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 |