Do high-risk medicines alerts influence practice? Dunning, Trisha L., Leach, Helen, Van De Vreede, Melita, Williams, Allison F., Buckley, John, Jackson, John, Leversha, Anne, Nation, Roger L., Rokahr, Catherine, O'Reilly, Mary and Kirsa, Suzanne W. 2010, Do high-risk medicines alerts influence practice?, Journal of pharmacy practice and research, vol. 40, no. 3, pp. 203-206. Attached Files Name Description MIMEType Size Downloads dunning-dohighrisk-2010.pdf Published version application/pdf 436.42KB 222 Title Do high-risk medicines alerts influence practice? Author(s) Dunning, Trisha L. orcid.org/0000-0002-0284-1706 Leach, Helen Van De Vreede, Melita Williams, Allison F. Buckley, John Jackson, John Leversha, Anne Nation, Roger L. Rokahr, Catherine O'Reilly, Mary Kirsa, Suzanne W. Journal name Journal of pharmacy practice and research Volume number 40 Issue number 3 Start page 203 End page 206 Total pages 4 Publisher Society of Hospital Pharmacists of Australia Place of publication Collingwood, Vic. Publication date 2010-09 ISSN 1445-937X Summary Background: Medicine-related adverse events are prevalent, costly and mostly preventable. The High Risk Medicines Working Party (Victoria) developed and distributed three highrisk medicines alerts – wrong route of administration of oral medicines, subcutaneous insulin and unfractionated heparin – and accompanying audit tools in 2008 and 2009. Aims: To determine the impact of the three high-risk medicines alerts on Victorian health services; to assess the clinical relevance and utility of the audit tools; to identify barriers to implementing recommendations; and to obtain feedback and suggestions for future alert topics. Method: A cross-sectional survey was undertaken from 6 to 31 July 2009 using an online questionnaire. The questionnaire was distributed to 90 metropolitan, regional and rural public health services in Victoria and approximately 200 members of the Quality Use of Medicines Network (Victoria). Results: Most of the 90 respondents were pharmacists (53%) and nurses (31%). 53 (59%) respondents reported making changes as a result of receiving the high-risk medicines alerts – 21 (40%) concerned the wrong route of administration, 12 (23%) subcutaneous insulin and 7 (13%) unfractionated heparin. Barriers to implementation included time constraints, inadequate staff and resources, excessive paperwork and competing priorities. A minority of respondents indicated some alerts were not relevant to small rural services. Suggestions for improving the audit tools included making them less labour intensive, enabling electronic responses and ensuring their distribution is coordinated with other medicine-related tools. Conclusion: High-risk medicines alerts and the accompanying audit tools facilitated change but there were some barriers to their implementation, such as time and resource constraints. Not all alerts and audit tools were relevant to all health services. Language eng Field of Research 111002 Clinical Nursing: Primary (Preventative) Socio Economic Objective 920211 Palliative Care HERDC Research category C1 Refereed article in a scholarly journal Copyright notice ©2010, Society of Hospital Pharmacists of Australia Free to Read? Yes Persistent URL http://hdl.handle.net/10536/DRO/DU:30031027 Document type: Journal Article Collections: Faculty of Health School of Nursing and Midwifery Centre for Quality and Patient Safety Research Open Access Collection   Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au. Versions Version Filter Type Tue, 02 Nov 2010, 12:43:35 EST Tue, 09 Nov 2010, 13:55:22 EST Wed, 10 Nov 2010, 09:20:45 EST Wed, 10 Nov 2010, 09:22:47 EST Wed, 10 Nov 2010, 09:25:53 EST Tue, 31 Jan 2012, 14:36:38 EST Tue, 04 Jun 2013, 13:13:49 EST Wed, 02 Oct 2013, 14:37:11 EST Thu, 23 Jan 2014, 12:43:27 EST Mon, 19 Jan 2015, 11:13:32 EST Tue, 06 Sep 2016, 16:00:20 EST Tue, 05 Dec 2017, 10:44:15 EST Fri, 07 Sep 2018, 15:07:17 EST Filtered Full Citation counts:   Cited 0 times in TR Web of Science Cited 1 times in Scopus Search Google Scholar Access Statistics: 1092 Abstract Views, 222 File Downloads  -  Detailed Statistics Created: Tue, 02 Nov 2010, 12:43:32 EST by Jane Moschetti

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.