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Improving Medication Safety at Home: A Systematic Review of Educational Interventions for Parents of Paediatric
S Giva1,2,3, F MacDonald3, B Cleary3,4
1Neonatology Department, Rotunda Hospital, Dublin 1, Ireland.
Insights
Structured educational interventions significantly improve caregiver medication knowledge and reduce paediatric medication errors at home. These strategies enhance patient safety and caregiver confidence post-discharge.
Area of Science:
- Paediatric Patient Safety
- Medication Management
- Health Literacy
Background:
- Medication errors pose a significant risk to paediatric patients.
- Limited evidence exists on effective caregiver education for medication management post-discharge.
Purpose of the Study:
- To systematically review the effectiveness of caregiver-focused educational interventions.
- To assess impacts on paediatric medication knowledge and errors.
Main Methods:
- Systematic review following PRISMA guidelines (2005-2025).
- Included studies on paediatric patients (0-16 years) discharged on medication.
- Evaluated caregiver-focused educational interventions.
Main Results:
- Seven studies (RCTs, ITS, cross-sectional) with 1293 participants.
- Multi-component interventions improved knowledge (p<0.001) and reduced dosing errors (12%-54%).
- Adherence showed improvement in one study; meta-analysis was precluded by heterogeneity.
Conclusions:
- Structured educational interventions enhance caregiver understanding and reduce home medication errors.
- Literacy-sensitive materials, counselling, and dosing tools improve paediatric patient safety.
- Further research needed on long-term impact and cost-effectiveness.
Aim:
Medication errors are a leading cause of preventable harm in paediatric patients, both during hospitalisation and after discharge. Evidence on the effectiveness of educational interventions to improve caregiver medication knowledge remains limited.
Methods:
A systematic review was conducted following PRISMA guidelines and registered in PROSPERO (ID: 1114374). Databases were searched for studies (2005-2025) involving paediatric patients (0-16 years) discharged on medication and evaluating caregiver-focused educational interventions.
Results:
Seven studies (three Randomised controlled trials, three Interrupted Time Series and one cross-sectional) including 1293 participants were included. Interventions commonly combined advanced counselling, health literacy-informed education and standardised dosing tools. Multi-component strategies significantly improved caregiver medication knowledge (p < 0.001 in several studies) and reduced dosing errors (12%-54%, p < 0.05). Only one study assessed adherence, showing improvement. Methodological heterogeneity precluded meta-analysis.
Conclusion:
Structured educational interventions effectively enhance caregiver understanding and reduce medication errors at home. Incorporating literacy-sensitive materials, counselling and dosing tools into discharge processes may improve safety and caregiver confidence. Further research should explore long-term impact, cost-effectiveness and applicability across diverse settings.
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