Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/18039
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dc.contributor.authorTran, T-
dc.contributor.authorTaylor, Simone E-
dc.contributor.authorHardidge, Andrew J-
dc.contributor.authorFindakly, D-
dc.contributor.authorAminian, Parnaz-
dc.contributor.authorElliott, Rohan A-
dc.date2017-
dc.date.accessioned2018-07-10T06:23:15Z-
dc.date.available2018-07-10T06:23:15Z-
dc.date.issued2017-10-
dc.identifier.citationJournal of clinical pharmacy and therapeutics 2017; 42(5): 567-572-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/18039-
dc.description.abstractOverprescribing of oxycodone is a contributor to the epidemic of prescription opioid misuse and deaths. Practice models to optimize oxycodone prescribing and supply need to be evaluated. We explored the impact of pharmacist-assisted discharge prescribing and medication review on oxycodone prescribing and supply for patients discharged from surgical wards. A retrospective audit was conducted on two surgical inpatient wards following a 16-week prospective pre- and post-intervention study. During the pre-intervention period, discharge prescriptions were prepared by hospital doctors and then reviewed by a ward pharmacist (WP) before being dispensed. Post-intervention, prescriptions were prepared by a project pharmacist in consultation with hospital doctors and then reviewed by a WP and dispensed. Proportion of patients who were prescribed, and proportion supplied, oxycodone on discharge; Median amount (milligrams) of oxycodone prescribed and supplied, for patients who were prescribed and supplied at least one oxycodone-containing preparation, respectively. A total of 320 and 341 patients were evaluated pre- and post-intervention, respectively. Pre-intervention, 75.6% of patients were prescribed oxycodone; after WP review, 60.3% were supplied oxycodone (P<.01); the median amount both prescribed and supplied was 100 milligrams/patient. Post-intervention, 68.6% of patients were prescribed oxycodone; after WP review, 57.8% were supplied oxycodone (P<.01); median amount prescribed and supplied was 50 milligrams/patient (difference in amount prescribed and supplied: 50 milligrams, P<.01). WP review of doctor-prepared prescriptions reduced the proportion of patients who were supplied oxycodone but not the amount supplied/patient. Having a pharmacist assist with prescribing reduced the amount of oxycodone supplied.-
dc.language.isoeng-
dc.subjectanalgesics-
dc.subjectdischarge prescription-
dc.subjectmedication review-
dc.subjectoxycodone-
dc.subjectpharmacists-
dc.subjectprescribing-
dc.subjectsurgery-
dc.titleImpact of pharmacists assisting with prescribing and undertaking medication review on oxycodone prescribing and supply for patients discharged from surgical wards.-
dc.typeJournal Articleen_US
dc.identifier.journaltitleJournal of clinical pharmacy and therapeutics-
dc.identifier.affiliationCentre for Medicine Use and Safety, Monash University, Melbourne, Victoria, Australiaen
dc.identifier.affiliationPharmacy Department, Austin Health, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationDepartment of Orthopaedic Surgery, Austin Health, Heidelberg, Victoria, Australia-
dc.identifier.affiliationPharmacy Department, Austin Health, Heidelberg, Victoria, Australia-
dc.identifier.doi10.1111/jcpt.12540-
dc.type.contentTexten_US
dc.identifier.orcid0000-0002-0592-518X-
dc.identifier.pubmedid28474345-
dc.type.austinJournal Article-
local.name.researcherAminian, Parnaz
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptPharmacy-
crisitem.author.deptPharmacy-
crisitem.author.deptOrthopaedic Surgery-
crisitem.author.deptPharmacy-
crisitem.author.deptPharmacy-
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