A National Aged Care Medication Roundtable
This project is supported by an NHMRC Partnership Project grant (APP2006957).
Project members
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| Dr Andrea Timothy Research Fellow |
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| Desiree Firempong Research Assistant | Isabelle Meulenbroeks Research Assistant and PhD Candidate |
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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
- 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
- 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
- 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
- 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.
News and media
Media
- Technology is no silver bullet for delivering error-free healthcare (2023)
- BaptistCare partners with Macquarie University in roundtable project (2021)
- New NHMRC Partnership Project in Aged Care (2021)
- Cheu S (2021). Universities, providers collaborate to boost med safety. Australian Ageing Agenda. September 2021.
Related stream of research
Aged Care Evaluation and Research (ACER) Team
Project status
Current
Centres related to this project
Content owner: Australian Institute of Health Innovation Last updated: 31 Oct 2024 10:00am