title: Safe to crush? A pilot study into solid dosage form modification in aged care.
abstract: OBJECTIVE
  To observe medication solid dosage form modification in aged care facilities (ACFs), and assess staff levels of self-perceived knowledge of medication modification and the types of resources available to them.
  
  
  METHODS
  Observation of medication rounds in a convenience sample of Australian Capital Territory ACFs and assessment of staff knowledge of dosage form modification and available resources.
  
  
  RESULTS
  From 160 observations across six medication rounds, 29 residents had a total of 75 medications modified by the nursing staff prior to administration, with 32% of these instances identified as inappropriate. The methods used for crushing and administration resulted in drug mixing, spillage and incomplete dosing. The staff reported adequate resources; however, a lack of knowledge on how to locate and use these resources was evident.
  
  
  CONCLUSIONS
  Improved staff training on how to use available resources is needed to reduce the observed high incidence of inappropriate medication crushing.
authors: Discipline of Pharmacy, University of Canberra, Canberra, Australian Capital Territory, Australia.
authors: Nicole
authors: N
authors: Mercovich
authors: Greg J
authors: GJ
authors: Kyle
authors: Mark
authors: M
authors: Naunton
mesh_terms: D022126:Access to Information; D000367:Age Factors; D001291:Attitude of Health Personnel; D020958:Australian Capital Territory; D002214:Capsules; D002626:Chemistry, Pharmaceutical; D002983:Clinical Competence; D004509:Education, Nursing, Continuing; D007722:Health Knowledge, Attitudes, Practice; D006707:Homes for the Aged; D006801:Humans; D007318:Inservice Training; D008508:Medication Errors / Q000517:prevention & control*; D009735:Nursing Homes; D009740:Nursing Staff / Q000193:education / Q000523:psychology; D061214:Patient Safety; D004364:Pharmaceutical Preparations / Q000008:administration & dosage* / Q000737:chemistry; D010865:Pilot Projects; D018570:Risk Assessment; D012307:Risk Factors; D013607:Tablets; D000078329:Workforce
chemical_list: D002214:Capsules; D004364:Pharmaceutical Preparations; D013607:Tablets
keywords: aged care; altered pharmacokinetics; dosage form modification; dysphagia; medication administration