Safe to crush? A pilot study into solid dosage form modification in aged care

Nicole MERCOVICH, Greg KYLE, Mark NAUNTON

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

To observe solid dosage form modification in aged care facilities (ACFs), and assess staff levels of self-perceived knowledge of medication modification and the types of resources available to them. Observation of medication rounds in a convenience sample of Australian Capital Territory ACFs and assess staff knowledge of dosage form modification and available resources. From 160 observations across six medication rounds, 29 residents had a total of 75 medications modified by the nursing staff prior to administration, with 32% of these identified as inappropriate. The methods used for crushing and administration resulted in drug mixing, spillage and incomplete dosing. The staff reported adequate resources; however, a lack of knowledge on how to locate and use these resources was evident. Improved staff training on how to use available resources is needed to reduce the observed high incidence of inappropriate medication crushing. Safe to crush? A pilot study into solid dosage form modification in aged care. Available from: https://www.researchgate.net/publication/260167405_Safe_to_crush_A_pilot_study_into_solid_dosage_form_modification_in_aged_care [accessed Apr 24, 2015].
Original languageEnglish
Pages (from-to)180-184
Number of pages5
JournalAustralasian Journal on Ageing
Volume33
Issue number3
DOIs
Publication statusPublished - 2014

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Dosage Forms
Australian Capital Territory
Nursing Staff
Publications
Observation
Incidence
Pharmaceutical Preparations

Cite this

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abstract = "To observe solid dosage form modification in aged care facilities (ACFs), and assess staff levels of self-perceived knowledge of medication modification and the types of resources available to them. Observation of medication rounds in a convenience sample of Australian Capital Territory ACFs and assess staff knowledge of dosage form modification and available resources. From 160 observations across six medication rounds, 29 residents had a total of 75 medications modified by the nursing staff prior to administration, with 32{\%} of these identified as inappropriate. The methods used for crushing and administration resulted in drug mixing, spillage and incomplete dosing. The staff reported adequate resources; however, a lack of knowledge on how to locate and use these resources was evident. Improved staff training on how to use available resources is needed to reduce the observed high incidence of inappropriate medication crushing. Safe to crush? A pilot study into solid dosage form modification in aged care. Available from: https://www.researchgate.net/publication/260167405_Safe_to_crush_A_pilot_study_into_solid_dosage_form_modification_in_aged_care [accessed Apr 24, 2015].",
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Safe to crush? A pilot study into solid dosage form modification in aged care. / MERCOVICH, Nicole; KYLE, Greg; NAUNTON, Mark.

In: Australasian Journal on Ageing, Vol. 33, No. 3, 2014, p. 180-184.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Safe to crush? A pilot study into solid dosage form modification in aged care

AU - MERCOVICH, Nicole

AU - KYLE, Greg

AU - NAUNTON, Mark

PY - 2014

Y1 - 2014

N2 - To observe solid dosage form modification in aged care facilities (ACFs), and assess staff levels of self-perceived knowledge of medication modification and the types of resources available to them. Observation of medication rounds in a convenience sample of Australian Capital Territory ACFs and assess staff knowledge of dosage form modification and available resources. From 160 observations across six medication rounds, 29 residents had a total of 75 medications modified by the nursing staff prior to administration, with 32% of these identified as inappropriate. The methods used for crushing and administration resulted in drug mixing, spillage and incomplete dosing. The staff reported adequate resources; however, a lack of knowledge on how to locate and use these resources was evident. Improved staff training on how to use available resources is needed to reduce the observed high incidence of inappropriate medication crushing. Safe to crush? A pilot study into solid dosage form modification in aged care. Available from: https://www.researchgate.net/publication/260167405_Safe_to_crush_A_pilot_study_into_solid_dosage_form_modification_in_aged_care [accessed Apr 24, 2015].

AB - To observe solid dosage form modification in aged care facilities (ACFs), and assess staff levels of self-perceived knowledge of medication modification and the types of resources available to them. Observation of medication rounds in a convenience sample of Australian Capital Territory ACFs and assess staff knowledge of dosage form modification and available resources. From 160 observations across six medication rounds, 29 residents had a total of 75 medications modified by the nursing staff prior to administration, with 32% of these identified as inappropriate. The methods used for crushing and administration resulted in drug mixing, spillage and incomplete dosing. The staff reported adequate resources; however, a lack of knowledge on how to locate and use these resources was evident. Improved staff training on how to use available resources is needed to reduce the observed high incidence of inappropriate medication crushing. Safe to crush? A pilot study into solid dosage form modification in aged care. Available from: https://www.researchgate.net/publication/260167405_Safe_to_crush_A_pilot_study_into_solid_dosage_form_modification_in_aged_care [accessed Apr 24, 2015].

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KW - altered pharmacokinetics

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