Table 5

Provider and public learning messages developed

Healthcare provider message (release date)Content addressing root causes; accessed at
Sick Day Medication Management (March 2018)Hold SADMANS drugs while decreased fluid intake (to avoid hypotension, acute kidney injury or other side effect); hold sulfonylureas while decreased caloric intake (to avoid hypoglycaemia); hold warfarin for 1 day if eating 50% less and or severe diarrhoea. Dialogue is provided for how to confirm patient’s understanding, what they will do, when, why and how they will remember.
S, sulfonylureas; A, ACE inhibitors; D, diuretics or direct renin inhibitor; M, metformin; A, angiotensin receptor blocker; N, non-steroidal anti-inflammatory drugs; S, SGLT2 inhibitors
Community and Nursing Home Acquired Pneumonia (May 2018)Avoid macrolide monotherapy; use amoxicillin 1 g three times per day or alternate to target Streptococcus pneumoniae unless risk factors (provided) for other pathogens.
How to write an asthma action plan (April 2019)Provides instructions to increase steroid dose ×4; confirm patient’s ability to identify yellow level symptoms; understanding of purpose of steroid inhaler for prevention of flare-up; assess inhaler technique; provide action plan.
How to identify and address intentional non-adherence (April 2019)Provides suggested dialogue to explore patient’s current understanding/beliefs about medicines and condition, address gaps to help patient make an informed decision about the value of the medication, expected benefit.
Prevention of bleeding related pADEs (February 2019)Describes how to ask screening questions to rule out NSAIDs in patients taking anticoagulants; how to confirm a patient can recognise red flag symptoms (side effects) and what they need to do; provides eligibility criteria for primary prevention.
Medication Mix Ups (May 2019)Relates to situations where patients have resumed taking medications (existing supply at home) that were intended to be stopped; resumed old doses of medications, intended to be changed, did not fill prescription as unaware of a new medication.
Provides suggested dialogue to confirm that patient and family can correctly identify what they need to do to successfully implement a medication change.
Public learning messageContent addressing root causes; accessed at
Your Medication Plan for Sick days BA.505.S53 (March 2018)Identifies which medications to not take while not drinking as much fluid, during an illness or not eating or severe diarrhoea and why this is important.
COPD Flare Up Plan FN.510.F66 (February 1019)How to recognise symptoms of flare-up, what to do; why it is important to regularly use long-acting inhalers, how regular use of these would help them stay out of hospital and feel better and improve other symptoms of COPD not just breathing.
How to prevent worsening of heart failure symptoms. FD.780.H434 (March 2019)Describes connection between fluid gain and weight gain and how this leads to symptoms; provides explanation for purpose and expected benefit of daily weighing; what to do if weight gain.
Measuring BP at home (and recognising orthostatic hypotension) BD.820.W74 (April 2019)Explains purpose of taking antihypertensive medications; explains need to measure BP to know if medication is working. Describes specific symptoms of orthostatic hypotension and what to do.
  • BP, blood pressure; COPD, chronic obstructive pulmonary disease; NSAIDs, non-steroidal anti-inflammatory drugs; pADEs, preventable adverse drug events.