{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T15:10:11Z","timestamp":1764601811718,"version":"3.32.0"},"reference-count":49,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T00:00:00Z","timestamp":1719187200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australas J Ageing"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore the association between the implementation of medication safety\u2010related processes measured with the Medication Safety Self\u2010Assessment for Long\u2010Term Care (MSSA\u2010LTC) tool and medication use in residential aged care facilities (RACFs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A descriptive cross\u2010sectional study was conducted in Australian RACFs. Data on facility characteristics, aggregated medication use at the facility level for selected medications commonly associated with a high risk of harm and the MSSA\u2010LTC were completed by clinical pharmacists providing clinical pharmacy services. The Spearman's correlation test was used to evaluate the association between the MSSA\u2010LTC score and medication use. A scatter plot between the MSSA\u2010LTC score and medication use data was generated, and a linear trend line was plotted using the least squares method.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Data were collected from 31 RACFs servicing 2986 residents. Most medication safety\u2010related processes were implemented in Australian RACFs. A higher facility MSSA\u2010LTC score was associated with a lower proportion of residents with polypharmacy (<jats:italic>r<\/jats:italic>\u2009=\u2009\u2212.48, <jats:italic>p<\/jats:italic>\u2009=\u2009.01) and one or more benzodiazepines (<jats:italic>r<\/jats:italic>\u2009=\u2009\u2212.41, <jats:italic>p<\/jats:italic>\u2009=\u2009.03). In addition, a negative linear trend was observed between the MSSA\u2010LTC score and the average number of medications per resident, the proportion of residents with one or more anticonvulsants and the proportion of residents using one or more opioid analgesics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study indicates that implementing medication safety\u2010related processes may improve medication use in RACFs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajag.13352","type":"journal-article","created":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T12:33:58Z","timestamp":1719232438000},"page":"802-810","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Relationship between medication safety\u2010related processes and medication use in residential aged care facilities"],"prefix":"10.1111","volume":"43","author":[{"given":"Ramesh Sharma","family":"Poudel","sequence":"first","affiliation":[{"name":"Discipline of Pharmacy, Graduate School of Health University of Technology Sydney  Sydney 2007 New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kylie A.","family":"Williams","sequence":"additional","affiliation":[{"name":"Discipline of Pharmacy, Graduate School of Health University of Technology Sydney  Sydney 2007 New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa G.","family":"Pont","sequence":"additional","affiliation":[{"name":"Discipline of Pharmacy, Graduate School of Health University of Technology Sydney  Sydney 2007 New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,24]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2021-014280"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afac054"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2024.01.013"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2022.104849"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.2009.034231"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-009-0948-2"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2016.06.011"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2016.12.069"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1997.00440390083011"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7237.768"},{"key":"e_1_2_11_12_1","unstructured":"Australian Government Department of Health and Aged Care.Guiding principles for medication management in residential aged care facilities. 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