Recommendations for Preventing Medication Diversion and Misuse in Hospice Care: A Modified Delphi Study.
J Pain Symptom Manage
; 62(6): 1175-1187, 2021 12.
Article
en En
| MEDLINE
| ID: mdl-34119618
ABSTRACT
CONTEXT Recommendations are needed to help minimize the risks of medication diversion and misuse in the hospice setting. OBJECTIVE:
To identify recommendations that could help prevent medication diversion and misuse in hospice care.METHODS:
A modified Delphi method was utilized. An interdisciplinary panel of ten experts engaged in three phases of online and in-person voting regarding recommendations. Consensus for recommendations required a minimum of 80% endorsement by the panel experts. After two rounds of voting and several rounds of informal voting, 15 total recommendations were endorsed.RESULTS:
Fifteen recommendations achieved at least 80% endorsement during the final round of voting. Each of the following recommendation topics received ≥ 80% endorsement, the need to balance prevention efforts with quality care, screening clinical job candidates, family education and screening, medication monitoring, responding to missing/diverted medications, and medication disposal. Panelists rated the Patient & Family Education recommendation as most important (M = 9.7; SD = 0.7) followed closely by Responding to Medication Diversion or Misuse (M = 9.5; SD = 1.1).CONCLUSION:
These recommendations were created by experts in the field to reduce the risk of medication diversion and misuse. Further steps towards implementation may appropriately reduce these risks.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Cuidados Paliativos al Final de la Vida
/
Hospitales para Enfermos Terminales
Tipo de estudio:
Guideline
Límite:
Humans
Idioma:
En
Revista:
J Pain Symptom Manage
Asunto de la revista:
NEUROLOGIA
/
PSICOFISIOLOGIA
/
TERAPEUTICA
Año:
2021
Tipo del documento:
Article
País de afiliación:
Estados Unidos