Communicating with patients, families and health professionals about managing medications in intensive care: A qualitative observational study

Manias, Elizabeth; Braaf, Sandy; Rixon, Sascha; Williams, Allison; Liew, Danny; Blackburn, Aleesha

doi:10.1016/j.iccn.2019.05.001

Cited by 8 publications

(7 citation statements)

References 19 publications

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“…The number of reports in which patients or family members alerted about an error was higher (8%–15%) in previous studies (Manias, Kinney, Cranswick & Williams 2014; Manias, Cranswick, et al, 2019). Our findings mirror previous evidence (Braaf, Riley, & Manias, 2015b; Keers et al, 2018; Manias, Braaf, et al, 2019; Tobiano et al, 2018, Tobiano et al, 2019) in which patients and family members are vigilant co‐operators and should be further encouraged to communicate. Unfortunately, previous studies have revealed that professionals are not involving patients in medication communication as much as they could (Theys et al, 2019).…”

Section: Discussionsupporting

confidence: 90%

“…Errors in medication communication being linked with medication incidents have been studied from specific viewpoints, such as within diverse care‐provider settings or between them (Petersen, Foged, Madsen, Andersen, & Nørholm, 2018), in speciality practices (Keers et al, 2018;Liu, Manias, & Gerdtz, 2014;Manias, Cranswick, et al, 2019;Tobiano, Chaboyer, Teasdale, Raleigh, & Manias, 2019) or among specific patient age group settings (Borrott et al, 2017). Evidence of medication communication exists for a variety of care process situations (Braaf, Rixon, Williams, Liew, & Manias, 2015a;Liu, Manias, & Gerdtz, 2012;Manias, Braaf, et al, 2019;Yu, Li, Gao, Liu, & Lin, 2018), and concerning a diverse range of communication methods (Foged, Nørholm, Andersen, & Petersen, 2017;Redley & Botti, 2013). Medication communication has been assessed ethnographically from the interplay viewpoint between nurses, patients, physicians and students (Liu, Gerdtz, & Manias, 2015, 2016;Rutledge, Retrosi, & Ostrowski, 2018;Schoenthaler, Allegrante, Chaplin, & Ogedegbe, 2012;Tobiano et al, 2019), but also concerning professionals’ tendency to follow communicated guidelines (Karttunen et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

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Communication issues contributing to medication incidents: Mixed‐method analysis of hospitals’ incident reports using indicator phrases based on literature

Syyrilä

Vehviläinen‐Julkunen

Härkänen

2020

Journal of Clinical Nursing

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Aim To identify the types and frequencies of communication issues (communication pairs, person related, institutional, structural, process and prescription‐related issues) detected in medication incident reports and to compare communication issues that caused moderate or serious harm to patients. Background Communication issues have been found to be among the main contributing factors of medication incidents, thus necessitating communication enhancement. Design A sequential exploratory mixed‐method design. Methods Medication incident reports from Finland (n = 500) for the year 2015 in which communication was marked as a contributing factor were used as the data source. Indicator phrases were used for searching communication issues from free texts of incident reports. The detected issues were analysed statistically, qualitatively and considering the harm caused to the patient. Citations from free texts were extracted as evidence of issues and were classified following main categories of indicator phrases. The EQUATOR’s SRQR checklist was followed in reporting. Results Twenty‐eight communication pairs were identified, with nurse–nurse (68.2%; n = 341), nurse–physician (41.6%; n = 208) and nurse–patient (9.6%; n = 48) pairs being the most frequent. Communication issues existed mostly within unit (76.6%, n = 383). The most commonly identified issues were digital communication (68.2%; n = 341), lack of communication within a team (39.6%; n = 198), false assumptions about work processes (25.6%; n = 128) and being unaware of guidelines (25.0%; n = 125). Collegial feedback and communication from patients and relatives were the preventing issues. Moderate harm cases were often linked with lack of communication within the unit, digital communication and not following guidelines. Conclusions The interventions should be prioritised to (a) enhancing communication about work‐processes, (b) verbal communication about digital prescriptions between professionals, (c) feedback among professionals and (f) encouraging patients to communicate about medication. Relevance to clinical practice Upon identifying the most harmful and frequent communication issues, interventions to strengthen medication safety can be implemented.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Communication issues contributing to medication incidents: Mixed‐method analysis of hospitals’ incident reports using indicator phrases based on literature

Syyrilä

Vehviläinen‐Julkunen

Härkänen

2020

Journal of Clinical Nursing

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“…Conversely, the challenges faced by newcomers and professionals in non-traditional settings highlight a gap in tacit knowledge and confidence essential for effective communication. This gap necessitates targeted communication training programs, similar to those recommended by Manias et al [9], which could be integrated into ongoing professional development initiatives to bridge this divide [10].…”

Section: Discussionmentioning

confidence: 99%

Enhancing Patient Safety Through Effective Interprofessional Communication: A Focus on Medication Error Prevention

Alhur,

Al-Rowais

et al. 2024

Cureus

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Background: Medication errors significantly impact patient safety and healthcare costs. This study investigates the influence of interprofessional communication on medication error rates, with a focus on identifying actionable strategies to improve communication efficacy among healthcare professionals.Methods: Utilizing a quantitative approach, this research distributed a detailed online questionnaire to a broad cohort of healthcare workers in various settings within Saudi Arabia. The survey encompassed sections on demographics, the frequency and quality of interprofessional communication, perceived barriers and facilitators to effective communication, and personal experiences with medication errors. Statistical analysis was performed using SPSS to derive descriptive and inferential statistics, alongside thematic analysis for qualitative responses.Results: The survey attracted 1165 respondents, predominantly aged 20-30 (68.58%) and female (65.49%). Pharmacists constituted the largest professional group (40.34%). We identified a notable positive correlation (r = 0.16) between high-quality interprofessional communication and employment in hospital environments or having 5-20 years of experience. In contrast, negative correlations were observed with employment in non-traditional healthcare settings (r = −0.19) and professionals with less than five years of experience (r = −0.13), indicating communication challenges. The analysis also highlighted a concerning frequency of prescription and dispensing errors, with 52.70% of participants reporting prescription errors as the most common issue encountered. Conclusion: Effective interprofessional communication is pivotal in mitigating medication errors within healthcare settings. The study illuminates specific areas for improvement, including the need for targeted communication training, particularly for less experienced professionals and those in non-traditional settings. Enhancing communication channels and fostering an environment conducive to open, interdisciplinary dialogue are essential steps towards advancing patient safety and reducing medication errors.

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“…Openness in communication is statistically significant with an enhancement of safety culture and that the patients must demonstrate active engagement in this process (Ansari et al, 2019;Chegini et al, 2019;Lee and Quinn, 2019). Communication in clinical settings is so vital that it must be practiced in all areas of care plans including medication management, such as medical reconciliation even in complex areas (Manias et al, 2019;Martyn et al, 2019;Stark et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Philippine professional core competencies’ impact on nurses’ key performance indicators (KPIs) for patient safety outcomes

al.¹

2020

Int. j. adv. appl. sci.

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Patient safety becomes topmost priority-almost always comparable to the quality of healthcare in the facade of disturbing rates of hospital imprecisions and resultant deaths. Expansive clinical experience, exposure to evidencebased practices and active research engagement can potentially address these problematic consequences. This descriptive-correlational study identified the 304 registered nurses' professional core competencies from selected government and non-government hospitals in the Philippines and determined their impact on KPIs for patient safety outcomes. Most of the nurses' professional core competencies displayed very high grade (x=3.52, SD±0.090) specifically on safe nursing practice (x=3.88, SD±0.087, very high) followed by leadership and management (x=3.68, SD±0.086, very high) and research (x=3.01, SD±0.097, high). KPIs showed an overall mean score of 3.17 (SD±0.418, high) and among the five (5) indicators, blood management (x=3.45, SD±0.0611, very high) and medication safety (x=3.55, SD±0.493, very high) obtained the highest scores. Finally, a significant relationship exists between the nurses' professional core competencies and KPIs for patient safety outcomes and further disclosed a highly positive correlation (r-0.950, p=0.000) that undoubtedly determined the impact of professional core competencies on KPIs. Ultimately, the results concluded the vital importance of safe nursing practice, research, leadership, and management, as professional core competencies in ensuring patient safety in hospitals.

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Communicating with patients, families and health professionals about managing medications in intensive care: A qualitative observational study

Cited by 8 publications

References 19 publications

Communication issues contributing to medication incidents: Mixed‐method analysis of hospitals’ incident reports using indicator phrases based on literature

Communication issues contributing to medication incidents: Mixed‐method analysis of hospitals’ incident reports using indicator phrases based on literature

Enhancing Patient Safety Through Effective Interprofessional Communication: A Focus on Medication Error Prevention

Philippine professional core competencies’ impact on nurses’ key performance indicators (KPIs) for patient safety outcomes

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