Can drug compliance in the elderly be improved?

Wandless, I; Davie, James W.

doi:10.1136/bmj.1.6057.359

Cited by 78 publications

(33 citation statements)

References 7 publications

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“…Wandless [28] Errors Self-administering patients given reminder cards and tablet identifiers made significantly fewer errors than those not given memory aids…”

Section: Resultsmentioning

confidence: 99%

“…A drawback with these are that patients may adjust numbers of tablets either deliberately or inadvertently. In addition, different types of administration errors may cancel out [28] e.g. an overdose may cancel an error of omission; errors concerning timing will not be detected.…”

Section: Discussionmentioning

confidence: 97%

“…Davidson's controlled study [32], is limited by small patient numbers and short timescale. Wandless and Davie [28], found patients using written reminders made statistically fewer errors in self-administration than those without reminders.…”

Section: Do Saps Affect Risks Associated With Medicines Administration?mentioning

confidence: 97%

“…Eight studies measuring errors were reviewed [28][29][30][31][32][33][34][35]. Design and methodology varied considerably.…”

Section: Do Saps Affect Risks Associated With Medicines Administration?mentioning

confidence: 99%

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Hospital inpatient self-administration of medicine programmes: a critical literature review

Wright¹,

Emerson²,

Stephens³

et al. 2006

Pharm World Sci

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The paucity of well-designed studies, flawed methodology and inadequate reporting in many papers make conclusions hard to draw. Conclusive evidence that SAPs improve compliance was not provided. Although patients participating in SAPs make errors, small numbers of patients are often responsible for a large number of errors. Whilst most studies suggest that SAPs increase patient's knowledge in part, it is difficult to separate out the effect of the educational component of many SAPs. Most patients who participated in SAPs were satisfied with their care and many would choose to take part in a SAP in the future. No studies measured the total resource requirement of implementing and maintaining a SAP.

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“…Wandless [28] Errors Self-administering patients given reminder cards and tablet identifiers made significantly fewer errors than those not given memory aids…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 97%

Section: Do Saps Affect Risks Associated With Medicines Administration?mentioning

confidence: 97%

“…Eight studies measuring errors were reviewed [28][29][30][31][32][33][34][35]. Design and methodology varied considerably.…”

Section: Do Saps Affect Risks Associated With Medicines Administration?mentioning

confidence: 99%

See 2 more Smart Citations

Hospital inpatient self-administration of medicine programmes: a critical literature review

Wright¹,

Emerson²,

Stephens³

et al. 2006

Pharm World Sci

View full text Add to dashboard Cite

show abstract

“…The most frequently cited errors relate to dosage, frequency of administration, and drug identification. Several studies have shown that over half of elderly patients do not take their drugs as prescribed, [2,3] and the percentage of all patients who make errors is probably between 25% and 59% [1]. Many of these patients may not clearly understand their regimens, [4] and about 4-35% of patients misuse their drugs to such an extent that they endanger their health [1].…”

Section: Introductionmentioning

confidence: 99%

A web-based service for improving conformance to medication treatment and patient-physician relationship

Riggos

Skalkidis

Karkalis

et al.

IFIP the International Federation for Information Processing

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Abstract. The proposed service is a health-related web portal serving a twofold purpose: Reminding the patient of important tasks related to a longterm treatment, such as medication intake, clinical encounters, follow-up actions etc., as well as tightening the patient-physician relationship through bidirectional communication. The physician is able to register and review patient-related information through a user-friendly web-based interface, assign medication treatment plans, examination plans etc. The patient receives notifications about the treatment plan through several means, including Short Message Service (SMS) and e-mail. The common web-based space shared by the patient and the physician enables the bidirectional exchange of observations or comments about the treatment, publishing additional guidelines augmenting the treatment outcome, reporting side-effects etc. The implementation of the service is based on MS SQL Server Notification Services technology and we believe that is has the potential to improve adherence to the medication plans, especially in the case of long-term therapy.

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The Adverse Effects of Hospitalization on Drug Regimens

1991

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Can drug compliance in the elderly be improved?

Abstract: SummaryThree instruction schemes for self-medication in older patients were designed and compared to see whether they improved drug compliance.

Cited by 78 publications

References 7 publications

Hospital inpatient self-administration of medicine programmes: a critical literature review

Hospital inpatient self-administration of medicine programmes: a critical literature review

A web-based service for improving conformance to medication treatment and patient-physician relationship

The Adverse Effects of Hospitalization on Drug Regimens

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