Evidence map›Paper›PMID 25070189›Full record

Trial reportEuropean journal of clinical pharmacology2014

Pilot study to assess the influence of an enhanced medication plan on patient knowledge at hospital discharge.

Alexander Francesco Josef Send, Michael Schwab, Annika Gauss, Gottfried Rudofsky, Walter Emil Haefeli, Hanna Marita Seidling

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in European journal of clinical pharmacology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. A Scoping Review on How to Make Hospitals health Literate Healthcare Organizations.International journal of environmental research and public health · 2020
    Article
  7. Observational
  8. In Reply.Deutsches Arzteblatt international · 2017
    Article
  9. Article
  10. Evaluating patients' comprehensibility of a standardized medication plan.European journal of clinical pharmacology · 2016
    Article
  11. Prevention of hospital-acquired thrombosis from a primary care perspective: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016
    Article
  12. Article
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Alexander Francesco Josef SendDepartment of Clinical Pharmacology and Pharmacoepidemiology, University of Heidelberg, 69120, Heidelberg, Germany.
Michael Schwab
Annika Gauss
Gottfried Rudofsky
Walter Emil Haefeli
Hanna Marita Seidling

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study assessed the effect of providing an enhanced medication plan (EMP) to patients during patient-physician conversation at hospital discharge and evaluated its immediate impact on patient knowledge on pharmacotherapy.

methodsWe observed patient-physician conversations at hospital discharge in three internal medicine wards of the University Hospital Heidelberg before and after the EMP was integrated into the discharge process, and documented how and to what extent physicians provided the patients with drug information. After the conversation, the patients' knowledge was evaluated by three standardized questions about their pharmacotherapy.

resultsWe observed 90 conversations (50 before EMP-implementation, 40 after). In both phases, the conversation duration was 5.6-6 min (p = 0.56). However, the time spent on drug information increased significantly by 61.7% after EMP-implementation (+63 s, p = 0.02). Before implementation, physicians gave at least one drug administration recommendation for 75.1% of all drugs, compared to 84.6% after implementation (p = 0.02). The EMP provided information for almost all drugs (98.9%; p < 0.01) after implementation. Three times more patients answered all questions correctly after EMP-implementation (p < 0.01).

conclusionThe provision of an EMP improves information transfer and therefore increases the patients' knowledge of their individual drug treatment without prolonging the overall discharge process.

Indexed as

Health Knowledge, Attitudes, PracticePatient DischargePhysician-Patient RelationsAdultAgedAged, 80 and overCommunicationFemaleHospitals, UniversityHumansMaleMiddle AgedPatient Education as TopicPharmaceutical PreparationsPilot ProjectsProspective StudiesPharmaceutical Preparations

Identifiers

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.