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Table 1 Indicators of successful implementation of the core recommendations (primary outcome)

From: Impact of a tailored program on the implementation of evidence-based recommendations for multimorbid patients with polypharmacy in primary care practices—results of a cluster-randomized controlled trial

Recommendation/implementation objective Indicator Data source
Recommendation 1: SMC incl. brown bag review was performed at least once 1a Percentage of patients answering the item “Have you had an appointment for medication counseling with your GP within the last 9 months” in the affirmative Patient questionnaire
1b Percentage of patients answering the item “If yes, have you brought all your medication packages to this appointment” in the affirmative
Recommendation 2: patients take along medication lists meeting minimum standards 2a Percentage of medication lists specifying the name of the active substance of each drug Medication lists generated by the practice
2b Percentage of medication lists specifying the reason for prescription for each drug
2c Percentage of medication lists specifying the exact dosage for drugs taken as needed
2d Percentage of medication lists containing instructions for the application of at least one drug
2e Percentage of medication list with a date not older than 9 months
3 Percentage of patients with long-term medication having a medication list with them Oral survey in the practices
Recommendation 3: GPs review the medication systematically using tools to reduce PIM 4a The response scale of the item “Do you use the PRISCUS list” to review the medication of your patients?” was converted into a percentage value with always = 100%, frequently = 75%, sometimes = 50%, rarely = 25%, never = 0% GP questionnaires
4b The response scale of the item “Do you use the MAI” to review the medication of your patients?” was converted into a percentage value with always = 100%, frequently = 75%, sometimes = 50%, rarely = 25%, never = 0%