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High-Risk Medication in Home Care Nursing: A Delphi Study
Irina Dumitrescu, Minne Casteels, Kristel De Vliegher1
1Nursing Departement, Wit-Gele Kruis van Vlaanderen, Brussels.
Journal of Patient Safety
|May 9, 2022
Summary
This study identified 27 high-risk medications (HRMs) for home care nursing. The findings provide essential guidance for home care agencies to develop policies for safer medication management.
Area of Science:
- Nursing
- Pharmacology
- Patient Safety
Background:
- Home care nursing involves managing complex medication regimens.
- Identifying high-risk medications (HRMs) is crucial for patient safety in home care.
- Current consensus on HRMs in home care is lacking.
Purpose of the Study:
- To establish consensus on medications considered high-risk in home care nursing.
- To recommend interventions for home care nurses to enhance safety in managing HRMs.
Main Methods:
- International Delphi study involving 13 experts from 4 countries.
- A 3-round iterative survey was conducted from May to October 2018.
- Consensus was defined as 80% expert agreement on medication classification and interventions.
Main Results:
- Experts identified 27 (groups of) medications as high-risk for home care nurses.
- Additional interventions were deemed necessary for 28 medications.
- A care procedure was considered necessary for 12 medications.
Conclusions:
- A defined set of medications are primarily considered high-risk in home care nursing.
- The findings support home care agencies in developing HRM policies.
- This research improves the quality and safety of medication management in home care.
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