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Text
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URL Address
<a href="http://doi.org/10.1093/ajhp/zxaa081" target="_blank" rel="noreferrer noopener">http://doi.org/10.1093/ajhp/zxaa081</a>
ISSN
1535-2900 1079-2082
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Update Year & Number
June 2020 Update II
NEOMED College
NEOMED College of Pharmacy
NEOMED Department
Department of Pharmacy Practice
NEOMED Student Publications
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Title
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Effects of pharmacy interventions at transitions of care on patient outcomes.
Publisher
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American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists
Date
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2020
2020-05-06
Subject
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discharge medication reconciliation; length of stay; medication adherence; medication errors; pharmacists; readmissions
Creator
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Fosnight S; King Philip; Ewald Jacqueline; Feucht John; Lamtman Angela; Kropp D; Dittmer Alison; Sampson Jordan; Shah Morali
Description
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PURPOSE: An interdisciplinary group developed a care transitions process with a prominent pharmacist role. METHODS: The new transitions process was initiated on a 32-bed medical/surgical unit. Demographics, reconciliation data, information on medication adherence barriers, medication recommendations, and time spent performing interventions were prospectively collected for 284 consecutive patients over 54 days after the pharmacy participation was completely implemented. Outcome data, including 30-day readmission rates and length of stay, were retrospectively collected. RESULTS: When comparing metrics for all intervention patients to baseline metrics from the same months of the previous year, the readmission rate was decreased from 21.0% to 15.3% and mean length of stay decreased from 5.3 days to 4.4 days. Further improvement to a 10.2% readmission rate and a 3.6-day average length of stay were observed in the subgroup of intervention patients who received all components of the pharmacy intervention. Additionally, greater improvements were observed in intervention-period patients who received the full pharmacy intervention, as compared to those receiving only parts of the pharmacy intervention, with a 10.2-percentage-point lower readmission rate (10.2% vs 20.4%, P = 0.016) and a 1.7-day shorter length of stay (3.6 days vs. 5.3 days; 95% confidence interval, 0.814-2.68 days; P = 0.0003). For patients receiving any component of the pharmacy intervention, an average of 9.56 medication recommendations were made, with a mean of 0.89 change per patient deemed to be required to avoid harm and/or increased length of stay. CONCLUSION: A comprehensive pharmacy intervention added to a transitions intervention resulted in an average of nearly 10 medication recommendations per patient, improved length of stay, and reduced readmission rates.
Identifier
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<a href="http://doi.org/10.1093/ajhp/zxaa081" target="_blank" rel="noreferrer noopener">10.1093/ajhp/zxaa081</a>
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Format
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journalArticle
2020
American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists
Department of Pharmacy Practice
discharge medication reconciliation
Dittmer Alison
Ewald Jacqueline
Feucht John
Fosnight S
journalArticle
June 2020 Update II
King Philip
Kropp D
Lamtman Angela
Length of Stay
medication adherence
Medication Errors
NEOMED College of Pharmacy
NEOMED College of Pharmacy Student
NEOMED Student Publications
Pharmacists
readmissions
Sampson Jordan
Shah Morali