ArticleErgonomics2018
Medication adherence: staying within the boundaries of safety.
Article in Ergonomics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Role of informal carers in medication management for people with long-term conditions: a systematic review.BMJ open · 2025Pooled it
- Deprescribing interventions and their impact on medication adherence in community-dwelling older adults with polypharmacy: a systematic review.BMC geriatrics · 2019Pooled it
- Caregivers' Contributions to Heart Failure Self-care: An Updated Systematic Review.The Journal of cardiovascular nursingPooled it
- Social and Physical Environmental Factors Associated with Antihypertensive Medication Non-Adherence Among Older Adults with Hypertension in South Korea: Findings from the 2023 Community Health Survey.Healthcare (Basel, Switzerland) · 2026Article
- Exploring medication safety in prisons: a scoping review.BMJ open · 2026Article
- Social Determinants of Health and Medication Adherence in Older Adults with Prevalent Chronic Conditions in the United States: An Analysis of the National Health and Nutrition Examination Survey (NHANES) 2009-2018.Pharmacy (Basel, Switzerland) · 2025Article
- Exploring the reasons for self-administration medication errors among illiterate and low-literate community-dwelling older adults with polypharmacy: a qualitative study.BMC geriatrics · 2024Article
- Medication Management Strategies to Support Medication Adherence: Interview Study With Older Adults.Interactive journal of medical research · 2024Article
- Digital Solutions Available to Be Used by Informal Caregivers, Contributing to Medication Adherence: A Scoping Review.Pharmacy (Basel, Switzerland) · 2024Article
- Usability of an automated medication dispensation device and adherence dashboard: A study protocol.PloS one · 2024Article
- Understanding the medication safety challenges for patients with mental illness in primary care: a scoping review.BMC psychiatry · 2023Article
- Real-World Evidence of Aripiprazole Tablets with Sensor: Treatment Patterns and Impacts on Psychiatric Healthcare Resource Utilization.ClinicoEconomics and outcomes research : CEOR · 2023Article
- Self-reported medication adherence instruments and their applicability in low-middle income countries: a scoping review.Frontiers in public health · 2023Article
- Human factors and ergonomics methods for pharmacy research and clinical practice.Research in social & administrative pharmacy : RSAP · 2021Review
- SEIPS 101 and seven simple SEIPS tools.BMJ quality & safety · 2021Review
- Resilience of Medication Adherence Practices in Response to Life Changes: Learning from Qualitative Data Obtained during the COVID-19 Pandemic.Healthcare (Basel, Switzerland) · 2021Article
- Understanding Cancer Survivors' Educational Needs About Prescription Opioid Medications: Implications for Cancer Education and Health Literacy.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021Article
- Medication transitions: Vulnerable periods of change in need of human factors and ergonomics.Applied ergonomics · 2021Article
- Medication management strategies used by older adults with heart failure: A systems-based analysis.European journal of cardiovascular nursing · 2018Article
- Activity Theory Analysis of Heart Failure Self-Care.Mind, culture, and activity · 2018Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
An important domain of patient safety is the management of medications in home and community settings by patients and their caregiving network. This study applied human factors/ergonomics theories and methods to data about medication adherence collected from 61 patients with heart failure accompanied by 31 informal caregivers living in the US. Seventy non-adherence events were identified, described, and analysed for performance shaping factors. Half were classified as errors and half as violations. Performance shaping factors included elements of the person or team (e.g. patient limitations), task (e.g. complexity), tools and technologies (e.g. tool quality) and organisational, physical, and social context (e.g. resources, support, social influence). Study findings resulted in a dynamic systems model of medication safety applicable to patient medication adherence and the medication management process. Findings and the resulting model offer implications for future research on medication adherence, medication safety interventions, and resilience in home and community settings. Practitioner Summary: We describe situational and habitual errors and violations in medication use among older patients and their family members. Multiple factors pushed performance towards risk and harm. These factors can be the target for redesign or various forms of support, such as education, changes to the plan of care, and technology design.
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Registered trials
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.