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Improving IV Insulin Administration in a Community Hospital

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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.

Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses

|December 17, 2020

Summary

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.

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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.