Janet K. Sluggett
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View article: Transitions of Care Among Older People Entering Residential Aged Care Homes
Transitions of Care Among Older People Entering Residential Aged Care Homes Open
Objective Improving the quality of care transitions among older people living in residential aged care homes (RACHs) is an area of national and international concern and priority. Pathways for entry to RACHs between the community, hospital…
View article: Reply to Comments on Factors Associated With Hospitalization for Hypoglycemia and Hyperglycemia Among Older People in Long‐Term Care Facilities
Reply to Comments on Factors Associated With Hospitalization for Hypoglycemia and Hyperglycemia Among Older People in Long‐Term Care Facilities Open
View article: Variation in healthcare services utilization and continuity of care in long-term care facilities: a cross-sectional study
Variation in healthcare services utilization and continuity of care in long-term care facilities: a cross-sectional study Open
View article: The Aged Care Onsite Pharmacist (ACOP) program in Australia: a qualitative study to examine key considerations for successful implementation in residential aged care homes
The Aged Care Onsite Pharmacist (ACOP) program in Australia: a qualitative study to examine key considerations for successful implementation in residential aged care homes Open
Introduction The Aged Care Onsite Pharmacist (ACOP) program was recently launched in Australia to enable pharmacists to deliver clinical governance, clinical pharmacy and education services on the ground in residential aged care homes (RAC…
View article: Quality indicators for safe and effective use of medications in long‐term care settings: A systematic review
Quality indicators for safe and effective use of medications in long‐term care settings: A systematic review Open
People accessing aged care services are increasingly older and often experience multimorbidity and polypharmacy, which puts them at risk of medication‐related harm. Quality indicators (QIs) can assist with monitoring, benchmarking and info…
View article: Top 10 consumer and healthcare professional priorities for research in the field of quality use of medicines in people living with dementia
Top 10 consumer and healthcare professional priorities for research in the field of quality use of medicines in people living with dementia Open
Background People living with Alzheimer's disease and other types of dementia are vulnerable to medicine-related problems. More research is needed to support achieving quality use of medicines in people living with dementia. Objective To d…
View article: The prevalence of and variation in indicators of the quality and safety of long term aged care in Australia, 2019: a cross‐sectional population‐based study
The prevalence of and variation in indicators of the quality and safety of long term aged care in Australia, 2019: a cross‐sectional population‐based study Open
Objectives To examine the prevalence of and variation in indicators of the quality and safety of care provided to older Australians who received subsidised long term care during 2019, by type of care (residential aged care or home care pac…
View article: Factors Associated With Hospitalization for Hypoglycemia and Hyperglycemia Among Older People in Long‐Term Care Facilities
Factors Associated With Hospitalization for Hypoglycemia and Hyperglycemia Among Older People in Long‐Term Care Facilities Open
Background Individuals with diabetes newly entering long‐term care facilities (LTCFs) encounter changes in care needs and facility and care process‐related factors, which potentially impact diabetes treatment outcomes. This study examined …
View article: Risk of adverse outcomes associated with mirtazapine compared to sertraline use among older people living in long-term care facilities
Risk of adverse outcomes associated with mirtazapine compared to sertraline use among older people living in long-term care facilities Open
Background Antidepressants are used by 60% of residents of long-term care facilities (LTCFs). Mirtazapine and sertraline are the most commonly used antidepressants, despite little safety information for their use in LTCFs. Objective To inv…
View article: Setting of initiation and factors associated with antidepressant use on entry to long‐term care facilities
Setting of initiation and factors associated with antidepressant use on entry to long‐term care facilities Open
Aims Antidepressant use increases around long‐term care facility (LTCF) entry, and initiation during hospitalizations may contribute to this. This study characterized the care setting (i.e., community‐based, hospital or LTCF) where antidep…
View article: Quality and Safety Indicators for Care Transitions by Older Adults: A Scoping Review
Quality and Safety Indicators for Care Transitions by Older Adults: A Scoping Review Open
Eighty-nine international programs routinely monitor the quality and safety of care transitions, and focus on the domains of hospitalization, access and waiting times, and communication. Considering the vulnerability of older adults as the…
View article: Validity of Pharmaceutical Claims Data for Determining Medication Exposure in Long‐Term Care Facilities
Validity of Pharmaceutical Claims Data for Determining Medication Exposure in Long‐Term Care Facilities Open
Purpose To compare the accuracy of pharmaceutical claims with medication administration chart data for individuals in long‐term care facilities (LTCFs). Methods Secondary analyses of a prospective cohort study ( n = 279 residents, 5 LTCFs)…
View article: Setting standards in residential aged care: identifying achievable benchmarks of care for long-term aged care services
Setting standards in residential aged care: identifying achievable benchmarks of care for long-term aged care services Open
Background Benchmark is an important aspect of quality measurement and evaluation of long-term care services (LTCS) performance. In this study, we aimed to estimate achievable benchmarks of care (ABC©) for 12 quality indicators used to mon…
View article: Glucose‐lowering medicines use before and after entry into long‐term care facilities
Glucose‐lowering medicines use before and after entry into long‐term care facilities Open
Aim To examine changes in the use of glucose‐lowering medicine (GLM) 12 months before and 12 months after long‐term care facility (LTCF) entry among people with diabetes. Materials and Methods A national retrospective cohort study was cond…
View article: Health outcomes following provision of Home Medicines Reviews for older people receiving aged care services at home
Health outcomes following provision of Home Medicines Reviews for older people receiving aged care services at home Open
In a cohort of older people receiving long-term in-home aged care services, no differences in unplanned hospitalizations, falls, LTCF entry or mortality were observed those with HMRs compared to those that did not receive an HMR.
View article: Estimating potential palliative care needs for residential aged care: A population‐based retrospective cohort study
Estimating potential palliative care needs for residential aged care: A population‐based retrospective cohort study Open
Objective Population‐based data on the required needs for palliative care in residential aged care have been highlighted as a key information gap. This study aimed to provide a comprehensive estimate of palliative care needs among Australi…
View article: Medication management in long-term care: using evidence generated from real-world data to effect policy change in the Australian setting
Medication management in long-term care: using evidence generated from real-world data to effect policy change in the Australian setting Open
Older individuals residing in long-term care facilities (LTCFs) are often living with multimorbidity and exposed to polypharmacy, and many experience medication-related problems. Because randomized controlled trials seldom include individu…
View article: National trends in utilisation of glucose lowering medicines by older people with diabetes in long-term care facilities
National trends in utilisation of glucose lowering medicines by older people with diabetes in long-term care facilities Open
The increasing use of insulin and ongoing use of sulfonylureas suggests a need to implement evidence-based strategies to optimise diabetes care in LTCFs.
View article: Healthcare-associated infections in long-term care facilities: a systematic review and meta-analysis of point prevalence studies
Healthcare-associated infections in long-term care facilities: a systematic review and meta-analysis of point prevalence studies Open
Objectives Residents of long-term care facilities (LTCFs) are especially vulnerable to acquiring healthcare-associated infections (HAIs). Our systematic review and meta-analysis estimated the burden of HAIs, identified the most frequent HA…
View article: National surveillance using a clinical quality indicator for prolonged antipsychotic use among older Australians with dementia who access aged care services
National surveillance using a clinical quality indicator for prolonged antipsychotic use among older Australians with dementia who access aged care services Open
Objectives Dementia guidelines recommend antipsychotics are only used for behavioral and psychological symptoms when non‐drug interventions fail, and to regularly review use. Population‐level clinical quality indicators (CQIs) for dementia…
View article: Simplifying medication regimens for residents of aged care facilities: Pharmacist and physician use of a structured five-step medication simplification tool
Simplifying medication regimens for residents of aged care facilities: Pharmacist and physician use of a structured five-step medication simplification tool Open
Pharmacists, GPs, and geriatricians can all identify medication regimen simplification opportunities, although these opportunities differ within and between professional groups. Although opportunities to simplify medication regimens during…
View article: Primary, allied health, selected specialists, and mental health service utilisation by home care recipients in Australia before and after accessing the care, 2017–2019
Primary, allied health, selected specialists, and mental health service utilisation by home care recipients in Australia before and after accessing the care, 2017–2019 Open
View article: Diabetes ascertainment among older Australians residing in long‐term care facilities
Diabetes ascertainment among older Australians residing in long‐term care facilities Open
Older people with diabetes who reside in long-term care (LTC) facilities are at risk of diabetes-related complications due to potential over or undertreatment resulting in hypoglycemia and hyperglycemia.1 Accurate ascertainment of type 2 d…
View article: Identifying barriers and enablers to participation in infection surveillance in Australian residential aged care facilities
Identifying barriers and enablers to participation in infection surveillance in Australian residential aged care facilities Open
View article: Primary, allied health, geriatric, pain and palliative healthcare service utilisation by aged care residents, 2012–2017
Primary, allied health, geriatric, pain and palliative healthcare service utilisation by aged care residents, 2012–2017 Open
Objectives To examine the incidence and trends in primary care, allied health, geriatric, pain and palliative care service use by permanent residential aged care (PRAC) residents and the older Australian population. Methods Repeated cross‐…
View article: Table of Contents
Table of Contents Open
View article: Consumer and Healthcare Professional Led Priority Setting for Quality Use of Medicines in People with Dementia: Gathering Unanswered Research Questions
Consumer and Healthcare Professional Led Priority Setting for Quality Use of Medicines in People with Dementia: Gathering Unanswered Research Questions Open
Background: Historically, research questions have been posed by the pharmaceutical industry or researchers, with little involvement of consumers and healthcare professionals. Objective: To determine what questions about medicine use are im…
View article: Medication Regimen Complexity and Risk of Bleeding in People Who Initiate Oral Anticoagulants for Atrial Fibrillation: A Population-Based Study
Medication Regimen Complexity and Risk of Bleeding in People Who Initiate Oral Anticoagulants for Atrial Fibrillation: A Population-Based Study Open
Background Oral anticoagulants (OACs) are high-risk medications often used in older people with complex medication regimens. This study was the first to assess the association between overall regimen complexity and bleeding in people with …
View article: Quality and safety indicators for home care recipients in Australia: development and cross-sectional analyses
Quality and safety indicators for home care recipients in Australia: development and cross-sectional analyses Open
Objectives To develop and examine the prevalence of quality and safety indicators to monitor care of older Australians receiving home care packages (HCPs), a government-funded aged care programme to support individuals to live at home inde…
View article: Provision of a comprehensive medicines review is associated with lower mortality risk for residents of aged care facilities: a retrospective cohort study
Provision of a comprehensive medicines review is associated with lower mortality risk for residents of aged care facilities: a retrospective cohort study Open
Background no studies have examined the impact of residential medication management review (RMMR, a 24-year government subsidised comprehensive medicines review program) in Australian residential aged care facilities (RACFs) on hospitalisa…