Feasibility Study of Interventions to Reduce Medication Omissions Without Documentation: Recall and Check Study

Maree Johnson1, Paula Sanchez, Catherine Zheng

  • 1Faculty of Health Sciences, Australian Catholic University, North Sydney, New South Wales, Australia (Dr Johnson); Centre for Applied Nursing Research, South Western Sydney Local Health District & University of Western Sydney, Liverpool, New South Wales, Australia (affiliated with the Ingham Institute, Liverpool, New South Wales, Australia) (Dr Johnson and Mss Sanchez and Zheng); School of Computing, Engineering and Mathematics, University of Western Sydney, Penrith, New South Wales, Australia (Ms Zheng); Fairfield Hospital, Fairfield, New South Wales, Australia (Ms Chapman); and South Western Sydney Local Health District, Liverpool, New South Wales, Australia (Ms Chapman).

Insights

A feasibility study tested interventions to reduce medication omissions. While initial results showed no significant difference, adjusted analysis indicated the intervention group had fewer omissions, suggesting potential benefits requiring further research.

Area of Science:

  • Nursing Practice
  • Patient Safety
  • Medication Management

Background:

  • Medication omissions without documentation are a patient safety concern.
  • Effective strategies are needed to minimize these events during healthcare transitions.

Purpose of the Study:

  • To assess the feasibility of an intervention aimed at reducing undocumented medication omissions.
  • To evaluate the impact of nurse-initiated recall cards and chart checking on omission rates.

Main Methods:

  • A feasibility study was conducted comparing an intervention group with a control group.
  • The intervention involved nurse-initiated recall cards and medication chart checking at handover.
  • Omission rates per 100 medications were analyzed.

Main Results:

  • No statistically significant difference in the overall omission rate was observed between groups.
  • After adjusting for hospital and patient age, the intervention group showed a significant reduction in omissions.
  • The study included 262 patients in the intervention group and 272 in the control group.

Conclusions:

  • The tested intervention shows potential for reducing medication omissions without documentation.
  • Further investigation with larger patient samples is warranted to confirm efficacy.
  • This approach may improve medication safety during patient handovers.

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