Evidence map›Paper›PMID 36414977›Full record

ArticleJournal of pharmaceutical policy and practice2022

Home care nurses' management of high-risk medications: a cross-sectional study.

Irina Dumitrescu, Minne Casteels, Kristel De Vliegher, Laura Mortelmans, Tinne Dilles

Open access · goldAbstract read
In one paragraph

Article in Journal of pharmaceutical policy and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 40% of its field
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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. 'We're the Eyes and Ears… out There': A Qualitative Exploration of the Perceptions and Experiences of Polypharmacy Amongst Home Care Providers.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  2. 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

5 authors at 2 institutions in 1 country.

Irina DumitrescuFaculty of Medicine and Health Sciences, Department of Nursing Science and Midwifery, Centre For Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), University of Antwerp, Antwerp, Belgium. irina.dumitrescu@vlaanderen.wgk.be.ORCID http://orcid.org/0000-0001-6001-8964
Minne CasteelsNursing Department, White-Yellow Cross of Flanders, Brussels, Belgium.ORCID http://orcid.org/0000-0001-9401-5489
Kristel De VliegherNursing Department, White-Yellow Cross of Flanders, Brussels, Belgium.
Laura MortelmansFaculty of Medicine and Health Sciences, Department of Nursing Science and Midwifery, Centre For Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), University of Antwerp, Antwerp, Belgium.ORCID http://orcid.org/0000-0003-1720-5478
Tinne DillesFaculty of Medicine and Health Sciences, Department of Nursing Science and Midwifery, Centre For Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), University of Antwerp, Antwerp, Belgium.ORCID http://orcid.org/0000-0003-2817-0944
University of Antwerp · BEKU Leuven · BE

Funding

Koning Boudewijnstichting 2019-J5170825-104913
6 · The paper itself

Abstract

backgroundHigh-risk medications use at home entails an increased risk of significant harm to the patient. While interventions and strategies to improve medications care have been implemented in hospitals, it remains unclear how this type of medications care is provided in the home care setting. The objective was to describe home care nurses' management of high-risk medications.

methodsA cross-sectional, descriptive design was set up in home care nurses in Flanders, Belgium. Participants were recruited through convenience sampling and could be included in the study if they provided medications care and worked as a home care nurses. Participants completed an online structured questionnaire. Questions were asked about demographic information, work experience, nurses' general attitude regarding high-risk medications, contact with high-risk medications and the assessment of risk and severity of harm, specific initiatives undertaken to improve high-risk medications care and the use of additional measures when dealing with high-risk medications. Descriptive statistics were used.

resultsA total of 2283 home care nurses participated in this study. In our study, 98% of the nurses reported dealing high-risk medications. Home care nurses dealt the most with anticoagulants (96%), insulin (94%) and hypnotics and sedatives (87%). Most nurses took additional measures with high-risk medications in less than 25% of the cases, with the individual double check being the most performed measure for all high-risk medications except lithium. Nurses employed by an organization received support mostly in the form of a procedure while self-employed nurses mostly look for support through external organizations and information sources.

conclusionsThe study shows several gaps regarding high-risk medications care, which can imply safety risks. Implementation and evaluation of more standardized high-risk medications care, developing and implementing procedures or guidelines and providing continuous training for home care nurses are advised.

Indexed as

Community careCross-sectional studyHigh-risk medicationsHome care nurseMedications care

Identifiers

PMID36414977
PMCPMC9682630
OpenAlexW4309650695

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.