Featured Research

from universities, journals, and other organizations

Surgical patients more likely to follow medication instructions when provided simple instruction sheet

Date:
June 17, 2014
Source:
American Society of Anesthesiologists (ASA)
Summary:
Patients who receive a simple, multicolor, standardized medication instruction sheet before surgery are more likely to comply with their physician’s instructions and experience a significantly shorter post-op stay in recovery. These findings are important because surgical patients often fail to follow their doctor’s medication instructions for preexisting conditions such as diabetes and hypertension on the day they are having surgery – a costly mistake that can lead to surgery cancellation, complications and longer hospital stays.

A study in the July issue of Anesthesiology revealed that patients who receive a simple, multicolor, standardized medication instruction sheet before surgery are more likely to comply with their physician's instructions and experience a significantly shorter post-op stay in recovery. These findings are important because surgical patients often fail to follow their doctor's medication instructions for preexisting conditions such as diabetes and hypertension on the day they are having surgery -- a costly mistake that can lead to surgery cancellation, complications and longer hospital stays.

Related Articles


"Certain long-term medications should be continued on the day of surgery, and some should be temporarily stopped, but there is no consistency in how patients receive medication instructions before surgery," said Thomas Vetter, M.D., M.P.H., ASA member and study lead author, Department of Anesthesiology, School of Medicine, University of Alabama at Birmingham. "Physician anesthesiologists are responsible for assessing and optimizing patients' preoperative medications, including maximizing their compliance with physicians' instructions. Our effort to enhance patients' understanding of medication use before surgery is important and can increase patient satisfaction by more actively engaging them in their own health care."

The study compared 519 surgical patients who were given preoperative medication instructions through traditional methods (annotated or highlighted portions of the patient's electronic medical record, or verbal instructions) and 531 patients who were given a written, standardized preoperative medication instruction sheet, which was presented and verbally reviewed with patients. The instruction sheet listed all of the medications the patient was instructed to take on the day of surgery (e.g., beta-blocker, etc.), the medications the patient should not take (e.g., blood-thinner, etc.), and the medications that could be taken as needed (e.g., opioid, etc.). The instruction sheet included multicolor graphics to further improve patient recall and compliance.

Researchers found that 74 percent of patients who received an instruction sheet were compliant with their medication instructions on the day of surgery, versus 60 percent of patients in the control group. Patients were also less likely to stay in recovery after surgery for more than 90 minutes when an instruction sheet was administered. Interestingly, African-Americans, older adults (over 65) and patients with more than one chronic disease had lower medication compliance, the authors note.

"Physician anesthesiologists and nurse practitioners typically deliver a lot of verbal information to patients preoperatively, often exceeding patients' short-term memory," said Dr. Vetter. "Our findings show that providing patients with a standardized instruction sheet, both written and verbally, with simple language can improve compliance significantly. However, we speculate that a more concerted effort may be required to improve preoperative medication compliance in certain patients such as the geriatric population."


Story Source:

The above story is based on materials provided by American Society of Anesthesiologists (ASA). Note: Materials may be edited for content and length.


Journal Reference:

  1. Thomas R. Vetter, Michelle E. Downing, Sean C. Vanlandingham, Kristen M. Noles, Arthur M. Boudreaux. Predictors of Patient Medication Compliance on the Day of Surgery and the Effects of Providing Patients with Standardized yet Simplified Medication Instructions. Anesthesiology, 2014; 1 DOI: 10.1097/ALN.0000000000000175

Cite This Page:

American Society of Anesthesiologists (ASA). "Surgical patients more likely to follow medication instructions when provided simple instruction sheet." ScienceDaily. ScienceDaily, 17 June 2014. <www.sciencedaily.com/releases/2014/06/140617091742.htm>.
American Society of Anesthesiologists (ASA). (2014, June 17). Surgical patients more likely to follow medication instructions when provided simple instruction sheet. ScienceDaily. Retrieved November 28, 2014 from www.sciencedaily.com/releases/2014/06/140617091742.htm
American Society of Anesthesiologists (ASA). "Surgical patients more likely to follow medication instructions when provided simple instruction sheet." ScienceDaily. www.sciencedaily.com/releases/2014/06/140617091742.htm (accessed November 28, 2014).

Share This


More From ScienceDaily



More Health & Medicine News

Friday, November 28, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Rural India's Low-Cost Sanitary Pad Revolution

Rural India's Low-Cost Sanitary Pad Revolution

AFP (Nov. 28, 2014) — One man hopes his invention -– a machine that produces cheap sanitary pads –- will help empower Indian women. Duration: 01:51 Video provided by AFP
Powered by NewsLook.com
Research on Bats Could Help Develop Drugs Against Ebola

Research on Bats Could Help Develop Drugs Against Ebola

AFP (Nov. 28, 2014) — In Africa's only biosafety level 4 laboratory, scientists have been carrying out experiments on bats to understand how virus like Ebola are being transmitted, and how some of them resist to it. Duration: 01:18 Video provided by AFP
Powered by NewsLook.com
WHO Says Male Ebola Survivors Should Abstain From Sex

WHO Says Male Ebola Survivors Should Abstain From Sex

Newsy (Nov. 28, 2014) — WHO cites four studies that say Ebola can still be detected in semen up to 82 days after the onset of symptoms. Video provided by Newsy
Powered by NewsLook.com
Ebola Leaves Orphans Alone in Sierra Leone

Ebola Leaves Orphans Alone in Sierra Leone

AFP (Nov. 27, 2014) — The Ebola epidemic sweeping Sierra Leone is having a profound effect on the country's children, many of whom have been left without any family members to support them. Duration: 01:02 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins