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Improving use of medicines with clinician-led use of validated clinical indicators

Jocelyn S Lowinger, Helen E Stark, Maria Kelly, Clifford F Hughes, Madlen Gazarian and Karen I Kaye
Med J Aust 2010; 192 (4): . || doi: 10.5694/j.1326-5377.2010.tb03473.x
Published online: 15 February 2010

Quality Use of Medicines indicators can be used to drive system improvements in health care

Use of clinical indicators with collection and monitoring of meaningful data has been recognised as important for driving improvements in the safety and quality of health care.1 Quality Use of Medicines (QUM) is one aspect of health care in which continual improvement is vitally important. QUM forms part of Australia’s National Medicines Policy and involves judicious selection of treatment options (including choice between drug or non-drug treatment and no treatment), appropriate choice of medicines when they are required, and safe and efficacious use of medicines.2


  • 1 New South Wales Therapeutic Advisory Group, Sydney, NSW.
  • 2 Australian Commission on Safety and Quality in Health Care, Sydney, NSW.
  • 3 Clinical Excellence Commission, Sydney, NSW.
  • 4 School of Women’s and Children’s Health, University of New South Wales, Sydney, NSW.
  • 5 Sydney Children’s Hospital, Sydney, NSW.
  • 6 National Prescribing Service Limited, Sydney, NSW.


Correspondence: jlowinger@stvincents.com.au

Acknowledgements: 

We gratefully acknowledge the input of members of the steering committee and field test hospitals as listed in the indicator manual.

  • 1. Banks M, Curtis I, Davis E, et al. Discussion paper on achieving the directions established in the proposed National Safety and Quality Framework. Sydney: Australian Commission on Safety and Quality in Health Care, 2009. http://www.qualityhealthcareconversation.org.au/uploads/36707/ufiles/downloads/discussion-paper-on-safety-and-quality-framework.PDF (accessed Nov 2009).
  • 2. Australian Government Department of Health and Ageing. National Medicines Policy. Canberra: Commonwealth of Australia, 2000. http://www.health.gov.au/internet/main/publishing.nsf/Content/1184A3544D5E9364CA2574FC0079DC1A/$File/nmp2000.pdf (accessed Nov 2009).
  • 3. Stowasser DA, Allinson YM, O’Leary KM. Understanding the medicines management pathway. J Pharm Pract Res 2004; 34: 293-296.
  • 4. Roughead E, Semple S. Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and causes of medication problems 2002–2008. Aust New Zealand Health Policy 2009; 6: 18.
  • 5. NSW Therapeutic Advisory Group. Indicators for quality use of medicines in Australian hospitals. Sydney: NSW TAG, 2007. http://www.ciap.health.nsw.gov.au/nswtag/QUMIndicators.html (accessed Nov 2009).
  • 6. Rubin HR, Pronovost P, Diette GB. From a process of care to a measure: the development and testing of a quality indicator. Int J Qual Health Care 2001; 13: 489-496.
  • 7. Mainz J. Defining and classifying clinical indicators for quality improvement. Int J Qual Health Care 2003; 15: 523-530.
  • 8. Streiner D, Norman G. Health measurement scales: a practical guide to their development and use. 4th ed. Oxford: Oxford University Press, 2008.
  • 9. Peterson ED, Roe MT, Mulgund J, et al. Association between hospital process performance and outcomes among patients with acute coronary syndromes. JAMA 2006; 295: 1912-1920.
  • 10. Dartnell JG. Understanding, influencing and evaluating drug use. Melbourne: Therapeutic Guidelines Limited, 2001.
  • 11. Robertson S. Improving the appropriateness of antibiotic prophylaxis in surgery: an innovative model for evidence-based guideline implementation and evaluation [MSc thesis]. Sydney: University of New South Wales, 2004.
  • 12. Freeman T. Using performance indicators to improve health care quality in the public sector: a review of the literature. Health Serv Manage Res 2002; 15: 126-137.
  • 13. Audit Commission (UK). Figures you can trust: a briefing on data quality in the NHS. London: Audit Commission, 2009. http://www.audit-commission.gov.uk/nationalstudies/health/financialmanagement/Pages/figuresyoucantrust9april2009.aspx (accessed Nov 2009).
  • 14. Bradley E, Holmboe E, Mattera J, et al. Data feedback efforts in quality improvement: lessons learned from US hospitals. Qual Saf Health Care 2004; 13: 26-31.
  • 15. Benneyan JC, Lloyd RC, Plsek PE. Statistical process control as a tool for research and healthcare improvement. Qual Saf Health Care 2003; 12: 458-464.

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