Assessing patient work system factors for medication management during transition of care among older adults: an observational study.
Xiao Y, Hsu Y-J, Hannum SM, et al. Assessing patient work system factors for medication management during transition of care among older adults: an observational study. BMJ Qual Saf. 2025;34(1):8-17. doi:10.1136/bmjqs-2024-017297.
Medication administration at home can be complex, particularly for older adults taking multiple medications. This article describes the development and evaluation of measures of patient work-system factors in medication management among older adults transitioning from hospital to home. The study found that most adults managed medications without caregivers, faced low self-efficacy, and were unable to complete medication administration tasks – all of which increased reports of feeling overwhelmed and experiencing medication discrepancies. The authors suggest that patient work-system factors be assessed before transitions to home to identify patients at higher risk for poor medication management.