Impact of a Pharmacy-Initiated Inpatient Diabetes Patient Education Program on 30-Day Readmission Rates.

Journal of Pharmacy Practice
Julie A MurphySean G Hackett

Abstract

In October 2012, a pharmacy-driven Inpatient Diabetes Patient Education (IDPE) program was implemented at the University of Toledo Medical Center (UTMC). To determine the difference in 30-day hospital readmission rates for patients who receive IDPE compared to those who do not. This retrospective cohort was completed at UTMC. Patients admitted between October 1, 2012, and September 30, 2013, were included if they were ≥18 years and had one of the following: (1) diagnosis of diabetes mellitus, (2) blood glucose >200 mg/dL (>11.11 mmol/L) on admission, or (3) hemoglobin A1C of >6.5% (>48 mmol/mol). Patients who received IDPE from a pharmacist or student pharmacist (intervention group) were compared to patients who did not receive IDPE (control group). The 30-day readmission rate was 13.2% for the intervention group (n = 364) and 21.5% for the control group (n = 149) (P = .023). Average time to 30-day readmission was 13.1 (±8.3) days for the IDPE group and 11.9 (±7.9) days for the control group. There was no significant difference in diabetes-related readmission between the intervention and control groups (25.5% vs 21.9%). An IDPE program delivered primarily by pharmacists and student pharmacists significantly reduced 30-day readm...Continue Reading

References

Jul 5, 2001·Diabetic Medicine : a Journal of the British Diabetic Association·M DaviesJ R Peters
Mar 13, 2002·The Journal of Clinical Endocrinology and Metabolism·Guillermo E UmpierrezAbbas E Kitabchi
Jun 1, 2006·American Journal of Public Health·Jessica M Robbins, David A Webb
Jan 10, 2012·The Journal of Clinical Endocrinology and Metabolism·Guillermo E UmpierrezUNKNOWN Endocrine Society
Jul 17, 2012·Journal of Pharmacy Practice·Mansi ShahLeon Fogelfeld
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Aug 5, 2014·Journal of Diabetes and Its Complications·Daniel J RubinAnuradha Paranjape
Sep 28, 2017·Journal of Diabetes and Its Complications·Halis SonmezLeonid Poretsky

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Citations

Apr 5, 2021·Journal of the American Pharmacists Association : JAPhA·Shelby KelshMichael Stout
Sep 5, 2021·Current Diabetes Reports·Daniel J Rubin, Arnav A Shah

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Software Mentioned

SPSS
Vizient
IDPE

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