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Table 2 Delphi questionnaire round 1 results

From: Development of a core outcome set for effectiveness trials aimed at optimising prescribing in older adults in care homes

Outcome

Mean Delphi score

Median Delphi score

Respondents scoring 7–9 ‘critically important’ (%)

Respondents scoring 1–3 ‘not important’ (%)

Result (In, Out, No consensus)

Number of medications (and associated costs)

7.7

8.5

83.3

0

In

Medication wastage (and associated costs)

6.6

7

68.4

10.5

No consensus

Polypharmacy (≥4 medicines)

6.5

7

57.9

10.5

No consensus

Medication appropriateness (potentially inappropriate prescribing)

8.2

9

84.2

0

In

Duplicate drugs

7.2

7.5

72.2

5.6

In

Use of antipsychotics

7.4

8

73.7

0

In

Medication changes made (by anyone)

6.9

8

63.2

10.5

No consensus

Number of medication reviews conducted (by anyone)

6.7

7

63.2

10.5

No consensus

Admissions to hospital (and associated costs)

8.2

8

100

0

In

Accident and emergency (A&E) visits (and associated costs)

7.8

8

83.3

0

In

Visits to outpatients (and associated costs)

5.3

5

26.3

31.6

No consensus

Visits to/from GP (and associated costs)

7.1

7

63.2

5.3

No consensus

Visits to/from nurse (and associated costs)

6.1

6

42.1

5.3

No consensus

Adverse drug events

8.4

9

94.7

0

In

Falls

7.4

7

84.2

0

In

Acute kidney injury

6.7

6

46.7

0

No consensus

Prescribing errors

7.9

8

89.5

5.3

In

Harmful interactions

7.7

8

84.2

5.3

In

All-cause mortality

7.5

9

78.9

5.3

In

Physical functioning

6.5

7

57.9

15.8

No consensus

Behaviour

6.6

7

63.2

5.3

No consensus

Cognitive functioning

6.6

7

57.9

5.3

No consensus

Depression

6.3

7

55.6

5.6

No consensus

Quality of life

7.7

8

83.3

0

In

Compliance with NICE guidelines

6.3

7

52.6

10.5

No consensus

Compliance with medicines

6.7

7

68.4

5.3

No consensus

Care home staff job satisfaction

5

5

26.3

36.8

No consensus

Efficiency of medication administration by care home staff

6.3

6

42.1

5.3

No consensus

Accuracy of administration of medications by care home staff

6.9

7

57.9

5.3

No consensus

  1. NICE National Institute for Health and Care Excellence