{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T01:15:41Z","timestamp":1778807741839,"version":"3.51.4"},"reference-count":0,"publisher":"Royal College of General Practitioners","issue":"suppl 1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Gen Pract"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Falls in adults \u226565 are common, costly and preventable. Around one-third fall each year and 5\u201310% sustain serious injury; hip fractures carry 20\u201330% one-year mortality and falls cost the NHS ~\u00a32.3bn annually. Polypharmacy and high-risk drugs (e.g. benzodiazepines, anticholinergics, antihypertensives) increase risk. NICE CG161\/NG5 and NHS England guidance recommend timely, structured post-fall medication reviews, yet local data suggested unwarranted variation in documentation and follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To increase guideline-concordant documentation of medication reviews within 4 weeks after a fall to 100%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Retrospective closed-loop audit in a UK GP surgery. Inclusion: patients \u226565 with a recorded fall. Cycle 1 (Apr\u2013Jun 2024, n=63) established baseline; interventions comprised clinician education on NICE guidance, SystmOne prompts, and weekly MDT fall reviews; Cycle 2 (Jan\u2013Mar 2025, n=70) re-audited performance against a 100% standard. Data were obtained from routine clinical records. Primary outcome: documented review within 4 weeks; secondary: evidence of deprescribing\/medication optimisation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Documentation improved from 22% (14\/63) at baseline to 94% (66\/70) post-intervention. Reviews led to more appropriate deprescribing and optimisation, particularly of benzodiazepines, anticholinergics and antihypertensives, with qualitative MDT feedback indicating better continuity and timelier follow-up. These changes align with evidence that structured reviews reduce fall-related harm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Simple, scalable system changes, education, prompts and routine MDT oversight markedly reduced unwarranted variation and embedded safer prescribing after falls. The model is feasible for wider rollout across primary care; planned next steps include extending to care homes, sharing SystmOne prompt templates regionally, and annual re-audit to sustain gains<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3399\/bjgp26x745449","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:30:31Z","timestamp":1778805031000},"page":"bjgp26X745449","source":"Crossref","is-referenced-by-count":0,"title":["Reducing unwarranted variation in medication reviews following a fall: a closed-loop audit in primary care"],"prefix":"10.3399","volume":"76","author":[{"given":"Hassan","family":"Khan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1987","published-online":{"date-parts":[[2026,5,14]]},"container-title":["British Journal of General Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.3399\/bjgp26X745449","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:30:47Z","timestamp":1778805047000},"score":1,"resource":{"primary":{"URL":"http:\/\/bjgp.org\/lookup\/doi\/10.3399\/bjgp26X745449"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,14]]},"references-count":0,"journal-issue":{"issue":"suppl 1","published-online":{"date-parts":[[2026,5,14]]}},"alternative-id":["10.3399\/bjgp26X745449"],"URL":"https:\/\/doi.org\/10.3399\/bjgp26x745449","relation":{},"ISSN":["0960-1643","1478-5242"],"issn-type":[{"value":"0960-1643","type":"print"},{"value":"1478-5242","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,14]]}}}