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Updated: May 20, 2026

Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models
Published on: March 1, 2015
Drug administration guides in dysphagia
Jose Manuel Serrano Santos1, Fiona Poland, Jennifer Kelly
1University of East Anglia.
Individualised medication administration guides (I-MAGs) improved nurses' confidence in managing patients with dysphagia. Further research is needed to assess their cost-effectiveness and optimize implementation.
Area of Science:
- Pharmacology
- Patient Safety
- Clinical Pharmacy
Background:
- Patients with dysphagia face higher risks of medication administration errors.
- Swallowing difficulties complicate safe and effective drug delivery.
Purpose of the Study:
- To evaluate the utility of individualised medication administration guides (I-MAGs) for dysphagia patients.
- Assessed I-MAG implementation over six months on a stroke ward.
Main Methods:
- A specialist pharmacist developed a software tool for creating I-MAGs based on national guidelines.
- A pilot study involved nurses, pharmacists, and speech and language therapists using the guides.
- Post-pilot questionnaires gathered feedback from healthcare professionals.
Main Results:
- Nineteen of 26 approached health professionals completed questionnaires.
- Sixty-two percent (8/19) of nurses reported increased confidence when using I-MAGs.
- The guides were well-received and supported personalized patient care.
Conclusions:
- Individualised medication administration guides (I-MAGs) show promise in supporting dysphagia patients.
- Implementation requires additional pharmacist involvement and may increase nursing time.
- Cost-effectiveness research is necessary to fully determine the value of I-MAGs.
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