Co-design of a multifaceted intervention to improve quality handover of medicine information at discharge from hospital

Abstract Background Timely and accurate discharge medicine information is essential for primary care clinicians, including general practitioners and community pharmacists, to provide safe and effective post-discharge care. Inadequate handover of discharge medicines poses risks of medication-related...

Full description

Saved in:
Bibliographic Details
Main Authors: H. Laetitia Hattingh, Matt Percival, Kate Johnston, Georgia Tobiano, Hayley Hirsch, Carl de Wet, Salim Memon, Mark A. Morgan, Rachael Raleigh, Noela Baglot, Brigid M. Gillespie
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-025-12972-7
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849402970816380928
author H. Laetitia Hattingh
Matt Percival
Kate Johnston
Georgia Tobiano
Hayley Hirsch
Carl de Wet
Salim Memon
Mark A. Morgan
Rachael Raleigh
Noela Baglot
Brigid M. Gillespie
author_facet H. Laetitia Hattingh
Matt Percival
Kate Johnston
Georgia Tobiano
Hayley Hirsch
Carl de Wet
Salim Memon
Mark A. Morgan
Rachael Raleigh
Noela Baglot
Brigid M. Gillespie
author_sort H. Laetitia Hattingh
collection DOAJ
description Abstract Background Timely and accurate discharge medicine information is essential for primary care clinicians, including general practitioners and community pharmacists, to provide safe and effective post-discharge care. Inadequate handover of discharge medicines poses risks of medication-related harm, compromising patient safety and leads to hospital readmissions. This study aimed to develop a multifaceted intervention targeting older patients (>65 years) to enhance medicine handover at hospital discharge. Methods Following an initial consensus-building workshop, a structured five-step co-design process was implemented. Step 1 involved workshops and interviews with hospital clinicians, hospital leadership, primary care providers, and consumers experienced in discharge medicine handover. Stakeholder input in Step 2 refined intervention components and developed training materials. Step 3 obtained endorsement from health service decision makers and governance approvals. Step 4 included pharmacist upskilling, end-user testing, and feedback collection. Step 5 finalised intervention components and constructed a Logic Model. Results Seventy-eight stakeholders participated in workshops and interviews from August to November 2023. Four key medicine handover objectives for older patients emerged, which were operationalised into intervention recommendations over a five-month period (December 2023-April 2024). Component 1 empowered patients to query clinicians about their medications via a dedicated website with a question builder and evidence-based resources. Component 2 involved training doctors to document reasons for medicine changes in patient records. Component 3 implemented patient risk stratification to guide tailored strategies for communication to primary care clinicians. Component 4 focused on discharge reconciliation planning by unit pharmacists in collaboration with physicians. End-user testing yielded positive feedback. Conclusions A co-designed multifaceted intervention was developed to enhance medicine handover during hospital discharge. The intervention will undergo feasibility testing to assess its impact on reducing medication-related harm and hospital readmissions.
format Article
id doaj-art-39fd4f45621f4d67972e50e4268fa824
institution Kabale University
issn 1472-6963
language English
publishDate 2025-07-01
publisher BMC
record_format Article
series BMC Health Services Research
spelling doaj-art-39fd4f45621f4d67972e50e4268fa8242025-08-20T03:37:23ZengBMCBMC Health Services Research1472-69632025-07-0125111210.1186/s12913-025-12972-7Co-design of a multifaceted intervention to improve quality handover of medicine information at discharge from hospitalH. Laetitia Hattingh0Matt Percival1Kate Johnston2Georgia Tobiano3Hayley Hirsch4Carl de Wet5Salim Memon6Mark A. Morgan7Rachael Raleigh8Noela Baglot9Brigid M. Gillespie10Allied Health Research, Gold Coast Hospital and Health ServiceAllied Health and Rehabilitation Services, Chronic Disease and Post-Acute Programs, Gold Coast Hospital and Health Service (GCHHS)Gold Coast Hospital and Health ServiceNHMRC Wiser Wounds CRE, Griffith UniversityPharmacy, Gold Coast Hospital and Health ServiceSouth West Hospital and Health ServiceStrategy, Transformation and Major Capital, Gold Coast Hospital and Health ServiceFaculty of Health Sciences and Medicine, Bond UniversityPharmacy, Gold Coast Hospital and Health ServiceConsumer Advisory Group, Gold Coast Hospital and Health ServiceNHMRC Wiser Wounds CRE, Griffith UniversityAbstract Background Timely and accurate discharge medicine information is essential for primary care clinicians, including general practitioners and community pharmacists, to provide safe and effective post-discharge care. Inadequate handover of discharge medicines poses risks of medication-related harm, compromising patient safety and leads to hospital readmissions. This study aimed to develop a multifaceted intervention targeting older patients (>65 years) to enhance medicine handover at hospital discharge. Methods Following an initial consensus-building workshop, a structured five-step co-design process was implemented. Step 1 involved workshops and interviews with hospital clinicians, hospital leadership, primary care providers, and consumers experienced in discharge medicine handover. Stakeholder input in Step 2 refined intervention components and developed training materials. Step 3 obtained endorsement from health service decision makers and governance approvals. Step 4 included pharmacist upskilling, end-user testing, and feedback collection. Step 5 finalised intervention components and constructed a Logic Model. Results Seventy-eight stakeholders participated in workshops and interviews from August to November 2023. Four key medicine handover objectives for older patients emerged, which were operationalised into intervention recommendations over a five-month period (December 2023-April 2024). Component 1 empowered patients to query clinicians about their medications via a dedicated website with a question builder and evidence-based resources. Component 2 involved training doctors to document reasons for medicine changes in patient records. Component 3 implemented patient risk stratification to guide tailored strategies for communication to primary care clinicians. Component 4 focused on discharge reconciliation planning by unit pharmacists in collaboration with physicians. End-user testing yielded positive feedback. Conclusions A co-designed multifaceted intervention was developed to enhance medicine handover during hospital discharge. The intervention will undergo feasibility testing to assess its impact on reducing medication-related harm and hospital readmissions.https://doi.org/10.1186/s12913-025-12972-7Discharge medicine handoverHospital pharmacistCo-designMedication managementInformation transfer
spellingShingle H. Laetitia Hattingh
Matt Percival
Kate Johnston
Georgia Tobiano
Hayley Hirsch
Carl de Wet
Salim Memon
Mark A. Morgan
Rachael Raleigh
Noela Baglot
Brigid M. Gillespie
Co-design of a multifaceted intervention to improve quality handover of medicine information at discharge from hospital
BMC Health Services Research
Discharge medicine handover
Hospital pharmacist
Co-design
Medication management
Information transfer
title Co-design of a multifaceted intervention to improve quality handover of medicine information at discharge from hospital
title_full Co-design of a multifaceted intervention to improve quality handover of medicine information at discharge from hospital
title_fullStr Co-design of a multifaceted intervention to improve quality handover of medicine information at discharge from hospital
title_full_unstemmed Co-design of a multifaceted intervention to improve quality handover of medicine information at discharge from hospital
title_short Co-design of a multifaceted intervention to improve quality handover of medicine information at discharge from hospital
title_sort co design of a multifaceted intervention to improve quality handover of medicine information at discharge from hospital
topic Discharge medicine handover
Hospital pharmacist
Co-design
Medication management
Information transfer
url https://doi.org/10.1186/s12913-025-12972-7
work_keys_str_mv AT hlaetitiahattingh codesignofamultifacetedinterventiontoimprovequalityhandoverofmedicineinformationatdischargefromhospital
AT mattpercival codesignofamultifacetedinterventiontoimprovequalityhandoverofmedicineinformationatdischargefromhospital
AT katejohnston codesignofamultifacetedinterventiontoimprovequalityhandoverofmedicineinformationatdischargefromhospital
AT georgiatobiano codesignofamultifacetedinterventiontoimprovequalityhandoverofmedicineinformationatdischargefromhospital
AT hayleyhirsch codesignofamultifacetedinterventiontoimprovequalityhandoverofmedicineinformationatdischargefromhospital
AT carldewet codesignofamultifacetedinterventiontoimprovequalityhandoverofmedicineinformationatdischargefromhospital
AT salimmemon codesignofamultifacetedinterventiontoimprovequalityhandoverofmedicineinformationatdischargefromhospital
AT markamorgan codesignofamultifacetedinterventiontoimprovequalityhandoverofmedicineinformationatdischargefromhospital
AT rachaelraleigh codesignofamultifacetedinterventiontoimprovequalityhandoverofmedicineinformationatdischargefromhospital
AT noelabaglot codesignofamultifacetedinterventiontoimprovequalityhandoverofmedicineinformationatdischargefromhospital
AT brigidmgillespie codesignofamultifacetedinterventiontoimprovequalityhandoverofmedicineinformationatdischargefromhospital