Keeping patients safe through medication review and management in the community.

Autor: Idris MUBM; Senior Staff Nurse, Community Nurse; SingHealth, Singapore General Hospital., Jamil NB; Senior Staff Nurse, Community Nurse; SingHealth, Singapore General Hospital., Yi X; Assistant Director of Nursing; SingHealth, Singapore General Hospital., Su-Fee L; Clinical Assistant Professor; Singapore General Hospital, SingHealth Community Hospitals., Yuh AS; Clinical Assistant Professor; SingHealth, Singapore General Hospital., Aloweni F; Clinical Assistant Professor; Singapore General Hospital., Towle RM; Assistant Director of Nursing; SingHealth, Singapore General Hospital.
Jazyk: angličtina
Zdroj: British journal of community nursing [Br J Community Nurs] 2024 Jun 02; Vol. 29 (6), pp. 288-293.
DOI: 10.12968/bjcn.2024.29.6.288
Abstrakt: Background: There are numerous publications on inpatient medication errors. However, little focus is given to medication errors that occur at home.
Aims: To describe and analyse the types of medication errors among community-dwelling patients following their discharge from an acute care hospital in Singapore.
Method: This is a retrospective review of a 'good catch' reporting system from December 2018 to March 2022. Medication-related errors were extracted and analysed.
Findings: A total of 73 reported medication-related error incidents were reviewed. The mean age of the patients was 78 years old (SD=9). Most patients managed their medications independently at home (45.2%, n =33). The majority of medications involved were cardiovascular medications (51.5%, n =50). Incorrect dosing (41.1%, n =39) was the most common medication error reported. Poor understanding of medication usage (35.6%, n =26) and lack of awareness of medication changes after discharge (24.7%, n =18) were the primary causes of the errors.
Conclusion: This study's findings provide valuable insights into reducing medication errors at home. More attention must be given to post-discharge care, especially to preventable medication errors. Medication administration and management education can be emphasised using teach-back methods.
Databáze: MEDLINE