Role of pharmacist counseling in preventing adverse drug events after hospitalization

Archives of Internal Medicine
Jeffrey L SchnipperDavid W Bates

Abstract

Hospitalization and subsequent discharge home often involve discontinuity of care, multiple changes in medication regimens, and inadequate patient education, which can lead to adverse drug events (ADEs) and avoidable health care utilization. Our objectives were to identify drug-related problems during and after hospitalization and to determine the effect of patient counseling and follow-up by pharmacists on preventable ADEs. We conducted a randomized trial of 178 patients being discharged home from the general medicine service at a large teaching hospital. Patients in the intervention group received pharmacist counseling at discharge and a follow-up telephone call 3 to 5 days later. Interventions focused on clarifying medication regimens; reviewing indications, directions, and potential side effects of medications; screening for barriers to adherence and early side effects; and providing patient counseling and/or physician feedback when appropriate. The primary outcome was rate of preventable ADEs. Pharmacists observed the following drug-related problems in the intervention group: unexplained discrepancies between patients' preadmission medication regimens and discharge medication orders in 49% of patients, unexplained discrepa...Continue Reading

Citations

Mar 30, 2007·Pharmacogenomics·David Gurwitz, Howard L McLeod
Feb 8, 2014·BMJ Quality & Safety·Tamasine C GrimesCatherine Wall
May 3, 2014·European Journal of Clinical Pharmacology·Benjamin J BasgerTimothy F Chen
Feb 12, 2014·International Journal of Clinical Pharmacy·T Michael FarleyBarry L Carter
Mar 25, 2014·Drugs & Aging·Laura AndreoliEmmanuelle Papy
Sep 15, 2014·BMC Health Services Research·Gijs HesselinkHub Wollersheim
Jul 8, 2014·Mayo Clinic Proceedings·Amanda S MixonSunil Kripalani
Jul 17, 2014·International Journal of Clinical Pharmacy·Fatma Karapinar-ÇarkıtPatricia M L A van den Bemt
Aug 20, 2009·The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists·Ogochukwu Chidozie Molokwu, Nancy Twum Nkansah
Sep 7, 2014·Médecine et maladies infectieuses·H FaureA Sotto
Aug 6, 2014·Mayo Clinic Proceedings·David W Bates, Sarah P Slight
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
Apr 14, 2011·Journal of the American Medical Informatics Association : JAMIA·Jeffrey L SchnipperDavid W Bates
May 5, 2012·Journal of the American Medical Informatics Association : JAMIA·Jeffrey L SchnipperBlackford Middleton
Sep 17, 2013·Journal of the American Medical Informatics Association : JAMIA·Leonie HeyworthSteven R Simon
Apr 26, 2008·Journal of the American Medical Informatics Association : JAMIA·Alexander TurchinCarol A Broverman
Sep 23, 2014·BMC Health Services Research·Karen B FarrisJohn M Brooks
Jun 20, 2008·Journal of General Internal Medicine·Jennifer R PippinsJeffrey L Schnipper
Dec 1, 2006·American Journal of Pharmaceutical Education·Milap C Nahata
Dec 1, 2006·American Journal of Pharmaceutical Education·Brian K Alldredge, Mary Anne Koda-Kimble
Feb 16, 2007·Quality & Safety in Health Care·Bente GlintborgKim Dalhoff
Jan 2, 2008·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Edward EtchellsWendy Levinson
Aug 21, 2008·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Barry L CarterJohn M Brooks
Jan 22, 2009·Journal of General Internal Medicine·Alan J ForsterCarl van Walraven
Feb 5, 2009·Annals of Internal Medicine·Brian W JackLarry Culpepper
Mar 18, 2009·Journal of General Internal Medicine·Jennifer TjiaKathleen Miller
May 29, 2009·Professional Case Management·Jeffrey L Greenwald, Brian W Jack
Apr 24, 2010·American Journal of Pharmaceutical Education·Paul C WalkerNancy A Mason
Jun 27, 2013·BMC Health Services Research·Amanda H SalanitroJeffrey L Schnipper
Dec 4, 2013·Journal of Medical Internet Research·Leonie HeyworthSteven R Simon
Dec 25, 2012·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Beverley A OrserC Ruth Wilson
Nov 28, 2012·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Gijs HesselinkMyrra Vernooij-Dassen
May 4, 2013·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Anne SpinewinePierre Chevalier
Jun 22, 2013·American Journal of Pharmaceutical Education·Karen R SandoRandell Doty
Feb 19, 2013·Journal of Thrombosis and Thrombolysis·Allison E Burnett, Toby C Trujillo
Sep 20, 2008·Pharmacy World & Science : PWS·Lyne LalondeMarie-Claude Laliberté
Aug 4, 2009·Pharmacy World & Science : PWS·J G HugtenburgJ J Beckeringh
Apr 24, 2010·Pharmacy World & Science : PWS·Geoffrey C WallCarrie F Koenigsfeld
Jul 25, 2012·Population Health Management·Susan RobinsonDavid Vlahov
Mar 3, 2011·International Journal of Clinical Pharmacy·Franciska A DesplenterSteven R Simoens
Mar 6, 2012·International Journal of Clinical Pharmacy·Karin WillochAasmund Reikvam
Sep 26, 2012·International Journal of Clinical Pharmacy·Srecko MarusicVelimir Bozikov
Jun 6, 2007·European Journal of Clinical Pharmacology·Thomas GrimmsmannWolfgang Himmel

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