Pharmacist calls to older adults with cognitive difficulties after discharge in a Tertiary Veterans Administration Medical Center: a quality improvement program

Journal of the American Geriatrics Society
Allison M PaquinJames L Rudolph

Abstract

To evaluate the effect of the Pharmacological Intervention in Late Life (PILL) Service, which provides pharmacist telephone follow-up after discharge of older adults from the hospital, on postdischarge acute care utilization. Retrospective, secondary data analysis of a quality improvement project from 2010 to 2012. Tertiary Veterans Affairs hospital. Participants were inpatients aged 65 and older with delirium risk or prescribed a dementia medication (N=501, mean age 79.5±8.0; 98% male). PILL Service pharmacist telephone follow-up included a medication review and reconciliation within 5 days after hospital discharge. The time of the pharmacist call was examined in relation to the outcomes of emergency and urgent care encounters, readmissions, and mortality within 60 days. The average number of discharge medications was 14.8±5.7 with 2.8±2.2 medication changes and 1.4±1.8 discrepancies between medication order and instruction. After adjustment for age, number of medication changes, and number of discrepancies, every additional 5 minutes of pharmacist call was associated with a 15% reduction in 60-day readmission (adjusted odds ratio (OR)=0.85, 95% confidence interval (95% CI)=0.75-0.97) but was not associated with emergency or u...Continue Reading

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Citations

May 7, 2016·Journal of the American Pharmacists Association : JAPhA·Chris PloenzkeJennifer Bolduc
Sep 9, 2016·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Katherine E RebelloJane A Driver
Jun 9, 2016·The Annals of Pharmacotherapy·Aubrie RaffertyElizabeth Landrum Michalets
May 14, 2019·Journal of the American Geriatrics Society·Robyn L ReeseJane A Driver
Oct 18, 2019·The International Journal of Pharmacy Practice·Eleanor Dann-ReedDavid Wright
Nov 29, 2016·British Journal of Clinical Pharmacology·Jean-Baptiste BeuscartAnne Spinewine
Jan 5, 2022·Journal of Healthcare Management / American College of Healthcare Executives·Jason ZupecF Greg Lucado

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