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Medicines stewardship.

Elizabeth Su1,2,3,4, David Fl Liew1,2,3,4, Jane Donnelly1,2,3,4

  • 1Austin Health, Melbourne.

Australian Prescriber
|December 6, 2023
PubMed
Summary
This summary is machine-generated.

Medicines stewardship programs optimize medication use through coordinated strategies, improving patient outcomes and reducing practice variations. Successful programs require multidisciplinary leadership, stakeholder engagement, and continuous quality improvement for sustainability.

Keywords:
anticoagulation stewardshipantimicrobial stewardshipmedicines stewardshipopioid analgesic stewardshippsychotropic stewardshipquality use of medicines

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Area of Science:

  • Pharmacology
  • Health Services Research
  • Quality Improvement

Background:

  • Medicines stewardship involves coordinated strategies to optimize medication use within specific therapeutic areas.
  • Programs aim to reduce practice variations and enhance patient outcomes.
  • Key domains include antimicrobials, opioid analgesics, anticoagulation, and psychotropic medications due to high-risk profiles.

Purpose of the Study:

  • To define medicines stewardship and its role in healthcare.
  • To outline essential components for successful stewardship programs.
  • To emphasize the importance of considering community care impacts for sustained stewardship.

Main Methods:

  • Review of coordinated strategies and interventions for optimizing medicines use.
  • Identification of common elements in successful stewardship programs.
  • Analysis of the continuous quality improvement nature of medicines stewardship.

Main Results:

  • Medicines stewardship programs can significantly reduce practice variations and improve patient outcomes.
  • Successful programs incorporate multidisciplinary leadership, stakeholder engagement, tailored communication, behavioral changes, implementation science, and ongoing monitoring.
  • Sustainability relies on continuous quality improvement, resources, and clinician/consumer engagement.

Conclusions:

  • Medicines stewardship is a vital continuous quality improvement process for optimizing medication use.
  • Hospital-based programs must consider community care impacts to ensure sustained stewardship across transitions of care.
  • Effective stewardship requires a comprehensive approach involving leadership, engagement, and robust monitoring.