ArticleTherapeutic advances in drug safety2020
Self-administration of medication: a pragmatic randomized controlled trial of the impact on dispensing errors, perceptions, and satisfaction.
Article in Therapeutic advances in drug safety, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Trial
- Patient Performance of Care Tasks During Acute Hospitalisation: A Scoping Review.Journal of clinical nursing · 2025Article
- Article
- Developing and piloting a cross-sectoral hospital pharmacist intervention for patients in transition between hospital and general practice.Therapeutic advances in drug safety · 2023Article
- Measures used to assess interventions for increasing patient involvement in Danish healthcare setting: a rapid review.BMJ open · 2022Review
- Self-Management of Medication on a Cardiology Ward: Feasibility and Safety of the SelfMED Intervention.International journal of environmental research and public health · 2022Article
- Pharmacist's interventions in factors contributing to medication errors reduces medication errors in self-management of patients in the rehabilitation ward.Journal of pharmaceutical health care and sciences · 2022Article
- The effect of Patient's Own Medication use on patient's self-reported medication knowledge during hospitalisation: a pre-post intervention study.BMC health services research · 2022Article
- Analysis of factors contributing to medication errors during self-management of medication in the rehabilitation ward: a case control study.BMC health services research · 2022Article
- Patients' views on Self-administration of Medication during hospitalisation: a mixed-methods study.Therapeutic advances in drug safety · 2022Article
- Cost-consequence analysis of self-administration of medication during hospitalization: a pragmatic randomized controlled trial in a Danish hospital setting.Therapeutic advances in drug safety · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
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Abstract
backgroundOur aim was to investigate whether self-administration of medication (SAM) during hospitalization affects the number of dispensing errors, perceptions regarding medication, and participant satisfaction when compared with nurse-led medication dispensing.
methodsA pragmatic randomized controlled trial was performed in a Danish cardiology unit. Patients aged ⩾ 18 years capable of SAM were eligible for inclusion. Patients were excluded if they did not self-administer medication at home, were not prescribed medication suitable for self-administration, or did not speak Danish.Intervention group participants self-administered their medication. In the control group, medication was dispensed and administered by nurses.The primary outcome was the proportion of dispensing errors collected through modified disguised observation of participants and nurses. Dispensing errors were divided into clinical and procedural errors.Secondary outcomes were explored through telephone calls to determine participant perceptions regarding medication and satisfaction, and finally, deviations in their medication list two weeks after discharge.
resultsSignificantly fewer dispensing errors were observed in the intervention group, with 100 errors/1033 opportunities for error (9.7%), compared with 132 errors/1028 opportunities for error (12.8%) in the control group. The number of clinical errors was significantly reduced, whereas no difference in procedural errors was observed. At follow up, those who were self-administering medication had fewer concerns regarding their medication, found medication to be less harmful, were more satisfied, preferred this opportunity in the future, and had fewer deviations in their medication list after discharge compared with the control group.
conclusionIn conclusion, the reduced number of dispensing errors in the intervention group, indicate that SAM is safe. In addition, SAM had a positive impact on (a) perceptions regarding medication, thus suggesting increased medication adherence, (b) deviations in medication list after discharge, and (c) participant satisfaction related to medication management at the hospital.
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