The goal of this RCT is to evaluate the effect of the instructional video on improving patient compliance and reducing medication errors. The study will include adult kidney transplant recipients (18 years or older) at Erasmus MC who have undergone a kidney transplantation starting January 2026.
The main questions it aims to answer:
The primary aim of this study is to assess whether our developed video instruction, compared with the traditional verbal instruction, both of which are given shortly before training during admission, reduces the number of medication errors in kidney transplant patients.
The study will also examine the correlation between patient characteristics (such as age, comorbidities, and language proficiency) and medication errors. Additionally, patient-reported medication errors will be measured through a questionnaire completed during follow-up visits at the outpatient clinic, which is part of standard care.
The instructional video will be evaluated by a short questionnaire.
The patient is able to take the medication independently or with the help of someone else (professionals not included).
After admission, the patient is discharged to their own home or home of friend/relative.
The patient had a follow up at the outpatient clinic in the Erasmus Medical Center for at least one year after transplantation.
The patient is able to read the medication list or an illiteracy-friendly medication list.
Patients under 18 years of age
Patients who got discharged with a medication dispenser
Refusal to participate in the study.
Cognitive impairments that hinder participation.
Parallel
Instructional video about medication administration
Other interventionSelf developed instructional video for a Dutch university hospital, for Dutch kidney transplant patients. Instructional video is about medication administration during admission.
Incidence and type of medication errors during admission
The primary outcome of this study will be the incidence (number of medication errors) and type of medication errors ( 1)Medication preparation omitted, 2) Incorrect dosage, 3) Incorrect administration at the scheduled time, 4), Medication discontinued inappropriately, 5)Error not documented by the nurse) during admission, evaluated through direct observation by healthcare providers. These errors will be documented and reported via patient portals by nurses.
Patient characteristics
Age (in years), gender (male/female/nonbinair), country of origin, language proficiency, number of previous organ transplantations, donor type of the kidney transplant (DCD, DBD, Living), and renal replacement therapy (HD/PD/Pre-emptive).
Evaluation of the instructional video
Structured questionnaire with the following questions: * Was the instructional video clear and easy to understand? (open answer) * Did you find the instructional video easy to follow? (open answer) * Do you have any suggestions for improvements? (open answer)
BAASIS
Participants will complete a patient-reported questionnaire (BAASIS) every three months during the first year after transplantation. The questionnaire consists of five yes/no questions related to medication errors occurring in the home setting. The questions will ask whether the participant has: 1. Forgotten to take their medication, (yes/no) 2. Taken the wrong dose of medication, (yes/no) 3. Taken medication at the wrong time, (yes/no) 4. Mixed up medications, (yes/no) 5. Not taken their medication due to confusion or difficulty. (yes/no) The goal is to evaluate whether there is a reduction in home-reported medication errors for those who receive a different medication management training method in the hospital.
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