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 |