Preventing drug related morbidity: a process for facilitating changes in practice.
OBJECTIVE
To describe how quantitative data obtained from applying a series of indicators for preventable drug related morbidity (PDRM) in the electronic patient record in English general practice can be used to facilitate changes aimed at helping to improve medicines management.


METHODS
A multidisciplinary discussion forum held at each practice facilitated by a clinical researcher.


METHODS
Eight English general practices.


METHODS
Issues discussed at the multidisciplinary discussion forum and ideas generated by practices for tackling these issues. Progress made by practices after 1, 3, and 6 months.


RESULTS
A number of clinical issues were raised by the practices and ideas for moving them forward were discussed. The issues that were easiest and most straightforward to deal with (for example, reviewing specific patient groups) were quickly addressed in most instances. Practices were less likely to have taken steps towards addressing issues at a systems level.


CONCLUSIONS
Data generated from applying PDRM indicators can be used to facilitate practice-wide discussion on medicines management. Different practices place different priority levels on the issues they wish to pursue. Individual practice "ownership" of these, together with having a central committed figure at the practice, is key to the success of the process.
School of Pharmacy and Pharmaceutical Sciences, University of Manchester, Manchester, UK.
C J
CJ
Morris
J A
JA
Cantrill
A J
AJ
Avery
R L
RL
Howard
D003266:Continuity of Patient Care; D003625:Data Collection; D004358:Drug Therapy / Q000592:standards*; D064420:Drug-Related Side Effects and Adverse Reactions; D004739:England; D005194:Family Practice / Q000193:education / Q000592:standards*; D005246:Feedback; D006801:Humans; D033183:Interdisciplinary Communication; D016347:Medical Records Systems, Computerized; D008508:Medication Errors / Q000517:prevention & control; D011320:Primary Health Care / Q000592:standards*; D017064:Process Assessment, Health Care; D011785:Quality Assurance, Health Care / Q000379:methods*; D019984:Quality Indicators, Health Care