From: Bridging evidence-practice gaps: improving use of medicines in elderly Australian veterans
Intervention number and topic | GPs (n) | Veterans (n) | Pharmacists (n) | Aim of educational intervention | Target criteria for veterans mailed to: |
---|---|---|---|---|---|
Interventions to increase use of medicines | |||||
2: Beta-blockers, take the next step for heart failure | 6954 | 12047 | N/A | To increase beta-blocker use in veterans with heart failure | Veterans dispensed medicines indicative of heart failure who were not dispensed a heart failure specific beta blocker |
3: Diabetes triple check | 8573 | 16612 | 5459 | To increase use of adjunct cardiovascular medicines in veterans with diabetes | Veterans dispensed medicines indicative of diabetes (insulin and/or oral hypoglycaemics) |
15: Osteoporosis | 16876 | 83110 | 7967 | To increase uptake rates of bone density tests, and osteoporosis treatments | Women aged 70–79, men aged 80–85 and those over 50 years admitted to hospital with a fracture from a same level fall |
Interventions to reduce use of medicines | |||||
4: Clinical risk management: NSAIDs | 11242 | 9885 | 5447 | To reduce NSAID use in veterans with heart failure and diabetes | Veterans with dispensed medicines indicative of diabetes and/or heart failure |
5: Antidepressants: three steps towards safer use | 12482 | 42196 | 5447 | To reduce potentially avoidable antidepressant interactions and duplicate therapy | Veterans dispensed antidepressants |
6: Inhaled respiratory medicines: optimising use | 10720 | 28670 | 5447 | To decrease use of multiple devices | Veterans dispensed inhaled respiratory medicines |
7: PPIs in GORD: Reduce the dose – keep the benefits | 13684 | 62460 | 5447 | To encourage use of lower-strength PPIs for maintenance therapy | Veterans dispensed proton pump inhibitors |
8: Reducing adverse drug events for your veteran patients | 11050 | 32484 | 7074 | To reduce use of potentially inappropriate medicines in the elderly (aged over 70Â years) | Veterans 70Â years of age or over, dispensed medicines that should be used with caution in the elderly (according to Beers [33] and McLeod [34] criteria) |
12: Antipsychotics in dementia | 3884 | 6690* | 8089 | To reduce antipsychotic use for behavioural and psychological symptoms of dementia (in those aged over 65Â years). | Veterans aged >65Â years dispensed oral antipsychotic medicines. |
14: COPD | 8785 | 18096 | 7880 | To reduce nebuliser use and reduce multiple device use | Veterans dispensed tiotropium or ipratropium |
Interventions with a combination of messages | |||||
10: Constipation: a quality of life issue for veteran patients | 9825 | 29231 | 7327 | To improve use of medicines for constipation; specifically, to increase the use of osmotic and bulk laxatives and reduce the use of contact laxatives. | Veterans dispensed laxatives |
13: Clopidogrel | 8279 | 16867 | 7970 | To increase use of clopidogrel with aspirin and reduce concurrent use of clopidogrel with NSAIDs | Veterans dispensed clopidogrel |