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Do Errorless Methods Improve Discharge Medication Instruction and Adherence?
Maricel Carlos Patiag1, Sharon Deveux1, Martha E Farrar Highfield2
1Center for Rehabilitation Medicine, Dignity Health-Northridge Hospital Medical Center, Northridge, CA, USA.
Errorless teaching with medication cards improved nurse teaching for patients with cognitive challenges. This intervention may enhance medication adherence and safe self-management post-discharge.
Area of Science:
- Nursing Education
- Patient Safety
- Pharmacology
Background:
- Post-discharge adverse drug events are a significant national concern.
- Effective inpatient medication instruction is crucial for patient safety.
- Persons with cognitive challenges (PWCCs) often require specialized teaching methods.
Purpose of the Study:
- To evaluate the impact of errorless teaching/learning methods plus pictorial medication cards (ETL + card) on registered nurse (RN) teaching.
- To assess the effect of ETL + card on medication adherence among PWCCs.
- To determine if this intervention improves medication self-management in PWCCs.
Main Methods:
- A pre-post intervention study design was employed.
- Data were collected from RNs and PWCCs on a rehabilitation unit.
- Intervention involved RNs using ETL + card for medication instruction.
Main Results:
- RNs utilized significantly more teaching strategies post-intervention (p = .003).
- Patient prescription fill rates improved from 67% to 85%.
- RN teaching satisfaction increased from 0% to 50%.
Conclusions:
- ETL + card intervention enhanced RN medication teaching.
- The intervention showed a potential positive impact on patient medication adherence.
- ETL + card may support safe medication self-management for PWCCs.

