ArticleThe journal of nutrition, health & aging2017
Assessment of Clinical Practices for Crushing Medication in Geriatric Units.
Article in The journal of nutrition, health & aging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 42 citations in OpenAlex.
- Assessment of Taste and Grittiness of RiometDrugs in R&D · 2019Trial
- A qualitative study exploring the views of healthcare professionals regarding patients who have difficulty swallowing medicines.International journal of clinical pharmacy · 2026Article
- The Potential Role of Therapeutic Drug Monitoring for Safe and Effective Anti-Infective Therapy with Manipulated Dosage Forms.Pharmaceutics · 2026Review
- The Stability of Drugs Commonly Used in Intensive Care Units Co-Administered via Feeding Tube and Its Dependence on pH: An in vitro Study.Pharmacology · 2026Article
- Questions in Healthcare Specifically Related to the Discipline of Pharmacy: A Descriptive Analysis of Queries to Drug Information Centres in Sweden.Basic & clinical pharmacology & toxicology · 2025Article
- Application of a screening tool to understand the medication habits of patients with swallowing difficulty: a prospective observational study.International journal of clinical pharmacy · 2025Observational
- Errors Associated With Medication Administration by a Nurse During Hospitalisation: A Prospective Observational Multicentric Study.Nursing open · 2025Observational
- Comparative Analysis of Verapamil Pharmacokinetics: Evaluating the Impact of Simple Suspension and Crushing Administration Methods.Journal of clinical medicine · 2024Article
- Summary of the best evidence for the management of dysphagia in elderly patients.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024Review
- Point Prevalence Survey of Acute Hospital Patients with Difficulty Swallowing Solid Oral Dose Forms.Pharmaceutics · 2024Article
- Unraveling medication errors in enteral tube administration: A cross-sectional study in geriatric patients receiving home health care.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2024Article
- Adult Patients with Difficulty Swallowing Oral Dosage Forms: A Systematic Review of the Quantitative Literature.Pharmacy (Basel, Switzerland) · 2023Review
- Crushed Tablet Administration for Patients with Dysphagia and Enteral Feeding: Challenges and Considerations.Drugs & aging · 2023Review
- Identifying and addressing pill aversion in adults without physiological-related dysphagia: A narrative review.British journal of clinical pharmacology · 2022Review
- Performance of Tablet Splitters, Crushers, and Grinders in Relation to Personalised Medication with Tablets.Pharmaceutics · 2022Article
- Article
- Appropriateness of oral dosage form modification for aged care residents: a video-recorded observational study.International journal of clinical pharmacy · 2020Observational
- The Added Value of Liquid Antipsychotics: The Case of Quetiapine.Current clinical pharmacology · 2019Review
- Pilot of a Charter to Improve Management of Medicines and Oral Care for Residents with Dysphagia in Care Homes.Geriatrics (Basel, Switzerland) · 2018Article
- Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo assess the modification of the form of medication and evaluate staff observance of good clinical practices.
designOne-day assessment of clinical practices.
setting17 geriatrics units in the 3 Teaching Hospitals of Paris-Sud (APHP), France.
participantsElderly in-patients with difficulties swallowing capsules and tablets. MEASUREMENTS: Assessment of target-patient prescriptions and direct observation of nurses' medical rounds.
results155/526 in-patients (29.5%) were unable to swallow tablets or capsules: 98 (40.3%) in long-term care, 46 patients (23.8%) in the rehabilitation unit and 11 (12.2%) in the acute care unit (p = .005). In thirty-nine (27.3%) of the 143 prescriptions studied all tablets were safe to crush and all capsules were safe to open. In 104 cases, at least one medication could not be safely modified, including 26 cases (18.2%) in which none of the prescribed drugs were safe to crush or open. In 48.2% of the 110 medications that were crushed, crushing was forbidden, and presented a potential threat in 12.7% of cases or a reduced efficacy in 8.2% of cases. Crushing methods were rarely appropriate: no specific protective equipment was used (81.8%), crushing equipment was shared between patients without cleaning (95.1%), medications were spilled or lost (69.9%). The method of administration was appropriate (water, jellified water) in 25% of the cases, questionable (soup, coffee, compote, juice, cream) in 55% of the cases and unacceptable (laxative) in 21% of the cases.
conclusionManagement of drug prescriptions in patients with swallowing difficulties is not optimal, and may even have iatrogenic effects. In this study, 12.7% of the modifications of the drug form could have been harmful. Doctors, pharmacists and nurses need to reevaluate their practices.
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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.