AIM To explore and analyze perceptions of service users and caregivers on adherence and nonadherence to medication in a mental health care context. BACKGROUND Mental health medication adherence is considered problematic and legal coercion exists in many countries. DESIGN This was a qualitative study aiming to explore perceptions of medication adherence from the perspective of the service us...

The medication administration process (MAP) is one of the most high-risk processes in health care. MAP workflow redesign can precipitate both unanticipated and unintended consequences that can lead to new medication safety risks and workflow inefficiencies. Thus, it is necessary to have a tool to evaluate the impact of redesign approaches in advance of their clinical implementation. This paper ...

Involving pharmacists in the process of comparing the medications that should be ordered for a patient with the new medications that are currently ordered and resolving differences improves accuracy, decreases mortality, and improves transitions of care.

Medication information should be available in a correct content and format and where and when needed in medical care. In this paper process and information models are presented in order to identify the items, their relations, contents, sources and use contexts of medication information. The motivation for this study has been to develop a harmonized information model for medication information t...

This paper presents findings of an observational study of the Registered Nurse (RN) Medication Administration Process (MAP) conducted on two comparable medical units in a large urban tertiary care medical center in Columbia, South Carolina. A total of 305 individual MAP observations were recorded over a 6-week period with an average of 5 MAP observations per RN participant for both clinical uni...

Non-adherence to medications is one of the largest contributors to sub-optimal health outcomes. Many theories of adherence include a 'value-expectancy' component in which a patient decides to take a medication partly based on expectations about whether it is effective, necessary, and tolerable. We propose reconceptualising this common theme as a kind of 'causal learning' - the patient learns wh...

World Series. Game 6 was in the 10th inning when Mets player Mookie Wilson hit a ground ball toward first base and Red Sox first baseman Bill Buckner went to field it to end the inning. Instead, the ball went under Buckner’s glove, through his legs, and into the outfield, allowing the Mets to win that game and to come back the next day to win the World Series. That error cost the Red Sox the Wo...

The fragmented character of healthcare produced by geographical, institutional and professional boundaries is well documented, as is the collaborative potential of information systems (IS) as a remedy. Empirical studies consistently document substantial socio-technical challenges related to realizing this potential. We study the case of collaborative, distributed medication (management) process...

BACKGROUND In most health care facilities, problems related to delays in STAT medication order processing time are of common concern. OBJECTIVE The purpose of this study was to evaluate processing time for STAT orders at Kimball Medical Center. METHODS All STAT orders were reviewed to determine processing time; order processing time was also stratified by physician order entry (physician en...

Mental health professionals commonly conceptualize medication management for people with severe mental illness in terms of strategies to increase compliance or adherence. The authors argue that compliance is an inadequate construct because it fails to capture the dynamic complexity of autonomous clients who must navigate decisional conflicts in learning to manage disorders over the course of ye...