{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T13:23:40Z","timestamp":1774617820124,"version":"3.50.1"},"reference-count":51,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP2009633"],"award-info":[{"award-number":["APP2009633"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100025520","name":"Medical Research Future Fund","doi-asserted-by":"publisher","award":["PHRDI000008"],"award-info":[{"award-number":["PHRDI000008"]}],"id":[{"id":"10.13039\/501100025520","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australas J Ageing"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>High\u2010risk medications are medications associated with significant patient harm or death if misused or used in error. This study aimed to develop a national consensus high\u2010risk medication list for use in Australian residential aged care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A 3\u2010round modified Delphi study involving Australian healthcare professionals was conducted. In Round 1, participants indicated their level of agreement, on a 9\u2010point Likert scale, whether 60 medications\/medication classes were considered high\u2010risk and should be included in a high\u2010risk medication list for Australian residential aged care. Round 2 included medications\/medication classes that did not reach consensus and new medications identified by participants. Consensus was defined as 70% or more of participants responding at 7 or higher on the Likert scale. In Round 3, participants were asked to prioritise medications\/medication classes that reached consensus in Round 1 or 2.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 42 participants completed Round 1, and 35 (83%) completed all three rounds. Participants included pharmacists (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200921), prescribers (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915), nurses (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20095) and a paramedic (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091), with representation from all Australian states and mainland territories. Overall, 26 medications reached consensus (21 in Round 1, five in Round 2) and were categorised into 15 medications\/medication classes for prioritisation in Round 3. The final prioritisation list was opioids, insulin, benzodiazepines, anticoagulants, z\u2010drugs, antipsychotics, lithium, sulfonylureas with high risk of hypoglycaemia, chemotherapeutic agents, methotrexate, digoxin, narrow therapeutic range antiepileptics, tricyclic antidepressants, immunosuppressants for transplant and sedating antihistamines.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This is the first, national consensus list of high\u2010risk medications developed specifically for Australian residential aged care. It can be used to implement targeted strategies to minimise medication\u2010related harm.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajag.70141","type":"journal-article","created":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:17:44Z","timestamp":1773015464000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Development of a High\u2010Risk Medication List for Australian Residential Aged Care: A Modified Delphi Study"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6001-9211","authenticated-orcid":false,"given":"Amanda J.","family":"Cross","sequence":"first","affiliation":[{"name":"Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences Monash University  Parkville Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madiha","family":"Chaudhry","sequence":"additional","affiliation":[{"name":"Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences Monash University  Parkville Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6381-8745","authenticated-orcid":false,"given":"Darshna","family":"Goordeen","sequence":"additional","affiliation":[{"name":"Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences Monash University  Parkville Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juanita L.","family":"Breen","sequence":"additional","affiliation":[{"name":"Wicking Dementia Research and Education Centre University of Tasmania  Hobart Tasmania Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malcolm","family":"Clark","sequence":"additional","affiliation":[{"name":"Department of General Practice and Primary Care, Faculty of Medicine, Dentistry and Health Sciences University of Melbourne  Parkville Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Daly","sequence":"additional","affiliation":[{"name":"Royal Australian College of General Practitioners  East Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8966-5858","authenticated-orcid":false,"given":"Belinda","family":"Delardes","sequence":"additional","affiliation":[{"name":"Centre for Research and Evaluation, Ambulance Victoria  Blackburn North Victoria Australia"},{"name":"Department of Paramedicine Monash University  Frankston Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bente","family":"Hart","sequence":"additional","affiliation":[{"name":"Southern New South Wales Local Health District NSW Health  Braidwood New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9301-0437","authenticated-orcid":false,"given":"Deborah","family":"Hawthorne","sequence":"additional","affiliation":[{"name":"Centre for Optimisation of Medicines, School of Health and Clinical Sciences University of Western Australia  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter J.","family":"Hayball","sequence":"additional","affiliation":[{"name":"South Australian Ambulance Service Clinical Services Directorate  Eastwood South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5970-1501","authenticated-orcid":false,"given":"Sarah N.","family":"Hilmer","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health, Kolling Institute The University of Sydney and Northern Sydney Local Health District  St Leonards New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0927-7295","authenticated-orcid":false,"given":"Lisa","family":"Kouladjian O\u2019Donnell","sequence":"additional","affiliation":[{"name":"School of Pharmacy, Faculty of Medicine and Health The University of Sydney  Camperdown New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MaryAnn","family":"Kulh","sequence":"additional","affiliation":[{"name":"School of Medicine and Psychology Australian National University  Canberra Australian Capital Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3022-4868","authenticated-orcid":false,"given":"Kenneth","family":"Lee","sequence":"additional","affiliation":[{"name":"Centre for Optimisation of Medicines, School of Health and Clinical Sciences University of Western Australia  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8451-8883","authenticated-orcid":false,"given":"David F. 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