Evidence map›Paper›PMID 40405424›Full record

ArticleAustralasian journal on ageing2025

National audit of the structure and function of Australian residential care medication advisory committees.

Amanda J Cross, Brooke Blakeley, Helen V Dowling, Kate Laver, Terry P Haines, Sarah N Hilmer, Atish Manek, Alexandra Bennett, Angelita Martini, Lyntara Quirke and 2 more

Abstract read
In one paragraph

Article in Australasian journal on ageing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Amanda J CrossCentre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Science, Monash University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0001-6001-9211
Brooke BlakeleyCentre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Science, Monash University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0009-0003-1501-8828
Helen V DowlingAustralian Commission on Safety and Quality in Health Care, Sydney, New South Wales, Australia.
Kate LaverCollege of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0003-0259-2209
Terry P HainesSchool of Primary and Allied Health Care, Faculty of Medicine Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0003-3150-6154
Sarah N HilmerKolling Institute of Medical Research, Northern Sydney Local Health District and Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-5970-1501
Atish ManekDepartment of General Practice, Faculty of Medicine Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia.
Alexandra BennettNew South Wales Therapeutic Advisory Group, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-9900-5316
Angelita MartiniCalvary Health Care, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0003-1886-7115
Lyntara QuirkeConsumer Representative, Dementia Australia, Canberra, Australian Capital Territory, Australia.
Mary Ann KulhSchool of Medicine and Psychology, Australian National University, Acton, Australia.
J Simon BellCentre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Science, Monash University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0002-6115-2767

Funding

Department of Health and Aged Care, Australian Government MRFMMIP000025National Health and Medical Research Council APP2009633
6 · The paper itself

Abstract

objectiveAll Australian residential care facilities are recommended to have access to a medication advisory committee (MAC) to provide governance of medication management. The objective was to explore the structure and function of Australian MACs.

methodsA national 43-item survey of MACs was conducted from November 2023 to January 2024. The survey was adapted from the Australian Government Department of Health and Aged Care Audit Tool and Checklist for a Medication Advisory Committee (Audit Tool). All MAC representatives were recruited using a comprehensive and purposive strategy including the Department of Health and Aged Care newsletter, professional organisations, social media and professional contacts. Outcomes included self-reported MAC structure and function across four key roles as per the Audit Tool, including policy development, risk management, education and quality improvement.

resultsResponses were received from 120 MACs covering 642 residential care facilities (24% of Australian residential care facilities) in all Australian states and mainland territories. The MACs provided oversight to a median (IQR) 116 (61-196) beds/residents and a median (IQR) 1 (1-4) facilities. Over half (58%) of MACs were multidisciplinary (nursing, pharmacist and prescriber representation). More than half of MACs reported performing all functions listed in the Audit Tool relating to policy development (59%) and risk management (53%). Only 41% and 28% of MACs reported they performed all functions in the Audit Tool related to education and quality improvement, respectively.

conclusionThere is extensive heterogeneity in the structure and function of MACs with scope for MACs to become more multidisciplinary, identify staff training needs and proactively lead quality improvement.

Indexed as

Advisory CommitteesHomes for the AgedMedication Therapy ManagementNursing HomesResidential FacilitiesAgedAustraliaHealth Care SurveysHumansQuality Improvementclinical auditclinical governancelong‐term caremedication therapy managementquality improvement

Identifiers

PMID40405424
PMCPMC12099024

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.