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.

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Title Patient participation in medication safety during an acute care admission
Author(s) McTier, Lauren J.ORCID iD for McTier, Lauren J.
Botti, MariORCID iD for Botti, Mari
Duke, MaxineORCID iD for 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
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