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Homecare safety and medication management: a scoping review of the quantitative and qualitative evidence

Christina Godfrey, Margaret B. Harrison, Ariella Lang, Marilyn Macdonald, Tina Leung, Michelle Swab

Abstract


Review question/objective

This review will be guided by the following research questions:

1. What are the range of issues encountered by individuals, families, caregivers, and healthcare providers related to the medication management of individuals living in the community and receiving homecare services?

2. What are the documented errors or adverse events that occur in this population that relate to the management of medications?

3. What strategies have been implemented and evaluated that address the issues encountered by this population?

Inclusion criteria

Types of participants

The quantitative component of this review will consider studies that include individuals, mean age 65 years or older, who are receiving homecare services that specifically include medication management. The reason for stipulating mean age as 65 years or older is that this review will be supporting a study focused on this particular age group – hence it is relevant to limit the population to this age range. The search of the literature has not been limited by age and should we find a significant volume of literature addressing the 'young old' i.e., 55-64 years, we will consider changing this criterion to include this additional set. Studies that focus on formal caregivers (licensed or unlicensed) and informal caregivers (family/friends (paid or unpaid)) who are involved in the medication management process will be included.

The qualitative component of this review will consider studies that investigate the experience of individuals, mean age 65 years or older, who are receiving homecare services that specifically include medication management. The experience of formal caregivers (licensed or unlicensed) and informal caregivers (family/friends (paid or unpaid)) who are involved in the medication management process will be included.

The following topics and settings will not be included in this review:

1) Individuals performing self-care at home but not receiving homecare services.

2) Hospital, Hospital-at-Home, acute care services.

3) Assisted living facilities, long term care, nursing homes

4) Palliative care.

5) Acute exacerbation of chronic illness.

6) Home services for situations not considered ‘a health condition,’ e.g., midwives for home births; respite services; environmental services (maintenance); programs to prevent child abuse; fire TRUNCATED AT 350 WORDS 

 

 


Keywords


Medication; management; medication; mismanagement; medication errors; inappropriate medication; adverse events; homecare (home care); homecare safety

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DOI: http://dx.doi.org/10.11124%2Fjbisrir-2013-805

The JBI Database of Systematic Reviews and Implementation Reports, ISSN 2202-4433

The Joanna Briggs Institute
The University of Adelaide