3D: a tool for medication discharge education. Issue 1 (14th February 2007)

• Record Type: Journal Article
• Authors: Manning, Dennis M; O'Meara, John G; Williams, Arthur R; Rahman, Ahmed; Myhre, Danica; Tammel, Karyl J; Carter, Lisa C
• Is Part Of: Quality & safety in health care. Volume 16:Issue 1(2007)
• Page Start: 71
• Page End: 76
• Publication Date: 2007-02-14
• Subjects: 3D, Durable Display at Discharge -- MDE, medication discharge education -- MDW, Medication Discharge Worksheet
• DOI: 10.1136/qshc.2006.018564
• Languages: English
• ISSNs: 1475-3898

Abstract

Abstract : Background: At the time of transition from hospital to home, many patients are challenged by multi-drug regimens. The authors' standard patient education tool is a personalised Medication Discharge Worksheet (MDW) that includes a list of medications and administration times. Nonetheless, patient understanding, satisfaction, and safety remain suboptimal. Therefore, the authors designed a new tool: Durable Display at Discharge (3D). Unlike MDW, 3D features (1) space in which a tablet or pill is to be affixed and displayed, (2) trade name (if apt), (3) unit strength, (4) number (and/or fraction) of units to be taken, (5) purpose (indication), (6) comment/caution, (7) larger font, (8) card stock durability and (9) a reconciliation feature. Methods: The authors conducted an exploratory, randomised trial (n = 138) to determine whether 3D, relative to MDW, improves patient satisfaction, improves patient understanding and reduces self-reported medication errors. Trained survey research personnel, blinded to hypotheses, interviewed patients by telephone 7–14 days after discharge. Results: Both tools were similarly associated with high satisfaction and few self-reported errors. However, 3D subjects demonstrated greater understanding of their medications. Conclusions: Although both tools are associated with similarly high levels of patient satisfaction and low rates of self-reported medication error, 3D appears to promote patient understanding of the medications, and warrants further study.