{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T10:48:03Z","timestamp":1789642083686,"version":"4.0.0"},"reference-count":43,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T00:00:00Z","timestamp":1696982400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T00:00:00Z","timestamp":1696982400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100024780","name":"Digital Health CRC Limited","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100024780","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Telemed Telecare"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This study aimed to identify opportunities for clinical decision support targeting medication safety in remote primary care, by investigating the relationship between clinical workflows, health system priorities, cognitive tasks, and reasoning processes in the context of medicines used in people with chronic kidney disease (CKD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This qualitative study involved one-on-one, semistructured interviews. The participants were healthcare professionals employed in a clinical or managerial capacity with clinical work experience in a remote health setting for at least 1 year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty-five clinicians were interviewed. Of these, four were rural medical practitioners, nine were remote area nurses, eight were Aboriginal health practitioners, and four were pharmacists. Four major themes were identified from the interviews: (1) the need for a clinical decision support system to support a sustainable remote health workforce, as clinicians were \u201cconstantly stretched\u201d and problems may \u201cfall through the cracks\u201d; (2) reliance on digital health technologies, as medical staff are often not physically available and clinicians-on-duty usually \u201cflick an email and give a call so that I can actually talk it through to our GP\u201d; (3) knowledge gaps, as \u201cit takes a lot of mental space\u201d to know each patient's renal function and their medication history, and clinicians believe \u201cmistakes can be made\u201d; and (4) multiple risk factors impacting CKD management, including clinical, social and behavioural determinants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The high prevalence of CKD and reliance on digital health systems in remote primary health settings can make a clinical decision support system valuable for supporting clinicians who may not have extensive experience in managing medicines for people with CKD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1357633x231204545","type":"journal-article","created":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T02:57:06Z","timestamp":1697079426000},"page":"656-666","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Opportunities for clinical decision support targeting medication safety in remote primary care management of chronic kidney disease: A qualitative study in Northern Australia"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5691-2795","authenticated-orcid":false,"given":"Madeleine SA","family":"Tan","sequence":"first","affiliation":[{"name":"Charles Darwin University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhavini K","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Health, Northern Territory Government"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth E","family":"Roughead","sequence":"additional","affiliation":[{"name":"Quality Use of Medicine and Pharmacy Research Centre, UniSA Clinical and Health Sciences, University of South Australia, Adelaide, SA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Ward","sequence":"additional","affiliation":[{"name":"Quality Use of Medicine and Pharmacy Research Centre, UniSA Clinical and Health Sciences, University of South Australia, Adelaide, SA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie E","family":"Reuter","sequence":"additional","affiliation":[{"name":"Quality Use of Medicine and Pharmacy Research Centre, UniSA Clinical and Health Sciences, University of South Australia, Adelaide, SA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory","family":"Roberts","sequence":"additional","affiliation":[{"name":"College of Medicine and Public Health, Flinders University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre Q","family":"Andrade","sequence":"additional","affiliation":[{"name":"Quality Use of Medicine and Pharmacy Research Centre, UniSA Clinical and Health Sciences, University of South Australia, Adelaide, SA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,10,11]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Pharmaceutical Society of Australia. Medicine safety: Rural and remote care. Canberra: PSA; 2021."},{"key":"e_1_3_3_3_2","unstructured":"Australian Commission on Safety and Quality in Health Care. Medication without harm \u2013 WHO Global Patient Safety Challenge: Australia\u2019s response. Sydney: ACSQHC; 2020."},{"key":"e_1_3_3_4_2","unstructured":"Australian Institute of Health and Welfare. Chronic kidney disease: Australian facts. 2023. https:\/\/www.aihw.gov.au\/reports\/chronic-kidney-disease\/chronic-kidney-disease\/contents\/summary."},{"key":"e_1_3_3_5_2","unstructured":"Australian Institute of Health and Welfare. Profile of First Nations people. 2023. https:\/\/www.aihw.gov.au\/reports\/australias-welfare\/profile-of-indigenous-australians"},{"key":"e_1_3_3_6_2","unstructured":"Australian Institute of Health and Welfare; National Indigenous Australians Agency. 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