The impact of follow-up telephone calls to patients after hospitalization

Dudas, Vicky; Bookwalter, Thomas; Kerr, Kathleen; Pantilat, Steven Z.

doi:10.1016/s0011-5029(02)90031-3

Cited by 138 publications

(199 citation statements)

References 11 publications

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“…A 2001 study found that 2 days after discharge from a general medicine hospital service, 1 in 5 patients had been unable to obtain all discharge medications. 7 A pharmacist-led medication reconciliation intervention in nursing home patients led to decreases in length of stay and discrepancy-related adverse drug events. Furthermore, a follow-up call allowed for clarification of medication questions in 25% of cases.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, a follow-up call allowed for clarification of medication questions in 25% of cases. 7,8 Patient characteristics such as depression and cognitive dysfunction have been found to affect readmission rates and are important to assess in addressing risk for poor outcomes after discharge. A 2000 study comparing readmission rates after discharge from a geriatric rehabilitation hospital found that patients with depression had an odds ratio of 3.5 for readmission compared with those without depression.…”

Section: Discussionmentioning

confidence: 99%

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Failure at the transition of care: Challenges in the discharge of the vulnerable elderly patient

Cumbler¹,

Carter²,

Kutner³

2008

Journal of Hospital Medicine

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The case of an elderly patient with mild dementia and severe depression is reviewed including analysis of the barriers to successful transition that led to readmission. Situations likely to result in failed transitions include poor social support, discharge during times when ancillary services are unavailable, uncertain medication reconciliation, depression, and patients' cognitive limitations. KEYWORDS: continuity of care and transition and discharge planning, geriatric patients, communication.T he patient is an 86-year-old woman with a history of mild dementia, major depression with psychotic features, congestive heart failure, hypertension, hyperlipidemia, osteoporosis, and hypothyroidism. She presented to her primary care physician (PCP) complaining of 4 days of bilateral lower extremity edema and dyspnea on exertion. She was admitted to the hospitalist service for exacerbation of congestive heart failure. MEDICATIONSDonepezil, olanzapine, mirtazapine, sertraline, spironolactone, triamterene/hydrochlorothizide, simvastatin, alendronate, levothyroxine, multivitamin. SOCIAL HISTORYShe lived alone in an independent-living retirement apartment that provided meals but not medical care, and she was able to function independently in her activities of daily living. Her pharmacy delivered her medications via courier service, whereas visiting home nurses filled her medication box and checked on her status weekly. HOSPITAL COURSEAdmission vitals were: heart rate, 83; blood pressure, 158/84; respiratory rate, 20; temperature, 36.4, and saturation, 95% on

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Failure at the transition of care: Challenges in the discharge of the vulnerable elderly patient

Cumbler¹,

Carter²,

Kutner³

2008

Journal of Hospital Medicine

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“…In controlled clinical trials evaluating the impact of telephone contact from pharmacists two days after hospital discharge, telephone follow up was associated with increased patient satisfaction, resolution of medication-related problems, fewer return visits to the emergency department (10% versus 24%) and reduced hospital readmission (15% versus 25%), with a total saving of approximately 12 thousand dollars (Dudas et al, 2001).…”

Section: Care Taken With Pharmacotherapy Post Hospital Dischargementioning

confidence: 99%

Segurança do paciente no uso de medicamentos após a alta hospitalar: estudo exploratório1

Marques¹,

Romano-Lieber²

2014

Saude soc.

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Few Brazilian studies have focused on patient safety strategies for safe use of medications after discharge leading to limited knowledge of current safety practices developed in Brazilian hospitals. The present study aimed to understand the dynamics and challenges of care provided to patients by hospital providers focusing on safe use of medications after discharge. An exploratory study was conducted and data was collected through interviews with physicians, nurses, pharmacists and social workers at the Hospital Universitário da Universidade de São Paulo, in São Paulo, southeastern Brazil. Care practices regarding medication use during and following hospital stay including access to medicines after discharge, follow-up plans for coordinated, ongoing care, and barriers were investigated. The main strategy for safe use of medications after hospital discharge is to provide structured counseling for patients and particularly for caregivers of pediatric patients. The care team works to ensure access to the medications prescribed at discharge in special situations. Medication reconciliation is being implemented and home visits are limited to patients in critical condition with mobility problems. The main barriers identified in the study were limited information technology and human resources. It was concluded that there are some patient safety strategies in place but they are limited in scope and do not ensure coordinated, ongoing care after discharge. These findings point to a need to strengthen efforts to overcome the barriers identified to improve patient safety at the interface of hospital, primary care and the home setting. Keywords: Drugs; Medication Errors; Adverse Events; Hospital Discharge; Patient Safety; Public Health. Liete de Fátima Gouveia Marques ResumoNo Brasil, são escassos os estudos sobre estratégias para a segurança do paciente no processo de uso de medicamentos após a alta hospitalar, o que dificulta o conhecimento sobre a atuação de hospitais brasileiros nessa área. Neste artigo, buscou-se compreender a dinâmica e os desafios do cuidado fornecido ao paciente pela equipe hospitalar, visando à segurança no processo de uso de medicamentos após a alta hospitalar. Realizou-se pesquisa exploratória por meio de entrevistas com médicos, enfermeiros, farmacêuticos e assistentes sociais do Hospital Universitário da Universidade de São Paulo. Foram pesquisadas as atividades de cuidado com a farmacoterapia durante e após a hospitalização, incluindo o acesso a medicamentos após alta, a existência de articulação do hospital com outros serviços de saúde, e barreiras para desenvolver essas atividades. A principal estratégia adotada é a orientação de alta, realizada de forma estruturada, principalmente para cuidadores de pacientes pediátricos. Em situações específicas, ocorre mobilização da equipe para viabilização do acesso a medicamentos prescritos na alta. Reconciliação medicamentosa está em fase de implantação, e visita domiciliar é realizada apenas para pacientes críticos com problemas de locomoção....

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“…Otro estudio encontró una tendencia hacia menos reingresos en pacientes con insuficiencia cardiaca llamados por estudiantes de enfermería 65 . Dudas demostró que llamados telefónicos por el farmacéutico dos días después del alta se asocian a una mayor satisfacción del paciente (p = 0,007), y a menos visitas a urgencias a 30 días (p = 0,005) 66 . Schnipper demostró que el seguimiento telefónico, asociado a una CIM por un farmacéutico, y a la entrega de información al paciente se asoció a menos eventos adversos prevenibles a 30 días (p = 0,01) 67 .…”

Section: Llamada Telefónicaunclassified