Recommendations for Preventing Medication Diversion and Misuse in Hospice Care: A Modified Delphi Study.

Journal of Pain and Symptom Management
Orrin D WareJohn G Cagle

Abstract

Recommendations are needed to help minimize the risks of medication diversion and misuse in the hospice setting. To identify recommendations that could help prevent medication diversion and misuse in hospice care. 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. 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). These recommendations were created by experts in the field to reduce the risk of medication diversion and m...Continue Reading

References

Feb 27, 2001·International Journal of Nursing Studies·S KeeneyH P McKenna
May 28, 2009·The American Journal of Hospice & Palliative Care·Steven J BaumruckerGerald M Morris
Jan 8, 2013·Journal of Palliative Medicine·Leslie J BlackhallJoshua S Barclay
Sep 10, 2014·Journal of Addictions Nursing·Juliann Pancari, Carolyn Baird
Aug 1, 2018·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Judith A PaiceEllyn Schreiner
Sep 22, 2018·Disease-a-month : DM·Gary W Jay, Robert L Barkin
Nov 20, 2018·Palliative Medicine·Noleen K McCorryMartin Dempster
Mar 29, 2019·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Tiffany G KneussJustin G Kullgren
Feb 12, 2020·JAMA : the Journal of the American Medical Association·John G CagleJack M Guralnik

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