Evidence map›Paper›PMID 25463269›Full record

SynthesisPloS one2014

Evaluating the effectiveness of self-administration of medication (SAM) schemes in the hospital setting: a systematic review of the literature.

Suzanna J Richardson, Hannah L Brooks, George Bramley, Jamie J Coleman

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 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

31 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Tackling medication errors: how a systems approach improves patient safety.European journal of hospital pharmacy : science and practice · 2026
    Review
  7. Review
  8. Article
  9. 'They Take the Mum Off You When You Come In': An Ethnographic Study of Parent Experiences of Medicines Safety Systems in English Hospitals.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Recommendations for the Implementation of the Self-Administration of Alpha-1 Antitrypsin.International journal of chronic obstructive pulmonary disease · 2023
    Article
  16. Self-Management of Medication on a Cardiology Ward: Feasibility and Safety of the SelfMED Intervention.International journal of environmental research and public health · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. 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

4 authors.

Suzanna J RichardsonUniversity Hospitals Birmingham NHS Foundation Trust, Edgbaston, Birmingham, B15 2WB, United Kingdom.
Hannah L BrooksUniversity Hospitals Birmingham NHS Foundation Trust, Edgbaston, Birmingham, B15 2WB, United Kingdom.
George BramleyPrimary Care Clinical Sciences, School of Health & Population Sciences, University of Birmingham, Birmingham, B15 2TT, United Kingdom.
Jamie J ColemanUniversity Hospitals Birmingham NHS Foundation Trust, Edgbaston, Birmingham, B15 2WB, United Kingdom; School of Clinical and Experimental Medicine, College of Medical and Dental Sciences, University of Birmingham, Birmingham B15 2TT, United Kingdom.

Funding

Department of Health WMCLAHRC-2014-1
6 · The paper itself

Abstract

backgroundSelf-administration of medicines is believed to increase patients' understanding about their medication and to promote their independence and autonomy in the hospital setting. The effect of inpatient self-administration of medication (SAM) schemes on patients, staff and institutions is currently unclear.

objectiveTo systematically review the literature relating to the effect of SAM schemes on the following outcomes: patient knowledge, patient compliance/medication errors, success in self-administration, patient satisfaction, staff satisfaction, staff workload, and costs.

designKeyword and text word searches of online databases were performed between January and March 2013. Included articles described and evaluated inpatient SAM schemes. Case studies and anecdotal studies were excluded.

results43 papers were included for final analysis. Due to the heterogeneity of results and unclear findings it was not possible to perform a quantitative synthesis of results. Participation in SAM schemes often led to increased knowledge about drugs and drug regimens, but not side effects. However, the effect of SAM schemes on patient compliance/medication errors was inconclusive. Patients and staff were highly satisfied with their involvement in SAM schemes.

conclusionsSAM schemes appear to provide some benefits (e.g. increased patient knowledge), but their effect on other outcomes (e.g. compliance) is unclear. Few studies of high methodological quality using validated outcome measures exist. Inconsistencies in both measuring and reporting outcomes across studies make it challenging to compare results and draw substantive conclusions about the effectiveness of SAM schemes.

Indexed as

Health Knowledge, Attitudes, PracticeHospitalsHumansPatient SatisfactionPharmaceutical PreparationsSelf AdministrationTreatment OutcomeWorkloadPharmaceutical Preparations

Identifiers

PMID25463269
PMCPMC4252074

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.