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- W4379136365 abstract "Abstract Background: Prescribing is the number one therapeutic intervention made by physicians. There is an increase in both the number of medicines and the complexity of dosage regimens that patients are taking. This is in addition to the introduction of novel medications with new adverse effects’ profiles complicated by drug-drug or drug-disease interactions. Developing tools, based on evidence-based guidelines, will assist practitioners in identifying the best therapeutic management options, particularly for chronic diseases, and ensures quality care is provided to patients. This study aimed to develop and validate a medication assessment tool (MAT) to evaluate the quality of medication prescribing for patients with type 2 diabetes mellitus. Methods: The development process of the MAT was based on three stages: i) development stage – which led to instrument construction; ii) judgment-quantifying stage (with the participation of 12 experts) - which involved two different approaches to quantify content validity of the instrument, where any criteria with a CVR < 0.566 and/or a I-CVI <78% were considered for removal; and iii) a feasibility stage - to ensure the tool’s fitness for purpose. Results: The development stage resulted in the construction of the initial MAT, with 42 criteria. This draft went through a judgment-quantifying stage which resulted in 8 criteria having a CVR ≤0.566 and I-CVI<78%. Three criteria were removed, and five were retained. As a result, the final draft - MAT DM2 - was developed with 39 criteria. A feasibility study on 30 electronic patient medication records revealed a total prescribing adherence score of 50.5% and a 61.6% documentation gap. Conclusions: MAT DM2 frames clinical guideline recommendations into a holistic set of criteria that are patient-centered and quantifiable. It serves as a quality assurance tool for prescribers in managing type 2 diabetes and offers a systematic approach to detect opportunities in improving prescribing in this complex disease." @default.
- W4379136365 created "2023-06-03" @default.
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- W4379136365 date "2023-06-02" @default.
- W4379136365 modified "2023-09-30" @default.
- W4379136365 title "Design and Validation of a Medication Assessment Tool to Assess Prescribing Practice in The Management of Type 2 Diabetes: A Quality Improvement Study" @default.
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- W4379136365 doi "https://doi.org/10.21203/rs.3.rs-2962320/v1" @default.
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