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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Improving Medication Safety Following Neonatal Discharge: A Feasibility Study of a Parent Medication Education
S Giva1,2,3, B Cleary3,4, F Gaffney4
1School of Postgraduate Studies, Royal College of Surgeons in Ireland, Dublin 2, Ireland.
Insights
Recruiting parents for the PADDINGToN-2 study on medication safety resources was feasible. While retention was moderate, it supports further research into safer home medication administration for neonates.
Area of Science:
- Neonatal care
- Patient safety
- Health services research
Background:
- Neonates discharged with medications face medication error risks.
- The PADDINGToN programme developed parent-designed resources for safe medication administration.
- Previous interventions aimed to improve medication safety post-discharge.
Purpose of the Study:
- Evaluate the feasibility of recruiting and retaining parents in the PADDINGToN-2 study.
- Assess the usability of parent co-designed resources for home medication administration.
- Support safer medication practices for neonates after hospital discharge.
Main Methods:
- Prospective single-centre feasibility study (March-December 2025).
- Recruited parents of infants on ≥2 medications before discharge.
- Followed 35 parents for 12 weeks, assessing recruitment, retention, anxiety, and confidence.
Main Results:
- Recruitment was feasible with 35 parents enrolled.
- Retention rate was 42.8%, meeting 'Amber' criteria for feasibility with modifications.
- Parental anxiety scores significantly decreased from baseline (median 9 to 5).
Conclusions:
- Feasibility of recruitment confirmed, supporting progression to larger studies.
- Retention met criteria, indicating potential for optimized strategies.
- Findings support the development of interventions for safer neonatal medication administration at home.
Aim:
Neonates discharged home on medications remain at risk of medication errors. The PADDINGToN programme previously developed parent co-designed resources to support safer medication administration following discharge. The aim of this study, PADDINGToN-2, is to evaluate the feasibility of recruiting and retaining parents in a study assessing these resources in order to support safer medication administration at home.
Methods:
Prospective single-centre feasibility study in a level 3 neonatal unit between March and December 2025. Parents of infants discharged on ≥ 2 medications were recruited before discharge, and followed for 12 weeks. Primary outcome was recruitment and retention using predefined progression criteria. Secondary outcomes included assessment of parental anxiety and confidence in medication administration.
Results:
In all, 35 parents were recruited. Retention was 42.8%, meeting predefined 'Amber' progression criteria indicating feasibility with protocol modification. Anxiety scores decreased from a median of 9 at baseline to 5 at follow-up.
Conclusions:
Recruitment was feasible, and retention met predefined criteria, supporting progression to a larger multi-centre implementation study with optimised retention strategies.
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