Impact of a system to assist in clinical decision-making in primary healthcare in Catalonia: prescription Self Audit

Table 2 Problems related to medications detected by Self Audit: April 2016–December 2018

Problem detected by Self Audit	Year 2016*
Problem detected by Self Audit	Apr 2016	Dec 2016	Variation	Percentage (%)
Duplicate therapies	46,242	41,589	− 4653	− 10
AEMPS safety alerts	13,521	6849	− 6672	− 49
Contraindications due to medical devices and/or clinical variables	37,359	37,421	62	0
Treatment duration
Bisphosphonates ≥ 5 years	8246	7434	− 812	− 10%
Double anti-aggregation ≥ 12 months	4805	4332	− 473	− 10%
Drugs advised against in geriatrics	88,393	83,638	− 4755	− 5
Combination of anticholinergic drugs	2913	2320	− 593	− 20
Avoidable medication	30,984	27,333	− 3651	− 12
Total number of problems detected	232,463	210,916	− 21,547	− 9

Problem detected by Self Audit	Year 2017
Problem detected by Self Audit	Apr 2017	Dec 2017	Variation	Percentage (%)
Duplicate therapies	65,679	59,536	− 6143	− 9
AEMPS safety alerts	11,212	9935	− 1277	− 11
Contraindications due to medical devices and/or clinical variables	44,687	44,000	− 687	− 2
Treatment duration
Bisphosphonates ≥ 5 years	6386	4964	− 1422	− 22%
Double anti-aggregation ≥ 12 months	4394	4508	114	3%
Drugs advised against in geriatrics	82,252	79,187	− 3065	− 4
Combination of anticholinergic drugs	2184	1819	− 365	− 17
Avoidable medication	26,986	23,907	− 3079	− 11
Total number of problems detected	243,780	227,856	− 15,924	− 7

Problem detected by Self Audit	Year 2018
Problem detected by Self Audit	Apr 2018	Dec 2018	Variation	Percentage (%)
Duplicate therapies	65,377	64,650	− 727	− 1
AEMPS safety alerts	7046	5441	− 1605	− 23
Contraindications due to medical devices and/or clinical variables	45,175	46,469	1294	3
Treatment duration
Bisphosphonates ≥ 5 years	4552	4123	− 429	− 9%
Double anti-aggregation ≥ 12 months	4631	4630	− 1	0%
Drugs advised against in geriatrics	79,225	79,384	159	0
Combination of anticholinergic drugs	1854	1736	− 118	− 6
Avoidable medication	25,491	24,526	− 965	− 4
Total number of problems detected	233,351	230,959	− 2392	− 1

*In the three years studied, April was taken as the baseline data because it is the time at which the definitions of the MRPs were updated according to the consensus of a group of experts, and it also is the month in which the incentive-based goals were proposed

ISSN: 1472-6947