AI Article Synopsis
- The study aimed to evaluate how patient's own medications (POMs) are managed in a Swiss hospital to improve safety during inpatient admissions.
- A survey of caregivers revealed that while some units had policies for managing POMs, key issues included improper storage in patient rooms and inconsistent checks of medication quality prior to administration.
- The findings suggest a need for better management practices, and an institutional guideline is being developed to address these issues.
Article Abstract
Objective: The use of patient's own medications (POMs) during inpatient admissions may represent a risk if not adequately supervised. The objective of this work was: (i) to assess the management of POMs in our hospital, and (ii) to identify actions to assure this practice.
Methods: A questionnaire survey was conducted among caregivers of the medical, surgery and geriatric units of a Swiss regional hospital. Six criteria for appropriate management of POMs were identified from the literature and internal consensus. Based on this survey and data from literature, the investigators identified relevant actions to be implemented for optimizing the management of POMs.
Results: Out of the 21 included units, 3 already set an inner written POMs policy, and 3 managed POM in accordance with selected criteria. The main issues were that POMs were mainly stored in the patient's room, and that quality criteria were not systematically checked before POMs' administration. POMs were mainly used to ensure continuity of treatment. Two thirds of the units systematically returned POMs to the patients upon discharge, but rarely sorted them out before recovery. Ten actions were identified to secure the management of POMs.
Conclusion: These results confirm that POMs are commonly used and indicate a potential for improvement in the management of POMs in our hospital. An institutional guideline is now planned to support the implementation of the identified actions.
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| http://dx.doi.org/10.1016/j.pharma.2016.12.001 | DOI Listing |
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