What do discharged patients know about their medication?

Kerzman, Hana; Baron‐Epel, Orna; Toren, Orly

doi:10.1016/j.pec.2004.02.019

Cited by 96 publications

(83 citation statements)

References 20 publications

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“…purpose and dosing regimen, but lacked detailed information on side effects, what to do when suffering a side effect and lifestyle and dietary advice. This agrees with Kerzmanet al [21] who demonstrated in their study that there was a prominent existing gap of knowledge on lifestyle changes and side effects in spite of most patients being aware about the purpose of their medication. It is thus not surprising that patients, in our study, wanted more information regarding those two elements in addition to sources to refer to for more information.…”

Section: Discussionsupporting

confidence: 91%

Patients Perceptions of Medication Counselling from Community Pharmacies

Kayyali¹,

Gomes²,

Mason³

et al. 2016

PPIJ

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Section: Discussionsupporting

confidence: 91%

Patients Perceptions of Medication Counselling from Community Pharmacies

Kayyali¹,

Gomes²,

Mason³

et al. 2016

PPIJ

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“…For example, other studies report at least some understanding of new medications among 64-68 % of patients; 16,17,25 the corresponding rate in our study was 53.2 %. These low rates of understanding existed despite the fact that we allowed patients to consult discharge instructions or other documentation in answering the survey, excluded clearly cognitively impaired patients, and excluded medication changes that were potential provider errors.…”

Section: Discussionsupporting

confidence: 59%

“…10,11 A 1999 study of 342 patients found that 54 % had inadequate knowledge of their medications 1 week after discharge; 12 other smaller studies show similar results. [13][14][15][16][17] Nonetheless, physicians grossly overestimate patient understanding. 15 No study has simultaneously evaluated medication reconciliation accuracy and patient understanding to form a comprehensive view of medication problems associated with hospitalization.…”

Section: Introductionmentioning

confidence: 99%

Medication Reconciliation Accuracy and Patient Understanding of Intended Medication Changes on Hospital Discharge

et al. 2012

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BACKGROUND: Adverse drug events after hospital discharge are common and often serious. These events may result from provider errors or patient misunderstanding. OBJECTIVE: To determine the prevalence of medication reconciliation errors and patient misunderstanding of discharge medications. DESIGN: Prospective cohort study SUBJECTS: Patients over 64 years of age admitted with heart failure, acute coronary syndrome or pneumonia and discharged to home. MAIN MEASURES:We assessed medication reconciliation accuracy by comparing admission to discharge medication lists and reviewing charts to resolve discrepancies. Medication reconciliation changes that did not appear intentional were classified as suspected provider errors. We assessed patient understanding of intended medication changes through post-discharge interviews. Understanding was scored as full, partial or absent. We tested the association of relevance of the medication to the primary diagnosis with medication accuracy and with patient understanding, accounting for patient demographics, medical team and primary diagnosis. KEY RESULTS: A total of 377 patients were enrolled in the study. A total of 565/2534 (22.3 %) of admission medications were redosed or stopped at discharge. Of these, 137 (24.2 %) were classified as suspected provider errors. Excluding suspected errors, patients had no understanding of 142/205 (69.3 %) of redosed medications, 182/223 (81.6 %) of stopped medications, and 493 (62.0 %) of new medications. Altogether, 307 patients (81.4 %) either experienced a provider error, or had no understanding of at least one intended medication change. Providers were significantly more likely to make an error on a medication unrelated to the primary diagnosis than on a medication related to the primary diagnosis (odds ratio (OR) 4.56, 95 % confidence interval (CI) 2.65, 7.85, p<0.001). Patients were also significantly more likely to misunderstand medication changes unrelated to the primary diagnosis (OR 2.45, 95 % CI 1.68, 3.55), p<0.001). CONCLUSIONS: Medication reconciliation and patient understanding are inadequate in older patients postdischarge. Errors and misunderstandings are particularly common in medications unrelated to the primary diagnosis. Efforts to improve medication reconciliation and patient understanding should not be diseasespecific, but should be focused on the whole patient.

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“…In spite of several important advances in HF therapy, derived from better physiopathological understanding, hospital admissions rate continued to increase in the last decade (1) . Among the most important causes of hospital admissions, decompensation episodes are dominant, caused mostly by poor adherence to treatment, both pharmacologic and non-pharmacologic (1)(2)(3)(4) . Some studies indicate that these aspects respond for 15 up to 64% of hospital readmissions (5) .…”

Section: Introductionmentioning

confidence: 99%