A National Aged Care Medication Roundtable

A National Aged Care Medication Roundtable

This project is supported by an NHMRC Partnership Project grant (APP2006957).


Project members


Professor Johanna Westbrook
Professor and Director


A/Prof Magda Raban
Associate Professor


Professor Meredith Makeham
Clinical Professor, Macquarie Medical School


Professor Jeffrey Braithwaite
Professor and Founding Director


Dr Tim Badgery-Parker
Research Fellow


Dr Virginia Mumford
Senior Research Fellow


Dr Nas Wabe
Senior Research Fellow


Dr Amy Nguyen
Research Fellow


Dr Karla Seaman
Research Fellow


Dr Sandun Malpriya Silva
Research Fellow


Dr Rachel Urwin
Research Fellow

 
Dr Andrea Timothy
Research Fellow 


Dr Guogui Huang
Postdoctoral Research Fellow


Joanna Clive

Research Assistant


Desiree Firempong
Research Assistant 

Isabelle Meulenbroeks

Research Assistant and PhD Candidate 


Sangita Neupane

Research Assistant

  

Project description, aims and methods

Description

Older Australians with the most complex health needs live in residential care. Poor medication management in residential aged care has been identified as a major problem, accounting for over a third of complaints made to the Australian Aged Care Quality and Safety Commission. Medication use in residential aged care is extensive, with over 80% of residents taking five or more medications each day and 40% taking ten or more. For this project we have formed a consortium of aged care providers, consumers and policy advisors to take a data-driven approach to improving medication safety and quality. The National Aged Care Medication Roundtable leverages electronic medication administration systems to better understand the quality of medication management in the aged care sector and a cyclical process for identifying, trialling and testing interventions to improve safe and effective use of medicines.

Aims

The overall aim of the project is to co-design, implement and evaluate an Aged Care Medication Roundtable under-pinned by a learning health systems model.

Aim 1: Co-develop medication quality indicators and tailored data presentation formats for reporting to the Roundtable to facilitate benchmarking and evidence-based action.

Aim 2: Benchmark data, and co-design and test nudge interventions to improve antibiotic and antipsychotic medication use, applying stepped wedge cluster randomised controlled trials.

Aim 3: Evaluate the processes and outcomes of the Roundtable and establish mechanisms for expansion and sustainability.

A learning health systems model for improving medication management in residential aged care.

Contacts

Project contact


Dr Rachel Urwin
Research Fellow
Email:  agedcare.chssr@mq.edu.au

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Project partners

Related publications

  1. Wabe, N., Urwin, R., Seaman, K., Westbrook, J. 2024. Longitudinal cohort study of discrepancies between prescribed and administered polypharmacy rates: implications for National Aged Care Quality Indicator Programs.  BMJ Quality & Safety Published Online First: 16 July 2024. doi:10.1136/bmjqs-2023-017042
  2. Wabe, N., Urwin, R., Seaman, K., Timothy, A., Raban, M. Z., & Westbrook, J. 2024. Analysis of longitudinal patterns and predictors of medicine use in residential aged care using group-based trajectory modelling: The MEDTRAC-Polypharmacy longitudinal cohort study. British Journal of Clinical Pharmacoepidemiology;1-12. doi:10.1111/bcp.16220
  3. Wabe, N., Timothy, A., Urwin, R., Xu, Y., Nguyen, A.D., & Westbrook, J. 2024. Analysis of longitudinal patterns and predictors of medicine use in residential aged care using group-based trajectory modelling: The “MEDTRAC-Cardiovascular” longitudinal cohort study. Pharmacoepidemiology & Drug Safety, 33: e5881. doi:10.1002/pds.5881
  4. Westbrook, J. I., Seaman, K., Wabe, N., Raban, M. Z., Urwin, R., Badgery-Parker, T., Mecardo, C., Mumford, V., Nguyen, A. D., Root, J., Balmer, S., Waugh, K., Pinto, S., Burge, B., Aldeguer, E., Dunstan, T., Jorgensen, M., Gray, L., Bucknall, T., Etherton-Beer, C., Newell, B., Caughey, G., Beattie, E., Xenos, K. & Cumming, A. 2024. Designing an Informatics Infrastructure for a National Aged Care Medication Roundtable.
    Studies in Health Technology and Informatics, 310, 404-408.

Content owner: Australian Institute of Health Innovation Last updated: 31 Oct 2024 10:00am

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