Table 2

Summary of research study characteristics

ReferencePopulationInterventionStudy designOutcome measures
Quantitative controlled studies
Howard 201413 Pharmacists delivering interventionIT-enabled pharmacist-led review to reduce medication errorsCluster RCT (PINCER trial)Time taken to complete reviews; recommended interventions and whether they were implemented
Peek 202017 General practice patients with one or more risk factors for hazardous prescribing or inadequate blood test monitoringPharmacist-led Safety Medication dASHboard (SMASH) interventionInterrupted time series analysisRates (prevalence) of potentially hazardous prescribing and inadequate blood-test monitoring
Rodgers 202218 General practices in the East MidlandsPharmacist-led IT intervention (PINCER)Multiple interrupted time seriesIndicators of potentially hazardous prescribing
Syafhan 202119 Patients in participating GP practices at risk of MRPsPharmacist-supplemented care focusing on medication optimisationIndividual RCTNumber of medication-related problems (MRPs) and medication inappropriateness plus clinical outcomes and costs
Quantitative uncontrolled studies
Alves 201921 Care home residentsMedication review by primary care pharmacists linked to GP practicesService evaluation (5-year uncontrolled study)Interventions by pharmacist (including deprescribing and changes to prescriptions)
Baqir 201722 Care home residentsMedication review by pharmacist with or without GPRetrospective analysis of data from QI programmeNumber and type of medications stopped
Thayer 202125 Care home residents with intellectual disabilitiesCollaborative service initiative involving community pharmacists and a specialist mental health pharmacist providing review of medicines and lifestyle risk factorsService evaluationPharmacist interventions /recommendations and acceptance by GPs and psychiatrists
Twigg 201526 Patients over 65 prescribed four or more medicationsCommunity pharmacist consultation including medication review using STOPP/START rulesService evaluationNumber of recommendations; falls, medication adherence, quality of life and costs at 6 months
Qualitative/mixed methods
Alharthi 202320 Care home residentsDeprescribing by pharmacist-independent prescriberQualitative interviews with participants in a cluster RCT (CHIPPS study)Barriers and facilitators to deprescribing
Birt 202123 Care home residentsPharmacist-independent prescribers responsible for medicines management (CHIPPS)Mixed methods process evaluationPIP activities, perceived benefits and barriers to implementation
Jeffries 201814 Pharmacists delivering intervention, GPs and CCG staffPharmacist-led intervention involving the use of an electronic audit and feedback surveillance dashboard to identify patients potentially at risk of hazardous prescribing or monitoring of medicines in general practiceQualitative interviewsThemes related to implementation of the intervention and role of practice pharmacists and others
Jeffries 201715 Stakeholders in general practice and CCGElectronic medicines optimisation systemQualitative realist evaluationSuggestions to support implementation of the system
Lane 202024 Doctors, pharmacists, care-home managers and staff, residents and relativesPharmacist-independent prescriber serviceQualitative focus groups and interviewsPerceived benefits of the service and barriers and facilitators to implementation
Madden 202216 Pharmacists working in general practice within PCNsStructured medication review (SMR) service within PCNsQualitative interview studyThemes related to early implementation of SMR service
  • CCG, clinical commissioning group; PCNs, primary care networks; RCT, randomised controlled trial.