Posthospital Medication Discrepancies

Coleman, Eric A.; Smith, Jemma; Raha, Devbani; Min, Sung‐Joon

doi:10.1001/archinte.165.16.1842

Cited by 604 publications

(213 citation statements)

References 35 publications

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“…The new way to think about the healthcare environment must go beyond the brick and mortar of acute care facilities. In fact, research shows that an effective formalized transition of care program should not stop at discharge [7][8][9][10][11][12] . If the patient is discharged home and falls within the high risk of readmission category, then specific steps should be in place to help to ensure that the patient undergoes a safe transition of care back into the home.…”

Section: Buildingmentioning

confidence: 99%

Transition of care and the impact on the environment of care

Guerrero

Puls

Andrew

2014

JNEP

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An unplanned readmission to the hospital within 30 days of discharge is seen as a failure by the healthcare team to appropriately plan for a safe and effective discharge to the next level of care. According to The Center for Medicare & Medicaid Services (CMS), the national average readmission rate in 2012 was 18.4%. As CMS shifts to a pay for performance strategy, a readmission rate higher than the national average for specific disease processes will result in a financial penalty. Many organizations have identified the need to improve the current discharge planning processes and to provide patients with a safer transition to the next level of care to prevent readmissions. Evidence demonstrates that there is value in reconfiguring the current discharge processes toward interventions that demonstrate a reduction in readmission rates. The discharge process should incorporate a multidisciplinary, multicomponent transition of care intervention that starts while the patient is in the hospital and continues with some type of home-care follow-up. Transition of care is a relatively new term that is used to describe a set of interventions designed to coordinate a patient's care during the movement between healthcare settings. Implementing a well-designed transition of care program allows hospitals to provide a safe Environment of Care to patients during their care transitions. Environment of Care is a term coined by The Joint Commission that is used to describe the environment in which the patient is being cared for. The term usually involves three components: the people, the equipment and tools, and the building. As healthcare changes, it will become increasingly important to provide patients with care management throughout the continuum of care, which means thinking of the patient's Environment of Care in much broader terms. How do transition of care processes affect the patient's Environment of Care? Does a well-implemented transition of care program lead to a positive impact in the patient's overall Environment of Care? This article provides an overview of how implementing a formalized transition of care process can lead to a safer Environment of Care.

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Section: Buildingmentioning

confidence: 99%

Transition of care and the impact on the environment of care

Guerrero

Puls

Andrew

2014

JNEP

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“…The mean number of discrepancies per subject, between the hospital discharge list and home medications reported 48 hours later, was 2.02 [SD 1.8, range [1][2][3][4][5][6][7][8][9][10][11][12][13]. Health literacy was not associated with having a medication discrepancy in simple bivariate analysis; 65.9% subjects with low health literacy, 63.3% subjects with marginal health literacy, and 67.9% subjects with adequate health literacy experienced at least one medication discrepancy (p= 0.84).…”

Section: Medication Discrepanciesmentioning

confidence: 99%

“…Coleman et al found a total of 14.3% of the patients who experienced medication discrepancies were rehospitalized at 30 days compared with 6.1% of the patients who did not experience a discrepancy. 13 Adherence is the decision to follow the recommendations or treatment plan of the prescribing health care professionals.…”

Section: Introductionmentioning

confidence: 99%

Relationship of Health Literacy to Intentional and Unintentional Non-Adherence of Hospital Discharge Medications

et al. 2011

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“…A number of these have been previously discussed and include patient safety, with high rates of medication errors, [17][18][19][20] incomplete or inaccurate information on transfer 75 and lack of appropriate follow-up care. 22 The transition coach will have addressed many of these issues; however, the frailty of this group of patients cannot be underestimated.…”

Section: Discussion and Summarymentioning

confidence: 99%

“…The reasons for these readmissions are multifactorial, but an important component is the availability of appropriate resources in the community that are able to respond to the needs of these patients in a responsive manner. Patient safety is often compromised during this vulnerable period, with high rates of medication errors, [17][18][19][20] incomplete or inaccurate information on transfer 21 and lack of appropriate follow-up of care 22 collectively leading to fragmented discharge planning and increased rates of recidivism to high-intensity care settings. 21 In England and Wales, to address the problem of rising readmission rates, the Department of Health has allocated £300M as part of the funding for reablement linked to hospital discharge funding stream [see www.gov.uk/government/uploads/system/uploads/attachment_data/file/215824/dh_123473.pdf (accessed 4 January 2016)].…”

Section: Chapter 2 Introductionmentioning

confidence: 99%

Comparing the cost-effectiveness and clinical effectiveness of a new community in-reach rehabilitation service with the cost-effectiveness and clinical effectiveness of an established hospital-based rehabilitation service for older people: a pragmatic randomised controlled trial with microcost and qualitative analysis – the Community In-reach Rehabilitation And Care Transition (CIRACT) study

Sahota

Pulikottil-Jacob

Marshall

et al. 2016

Health Serv Deliv Res

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(2016) Comparing the cost-effectiveness and clinical effectiveness of a new community in-reach rehabilitation service with the cost-effectiveness and clinical effectiveness of an established hospital-based rehabilitation service for older people: a pragmatic randomised controlled trial with microcost and qualitative analysis -the Community In-reach Rehabilitation And Care Transition (CIRACT) study. Health Services and Delivery Research, 4 (7). ISSN 2050-4357 Access from the University of Nottingham repository: http://eprints.nottingham.ac.uk/33469/1/Sahota%20Health%20Serv%20Del%202016.pdf Copyright and reuse:The Nottingham ePrints service makes this work by researchers of the University of Nottingham available open access under the following conditions. This article is made available under the University of Nottingham End User licence and may be reused according to the conditions of the licence. For more details see: http://eprints.nottingham.ac.uk/end_user_agreement.pdf A note on versions:The version presented here may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher's version. Please see the repository url above for details on accessing the published version and note that access may require a subscription.For more information, please contact eprints@nottingham.ac.uk This report should be referenced as follows: This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/). HEALTH SERVICES AND DELIVERY RESEARCHEditorial contact: nihredit@southampton.ac.ukThe full HS&DR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hsdr. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Services and Delivery Research journalReports are published in Health Services and Delivery Research (HS&DR) if (1) they have resulted from work for the HS&DR programme or programmes which preceded the HS&DR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. HS&DR programmeThe Health Services and Delivery Research (HS&DR) programme, part of the National Institute for Health Research (NIHR), was established to fund a broad range of research. It combines the strengths and contributions of two previous NIHR research programmes: the Health Services Research (HSR) programme and the Service Delivery and Organisation (SDO) programme, which were merged in January 2012.The HS&DR programme aims to produce rigorous and relevant evidence on the quality, access and organisation of health services including costs and outcomes, as well as research on implementation. The programme will enhance the strategic focus on research that matters to the NHS and is keen to support ambitious evaluative research to improve health services.For more information about the HS&DR programme please visit the webs...

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Posthospital Medication Discrepancies

Abstract: A significant percentage of older patients experienced medication discrepancies after making the transition from hospital to home. Both patient-associated and system-associated solutions may be needed to ensure medication safety during this vulnerable period.

Cited by 604 publications

References 35 publications

Transition of care and the impact on the environment of care

Transition of care and the impact on the environment of care

Relationship of Health Literacy to Intentional and Unintentional Non-Adherence of Hospital Discharge Medications

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