Evidence map›Paper›PMID 37400921›Full record

ArticleJournal of pharmaceutical policy and practice2023

The role of on-site pharmacist in residential aged care facilities: findings from the PiRACF study.

Ibrahim Haider, Sam Kosari, Mark Naunton, Jane Koerner, Michael Dale, Sundus Nizamani, Rachel Davey

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pharmaceutical policy and practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Methodological evaluation of the psychometric properties of medication-related quality indicators in residential aged care homes: a systematic review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026
    Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Ibrahim HaiderDiscipline of Pharmacy, Faculty of Health, University of Canberra, Bruce, ACT, 2617, Australia. ibrahim.haider@canberra.edu.au.ORCID http://orcid.org/0000-0002-4047-2665
Sam KosariDiscipline of Pharmacy, Faculty of Health, University of Canberra, Bruce, ACT, 2617, Australia.
Mark NauntonDiscipline of Pharmacy, Faculty of Health, University of Canberra, Bruce, ACT, 2617, Australia.
Jane KoernerHealth Research Institute, Faculty of Health, University of Canberra, Bruce, ACT, 2617, Australia.
Michael DaleHealth Research Institute, Faculty of Health, University of Canberra, Bruce, ACT, 2617, Australia.
Sundus NizamaniHealth Research Institute, Faculty of Health, University of Canberra, Bruce, ACT, 2617, Australia.
Rachel DaveyHealth Research Institute, Faculty of Health, University of Canberra, Bruce, ACT, 2617, Australia.
University of Canberra · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResidents in residential aged care facilities (RACFs) have a high number of medication-related problems. Integrating on-site pharmacists (OSPs) into this setting is a possible solution and is currently gaining traction in Australia and internationally. The Pharmacists in Residential Aged Care Facilities (PiRACF) cluster-randomised controlled trial integrated pharmacists into the RACF care team to improve medication management. The aim of this descriptive observational study is to explore the activities of OSPs when they are integrated into multidisciplinary care team in RACFs.

methodAn online survey tool was developed to record the activities of OSPs in RACFs using the Qualtrics© software. OSPs were asked questions about their activities in RACFs under categories that included description, time spent, outcomes where applicable and who the pharmacists communicated with to undertake the activity.

resultsSix pharmacists were integrated into 7 RACFs. Overall, they recorded 4252 activities over 12 months. OSPs conducted 1022 (24.0%) clinical medication reviews; 48.8% of medication reviews identified and discussed potentially inappropriate medications with prescribers and 1025 other recommendations were made to prescribers. Overall, the prescriber accepted 51.5% of all recommendations made by OSPs. The most frequently accepted outcome was deprescribing of medications (47.5% for potentially inappropriate medications and 55.5% for other recommendations). OSPs performed facility-level activities including staff education (13.4%), clinical audits (5.8%), and quality improvement activities (9.4%). OSPs spent a large proportion of their time communicating (23.4%) extensively with prescribers, RACF's healthcare team, and residents.

conclusionOSPs successfully performed a wide range of clinical activities aimed both at improving residents' medication regimens, and organisational-level quality improvement. The OSP model presents an opportunity for pharmacists to enhance medication management in the residential aged care setting. Trial registration The trial was registered with the Australian New Zealand Clinical Trials Registry (ANZCTR) (ACTRN: ACTRN12620000430932) on April 1, 2020.

Indexed as

Care homeMedication-related problemsNursing homeOn-site pharmacistsPharmacist activitiesResidential aged care facilitiesRole of pharmacist in aged care

Identifiers

PMID37400921
PMCPMC10318737
OpenAlexW4382988494

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.