Taxonomy development for term standardization in activity resulting from medication review processes: A Delphi study

Alharthi, Mohammed S., Scott, Sion ORCID: https://orcid.org/0000-0001-7669-0632, Hughes, Carmel, Bond, Christine, Hatah, Ernieda, Bryant, Linda, Holland, Richard, Kosari, Sam, Baqir, Wasim, Loke, Yoon and Wright, David (2024) Taxonomy development for term standardization in activity resulting from medication review processes: A Delphi study. International Journal of Pharmacy Practice, 32 (2). pp. 180-185. ISSN 0961-7671

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Abstract

Background: Medication review (MR) is the systematic assessment of a patient’s medications for safety and effectiveness by a healthcare professional. The language used to describe MR activity, such as stopped medicine and increased dose, should be consistent across studies to assist researchers compare how different services operate and identify their mechanism of impact. Aim: To develop an international taxonomy of standardized terms and activity definitions related to medication reviews. Method: This was a three-stage Delphi-based consensus study with international medication review experts. A systematic review provided MR activity terms for the survey. Experts rated their consensus on each activity term and its definition on a Likert scale and provided written feedback. The consensus was 75% panel agreement. At each stage, consensus elements were retained, and feedback was used to revise definitions. Results: Seven experts were recruited for the study (response rate 15.2%) from four countries: the United Kingdom (n = 4), New Zealand (n = 1), Australia (n = 1), and Malaysia (n = 1). The following terms achieved consensus: the term Medication as a descriptor for MR terms; discontinue medication, start medication, dose increase, dose decrease, dosage form change, and medication safety and efficacy monitor to describe MR activity; Educate to describe the delivery of healthcare professionals and patients/carers education. Conclusion: Standardized medication review activity terms and definitions have been selected for universal adoption in all future MR research to facilitate a meaningful comparison of process evaluations within different settings.

Item Type: Article
Additional Information: Funding Information: The researcher (M.S.A.) would like to acknowledge the Deanship of Scientific Research at Taif University for its support during this study.
Uncontrolled Keywords: consensus,medication review,process evaluation,standardization,taxonomy,medicine(all) ,/dk/atira/pure/subjectarea/asjc/2700
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups: Faculty of Science > Research Groups > Norwich Epidemiology Centre
Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre
Faculty of Medicine and Health Sciences > Research Groups > Health Services and Primary Care
Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
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Depositing User: LivePure Connector
Date Deposited: 07 Aug 2024 15:30
Last Modified: 17 Dec 2024 01:40
URI: https://ueaeprints.uea.ac.uk/id/eprint/96170
DOI: 10.1093/ijpp/riae002

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