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September 10, 2025Drug SafetyOpen Access

Characteristics and Risk Factors of Medication Incidents Across Stages of Medication Management in Residential Aged Care: A Longitudinal Cohort Study of 5700 Reported Incidents

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Authors

SSS. Sandun M. SilvaMacquarie UniversityNWNasir WabeAustralian Institute of Health and WelfareMRMagdalena Z. RabanMacquarie University

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Implication

Longitudinal cohort study identified medication incidents in aged care residents, suggesting key risk factors are polypharmacy and respite admissions.

Key Points

  • Over one-third of older adults in residential aged care experienced medication incidents, indicating a major quality concern.
  • The overall medication incidence rate was found to be 1.81 per 1000 resident days, with administration errors being the most common.
  • A multilevel Poisson regression analysis revealed that respite admissions and polypharmacy significantly increased the risk of medication incidents.
  • Improvement strategies should focus on enhancing medication administration, supply, and monitoring, especially for vulnerable residents.

Cite This Study

Silva et al. (2025) studied this question.

synapsesocial.com/papers/68c193fb9b7b07f3a06185dfhttps://doi.org/10.1007/s40264-025-01602-0
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Clinical pharmacology in the geriatric patient2007 · 299 citations
  2. 2Multimorbidity and care dependence in older adults: a longitudinal analysis of findings from the 10/66 study2019 · 110 citations
  3. 3Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people2009 · 315 citations
  4. 4The extent of medication errors and adverse drug reactions throughout the patient journey in acute care in Australia2016 · 172 citations