Medication administration in aged care facilities: a mixed-methods systematic review.

Adverse drug events (ADEs) are one of the most common adverse events in long-term care (LTC). This systematic review synthesizes staff, resident, and family perspectives on medication administration ADEs in LTC. Five themes were uncovered: staffing, the uncertain role of residents, medication-related decision-making, use of electronic medication administration records, and medication administration errors. Dose form modification, such as crushing tablets and adding them to food, was a common approach to ensure adherence. This activity calls into question resident autonomy to decline medications as well as safety for medications that should not be modified.