Patient participation in medication safety during an acute care admission
- 17 December 2013
- journal article
- case report
- Published by Wiley in Health Expectations
- Vol. 18 (5), 1744-1756
- https://doi.org/10.1111/hex.12167
Abstract
Patient participation in medication management during hospitalization is thought to reduce medication errors and, following discharge, improve adherence and therapeutic use of medications. There is, however, limited understanding of how patients participate in their medication management while hospitalized. To explore patient participation in the context of medication management during a hospital admission for a cardiac surgical intervention of patients with cardiovascular disease. Single institution, case study design. The unit of analysis was a cardiothoracic ward of a major metropolitan, tertiary referral hospital in Melbourne, Australia. Multiple methods of data collection were used including pre-admission and pre-discharge patient interviews (n = 98), naturalistic observations (n = 48) and focus group interviews (n = 2). All patients had changes made to their pre-operative cardiovascular medications as a consequence of surgery. More patients were able to list and state the purpose and side-effects of their cardiovascular medications at pre-admission than prior to discharge from hospital. There was very little evidence that nurses used opportunities such as medication administration times to engage patients in medication management during hospital admission. Failure to engage patients in medication management and provide opportunities for patients to learn about changes to their medications has implications for the quality and safety of care patients receive in hospital and when managing their medications once discharged. To increase the opportunity for patients to participate in medication management, a fundamental shift in the way nurses currently provide care is required.Keywords
This publication has 43 references indexed in Scilit:
- Effect of a Pharmacist Intervention on Clinically Important Medication Errors After Hospital DischargeAnnals of Internal Medicine, 2012
- Simple prescribing errors and allergy documentation in medical hospital admissions in Australia and New ZealandClinical Medicine, 2012
- Information about medicines to cardiac in-patients: Patient satisfaction alongside the role perceptions and practices of doctors, nurses and pharmacistsPatient Education and Counseling, 2011
- Incidence of Adverse Drug Events and Medication Errors in Japan: the JADE StudyJournal of General Internal Medicine, 2010
- Patient Participation: Current Knowledge and Applicability to Patient SafetyMayo Clinic Proceedings, 2010
- Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and causes of medication problems 2002–2008Australia and New Zealand Health Policy, 2009
- The impact of patient participation on adherence and clinical outcome in primary care of depressionPatient Education and Counseling, 2007
- Trends in postoperative length of stay after bypass surgeryAmerican Heart Journal, 2006
- Patients' Knowledge Regarding Medication Therapy and the Association with Health Services UtilizationEuropean Journal of Cardiovascular Nursing, 2006
- Group based training for self-management strategies in people with type 2 diabetes mellitus - art. no. CD003417.pub2Published by Wiley ,2004