Purposeful collaboration: Enriching lives for people with Parkinson’s disease
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01 jun 2020
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Categoría del artículo: research-article
Publicado en línea: 01 jun 2020
Páginas: 32 - 43
DOI: https://doi.org/10.21307/ajon-2020-004
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© 2020 Vincent Carroll., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
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Summary of main pre- and post-implementation differences (chart audit)
| Intervention | Baseline | Post-implementation |
|---|---|---|
| Identification of patients with PD within 4 hours of admission | 90% | 100% |
| Automated referral to pharmacist for patient review on admission | 27% | 31% |
| Prescription and administration of contraindicated medications | 44% | 16% |
| Contraindicated medications identified on medication charts (post-implementation) | - | 94.7% |
| PD medications administered on time | 44.4% | 63.2% |
| Time critical stickers used on medication charts (post-implementation) | - | 68.4% |
Patient/carer satisfaction (N=15)
| Item | Responses | |||
|---|---|---|---|---|
| Always n (%) | Sometimes n (%) | No n (%) | Don’t know n (%) | |
| Parkinson’s disease medications received on time? | 12 (80) | 2 (13.3%) | - | 1 (6.7) |
| Dissatisfied n (%) | Neither satisfied nor dissatisfied n (%) | Somewhat satisfied n (%) | Very satisfied n (%) | |
| Satisfaction with mediation management | - | - | 3 (20) | 12 (80) |
| Free text comments (examples) | ‘I don’t know much about my medications, just a new diagnosis’ | |||
Medication incidents and length of hospital stay before and during the project period
| 2015 | 2016 | 2017 | |
|---|---|---|---|
| Number of patients with Parkinson’s disease admitted | 101 | 149 | 112 |
| Number of reported medication incidents | 11 | 6 | 5 |
| Length of hospital stay (days)a | 9 | 6 | 8 |
Nursing staff responses to the medication management intervention surveys
| Yes n (%) | No n (%) | Not applicable n (%) | |
|---|---|---|---|
| Have you cared for a patient with Parkinson’s disease in the last 2 months? | 23 (95.8) | 1 (0.4) | |
| Have you seen the contraindicated medication sticker? | 16 (66.7) | 8 (33.3) | |
| If yes, did the sticker highlight the importance of NOT administering the listed medications? | 16 (66.7) | 0 | 8 (33.3) |
| If yes, did the sticker result in a change of practice? | 9 (37.5) | 5 (20.8) | 8 (33.3) |
| Did you know that these commonly prescribed meds were contraindicated for people with PD? | 18 (75) | 6 (25) | |
| Did the sticker result in a change of knowledge? | 10 (41.6) | 8 (33.3) | 6 (25) |
| Have you seen the time critical sticker? | 15 (78.9) | 4 (21) | |
| If yes, did the sticker result in a change of knowledge? | 5 (26.3) | 10 (52.6) | 4 (21) |
| If yes, did the sticker result in a change of practice | 5 (26.3) | 10 (52.6) | 4 (21) |
| Are the stickers user friendly? | 18 (94.7) | 1 (5.3) | |
| Are you aware that medications are available in the ED? | 11 (91.7) | 1 (8.3) | |
| If yes, were you able to identify the correct medication for the patient? | 9 (75) | 3 (25) | |
| If yes, has access to the medication been beneficial in providing the correct medication for the patient? | 9 (75) | 3 (25) | |
| Should these medications be available in the ED on a permanent basis? | 12 (100) | ||
| Has the initiative | 10 (83.3) | 2 (16.7) | |
| Did the alarm clock highlight the importance of the need to administer the meds on time? | 18 (100) | ||
| Did the alarm clock result in a change in practise? | 8 (44.4) | 7 (38.9) | 3 (16.7) |
| Is the alarm clock picture user friendly? | 14 (77.8) | ||