Standardized Instructions Improve Preop Med Compliance

Instruction sheet, recall of verbal and written instructions tied to better compliance

WEDNESDAY, June 25, 2014 (HealthDay News) -- A standardized, pictorial "Preoperative Patient Medication Instruction Sheet" can improve patient medication compliance on the day of surgery, according to a study published in the July issue of Anesthesiology.

Thomas R. Vetter, M.D., from the University of Alabama at Birmingham, and colleagues conducted an unmatched case-control study in which patient education/instruction regarding taking medications on the day of surgery continued in the existing, unstandardized manner for the pre-intervention group (PRE-IG; n = 519). Patients in the post-intervention group (POST-IG; n = 531) were given the simplified, multicolored Preoperative Patient Medication Instruction Sheet, which was consistently verbally reviewed with patients.

The researchers found that 60 percent of PRE-IG patients and 74 percent of POST-IG patients were compliant with their preoperative medication instructions on the day of surgery (P < 0.001). Greater patient medication compliance was associated with use of the Preoperative Medication Instruction Sheet (adjusted odds ratio [aOR]; 1.83, P < 0.001), Caucasian race (aOR, 1.74; P = 0.007), and recalling receiving both verbal/written preoperative medication instructions (aOR, 1.51; P = 0.006). Lesser patient medication compliance was associated with older age (aOR, 0.67; P = 0.014) and higher American Society of Anesthesiologists status (aOR, 0.60; P = 0.004).

"A standardized, multicolored, pictorial Preoperative Patient Medication Instruction Sheet, with patient communication in both verbal/written forms, appears to improve patient medication compliance on the day of surgery," the authors write.

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