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Published in: BMC Health Services Research 1/2024

Open Access 01-12-2024 | Research

Designing a tool ensuring older patients the right medication at the right time after discharge from hospital– the first step in a participatory design process

Authors: Thorbjørn Hougaard Mikkelsen, Jens Søndergaard, Niels Kristian Kjær, Jesper Bo Nielsen, Jesper Ryg, Lene Juel Kjeldsen, Christian Backer Mogensen

Published in: BMC Health Services Research | Issue 1/2024

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Abstract

Background

On average, older patients use five or more medications daily, increasing the risk of adverse drug reactions, interactions, or medication errors. Healthcare sector transitions increase the risk of information loss, misunderstandings, unclear treatment responsibilities, and medication errors. Therefore, it is crucial to identify possible solutions to decrease these risks. Patients, relatives, and healthcare professionals were asked to design the solution they need.

Methods

We conducted a participatory design approach to collect information from patients, relatives, and healthcare professionals. The informants were asked to design their take on a tool ensuring that patients received the correct medication after discharge from the hospital. We included two patients using five or more medications daily, one relative, three general practitioners, four nurses from different healthcare sectors, two hospital physicians, and three pharmacists.

Results

The patients’ solution was a physical location providing a medication overview, including side effects and interactions. Healthcare professionals suggested different solutions, including targeted and timely information that provided an overview of the patient’s diagnoses, treatment and medication. The common themes identified across all sub-groups were: (1) Overview of medications, side effects, and diagnoses, (2) Sharing knowledge among healthcare professionals, (3) Timely discharge letters, (4) Does the shared medication record and existing communication platforms provide relevant information to the patient or healthcare professional?

Conclusion

All study participants describe the need for a more concise, relevant overview of information. This study describes elements for further elaboration in future participatory design processes aimed at creating a tool to ensure older patients receive the correct medication at the correct time.
Appendix
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Metadata
Title
Designing a tool ensuring older patients the right medication at the right time after discharge from hospital– the first step in a participatory design process
Authors
Thorbjørn Hougaard Mikkelsen
Jens Søndergaard
Niels Kristian Kjær
Jesper Bo Nielsen
Jesper Ryg
Lene Juel Kjeldsen
Christian Backer Mogensen
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2024
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-024-10992-3

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