Quality indicators for responsible use of medicines: a systematic review

BMJ Open
Kenji FujitaTimothy F Chen

Abstract

All healthcare systems require valid ways to evaluate service delivery. The objective of this study was to identify existing content validated quality indicators (QIs) for responsible use of medicines (RUM) and classify them using multiple frameworks to identify gaps in current quality measurements. Systematic review without meta-analysis. All care settings. CINAHL, Embase, Global Health, International Pharmaceutical Abstract, MEDLINE, PubMed and Web of Science databases were searched up to April 2018. An internet search was also conducted. Articles were included if they described medication-related QIs developed using consensus methods. Government agency websites listing QIs for RUM were also included. Several multidimensional frameworks were selected to assess the scope of QI coverage. These included Donabedian's framework (structure, process and outcome), the Anatomical Therapeutic Chemical (ATC) classification system and a validated classification for causes of drug-related problems (c-DRPs; drug selection, drug form, dose selection, treatment duration, drug use process, logistics, monitoring, adverse drug reactions and others). 2431 content validated QIs were identified from 131 articles and 5 websites. Using Donabedian's ...Continue Reading

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Citations

Aug 17, 2019·PloS One·André RamalhoAlberto Freitas
Jul 11, 2019·BMC Public Health·Ramin RezapourHossein Mashhadi Abdolahi
Oct 21, 2020·British Journal of Clinical Pharmacology·Kenji FujitaTimothy F Chen
Jan 30, 2021·Drug and Therapeutics Bulletin·Marion BennieTony Avery
Aug 3, 2021·International Journal of General Medicine·Harry WuSarah N Hilmer
Aug 4, 2021·BMC Health Services Research·Bárbara PizettaGenival Araujo Dos Santos Júnior

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