Self-Management of Medication on a Cardiology Ward: Feasibility and Safety of the SelfMED Intervention

An intervention, SelfMED, was introduced to facilitate patient self-management of medication during hospitalization. This study aimed to evaluate the feasibility and safety of the SelfMED intervention. All patients in a cardiology ward in a Belgian regional hospital were assessed for suitability for...

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Autores principales: Vanwesemael, Toke, Mortelmans, Laura, Boussery, Koen, Jordan, Sue, Dilles, Tinne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9778667/
https://www.ncbi.nlm.nih.gov/pubmed/36554596
http://dx.doi.org/10.3390/ijerph192416715
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author Vanwesemael, Toke
Mortelmans, Laura
Boussery, Koen
Jordan, Sue
Dilles, Tinne
author_facet Vanwesemael, Toke
Mortelmans, Laura
Boussery, Koen
Jordan, Sue
Dilles, Tinne
author_sort Vanwesemael, Toke
collection PubMed
description An intervention, SelfMED, was introduced to facilitate patient self-management of medication during hospitalization. This study aimed to evaluate the feasibility and safety of the SelfMED intervention. All patients in a cardiology ward in a Belgian regional hospital were assessed for suitability for inclusion, applying an evidence-based stepped assessment tool. Patients eligible for medication self-management and willing to participate were included in the study (i.e., consecutive sampling). Patients who self-managed their medication were closely monitored by nurses. The feasibility of medication self-management was evaluated by implementation and completion rates and the opinions of cardiologists. Safety was evaluated by medication administration errors and errors in patients’ registration of intake. Of 159 patients assessed for eligibility to self-manage medication in-hospital, 61 were included. A total of 367 medicines were self-managed. Pill counts showed 3 administration errors (0.8%), and on 6 occasions (1.7%) the patient’s registration of the intake was incorrect. SelfMED was deemed feasible within the hospital ward. In cardiologists’ opinions, SelfMED requires substantial time investment. In summary, SelfMED facilitated patient medication self-management in-hospital. As an essential step in the preparation for a full trial, this study showed it is feasible and safe to implement the intervention and identified some possibilities for refinement.
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spelling pubmed-97786672022-12-23 Self-Management of Medication on a Cardiology Ward: Feasibility and Safety of the SelfMED Intervention Vanwesemael, Toke Mortelmans, Laura Boussery, Koen Jordan, Sue Dilles, Tinne Int J Environ Res Public Health Article An intervention, SelfMED, was introduced to facilitate patient self-management of medication during hospitalization. This study aimed to evaluate the feasibility and safety of the SelfMED intervention. All patients in a cardiology ward in a Belgian regional hospital were assessed for suitability for inclusion, applying an evidence-based stepped assessment tool. Patients eligible for medication self-management and willing to participate were included in the study (i.e., consecutive sampling). Patients who self-managed their medication were closely monitored by nurses. The feasibility of medication self-management was evaluated by implementation and completion rates and the opinions of cardiologists. Safety was evaluated by medication administration errors and errors in patients’ registration of intake. Of 159 patients assessed for eligibility to self-manage medication in-hospital, 61 were included. A total of 367 medicines were self-managed. Pill counts showed 3 administration errors (0.8%), and on 6 occasions (1.7%) the patient’s registration of the intake was incorrect. SelfMED was deemed feasible within the hospital ward. In cardiologists’ opinions, SelfMED requires substantial time investment. In summary, SelfMED facilitated patient medication self-management in-hospital. As an essential step in the preparation for a full trial, this study showed it is feasible and safe to implement the intervention and identified some possibilities for refinement. MDPI 2022-12-13 /pmc/articles/PMC9778667/ /pubmed/36554596 http://dx.doi.org/10.3390/ijerph192416715 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Vanwesemael, Toke
Mortelmans, Laura
Boussery, Koen
Jordan, Sue
Dilles, Tinne
Self-Management of Medication on a Cardiology Ward: Feasibility and Safety of the SelfMED Intervention
title Self-Management of Medication on a Cardiology Ward: Feasibility and Safety of the SelfMED Intervention
title_full Self-Management of Medication on a Cardiology Ward: Feasibility and Safety of the SelfMED Intervention
title_fullStr Self-Management of Medication on a Cardiology Ward: Feasibility and Safety of the SelfMED Intervention
title_full_unstemmed Self-Management of Medication on a Cardiology Ward: Feasibility and Safety of the SelfMED Intervention
title_short Self-Management of Medication on a Cardiology Ward: Feasibility and Safety of the SelfMED Intervention
title_sort self-management of medication on a cardiology ward: feasibility and safety of the selfmed intervention
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9778667/
https://www.ncbi.nlm.nih.gov/pubmed/36554596
http://dx.doi.org/10.3390/ijerph192416715
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