Author Affiliations: Section of Hospital Medicine, Division of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University, Nashville, Tennessee.
I read with interest the recent article by Wolf and colleagues about the variability with which patients self-dose a complex drug regimen.1 In this article, the authors discuss the Universal Medication Schedule (UMS), proposed in an Institute of Medicine report as a means to simplify complex drug regimens into 4 standard times of administration—morning, noon, evening, and bedtime.2 While awaiting the results of Wolf and colleagues' ongoing work to evaluate the UMS, I write to share the experience of my research group with medication instructions presented in this manner.
Kripalani S. Prior Experience With Universal Medication Schedules in 4 Controlled Trials. Arch Intern Med. 2011;171(16):1510-1511. doi:10.1001/archinternmed.2011.381