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. 2023 Sep 21;12:100335. doi: 10.1016/j.rcsop.2023.100335

Table 1.

Top clinical prioritisation criteria and sub-criteria identified by pharmacists.

Criteria Sub-criteria Positive response (%)
Top five features of the pharmacy care organiser which help you to prioritise patients. Medicines reconciliation task 89
High risk medicines 78
Unverified medicines 78
Pharmacist notes 70
Antimicrobials 59
Top five high risk medications or classes of medications. Methadone 89
Insulin 86
Systemic anticancer therapy 81
Carbidopa/levodopa (± entacapone), co-beneldopa 81
Clozapine 76
Top five medications or medication classes you consider high risk. Parkinson's disease medications 89
Insulin 73
Antiepileptics 70
Anticoagulants 68
Antimicrobials 68
Systemic anticancer therapy 68
What number of unverified medicines would you consider high risk? >5 unverified medicines 32
Do you prioritise patients where you identify a drug-drug or drug-disease interaction with a suspected toxic or subtherapeutic effect? Yes, prioritise 95
Do you prioritise patients where you identify a drug-drug or drug-disease interaction where there is no suspected toxic or subtherapeutic effect? No, do not prioritise 60
What degree of polypharmacy do you consider high priority? >10 medicines 46
What number of co-morbidities would you consider high priority? No, do not prioritise 57
Top five conditions that you consider high priority. Acute kidney injury 81
Infection 57
Chronic kidney disease (eGFR <30 mL/min) 43
Neurological disorders 43
Any unstable disease 43
Do you prioritise your patient for review if they have abnormal lab results related to or affecting medication? Yes, prioritise 97
Do you prioritise your patient for review if they have abnormal lab results not related to or affecting medication? Yes, prioritise 51
Do you prioritise a patient for review if they have transferred to your ward from Intensive Care Unit or High Dependency Unit? Yes, prioritise 97
At what age threshold would you prioritise an older adult? ≥65 years old 41
Top five patient-related or social risk factors that you consider high priority. Pregnancy and/or breastfeeding 92
Drug misuser 84
Poor historian / confused 81
Suspected non-adherence 65
Recent hospitalization (readmission within 30 days of discharge) 51