Seniors managing multiple medications: using mixed methods to view the home care safety lens.

Ariella Lang; Marilyn Macdonald; Patricia Marck; Lynn Toon; Melissa Griffin; Tony Easty; Kimberly Fraser; Neil J MacKinnon; Jonathan Mitchell; Eddy S Lang; Sharon Goodwin

Study

Seniors managing multiple medications: using mixed methods to view the home care safety lens.

March 2, 2016

Lang A, Macdonald M, Marck P, et al. BMC Health Serv Res. 2015;15:548.

View more articles from the same authors.

This study of medication use by older patients in home settings utilized interviews, observation, and participant-generated photographs and text to document the literacy demands and social support needed for safe medication administration. This work adds to the literature demonstrating the ongoing need for strategies to enhance medication safety.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Client, caregiver, and provider perspectives of safety in palliative home care: a mixed method design.

July 29, 2015

Understanding nurses' and physicians' fear of repercussions for reporting errors: clinician characteristics, organization demographics, or leadership factors?

September 16, 2015

Confirming delivery: understanding the role of the hospitalized patient in medication administration safety.

May 28, 2014

A qualitative study of what care workers do to provide patient safety at home through telecare.

June 23, 2021

The role of feedback in emergency ambulance services: a qualitative interview study.

April 6, 2022

Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology.

August 5, 2020

Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed.

August 10, 2022

Differences in medication reconciliation interventions between six hospitals: a mixed method study.

June 29, 2022

Organizational readiness to change as a leverage point for improving safety: a national nursing home survey.

September 8, 2021

Evaluation of older persons' medications: a critical incident technique study exploring healthcare professionals' experiences and actions.

June 23, 2021

Exploring the barriers and facilitators of psychological safety in primary care teams: a qualitative study.

May 19, 2021

Psychological safety during the test of new work processes in an emergency department.

April 6, 2022

Patients and relatives as auditors of safe practices in oncology and hematology day hospitals.

March 31, 2021

The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis.

August 25, 2021

Internet of things in healthcare for patient safety: an empirical study.

March 16, 2022

Effect of burnout among physicians on observed adverse patient outcomes: a literature review.

June 16, 2021

How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis.

January 26, 2022

Examining markers of safety in homecare using the international classification for patient safety.

June 12, 2013

The impact of hospital accreditation on the quality of healthcare: a systematic literature review.

October 27, 2021

"Time is of the essence": relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing.

December 8, 2021

Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis.

August 17, 2022

Patient safety culture as a space of social struggle: understanding infection prevention practice and patient safety culture within hospital isolation settings - a qualitative study.

December 14, 2022

Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique analysis.

July 14, 2021

Experience of learning from everyday work in daily safety huddles: a multi-method study.

September 14, 2022

Adverse events in women giving birth in a labor ward: a retrospective record review study.

November 3, 2021

Prescribers' perspectives on including reason for use information on prescriptions and medication labels: a qualitative thematic analysis,

March 10, 2021

Patient safety measurement tools used in nursing homes: a systematic literature review.

December 7, 2022

Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment.

July 14, 2021

A human factors intervention in a hospital--evaluating the outcome of a TeamSTEPPS program in a surgical ward.

April 14, 2021

Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study.

August 12, 2020

Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence.

April 12, 2023

Measurement matters: changing penalty calculations under the hospital acquired condition reduction program (HACRP) cost hospitals millions.

February 24, 2021

Fidelity and the impact of patient safety huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project.

October 20, 2021

How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethnographic study across surgical specialties.

March 18, 2020

Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives.

November 25, 2020

Support opportunities for second victims lessons learned: a qualitative study of the top 20 US News and World Report Honor Roll Hospitals.

January 19, 2022

Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit.

November 17, 2021

Exploring psychological safety in healthcare teams to inform the development of interventions: combining observational, survey and interview data.

October 28, 2020

A systematic review exploring the content and outcomes of interventions to improve psychological safety, speaking up and voice behaviour.

March 18, 2020

Interdisciplinary collaboration across secondary and primary care to improve medication safety in the elderly (The IMMENSE study) - a randomized controlled trial.

November 30, 2022

Negative emotions experienced by healthcare staff following medication administration errors: a descriptive study using text-mining and content analysis of incident data.

December 21, 2022

Organizational conditions for engagement in quality and safety improvement: a longitudinal qualitative study of community pharmacies.

February 6, 2019

What is needed to sustain improvements in hospital practices post-COVID-19? A qualitative study of interprofessional dissonance in hospital infection prevention and control.

May 4, 2022

Reduction in omission events after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery.

March 15, 2023

Interdisciplinary clinicians' attitudes, challenges, and success strategies in providing care to transgender people: a qualitative descriptive study.

October 19, 2022

The development of the concept of return-on-investment from large-scale quality improvement programmes in healthcare: an integrative systematic literature review.

January 11, 2023

Characteristics of morbidity and mortality conferences associated with the implementation of patient safety improvement initiatives, an observational study.

March 16, 2016

Nurses' workarounds in acute healthcare settings: a scoping review.

June 19, 2013

Fostering a just culture in healthcare organizations: experiences in practice.

August 31, 2022

Patient factors associated with new prescribing of potentially inappropriate medications in multimorbid US older adults using multiple medications.

May 12, 2021

Psychosocial working conditions as determinants of concerns to have made important medical errors and possible intermediate factors of this association among medical assistants - a cohort study.

March 8, 2023

The psychometric properties of the 'Hospital Survey on Patient Safety Culture' in Dutch hospitals.

January 21, 2009

Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontline workers.

September 29, 2021

Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods.

March 23, 2022

Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study.

April 11, 2012

Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work.

February 3, 2021

September 19, 2012

Patient safety in chiropractic teaching programs: a mixed methods study.

December 23, 2020

Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized trial.

June 22, 2022

Use of an electronic information system to identify adverse events resulting in an emergency department visit.

December 22, 2010

Patient safety: examining the adequacy of the 5 rights of medication administration.

June 30, 2010

Acute care nurses' perceptions of leadership, teamwork, turnover intention and patient safety - a mixed methods study.

October 13, 2021

The critical role of health information technology in the safe integration of behavioral health and primary care to improve patient care.

November 10, 2021

A mixed methods evaluation of medication reconciliation in the primary care setting.

March 2, 2022

Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods study.

May 25, 2022

The impact of health care strikes on patient mortality: a systematic review and meta-analysis of observational studies.

November 30, 2022

Patient involvement in patient safety: a qualitative study of nursing staff and patient perceptions.

August 13, 2014

Keeping our Promises: Research, Practice, and Policy Issues in Health Care Reliability.

August 16, 2006

Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90).

January 26, 2022

Frontiers in measuring structural racism and its health effects.

September 21, 2022

How to scale up quality and safety program with the home care accreditation.

April 13, 2022

Uptake of quality-related event standards of practice by community pharmacies.

April 30, 2014

Evidence-based guidelines for fatigue risk management in EMS: formulating research questions and selecting outcomes.

December 7, 2016

What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study.

January 19, 2022

Unexpected death within 72 hours of emergency department visit: were those deaths preventable?

May 6, 2015

Predicting avoidable hospital events in Maryland.

December 1, 2021

Assessing adverse events among home care clients in three Canadian provinces using chart review.

November 27, 2013

Patient Safety.

January 28, 2015

Assessment of nursing home reporting of major injury falls for quality measurement on Nursing Home Compare.

February 5, 2020

Contributions by the Agency for Healthcare Research and Quality and Grantees.

April 15, 2009

Getting the whole story: integrating patient complaints and staff reports of unsafe care.

July 28, 2021

Mitigating patient and consumer safety risks when using conversational assistants for medical information: exploratory mixed methods experiment.

December 15, 2021

Pharmacist work stress and learning from quality related events.

November 9, 2016

Learning environments, reliability enhancing work practices, employee engagement, and safety climate in VA cardiac catheterization laboratories.

April 6, 2022

Family involvement in managing medications of older patients across transitions of care: a systematic review.

June 26, 2019

Right medication, right dose, right patient, right time, and right route: how do we select the right patient-controlled analgesia (PCA) device?

December 12, 2007

Medication administration technologies and patient safety: a mixed-method systematic review.

May 25, 2011

Staffing levels and nursing-sensitive patient outcomes: umbrella review and qualitative study.

November 3, 2021

Special Issue: Progress at the Intersection of Patient Safety and Medical Liability.

December 14, 2016

Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review.

May 12, 2021

Sources of nurse-sensitive inpatient safety improvement.

December 21, 2022

Patients' willingness and ability to identify and respond to errors in their personal health records: mixed methods analysis of cross-sectional survey data.

July 27, 2022

Understanding the factors influencing implementation of a new national patient safety policy in England: lessons from 'Learning from Deaths'.

May 18, 2022

Changes in early high-risk opioid prescribing practices after policy interventions in Washington State.

October 28, 2020

Operational failures and interruptions in hospital nursing.

June 14, 2006

February 25, 2015

Using automated methods to detect safety problems with health information technology: a scoping review.

February 8, 2023

Using text mining techniques to identify health care providers with patient safety problems: exploratory study.

October 13, 2021

October 16, 2013

Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables.

July 7, 2021

Related Resources

Handling polypharmacy--a qualitative study using focus group interviews with older patients, their relatives, and healthcare professionals.

September 13, 2023

Patient safety in home health care: a grounded theory study.

May 24, 2023

Family conferences to facilitate deprescribing in older outpatients with frailty and with polypharmacy: the COFRAIL cluster randomized trial.

May 10, 2023

Registered nurses' efforts to ensure safety for home-dwelling older patients.

February 22, 2023

Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool.

January 25, 2023

Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care.

January 18, 2023

Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify inadequate drug treatment.

December 14, 2022

Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital.

September 14, 2022

Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals.

July 20, 2022

The source of purchased medications and its impact on medication mistakes and hospitalizations.

March 16, 2022

Perceptions of providing safe care for frail older people at home: a qualitative study based on focus group interviews with home care staff.

November 10, 2021

Geriatric medication reconciliation in the home setting.

July 21, 2021

Assessment of patient-preferred language to achieve goal-aligned deprescribing in older adults.

June 30, 2021

Medication use and cognitive impairment among residents of aged care facilities.

June 23, 2021

Medicine self-administration errors in the older adult population: a systematic review.

June 9, 2021

Patient Safety Innovations

Project BOOST Increases Patient Understanding of Treatment and Follow-up Care

May 26, 2021

Patient Safety Innovations

Hospital at Home℠ Care Reduces Costs, Readmissions, and Complications and Enhances Satisfaction for Elderly Patients.

April 7, 2021

There's no place like home--integrating a pharmacist into the hospital-in-home model.

March 17, 2021

Improving medication appropriateness in nursing homes via structured interprofessional medication-review supported by health information technology: a non-randomized controlled study.

February 24, 2021

System issues leading to "found-on-floor" incidents: a multi-incident analysis.

January 27, 2021

"At home, with care": lessons from New York City home-based primary care practices managing COVID-19.

December 16, 2020

Effects of interorganisational information technology networks on patient safety: a realist synthesis.

December 9, 2020

Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized controlled trial.

July 1, 2020

February 26, 2020

Annual Perspective

Pharmacist Role in Patient Safety

February 21, 2020

Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing home: a before-after study.

February 12, 2020

Analysis of paediatric long-term ventilation incidents in the community

January 22, 2020

STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older people: origin and progress.

January 8, 2020

Potentially inappropriate medications according to STOPP-J criteria and risks of hospitalization and mortality in elderly patients receiving home-based medical services

December 18, 2019

Interview

In Conversation With... Heidi Wald, MD

November 26, 2019

See More About The Topic

Home Care

Health Care Executives and Administrators

Geriatrics

Pharmacy

Medication Safety

Seniors managing multiple medications: using mixed methods to view the home care safety lens.

Project BOOST Increases Patient Understanding of Treatment and Follow-up Care

Hospital at Home℠ Care Reduces Costs, Readmissions, and Complications and Enhances Satisfaction for Elderly Patients.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Seniors managing multiple medications: using mixed methods to view the home care safety lens.

Project BOOST Increases Patient Understanding of Treatment and Follow-up Care

Hospital at Home℠ Care Reduces Costs, Readmissions, and Complications and Enhances Satisfaction for Elderly Patients.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site