Impact of Pharmacist Discharge Medication Therapy Counseling and Disease State Education

Sarangarm, Preeyaporn; London, Matthew S.; Snowden, Stanley; Dilworth, Thomas J; Koselke, Lisa R.; Sanchez, Christian O.; D’Angio, Richard G.; Ray, Gretchen

doi:10.1177/1062860612461169

Cited by 50 publications

(56 citation statements)

References 32 publications

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“…Some studies show that errors during discharge are more, even though drug related problems didn't occur only due to lack of medication reconciliation but also due to inadequate information about the pharmacotherapy of the patient. 4 Many studies show that drug use by the patient and what has been recorded in the medication list is completely different . Therefore, patient participation in medication reconciliation is very much important .…”

Section: Medication Reconciliation Interventionsmentioning

confidence: 99%

“…These are points of care where patient is more exposed to medication discrepancies as the responsibilities of a patient are transferred among health professionals. 4 The significance of medication reconciliation includes mainly assessing whether the desired therapeutic outcomes are being achieved, monitoring for Drug Related Problems (DRPs), monitor for toxicity, ensure rational and quality use of medicines, assess patient's compliance (medication adherence), assess the completeness of medication chart, compare the inhospital and discharge medication and judge whether medicines should be included and omitted or if better alternatives could be suggested.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of Effects of Medical Reconciliation in Renal Failure Patients in a Tertiary Care Hospital

Babu¹,

Palanichamy²,

Vinod³

et al. 2017

IJOPP

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Renal failure is one of the major health problems in the world. Any gaps in the patient care may affect the patient adherence and quality of life. As part of a multi-disciplinary patient care strategy, clinical pharmacy service has led to improvement in patient care. The purpose of the study is to evaluate the role of medication reconciliation in renal failure patients and to observe the effect of medication alert card and patient counseling in medication reconciliation. In control, Drug Related Problems (DRPs) were identified only by chart review. In test group, one arm containing patients with DRPs were identified using medication reconciliation alone and in second arm, patient counseling and medication alert card was used in addition to reconciliation. Patient data were recorded on a standard template obtained from The Manitoba Renal Program (Canada). DRPs were recorded. Knowledge was assessed with a questionnaire before and after counseling and it was quantified. More number of DRPs was identified by means of medication reconciliation. Patient counseling and medication alert card had a significant role in medication reconciliation. The study was statistically significant with P<0.05. Medication reconciliation in renal failure helps to identify more number of drug related problems. Patient counseling and medication alert card have effectively improved the effect of reconciliation in renal failure patients and thus could improve clinical outcomes and quality of life.

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Section: Medication Reconciliation Interventionsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Evaluation of Effects of Medical Reconciliation in Renal Failure Patients in a Tertiary Care Hospital

Babu¹,

Palanichamy²,

Vinod³

et al. 2017

IJOPP

View full text Add to dashboard Cite

show abstract

“…6 Counseling by pharmacists in both the inpatient and outpatient settings can improve medication adherence and persistence. 7,8 Various organizations, such as the National Council on Patient Information and Education, the Pharmacy Quality Alliance, and the American Association of Colleges of Pharmacy have partnered with the National Consumer League to create a campaign that increases patient awareness and encourages provider discussion with patients regarding adherence. 9,10 The Center for the Advancement of Pharmacy Education specifically delineates pharmacist-provided education as an objective for students.…”

Section: Introductionmentioning

confidence: 99%

Evaluating the Potential Impact of Pharmacist Counseling on Medication Adherence Using a Simulation Activity

Volino

Das

Mansukhani

et al. 2014

American Journal of Pharmaceutical Education

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Objective. To evaluate the impact of counseling in a simulated medication adherence activity. Design. Students were randomized into 2 groups: patient medication monograph only (PMMO) and patient medication monograph with counseling (PMMC). Both groups received a fictitious medication and monograph. Additionally, the PMMC group received brief counseling. A multiplechoice, paper-based survey instrument was used to evaluate simulated food-drug interactions, adherence, and perceptions regarding the activity's value and impact on understanding adherence challenges. Assessment. Ninety-two students participated (PMMC, n545; and PMMO, n547). Overall, a significantly higher incidence of simulated food-drug interactions occurred in the PMMO group (30%) vs the PMMC group (22%) (p50.02). Doses taken without simulated food-drug interactions were comparable: 46.2% (PMCC) vs 41.9% (PMMO) (p50.19). The average number of missed doses were 3.2 (PMMC) vs 2.8 (PMMO) (p50.55). Approximately 70% of the students found the activity to be valuable and 89% believed it helped them better understand adherence challenges. Conclusion. This activity demonstrated the challenges and important role of counseling in medication adherence.

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“…Given these parameters, patient participation in the PPMDP did not reduce hospital 30-day readmission rate. Previous studies have shown varying reports of pharmacist intervention and reducing readmission rates; [5][6][7] however, these studies did not look at pediatric patients. Rate of readmission in this study was higher at 12.7% compared to a previously reported rate of 6.5% for pediatric patients.…”

Section: Discussionmentioning

confidence: 96%

“…A prospective study of an adult discharge program showed that participation led to interventions made by pharmacists on discharge medications, increased patient satisfaction, and increased medication adherence. 5 Pharmacistdriven discharge counseling was associated with decreased 30-day readmission rates for adult internal medication moderate-risk patients and averaged 4 pharmacy interventions per patient. 6 Extrapolating these results to pediatric patients, the investigators hypothesized that participation in the program led to increased medication adherence and understanding of medications, and therefore decreased rates of readmission.…”

Section: Introductionmentioning

confidence: 99%

Effect of a Pediatric Prescription Medication Discharge Program on Reducing Hospital Readmission Rates

Leathers¹,

Brittain²,

Crowley³

2017

The Journal of Pediatric Pharmacology and Therapeutics

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OBJECTIVESTo evaluate the pediatric prescription medication discharge delivery and counseling program, implemented at an 186-bed children's hospital integrated within a larger academic medical center, and its effectiveness on reducing hospital readmissions.METHODS This study was a retrospective chart review of existing data in the electronic medical record from patients <21 years of age who were discharged from our institution between September 1, 2014, and November 30, 2014. Patients who participated in the pediatric discharge program were compared to non-participants. The primary objective was to determine if the patient was readmitted within 30 days. Secondary objectives included time until readmission, diagnosis at discharge, and hospital unit at discharge. RESULTSIn total, 1804 patients were assessed. After exclusions, 932 subjects were included in the analysis. In total, 393 (42.2%) patients participated in the pediatric medication discharge and counseling program, and 539 did not participate. Of the patients who participated in the program, 52 were readmitted within 30 days (13.2%), compared with 67 patients (12.4%) who did not participate in the discharge program, p = 0.717. Patients with the diagnoses of malignancy and kidney injury were more likely to be readmitted within this time frame, and those with the diagnoses of heart defects or cardiology disorders and malignancy were more likely to participate in the pediatric prescription medication discharge program.CONCLUSION Participation in the pediatric discharge medication delivery and counseling program did not reduce hospital readmission rate within 30 days.ABBREVIATIONS EMR, electronic medical record; PCICU, pediatric cardiac intensive care unit; PPMDP, pediatric prescription medication discharge program; RSV, respiratory syncytial virus

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Impact of Pharmacist Discharge Medication Therapy Counseling and Disease State Education

Cited by 50 publications

References 32 publications

Evaluation of Effects of Medical Reconciliation in Renal Failure Patients in a Tertiary Care Hospital

Evaluation of Effects of Medical Reconciliation in Renal Failure Patients in a Tertiary Care Hospital

Evaluating the Potential Impact of Pharmacist Counseling on Medication Adherence Using a Simulation Activity

Effect of a Pediatric Prescription Medication Discharge Program on Reducing Hospital Readmission Rates

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