Exploring the effects of patients taking a vigilant role in collaborating on their e-medication administration record

Jong, Catharina Carolina de; Ros, W.J.G.; Leeuwen, Mia van; Schrijvers, Guus

doi:10.1016/j.ijmedinf.2016.01.001

Cited by 21 publications

(35 citation statements)

References 30 publications

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“…One hospital introduced a Practice Partnership Model of Care and reported reduced medication errors (Cann & Gardner, ). Overall however, there are few studies exploring the culture of patient involvement in medication administration (Australian Commission on Safety and Quality in Health Care, ; de Jong, Ros, van Leeuwen, & Schrijvers, )…”

Section: Discussionmentioning

confidence: 99%

“…To manage uncertainty during medication administration and determine the best option or outcome, nurses in this study frequently sought clarification from other HPs whom they respected. At times, they would defer to alternative viewpoints to confirm or clarify their knowledge (Cranley, Doran, Tourangeau, Kushniruk, & Nagle, 2009). As the key personnel involved in medication administration nurses spent considerable time facilitating the collection of information, framing options for patients and other HPs and filtering information prior to deciding on the appropriate action as others have found (Johnson et al, 2017b;Liu, Gerdtz, & Manias, 2016;Manias, Aitken, & Dunning, 2004).…”

Section: Discussionmentioning

confidence: 99%

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Nurses’ decision‐making, practices and perceptions of patient involvement in medication administration in an acute hospital setting

Bucknall

Fossum

Hutchinson

et al. 2019

Journal of Advanced Nursing

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Aims To describe nurses’ decision‐making, practices and perceptions of patient involvement in medication administration in acute hospital settings. Background Medication errors cause unintended harm to patients. Nurses have a major role in ensuring patient safety in medication administration practices in hospital settings. Investigating nurses’ medication administration decision‐making and practices and their perceptions of patient involvement, may assist in developing interventions by revealing how and when to involve patients during medication administration in hospital. Design A descriptive exploratory study design. Methods Twenty nurses were recruited from two surgical and two medical wards of a major metropolitan hospital in Australia. Each nurse was observed for 4 hr, then interviewed after the observation. Data were collected over six months in 2015. Observations were captured on an electronic case report form; interviews were audio‐recorded and transcribed verbatim. Data were analysed using descriptive statistics and content and thematic analysis. Results Ninety‐five medication administration episodes, of between two and eight episodes per nurse, were observed. A total of 56 interruptions occurred with 26 of the interruptions being medication related. Four major themes emerged from the interviews: dealing with uncertainty; facilitating, framing and filtering information; managing interruptions and knowing and involving patients. Conclusion Nurses work in complex adaptive systems that change moment by moment. Acknowledging and understanding the cognitive workload and complex interactions are necessary to improve patient safety and reduce errors during medication administration. Knowing and involving the patient is an important part of a nurses’ medication administration safety strategies.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Nurses’ decision‐making, practices and perceptions of patient involvement in medication administration in an acute hospital setting

Bucknall

Fossum

Hutchinson

et al. 2019

Journal of Advanced Nursing

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show abstract

“…Tables 1 to 4 show consensual scores of quality assessment. Half of the studies included in this systematic review were of high quality [14][15][16][17][18][19][20][21][22][23]. Of the 10 randomized controlled trials (RCTs), 9 were of medium quality [24][25][26][27][28][29][30][31][32], and 1 was of high quality [33].…”

Section: Quality Ratings: Characterizing the Evidence Basementioning

confidence: 99%

“…Common methodological issues observed in the RCTs had to do with a lack of concealment of allocation to treatment groups, such as nonblinding of participants to treatment assignment [28], nonblinding of those delivering treatment, [24,30,31] or nonblinding of outcome assessors to treatment [24][25][26][27][29][30][31]. Among the quasi-experimental studies, 6 out of 7 [14,16,18,19,21,22] were of high quality, and 1 was of low quality [34]. The low-quality study did not have a control group, did not report if the participants included from the 3 different sites were similar at baseline, did not describe and analyze the incomplete follow-up, and did not report the reliability of the outcome measures.…”

Section: Quality Ratings: Characterizing the Evidence Basementioning

confidence: 99%

Using Patient Portals to Improve Patient Outcomes: Systematic Review (Preprint)

Han¹,

Gleason²,

Sun³

et al. 2019

Preprint

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BACKGROUND With the advent of electronic health record (EHR) systems, there is increasing attention on the EHR system with regard to its use in facilitating patients to play active roles in their care via secure patient portals. However, there is no systematic review to comprehensively address patient portal interventions and patient outcomes. OBJECTIVE This study aimed to synthesize evidence with regard to the characteristics and psychobehavioral and clinical outcomes of patient portal interventions. METHODS In November 2018, we conducted searches in 3 electronic databases, including PubMed, EMBASE, and Cumulative Index to Nursing and Allied Health Literature, and a total of 24 articles met the eligibility criteria. RESULTS All but 3 studies were conducted in the United States. The types of study designs varied, and samples predominantly involved non-Hispanic white and highly educated patients with sizes ranging from 50 to 22,703. Most of the portal interventions used tailored alerts or educational resources tailored to the patient’s condition. Patient portal interventions lead to improvements in a wide range of psychobehavioral outcomes, such as health knowledge, self-efficacy, decision making, medication adherence, and preventive service use. Effects of patient portal interventions on clinical outcomes including blood pressure, glucose, cholesterol, and weight loss were mixed. CONCLUSIONS Patient portal interventions were overall effective in improving a few psychological outcomes, medication adherence, and preventive service use. There was insufficient evidence to support the use of patient portals to improve clinical outcomes. Understanding the role of patient portals as an effective intervention strategy is an essential step to encourage patients to be actively engaged in their health care.

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“…Studies have shown that patients using digital health technologies are more engaged and informed about their health. [2][3][4][5] These patients display greater motivation and capability to improve their health, and feel better equipped to have intelligent discussions with health care providers. 3,4 Although a multitude of technological products are available, the health care industry has to determine how to shrink the gap between technological advancement and current health care reality.…”

mentioning

confidence: 99%

The Evolving Frontier of Digital Health: Opportunities for Pharmacists on the Horizon

et al. 2017

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Exploring the effects of patients taking a vigilant role in collaborating on their e-medication administration record

Cited by 21 publications

References 30 publications

Nurses’ decision‐making, practices and perceptions of patient involvement in medication administration in an acute hospital setting

Nurses’ decision‐making, practices and perceptions of patient involvement in medication administration in an acute hospital setting

Using Patient Portals to Improve Patient Outcomes: Systematic Review (Preprint)

The Evolving Frontier of Digital Health: Opportunities for Pharmacists on the Horizon

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