Article Text

PDF
3D: a tool for medication discharge education
  1. Dennis M Manning1,
  2. John G O’Meara2,
  3. Arthur R Williams3,
  4. Ahmed Rahman3,
  5. Danica Myhre3,
  6. Karyl J Tammel4,
  7. Lisa C Carter4
  1. 1Department of Medicine, Mayo Clinic, Rochester, Minnesota, USA
  2. 2Department of Pharmacy Services, Mayo Clinic, Rochester, Minnesota, USA
  3. 3Division of Health Care Policy & Research, Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota, USA
  4. 4Department of Nursing, Mayo Clinic, Rochester, Minnesota, USA
  1. Correspondence to:
 Dr D M Manning
 Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905; manning.dennis{at}mayo.edu

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.

  • 3D, Durable Display at Discharge
  • MDE, medication discharge education
  • MDW, Medication Discharge Worksheet

Statistics from Altmetric.com

Footnotes

  • Funding: Mayo Clinic Rochester, Department of Medicine, MIDAS Grant. Mayo Foundation for Education and Research, Small Grants Program

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.