Study | Design | Inclusion Criteria (patient characteristics) | Intervention | Control | Duration of study (days or months) | Mean age (years) | Sample size | |
Intervention | Control | |||||||
Atkin et al, Australia9 | Quasi | Elderly patients attending GP clinic, taking at least three medications | Given Medication Record Card and asked to bring it to all medical consultations for updating; after each GP consultation visited by pharmacist; additionally asked to bring currently used medications to each GP consultation (reminder posted/telephoned) | Given Medication Record Card and asked by their doctor to bring it to all subsequent medical consultations for updating; after each GP consultation visited by pharmacist | 12 months | Median 75 | 104 | 102 |
Connock et al, UK10 | Systematic review | RCTs where intervention was near-patient testing, patient self-testing or patient self-management of oral anticoagulant therapy versus a comparator of routine anticoagulation clinics | Self-testing (n=5) Self-management(n=9) Both (n=1) | Primary care/family doctor management (n=6) Specialised clinic (n=7) Both (n=2) | Range from 2 to >24 months | Range from 42 to 75 | 16 trials 2231 | 16 trials 2052 |
Fisher et al, USA11 | Quasi | Out patients receiving a new prescription for oral antibiotics or tricyclic antidepressants | Patient-generated reports (via telephone) of adverse clinical events | Staff-generated reports | 14 days | NR | 2705 | 1109 |
Kennedy, USA12 | Experimental | Patients 70 years or over (English speaking) admitted from non-institutionalised setting to a medical-surgical unit and prescribed at least one medication at time of discharge | Home Medication Behaviour Programme: individualised teaching plan delivered by nurse prior to discharge | Usual care: staff nurse assessment | 1 month | 77/75 | 32 | 33 |
Kim and Grier, USA13 | Experimental | Elderly inpatients with a chronic disease requiring a prescription for a diuretic, antihypertensive or digitalis drug | Medication instruction (audiotape plus written) at
| No medication instruction | 1 day | 77 | 15 + 15 | 15 |
Ley et al, UK14 | Experimental | Psychiatric outpatients requiring tranquillisers or antidepressant | Medication information leaflets which differed in reading level:
| Normal procedure | NR | NR | 40 + 40 + 40 | 40 |
McKellar and Rutland-Brown, Nepal15 | Experimental | Illiterate hospital outpatients prescribed at least one medication | Medication dose counselling from Community Medical Auxiliary On the Job Trainees | No intervention | Immediately following intervention | NR | 50 | 50 |
McMahon et al, USA16 | Experimental | Parents attending health centre with children <4 years of age diagnosed as having otitis media and placed on an antibiotic suspension | Dosing instructions and demonstration plus:
| Dosing instruction only | Immediately following intervention | NR | 30 + 30 | 30 |
Neafsey et al, USA17 | Experimental | Elderly people attending senior centre and able to perform activities of daily living, answer six of 10 items on the Short Portable mental Status Questionnaire, have a reading comprehension score of at least grade 6, be living independently and have visual acuity of at least 20/100 with corrective lenses | Personal Education Programme about potential drug interactions delivered by interactive computer program plus medication information booklet, or booklet only | NR | 28 days | 74 | 33 + 33 | 32 |
Pereles et al, Canada18 | Experimental | Elderly hospital inpatients with plan to return to community living | Self-medication programme; three-stage programme where patient is given increasing responsibility for administration of medications | Standard care, medications administered by nursing staff | 40 days | 80 | 51 | 56 |
Punekar, USA19 | Experimental | Member of drug benefit plan with at least one prescription filled in the 3 months | Brochure containing tips about medication and list of questions to ask healthcare professional, plus wallet card containing list of questions to ask healthcare professional and space for patients to record personal medical data | NR | 42 days | NR | 744 | 735 |
Schnipper et al, USA20 | Experimental | English speaking inpatients on general medicine wards who were being discharged home | Pharmacist counselling about medication at discharge and follow-up telephone call | Usual care: routine review of medication by ward-based pharmacist | 30 days | 58 | 92 | 84 |
Van Haecht et al, Belgium21t | Experimental | Patients attending GP with acute locomotor injury requiring non-steroidal anti-inflammatory drugs | Patient package insert using explicit headings, lay terminology and simple syntax | Traditional insert | 7 days | 38 | 161 | 156 |
Varkey et al, USA22 | Quasi | Adults visiting primary care clinic | Multifaceted intervention for patient and provider; patient-level interventions: posted reminder to bring all medications to clinic visit and verification/correction of medication list in electronic medical record | Usual care: medication history obtained from patient by provider and documented in electronic medical record | NR | 50/54 | 53 | 57 |
Weingart et al, USA23 | Experimental | Adult medical inpatients | Given copy of current medication list with glossary of common medical terms (updated every 3 days) plus one page education guide to medication safety | One page education guide to medication safety | 1053 patient-days at risk | 58/62 | 107 | 102 |
NR, not reported.