Key result
Pre- and post-discharge pharmacist collaboration resulted in a 58% handoff success rate and resolved an average of 5 medication therapy problems per patient inpatient and 1.4 post-discharge.
Why the study?
High 30-day readmission rates have driven efforts to improve hospital-to-home transitions, with medication-use safety identified as an area where pharmacists can reduce medication therapy problems.
Does comprehensive medication management by pharmacists before and after hospital discharge reduce medication therapy problems in patients transitioning from hospital to home?
Observational (n=105)
Yes
Does comprehensive medication management by pharmacists before and after hospital discharge reduce medication therapy problems in patients transitioning from hospital to home?
Pharmacist evaluation in both inpatient and ambulatory settings during hospital-to-home transitions identifies and resolves significant medication therapy problems.
No takes yet. Share an insight, caveat, or question.
May support pharmacist involvement in care transitions; hypothesis-generating for clinical outcome benefits.
Schullo-Feulner et al. (2019) conducted an observational in Hospital discharge (n=105). Pre- and post-discharge comprehensive medication management by pharmacists was evaluated on Success rate and timing of the inpatient to ambulatory pharmacist handoff, and number, type, and severity of medication therapy problems (MTPs) resolved. Pre- and post-discharge pharmacist collaboration resulted in a 58% handoff success rate and resolved an average of 5 medication therapy problems per patient inpatient and 1.4 post-discharge.
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