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Modifying a Paediatric Rational Prescribing Tool (POPI) for Use in the UK

Fenella Corrick1, Imti Choonara2, Sharon Conroy3

  • 1Division of Medical Sciences & Graduate Entry Medicine, University of Nottingham, Royal Derby Hospital Centre, Uttoxeter Road, Derby, DE22 3DT, UK. fenella.corrick@nottingham.ac.uk.

Healthcare (Basel, Switzerland)
|February 23, 2019
PubMed

Insights

A new tool, the modified POPI (UK), evaluates rational prescribing in UK pediatric care. It adapts a French tool with 80 criteria, making it the first of its kind for evaluating pediatric prescribing quality in UK hospitals and clinics.

Area of Science:

  • Pharmacology
  • Pediatric Medicine
  • Health Services Research

Background:

  • Rational prescribing tools are crucial for evaluating and improving medication use in healthcare.
  • Existing tools for assessing pediatric rational prescribing are limited, with only one identified previously.
  • The Pediatrics: Omission of Prescriptions and Inappropriate Prescriptions (POPI) tool exists but requires adaptation for international use.

Purpose of the Study:

  • To adapt the French POPI tool for evaluating rational prescribing in United Kingdom (UK) pediatric practice.
  • To ensure the modified tool aligns with current UK clinical guidelines and terminology.
  • To establish the first dedicated rational prescribing evaluation tool for UK pediatric settings.

Main Methods:

  • A literature search identified the existing POPI tool and relevant UK clinical guidelines (NICE, SIGN, BNFC).
  • POPI criteria were systematically compared against UK guidelines.
  • Criteria were modified, consolidated, or omitted based on concordance with UK guidance, resulting in a reduced criterion set.

Main Results:

  • The modified POPI (UK) tool contains 80 criteria, a reduction from the original 105.
  • 49 criteria remained unchanged, 29 were modified to align with UK guidelines.
  • 23 criteria were omitted due to lack of UK guidance or conflicting practice, including the 'mosquitos' category.

Conclusions:

  • The modified POPI (UK) tool is the first rational prescribing evaluation tool specifically designed for UK pediatric settings.
  • This tool facilitates the assessment of prescribing quality in both hospital and outpatient pediatric care in the UK.
  • The adaptation process ensures clinical relevance and adherence to UK-specific healthcare standards.

Keywords:
childrenpaediatricrational prescribinguse of medicines

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