Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study

Archives of Internal Medicine
Paul C WalkerScott A Flanders

Abstract

Medication discrepancies are common at hospital discharge and can result in adverse events, hospital readmissions, and emergency department visits. Our objectives were to characterize medication discrepancies at hospital discharge and test the effects of a pharmacist intervention on health care utilization following discharge. We used a prospective, alternating month quasi-experimental design to compare outcomes of patients receiving the intervention (n = 358) with controls (n = 366). All patients were discharged to home and were at high risk for medication-related problems following discharge because of the number or types of medications they were prescribed, multiple medication changes during hospitalization, or problems managing medications. The intervention consisted of medication therapy assessment, medication reconciliation, screening for adherence concerns, patient counseling and education, and postdischarge telephone follow-up. The primary outcomes were 14-day and 30-day readmission rates and emergency department visits within 72 hours of discharge. Medication discrepancies occurring at discharge were also characterized. Medication discrepancies at discharge were identified in 33.5% of intervention patients and 59.6% of...Continue Reading

Citations

Feb 8, 2014·BMJ Quality & Safety·Tamasine C GrimesCatherine Wall
Sep 24, 2014·BMC Health Services Research·Robert E BurkeGregory J Misky
Nov 8, 2011·Annual Review of Medicine·Julius Cuong PhamPeter J Pronovost
Mar 17, 2012·The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists·Christopher J NovakDella F Terry
Nov 26, 2013·Research in Social & Administrative Pharmacy : RSAP·Michael BaggeJune Tordoff
Sep 17, 2013·Journal of the American Medical Informatics Association : JAMIA·Leonie HeyworthSteven R Simon
Jan 1, 2013·Jundishapur Journal of Natural Pharmaceutical Products·Sakineh Saqaeian Nejad IsfahaniMahbobe Habibi
Sep 3, 2010·Pharmacy World & Science : PWS·Rixt Nynke EgginkPatricia M L A van den Bemt
Feb 22, 2012·Journal of General Internal Medicine·Amanda H SalanitroSunil Kripalani
Dec 4, 2013·Journal of Medical Internet Research·Leonie HeyworthSteven R Simon
May 4, 2013·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Anne SpinewinePierre Chevalier
Jul 15, 2015·Journal of the American Pharmacists Association : JAPhA·Lauren BallingKurt Weibel
Jul 19, 2011·The American Journal of Geriatric Pharmacotherapy·Danielle M StittStephanie N Thompson
Dec 24, 2015·Journal of Evaluation in Clinical Practice·Natalia Shcherbakova, Gary Tereso
Dec 17, 2015·The International Journal of Pharmacy Practice·Chi HuynhMaisoon Ghaleb
Dec 23, 2015·American Journal of Pharmaceutical Education·Charles T TaylorLynette R Bradley-Baker
Sep 14, 2016·Hospital Pharmacy·Joseph TrangMinh-Tri Duong
Oct 10, 2013·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Kristin A SchullerNicholas Edwardson
Jan 15, 2014·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Jessica M TrompeterJeremy R Fox
Jul 24, 2015·BMC Health Services Research·David PickerMarin H Kollef
Nov 22, 2013·The Annals of Pharmacotherapy·Mitchell S BuckleySandra L Kane-Gill
Mar 25, 2015·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Ginah NightingaleAndrew Chapman
Apr 10, 2014·Hospital Pharmacy·Judith Kristeller
Feb 15, 2015·The Nursing Clinics of North America·Sherri Stevens
Mar 13, 2017·International Journal of Clinical Pharmacy·Choon Ean OoiRohan A Elliott
Aug 9, 2012·Annals of Saudi Medicine·Sami Ali Al-GhamdiHisham Saad Aljadhey
Oct 12, 2011·Journal of Pharmacy Practice·Chanadda ChinthammitTerri L Warholak
Jul 23, 2014·The Annals of Pharmacotherapy·Elin C LehnbomJohanna I Westbrook
Oct 4, 2012·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Preeyaporn SarangarmGretchen Ray
Jul 9, 2013·Western Journal of Nursing Research·Sarah J BahrPolly Ryan
Mar 7, 2015·Journal of Pharmacy Practice·Shannon ChristySuzanna Gim
Apr 14, 2012·The Annals of Pharmacotherapy·Gary R Matzke
Aug 9, 2012·The Annals of Pharmacotherapy·Katherine Taylor HaynesSunil Kripalani
Apr 6, 2018·Journal of Pharmacy Practice·Quyen N BachElizabeth Barber
Nov 21, 2017·The International Journal of Pharmacy Practice·Adam J MackridgeJanet Krska
Nov 26, 2016·Journal of Pharmacy Practice·Nicole P AlbaneseScott V Monte
Jan 15, 2014·Hospital Pharmacy·Aroop PalSamaneh Tavalali Wilkinson

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