University Of Tasmania

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Updating and validating quality prescribing indicators for use in Australian general practice

journal contribution
posted on 2023-05-20, 09:09 authored by Dang, CPL, Li Shean TohLi Shean Toh, Cooling, N, Shane JacksonShane Jackson, Colin CurtainColin Curtain, Angus ThompsonAngus Thompson, Gregory PetersonGregory Peterson
This study aims to update and validate quality prescribing indicators (QPIs) for Australian general practice. The study comprised two phases: (1) developing preliminary potential QPIs based on the 2006 National Prescribing Service (NPS) MedicineWise indicators, published literature, international indicators and guidelines, and through qualitative focus group discussions; and (2) validating the proposed QPIs through a two-round online survey using the Delphi technique. The Delphi panel included four GPs, four pharmacists and two clinical pharmacologists. The Delphi panel rated the potential QPIs for their validity, importance and feasibility using a 1–10 Likert scale. In round one, all proposed QPIs presented as ‘prescribing rules’ achieved high scores regarding validity, importance and feasibility No rule was eliminated and three new rules were introduced. Rules were reworded into ‘prescribing indicators’ for round two, which resulted in 35 indicators being accepted and two indicators being eliminated. The final QPIs also include seven drug–drug interactions, which received high scores in round one. In conclusion, 42 QPIs were nominated for use in Australian general practice, based on their validity, importance and feasibility. If implemented, these QPIs have the potential to assist in efforts to improve the quality and safety of medicines management


Publication title

Australian Journal of Primary Health






School of Pharmacy and Pharmacology


C S I R O Publishing

Place of publication


Rights statement

Copyright 2019 La Trobe University

Repository Status

  • Restricted

Socio-economic Objectives

Public health (excl. specific population health) not elsewhere classified