Key result
The multifaceted Medication REACH pharmacist intervention reduced 30-day unplanned hospital readmissions compared to standard care (9.8% vs 20.4%; adjusted risk difference 9.4%; P<0.001).
Why the study?
Does a pharmacist-driven multifaceted medication intervention reduce 30-day unplanned hospital readmissions in a Medicare fee-for-service population?
Population
1,059 admissions of 667 Medicare fee-for-service patients at an inner-city safety-net hospital
Comparison
Multifaceted 'Medication REACH' intervention vs Standard discharge care
Design
Cohort
Follow-up
30 days
Authors
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Pharmacist intervention was associated with fewer Medicare readmissions; leaves open confirmation in randomized trials.
Cohort (n=667)
No
Does a pharmacist-driven multifaceted medication intervention reduce 30-day unplanned hospital readmissions in a Medicare fee-for-service population?
Absolute Risk Reduction: 9.4 (95% CI 4.3–14.6)
Absolute Event Rate: 9.8% vs 20.4%
Absolute Risk Reduction: 9.4%
p-value: p=<0.001
A pharmacist-driven transition-of-care intervention significantly reduced 30-day unplanned hospital readmissions in a Medicare fee-for-service population.
Shull et al. (2018) conducted a cohort in Hospital admissions in a Medicare fee-for-service population (n=667). Medication REACH (multifaceted pharmacist-driven intervention) vs. Standard discharge care was evaluated on Unplanned readmissions within 30 days of discharge (Adjusted risk difference 9.4, 95% CI 4.3-14.6, p=<0.001). The multifaceted Medication REACH pharmacist intervention reduced 30-day unplanned hospital readmissions compared to standard care (9.8% vs 20.4%; adjusted risk difference 9.4%; P<0.001).
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