Evidence map›Paper›PMID 37217242›Full record

ArticleBMJ open quality2023

Patient perceptions and experiences with medication-related activities in the emergency department: a qualitative study.

Birgitte Zahl-Holmstad, Beate Hennie Garcia, Tine Johnsgård, Eirik Hugaas Ofstad, Elin Christina Lehnbom, Kristian Svendsen, Torsten Risør, Renata Vesela Holis, Renate Elenjord

Open access · goldAbstract read
In one paragraph

Article in BMJ open quality, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

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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

9 authors at 4 institutions in 3 countries.

Birgitte Zahl-HolmstadHospital Pharmacy of North Norway Trust, Tromsø, Norway birgitte.zahl-holmstad@sykehusapotek-nord.no.ORCID 0000-0001-6342-6859
Beate Hennie GarciaHospital Pharmacy of North Norway Trust, Tromsø, Norway.ORCID 0000-0002-0815-0383
Tine JohnsgårdHospital Pharmacy of North Norway Trust, Tromsø, Norway.ORCID 0000-0002-1128-8850
Eirik Hugaas OfstadDepartment of Medicine, Nordland Hospital Trust, Bodø, Norway.ORCID 0000-0003-4821-6938
Elin Christina LehnbomDepartment of Pharmacy, UiT The Arctic University of Norway, Tromsø, Norway.ORCID 0000-0003-1428-5476
Kristian SvendsenDepartment of Pharmacy, UiT The Arctic University of Norway, Tromsø, Norway.ORCID 0000-0003-3481-3539
Torsten RisørDepartment of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway.ORCID 0000-0002-2018-528X
Renata Vesela HolisHospital Pharmacy of North Norway Trust, Tromsø, Norway.ORCID 0000-0002-5417-8424
Renate ElenjordHospital Pharmacy of North Norway Trust, Tromsø, Norway.ORCID 0000-0002-3384-6964
Nordland Hospital Trust · NOLinnaeus University · SEUiT The Arctic University of Norway · NOUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmergency department (ED) pharmacists reduce medication errors and improve quality of medication use. Patient perceptions and experiences with ED pharmacists have not been studied. The aim of this study was to explore patients' perceptions of and experiences with medication-related activities in the ED, with and without an ED pharmacist present.

methodsWe conducted 24 semistructured individual interviews with patients admitted to one ED in Norway, 12 before and 12 during an intervention, where pharmacists performed medication-related tasks close to patients and in collaboration with ED staff. Interviews were transcribed and analysed applying thematic analysis.

resultsFrom our five developed themes, we identified that: (1) Our informants had low awareness and few expectations of the ED pharmacist, both with and without the pharmacist present. However, they were positive to the ED pharmacist. (2) Our informants expressed a variation of trust in the healthcare system, healthcare professionals and electronic systems, though the majority expressed a high level of trust. They believed that their medication list was automatically updated and assumed to get the correct medication. (3) Some informants felt responsible to have an overview of their medication use, while others expressed low interest in taking responsibility regarding their medication. (4) Some informants did not want involvement from healthcare professionals in medication administration, while others expressed no problems with giving up control. (5) Medication information was important for all informants to feel confident in medication use, but the need for information differed.

conclusionDespite being positive to pharmacists, it did not seem important to our informants who performed the medication-related tasks, as long as they received the help they needed. The degree of trust, responsibility, control and information varied among ED patients. These dimensions can be applied by healthcare professionals to tailor medication-related activities to patients' individual needs.

Indexed as

Medication ErrorsProfessional RoleEmergency Service, HospitalHealth PersonnelHumansPharmacistsEmergency departmentMedication safetyPatient PreferencePharmacistsQualitative research

Identifiers

PMID37217242
PMCPMC10230996
OpenAlexW4377294267

What OpenQuestion holds

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LicenceCC BY-NC
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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.