{"id":"https://openalex.org/W2807368535","doi":"https://doi.org/10.1093/intqhc/mzy098","title":"Leveraging new information technology to monitor medicine use in 71 residential aged care facilities: variation in polypharmacy and antipsychotic use","display_name":"Leveraging new information technology to monitor medicine use in 71 residential aged care facilities: variation in polypharmacy and antipsychotic use","publication_year":2018,"publication_date":"2018-05-23","ids":{"openalex":"https://openalex.org/W2807368535","doi":"https://doi.org/10.1093/intqhc/mzy098","mag":"2807368535","pmid":"https://pubmed.ncbi.nlm.nih.gov/29889231"},"language":"en","primary_location":{"id":"doi:10.1093/intqhc/mzy098","doi":"https://doi.org/10.1093/intqhc/mzy098","is_oa":false,"landing_page_url":"https://doi.org/10.1093/intqhc/mzy098","pdf_url":null,"source":{"id":"https://openalex.org/S74917805","display_name":"International Journal for Quality in Health Care","issn_l":"1353-4505","issn":["1353-4505","1464-3677"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","fnege-4","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal for Quality in Health Care","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5010299312","display_name":"Lisa Pont","orcid":"https://orcid.org/0000-0002-8545-716X","observed_orcids":["https://orcid.org/0000-0002-8545-716X"]},"institutions":[{"id":"https://openalex.org/I114017466","display_name":"University of Technology Sydney","ror":"https://ror.org/03f0f6041","country_code":"AU","type":"education","lineage":["https://openalex.org/I114017466"]},{"id":"https://openalex.org/I99043593","display_name":"Macquarie University","ror":"https://ror.org/01sf06y89","country_code":"AU","type":"education","lineage":["https://openalex.org/I99043593"]}],"countries":["AU"],"is_corresponding":true,"raw_author_name":"Lisa G Pont","raw_affiliation_strings":["Faculty of Medicine and Health Science, Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, North Ryde, NSW Australia","Graduate School of Health, University of Technology Sydney (UTS), Sydney, NSW, Australia"],"raw_orcid":"https://orcid.org/0000-0002-8545-716X","affiliations":[{"raw_affiliation_string":"Faculty of Medicine and Health Science, Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, North Ryde, NSW Australia","institution_ids":["https://openalex.org/I99043593"]},{"raw_affiliation_string":"Graduate School of Health, University of Technology Sydney (UTS), Sydney, NSW, Australia","institution_ids":["https://openalex.org/I114017466"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051025574","display_name":"Magdalena Z. Raban","orcid":"https://orcid.org/0000-0002-6995-2849","observed_orcids":["https://orcid.org/0000-0002-6995-2849"]},"institutions":[{"id":"https://openalex.org/I99043593","display_name":"Macquarie University","ror":"https://ror.org/01sf06y89","country_code":"AU","type":"education","lineage":["https://openalex.org/I99043593"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Magda Z Raban","raw_affiliation_strings":["Faculty of Medicine and Health Science, Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, North Ryde, NSW Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Medicine and Health Science, Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, North Ryde, NSW Australia","institution_ids":["https://openalex.org/I99043593"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002250588","display_name":"Mikaela L Jorgensen","orcid":"https://orcid.org/0000-0002-5490-0819","observed_orcids":["https://orcid.org/0000-0002-5490-0819"]},"institutions":[{"id":"https://openalex.org/I99043593","display_name":"Macquarie University","ror":"https://ror.org/01sf06y89","country_code":"AU","type":"education","lineage":["https://openalex.org/I99043593"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Mikaela L Jorgensen","raw_affiliation_strings":["Faculty of Medicine and Health Science, Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, North Ryde, NSW Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Medicine and Health Science, Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, North Ryde, NSW Australia","institution_ids":["https://openalex.org/I99043593"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066735173","display_name":"Andrew Georgiou","orcid":"https://orcid.org/0000-0002-7619-3668","observed_orcids":["https://orcid.org/0000-0002-7619-3668","https://orcid.org/0000-0001-5565-558X"]},"institutions":[{"id":"https://openalex.org/I99043593","display_name":"Macquarie University","ror":"https://ror.org/01sf06y89","country_code":"AU","type":"education","lineage":["https://openalex.org/I99043593"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Andrew Georgiou","raw_affiliation_strings":["Faculty of Medicine and Health Science, Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, North Ryde, NSW Australia"],"raw_orcid":"https://orcid.org/0000-0002-7619-3668","affiliations":[{"raw_affiliation_string":"Faculty of Medicine and Health Science, Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, North Ryde, NSW Australia","institution_ids":["https://openalex.org/I99043593"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5045744680","display_name":"Johanna Irene Westbrook","orcid":"https://orcid.org/0000-0003-1083-8192","observed_orcids":["https://orcid.org/0000-0003-1083-8192"]},"institutions":[{"id":"https://openalex.org/I99043593","display_name":"Macquarie University","ror":"https://ror.org/01sf06y89","country_code":"AU","type":"education","lineage":["https://openalex.org/I99043593"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Johanna I Westbrook","raw_affiliation_strings":["Faculty of Medicine and Health Science, Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, North Ryde, NSW Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Medicine and Health Science, Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, North Ryde, NSW Australia","institution_ids":["https://openalex.org/I99043593"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5010299312"],"corresponding_institution_ids":["https://openalex.org/I114017466","https://openalex.org/I99043593"],"apc_list":{"value":2795,"currency":"GBP","value_usd":3686},"apc_paid":null,"fwci":3.0304,"has_fulltext":false,"cited_by_count":31,"citation_normalized_percentile":{"value":0.90053687,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":99},"biblio":{"volume":"30","issue":"10","first_page":"810","last_page":"816"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.0012000000569969416,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10897","display_name":"Antibiotic Use and Resistance","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/polypharmacy","display_name":"polypharmacy","score":0.8619999885559082},{"id":"https://openalex.org/keywords/antipsychotic-use","display_name":"antipsychotic use","score":0.972000002861023},{"id":"https://openalex.org/keywords/nursing-homes","display_name":"nursing homes","score":0.953000009059906},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.640999972820282},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.5809999704360962}],"concepts":[{"id":"https://openalex.org/C36434225","wikidata":"https://www.wikidata.org/wiki/Q1895998","display_name":"Polypharmacy","level":2,"score":0.9847449064254761},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7014968395233154},{"id":"https://openalex.org/C2780494398","wikidata":"https://www.wikidata.org/wiki/Q208144","display_name":"Antipsychotic","level":3,"score":0.5896706581115723},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.4615805745124817},{"id":"https://openalex.org/C158739034","wikidata":"https://www.wikidata.org/wiki/Q1907114","display_name":"Metropolitan area","level":2,"score":0.4507007598876953},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.33390673995018005},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3256874680519104},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.2410464882850647},{"id":"https://openalex.org/C2776412080","wikidata":"https://www.wikidata.org/wiki/Q7431605","display_name":"Schizophrenia (object-oriented programming)","level":2,"score":0.19718524813652039},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.1357811689376831},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006707","descriptor_name":"Homes for the Aged","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009517","descriptor_name":"New South Wales","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014150","descriptor_name":"Antipsychotic Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D019338","descriptor_name":"Polypharmacy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020958","descriptor_name":"Australian Capital Territory","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1093/intqhc/mzy098","doi":"https://doi.org/10.1093/intqhc/mzy098","is_oa":false,"landing_page_url":"https://doi.org/10.1093/intqhc/mzy098","pdf_url":null,"source":{"id":"https://openalex.org/S74917805","display_name":"International Journal for Quality in Health Care","issn_l":"1353-4505","issn":["1353-4505","1464-3677"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","fnege-4","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal for Quality in Health Care","raw_type":"journal-article"},{"id":"pmid:29889231","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/29889231","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal for quality in health care : journal of the International Society for Quality in Health Care","raw_type":"Journal Article"},{"id":"pmh:oai:opus.lib.uts.edu.au:10453/130693","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/10453/130693","pdf_url":null,"source":{"id":"https://openalex.org/S4377196279","display_name":"OPUS - Open Publications of UTS Scholars (University of Technology Sydney)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I114017466","host_organization_name":"University of Technology Sydney","host_organization_lineage":["https://openalex.org/I114017466"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320320591","display_name":"Macquarie University","ror":"https://ror.org/01sf06y89"},{"id":"https://openalex.org/F4320334705","display_name":"National Health and Medical Research Council","ror":"https://ror.org/011kf5r70"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":28,"referenced_works":["https://openalex.org/W593096572","https://openalex.org/W1482496322","https://openalex.org/W1552665895","https://openalex.org/W1993140156","https://openalex.org/W1994418585","https://openalex.org/W2013089513","https://openalex.org/W2028121853","https://openalex.org/W2048030399","https://openalex.org/W2089067420","https://openalex.org/W2103387654","https://openalex.org/W2110093215","https://openalex.org/W2110576992","https://openalex.org/W2123218664","https://openalex.org/W2135233249","https://openalex.org/W2143931018","https://openalex.org/W2144855317","https://openalex.org/W2148621962","https://openalex.org/W2160217328","https://openalex.org/W2258446206","https://openalex.org/W2505178458","https://openalex.org/W2519727572","https://openalex.org/W2548258092","https://openalex.org/W2558498389","https://openalex.org/W2566433566","https://openalex.org/W2573767225","https://openalex.org/W2578298045","https://openalex.org/W2750707608","https://openalex.org/W4256289267"],"related_works":["https://openalex.org/W4400748310","https://openalex.org/W4404439094","https://openalex.org/W4410139073","https://openalex.org/W4294147125","https://openalex.org/W2584081197","https://openalex.org/W4308272260","https://openalex.org/W4401867909","https://openalex.org/W1552665895","https://openalex.org/W2038719941","https://openalex.org/W4392627078"],"abstract_inverted_index":{"OBJECTIVE:":[0],"The":[1,86,93,106,132],"aim":[2],"of":[3,26,32,102,120,134,137,143,179],"this":[4],"study":[5,87],"was":[6,79,97,110],"to":[7,21,189],"use":[8,25,76,142,167],"routinely":[9],"collected":[10],"electronic":[11],"medicines":[12,145],"administration":[13],"(eMAR)":[14],"data":[15,156],"in":[16,39,53,67,116,161],"residential":[17],"aged":[18],"care":[19],"(RAC)":[20],"investigate":[22],"the":[23,44,150,175],"quality":[24,194],"medicines.":[27],"DESIGN:":[28],"A":[29],"cross-sectional":[30],"analysis":[31],"eMAR":[33,155],"data.":[34],"SETTING:":[35],"71":[36,151,169],"RAC":[37,170],"facilities":[38,78,180],"New":[40],"South":[41],"Wales":[42],"and":[43,74,100,113,126,141,164,177,192],"Australian":[45],"Capital":[46],"Territory,":[47],"Australia.":[48],"PARTICIPANTS:":[49],"Permanent":[50],"residents":[51,103,112,121],"living":[52],"a":[54],"participating":[55],"facility":[56,108],"on":[57],"1":[58],"October":[59],"2015.":[60],"INTERVENTION:":[61],"None.":[62],"MAIN":[63],"OUTCOME":[64],"MEASURES:":[65],"Variation":[66],"polypharmacy":[68,135],"(\u22655":[69],"medications),":[70],"hyper-polypharmacy":[71,125,139,163],"(\u226510":[72],"medications)":[73],"antipsychotic":[75,144,165],"across":[77,149,168],"examined":[80],"using":[81,129],"funnel":[82],"plot":[83],"analysis.":[84],"RESULTS:":[85],"dataset":[88],"included":[89],"4775":[90],"long-term":[91],"residents.":[92],"mean":[94],"resident":[95],"age":[96],"85.3":[98],"years":[99],"70.6%":[101],"were":[104,115,128],"female.":[105],"median":[107],"size":[109],"60":[111],"74.3%":[114],"metropolitan":[117],"locations.":[118],"84.3%":[119],"had":[122],"polypharmacy,":[123,162],"41.2%":[124],"21.0%":[127],"an":[130],"antipsychotic.":[131],"extent":[133],"(69.75-100%":[136],"residents),":[138],"(38.81-76.19%)":[140],"(0-75.6%)":[146],"varied":[147],"considerably":[148],"facilities.":[152,171],"CONCLUSIONS:":[153],"Using":[154],"we":[157],"found":[158],"substantial":[159],"variation":[160,191],"medicine":[166],"Further":[172],"investigation":[173],"into":[174],"policies":[176],"practices":[178],"performing":[181],"above":[182],"or":[183],"below":[184],"expected":[185],"levels":[186],"is":[187],"warranted":[188],"understand":[190],"drive":[193],"improvement.":[195]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":4},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":4},{"year":2020,"cited_by_count":8},{"year":2019,"cited_by_count":4}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2018-06-13T00:00:00"}