Patient participation in medication safety during an acute care admission McTier, Lauren J., Botti, Mari and Duke, Maxine 2015, Patient participation in medication safety during an acute care admission, Health expectations, vol. 18, no. 5, pp. 1744-1756, doi: 10.1111/hex.12167. Attached Files Name Description MIMEType Size Downloads Title Patient participation in medication safety during an acute care admission Author(s) McTier, Lauren J. Botti, Mari Duke, Maxine Journal name Health expectations Volume number 18 Issue number 5 Start page 1744 End page 1756 Total pages 13 Publisher Wiley Place of publication London, Eng. Publication date 2015-10 ISSN 1369-7625 Keyword(s) acute care medication safety patient participation Summary Background : 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.Objective : To explore patient participation in the context of medication management during a hospital admission for a cardiac surgical intervention of patients with cardiovascular disease.Design : 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).Results : 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.Discussion and Conclusions : 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. Language eng DOI 10.1111/hex.12167 Field of Research 119999 Medical and Health Sciences not elsewhere classified Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences HERDC Research category C1 Refereed article in a scholarly journal ERA Research output type C Journal article Copyright notice ©2015, Wiley Persistent URL http://hdl.handle.net/10536/DRO/DU:30064436 Document type: Journal Article Collection: School of Nursing and Midwifery Related Links Link Description Connect to published version (restricted access) Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Fri, 13 Jun 2014, 12:14:55 EST Fri, 13 Jun 2014, 15:29:47 EST Mon, 16 Jun 2014, 16:05:29 EST Wed, 13 Aug 2014, 11:31:27 EST Tue, 16 Sep 2014, 11:37:50 EST Fri, 06 Feb 2015, 11:28:41 EST Mon, 09 Feb 2015, 11:23:51 EST Mon, 10 Aug 2015, 11:05:23 EST Wed, 18 Nov 2015, 06:58:22 EST Mon, 18 Jul 2016, 15:30:27 EST Wed, 27 Jul 2016, 08:16:23 EST Wed, 27 Jul 2016, 08:21:00 EST Fri, 29 Jul 2016, 10:19:33 EST Wed, 12 Oct 2016, 13:07:36 EST Mon, 06 Feb 2017, 11:04:32 EST Wed, 01 Mar 2017, 06:59:16 EST Fri, 21 Apr 2017, 07:00:45 EST Filtered Full Citation counts:   Cited 4 times in TR Web of Science Cited 1 times in Scopus Search Google Scholar Access Statistics: 382 Abstract Views, 1 File Downloads  -  Detailed Statistics Created: Fri, 13 Jun 2014, 12:14:55 EST

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