Development of salient medication reminders to facilitate information transfer during transition from inpatient to primary care: the Delphi process
| Autor: | Chi-Shing Leung, Jack Chi-Him Lau, Maureen Mo-Lin Wong, Jenny Shun-Wah Lee, Ping-Wa Yam, Kam-Shing Tang, Francis Chun-Keung Mok, Jonathan Yui-Kin Chan, Sze-Yuen Fung, Wai Cheung Lao, Eng-Kiong Yeoh, Tak-Yeung Chan, James Ka-Hay Luk, Ringo Kin-Cheung Sze, Siu-Fai Lui, Steven Woon-Choy Tsang, Annie Wai Ling Cheung, Eliza L.Y. Wong, Kam-Hon Chan, Siu-Ka Mak |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Consensus Delphi Technique education Delphi method 030226 pharmacology & pharmacy Health informatics health & safety Likert scale 03 medical and health sciences 0302 clinical medicine Patient experience medicine Humans Transitional care 030212 general & internal medicine health informatics Aged Panel discussion Geriatrics Inpatients geriatric medicine business.industry Public health public health General Medicine Patient Discharge Family medicine Medicine Hong Kong Health Services Research business |
| Zdroj: | BMJ Open BMJ Open, Vol 11, Iss 5 (2021) |
| ISSN: | 2044-6055 |
| Popis: | ObjectiveTransitional care is important to successful hospital discharge. Providing patients with a clear and concise summary of medication-related information can help improve outcomes, in particular, among older adults. The present study aimed to propose a framework for the development of salient medication reminders (SMR), which include drug-related risks and precautions, using the Delphi process.DesignIdentification of potential SMR statements for 80% of medication types used by older adult patients discharged from geriatric medicine departments, followed by a Delphi survey and expert panel discussion.SettingsMedical and geriatric departments of public hospitals in Hong Kong.ParticipantsA panel of 13 geriatric medical experts.Outcome measureA Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree) points, scoring item relevance, importance and clarity. The minimum of 70% consensus was required for each statement to be included.ResultsThe expert panel achieved consensus through the Delphi process on 80 statements for 44 medication entities. Subsequently, the SMR steering group endorsed the inclusion of these statements in the SMR to be disseminated among older adults at the time of discharge from geriatric medicine departments.ConclusionsThe Delphi process contributed to the development of SMR for older adult patients discharged from public hospitals in Hong Kong. Patient experience with and staff response to the SMR were assessed at four hospitals before implementation at all public hospitals. |
| Databáze: | OpenAIRE |
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