmacy claims data for General Medical Services (GMS) patients, approximately 40% of the Irish population.
Adults aged ≥18 years between 2011 and 2016 are eligible for the GMS scheme.
The percentage of PDI medications within each drug class per calendar quarter. Linear regression was used to model prescribing of the preferred drug within each medication gr...
http://hdl.handle.net/10147/622978
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An evaluation of the inappropriate prescribing in older residents in long term care facilities in the Greater Cork and Northern Ireland regions using the STOP and Beers’ criteria.
(2011)
An evaluation of the inappropriate prescribing in older residents in long term care facilities in the Greater Cork and Northern Ireland regions using the STOP and Beers’ criteria.
(2011)
http://hdl.handle.net/10147/188333
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An evaluation of the inappropriate prescribing of the inappropriate prescribing in older residents in long term care facilities in the Greater Cork and Northern Ireland regions using the STOPP and Berr’s croteria.
(2012)
An evaluation of the inappropriate prescribing of the inappropriate prescribing in older residents in long term care facilities in the Greater Cork and Northern Ireland regions using the STOPP and Berr’s croteria.
(2012)
http://hdl.handle.net/10147/263326
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An introduction to audit of nurse and midwife prescribing:guidance for health service providers
(2008)
Health Service Executive (HSE)
An introduction to audit of nurse and midwife prescribing:guidance for health service providers
(2008)
Health Service Executive (HSE)
Abstract:
Nurse and midwife prescribing is a new and expanded role in Ireland. The first Nurse and Midwife prescribers registered with An Bord Altranais in early 2008, following years of groundwork and, ultimately, legislative and regulatory amendments in 2006 and 2007 to make this expanded role possible. Audit of nurse and midwife prescribing is considered essential in order to support best practice. It is also a requirement of the Health Service Provider to ensure there is a mechanism in place to audit the introduction of this initiative. The purpose of this Guidance Document is to assist health service providers within the voluntary and statutory services of the Health Service Executive to monitor activity of and audit prescription writing standards of Registered Nurse Prescribers. In addition, it aims to lay the foundation for subsequent audits into clinical decision making, appropriateness of prescribing and patient outcomes. This document may be used by individuals or audit groups to se...
http://hdl.handle.net/10147/324135
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Antibiotic prescribing in long-term care facilities: a qualitative, multidisciplinary investigation
(2014)
Fleming, A.; Bradley, C.; Cullinan, S.; Byrne, S.
Antibiotic prescribing in long-term care facilities: a qualitative, multidisciplinary investigation
(2014)
Fleming, A.; Bradley, C.; Cullinan, S.; Byrne, S.
Abstract:
Objectives To explore healthcare professionals’ views of antibiotic prescribing in long-term care facilities (LTCFs). To use the findings to recommend intervention strategies for antimicrobial stewardship in LTCFs. Design Qualitative semistructured interviews were conducted. The data were analysed by thematic content analysis. After the interviews, the emerging findings were mapped to the theoretical domains framework (TDF), and the behaviour change wheel and behaviour change technique (BCT) taxonomy were used to recommend future intervention strategies.
http://hdl.handle.net/10147/334838
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Antimicrobial prescribing and resistance in Irish general practice
(2011)
Vellinga, Akke
Antimicrobial prescribing and resistance in Irish general practice
(2011)
Vellinga, Akke
Abstract:
The emerging problem of antimicrobial resistance in bacterial pathogens is complex and the result of individual and population factors. Antimicrobial agents are unique therapeutics in that their impact goes beyond the individual; antimicrobials also affect the microbial population of the host (including the pathogen population) and thereby society. The practical application of quantifying direct, individual level antimicrobial effects is to assess the short-term risk of infection with a resistant organism to an individual about to initiate antimicrobial treatment. The long-term population effect, also known as the collateral effect, involves a chain of low probability events which result in a population risk of an infection with a resistant organism which affects the individual in turn. Standard statistical analytic approaches make the assumption that outcomes in different subjects are independent, but for antimicrobial prescribing and resistance this assumption of independence is v...
http://hdl.handle.net/10379/2062
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Antimicrobial prescribing and stewardship in an ageing population
(2019)
Tandan, Meera
Antimicrobial prescribing and stewardship in an ageing population
(2019)
Tandan, Meera
Abstract:
Background: Antimicrobial resistance (AMR) is a global public health priority. This is primarily due to the rapid increase in AMR bacteria causing common healthcare-associated infections (HAI) and community-acquired infections (e.g. urinary tract infections and pneumonia). Inappropriate antimicrobial use (AMU) is an important cause of AMR. Of particular concern is AMR in long-term care facilities (LTCF), where 40-75% inappropriate prescribing occurs, leading to increased levels of multidrug resistanct (MDR) bacteria. Inappropriate AMU in LTCF includes prophylactic and broad-spectrum antimicrobial prescribing, which are contrary to local prescribing guidelines. Adverse drug events (ADEs), such as HAI as well as gastrointestinal, skin-related and neurological events, are often associated with antimicrobial use. Prevention and control of ADEs relating to antimicrobials are central to patient safety, which can be achieved through improved prescribing. Antimicrobial stewardship (AMS) rep...
http://hdl.handle.net/10379/15253
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Antipyretic Prescribing: Quick Reference Guide
(2013)
Mooney, Shonagh Dr.; ICGP Quality in Practice Committee
Antipyretic Prescribing: Quick Reference Guide
(2013)
Mooney, Shonagh Dr.; ICGP Quality in Practice Committee
Abstract:
Dr Shonagh Mooney won first prize at the Quality in Practice Awards 2012 for a project she ran on anti-pyretics. This project showed that in many cases parents were not aware of how often ibuprofen and paracetamol could be given to children and that more accurate dosing of Ibuprofen and Paracetamol could be achieved by dosing according to weight rather than age. The quick reference guide includes: •Advice sheet for managing a child's fever •Medicine Chart for parents •Ibuprofen dosing chart (according to weight) •Paracetamol dosing chart (according to weight)
http://hdl.handle.net/10147/615161
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Audit of provision of subcutaneous medication for use in the patient’s home, by the Hospice at Home team
(2017)
McAleer, C; Conroy, Marian
Audit of provision of subcutaneous medication for use in the patient’s home, by the Hospice at Home team
(2017)
McAleer, C; Conroy, Marian
Abstract:
This poster was presented at the Irish Association for Palliative Care Annual Education & Research Seminar, Kilkenny, 2017.
http://hdl.handle.net/10147/621061
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Avoiding pitfalls in repeat prescribing a practical approach: Quick Reference Guide
(2013)
ICGP Quality in Practice Committee
Avoiding pitfalls in repeat prescribing a practical approach: Quick Reference Guide
(2013)
ICGP Quality in Practice Committee
Abstract:
The Repeat Prescribing quick reference guide was updated by Professor Colin Bradley in October 2013. The aims of this document are to highlight the risks to patient safety associated with indirect and/or repeat prescribing and to make recommendations regarding how repeat prescribing systems should be established, operated and maintained to reduce the risk of harm to patients while ensuring maximum efficiency in the administration of the practice.
http://hdl.handle.net/10147/135417
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Can authorities appreciably enhance the prescribing of oral generic risperidone to conserve resources? Findings from across Europe and their implications
(2014)
Godman, Brian; Petzold, Max; Bennett, Kathleen; Bennie, Marion; Bucsics, Anna; Finlayso...
Can authorities appreciably enhance the prescribing of oral generic risperidone to conserve resources? Findings from across Europe and their implications
(2014)
Godman, Brian; Petzold, Max; Bennett, Kathleen; Bennie, Marion; Bucsics, Anna; Finlayson, Alexander E; Martin, Andrew; Persson, Marie; Piessnegger, Jutta; Raschi, Emanuel; Simoens, Steven; Zara, Corinne; Barbui, Corrado
Abstract:
Abstract Background Generic atypical antipsychotic drugs offer health authorities opportunities for considerable savings. However, schizophrenia and bipolar disorders are complex diseases that require tailored treatments. Consequently, generally there have been limited demand-side measures by health authorities to encourage the preferential prescribing of generics. This is unlike the situation with hypertension, hypercholaesterolaemia or acid-related stomach disorders.The objectives of this study were to compare the effect of the limited demand-side measures in Western European countries and regions on the subsequent prescribing of risperidone following generics; to utilise the findings to provide future guidance to health authorities; and where possible, to investigate the utilisation of generic versus originator risperidone and the prices for generic risperidone. Methods Principally, this was a segmented regression analysis of ...
http://dx.doi.org/10.1186/1741-7015-12-98
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Challenges in deprescribing for young chronic benzodiazepine patients
(2017)
Murphy, Kevin D.; Lambert, Sharon; McCarthy, Suzanne; Byrne, Stephen; Sahm, Laura J.
Challenges in deprescribing for young chronic benzodiazepine patients
(2017)
Murphy, Kevin D.; Lambert, Sharon; McCarthy, Suzanne; Byrne, Stephen; Sahm, Laura J.
http://hdl.handle.net/10468/5886
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Changing antibiotic prescribing in General Practice – The results of the SIMPle process evaluation
(2019)
Duane, Sinead; Domegan, Christine; Callan, Aoife; Galvin, Sandra; Cormican, Martin; Mur...
Changing antibiotic prescribing in General Practice – The results of the SIMPle process evaluation
(2019)
Duane, Sinead; Domegan, Christine; Callan, Aoife; Galvin, Sandra; Cormican, Martin; Murphy, Andrew W.; Vellinga, Akke
Abstract:
Objective: The Supporting the Improvement and Management of Prescribing for Urinary Tract Infections (SIMPle) study, a cluster randomized trial, sought to improve the quality of antibiotic prescribing for Urinary Tract Infections in General Practices located in the west of Ireland. This paper presents the process evaluation and intends to provide insights into the antibiotic prescribing behaviour of the General Practitioners (GPs) during the intervention. The paper discusses how the social marketing intervention developed as part of SIMPle resulted in GPs prescribing more first line antibiotics, the aim of the trial. However it also offers insights into why antibiotic prescriptions increased during the intervention period. Methods: Fifteen GP interviews and summative intervention components including monitoring practice participation and information provided to the study team. Thematic analysis was used to analyze transcripts. Results: GPs recognized the value of consultation codi...
http://hdl.handle.net/10379/15125
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Choice of doctor scheme: study: first report
(1973)
Department of Health (DoH)
Choice of doctor scheme: study: first report
(1973)
Department of Health (DoH)
Abstract:
The study was initiated in February 1973 to analyse the visiting and prescribing patterns of medical practitioners participating in the Choice of Doctors scheme More specifically the analysis aimed at identifying the significant factors influencing visiting and prescribing patterns, suggesting days of remedying or mitigating any undesirable features which came to notice and identifying the management information required both for the monitoring and the review of the scheme. The aim was to have a report prepared in time for the first annual review of the scheme, due in Autumn 1973.
http://hdl.handle.net/10147/558660
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Collaborative pharmaceutical care in an Irish hospital: uncontrolled before-after study
(2014)
Grimes, Tamasine C; Deasy, Evelyn; Allen, Ann; O ’ Byrne, John; Delaney, Tim; Barragry,...
Collaborative pharmaceutical care in an Irish hospital: uncontrolled before-after study
(2014)
Grimes, Tamasine C; Deasy, Evelyn; Allen, Ann; O ’ Byrne, John; Delaney, Tim; Barragry, John; Breslin, Niall; Moloney, Eddie; Wall, Catherine
Abstract:
Background We investigated the benefits of the Collaborative Pharmaceutical Care in Tallaght Hospital (PACT) service versus standard ward-based clinical pharmacy in adult inpatients receiving acute medical care, particularly on prevalence of medication error and quality of prescribing. Methods Uncontrolled before-after study, undertaken in consecutive adult medical inpatients admitted and discharged alive, using at least three medications. Standard care involved clinical pharmacists being ward-based, contributing to medication history taking and prescription review, but not involved at discharge. The innovative PACT intervention involved clinical pharmacists being team-based, leading admission and discharge medication reconciliation and undertaking prescription review. Primary outcome measures were prevalence per patient of medication error and potentially severe error. Secondary measures included quality of prescribing using the Medication Appropriateness Index (MAI) in patients ...
http://hdl.handle.net/10147/312814
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Comparison of prescribing and adherence patterns of anti-osteoporotic medications post-admission for fragility type fracture in an urban teaching hospital and a rural teaching hospital in Ireland between 2005 and 2008.
(2013)
McGowan, B; Bennett, K; Casey, M C; Doherty, J; Silke, C; Whelan, B
Comparison of prescribing and adherence patterns of anti-osteoporotic medications post-admission for fragility type fracture in an urban teaching hospital and a rural teaching hospital in Ireland between 2005 and 2008.
(2013)
McGowan, B; Bennett, K; Casey, M C; Doherty, J; Silke, C; Whelan, B
Abstract:
INTRODUCTION: Poor adherence reduces the potential benefits of osteoporosis therapy, lowering gains in bone mineral density resulting in increased risk of fractures. AIM: To compare prescribing and adherence patterns of anti-osteoporotic medications in patients admitted to an urban teaching hospital in Ireland with a fragility type fracture to patients admitted to a rural hospital in the North Western region. METHODOLOGY: We identified all patients >55 years admitted to Sligo General Hospital between 2005 and 2008 with a fragility fracture (N = 744) using the hospital in-patient enquiry system (HIPE). The medical card number of those patients eligible for the primary care reimbursement services scheme (PCRS) facilitated the linkage of the HSE-PCRS scheme database to the HIPE database which enabled a study to identify persistence rates of patients prescribed osteoporosis therapy after discharge. The results were compared to the findings of a similar study carried out in St. James&...
http://hdl.handle.net/10147/301901
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Computer-generated STOPP/START recommendations for hospitalised older adults: evaluation of the relationship between clinical relevance and rate of implementation in the SENATOR trial
(2020)
Dalton, Kieran; Curtin, Denis; O'Mahony, Denis; Byrne, Stephen
Computer-generated STOPP/START recommendations for hospitalised older adults: evaluation of the relationship between clinical relevance and rate of implementation in the SENATOR trial
(2020)
Dalton, Kieran; Curtin, Denis; O'Mahony, Denis; Byrne, Stephen
Abstract:
Background: findings from a recent qualitative study indicate that the perceived clinical relevance of computer-generated STOPP/START recommendations was a key factor affecting their implementation by physician prescribers caring for hospitalised older adults in the SENATOR trial. Aim: to systematically evaluate the clinical relevance of these recommendations and to establish if clinical relevance significantly affected the implementation rate. Methods: a pharmacist–physician pair retrospectively reviewed the case records for all SENATOR trial intervention patients at Cork University Hospital and assigned a degree of clinical relevance for each STOPP/START recommendation based on a previously validated six-point scale. The chi-square test was used to quantify the differences in prescriber implementation rates between recommendations of varying clinical relevance, with statistical significance set at P < 0.05. Results: in 204 intervention patients, the SENATOR software produced 92...
http://hdl.handle.net/10468/10382
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