Self-administration of Patients Own Drugs During Hospital Stay - Patient Involvement, Medication Errors and Health Economics
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 250
- 试验地点
- 2
- 主要终点
- Medication administration errors
研究概览
简要总结
Background Medication administration errors occur in around 20% of administrations. Patient involvement (PI) is recommended and self-management support e.g. as self-administration of patient's own drugs during hospital stay is a central component of practising PI.
Aim To investigate whether PI in administering drugs in hospital affects the number of medication errors, medication adherence and patient satisfaction and whether it is economically advantageously.
Materials and methods The PhD Study is performed at the Department of Cardiology, Randers Regional Hospital.
The study design is "complex intervention" and the PhD study therefore consists of three studies. In study 1 the intervention is developed, investigated for feasibility and pilot-tested in small scale. In study 2 and 3 the intervention is evaluated within a RCT with outcomes as medication errors, medication adherence, patient satisfaction and cost-effectiveness.
详细描述
Background When patients are admitted to Danish hospitals, the responsibility for their medication is taken over by the hospital staff.
Medication administration errors occur in approximately 20% of the total opportunities for error.
Patient involvement (PI) is recommended and self-management support is a central component of PI aiming to improve patients' knowledge, skills and confidence into managing their health condition. "Self-administration of patient's own drugs" during hospital stay is considered a central part of self-management support.
Self-administration of patient's own drugs has been tested in the Capital Region of Denmark. Conclusions were that self-administration increase PI, prepare patients to manage their medication after discharge and release resources within the care group. The occurrence of medication errors compared to traditional medication system was not investigated.
Aim The aim is to investigate whether PI in administering drugs during hospital stay affects the number of medication errors, medication adherence and patient satisfaction and whether it is economically advantageously.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients admitted to the department "Medicinsk sengeafsnit 1", at Randers Regional Hospital Monday to Friday from 8.00 am to 6.00 pm
- •Patients who are self-administering own drugs at home
排除标准
- •Patients under 18 years old
- •Patients who are not able to self-administer own drugs during hospital stay
- •Patients who do not speak Danish
- •Patients who can not or will not give informed consent
结局指标
主要结局
Medication administration errors
时间窗: on the day of inclusion and the following day. 1-2 days.
The total number of medication administration errors observed compared to the total opportunities for error. Direct observation of nurses (control group) and patients (intervention group) dispensing drugs.
次要结局
- Medication errors after discharge(14 days after discharge)
- Medication Adherence(at hospitalization and 14 days after discharge)
- Patient satisfaction(14 days after discharge)
- Health economics(from day of inclusion to day of discharge (1-31 days).)