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Self-administration of medication during hospitalization-a randomized pilot study
Charlotte Arp Sørensen1,2,3, Charlotte Olesen1,4, Marianne Lisby3,5
1Hospital Pharmacy Central Denmark Region, Aarhus, Denmark.
Pilot and Feasibility Studies
|August 22, 2020
Summary
This pilot study suggests self-administration of medication (SAM) during hospitalization may be feasible. Patients in the SAM group reported higher satisfaction and experienced fewer dispensing errors compared to standard care.
Area of Science:
- Healthcare interventions
- Patient safety
- Medication management
Background:
- Self-administration of medication (SAM) during hospitalization is a complex patient-centered intervention.
- A pilot study was conducted to assess the feasibility of a randomized controlled trial (RCT) for SAM.
- Objectives included evaluating the safety and cost-consequences of SAM.
Purpose of the Study:
- To pilot test the self-administration of medication (SAM) intervention in a hospital setting.
- To assess the feasibility of conducting a future randomized controlled trial (RCT) on SAM.
- To evaluate the safety and cost-effectiveness of SAM.
Main Methods:
- A pilot study was conducted in a Danish cardiology unit with eligible adult patients.
- Feasibility was determined by recruitment rates, outcome measurement capability, and patient satisfaction.
- Dispensing errors were observed, and patient acceptability was assessed via telephone calls.
Main Results:
- A dispensing error proportion of 3.4% was observed in the SAM group versus 16.1% in the control group.
- Patient satisfaction with medication management was higher in the SAM group (91.7%) compared to the control group (66.7%).
- The study protocol demonstrated overall feasibility with minor adjustments suggested.
Conclusions:
- A pragmatic randomized controlled trial on the safety and cost-consequences of self-administration of medication during hospitalization appears feasible.
- The findings support further investigation into SAM as a safe and potentially cost-effective intervention.
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