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December 14, 2018JACCP JOURNAL OF THE AMERICAN COLLEGE OF CLINICAL PHARMACY

Timing of pharmacist‐clinician collaborative visits after hospital discharge and their effect on readmission risk

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Why the study?

Do pharmacist-clinician collaborative visits within 7 days after hospital discharge reduce the risk of 30-day hospital readmission compared to visits eight or more days after discharge in adult primary care patients on high-risk medications?

Population

Adult primary care patients taking at least 1 high-risk medication and at least 10 total medications

Design

Retrospective cohort study

Follow-up

180 days

Authors

JHJoseph R. HergesMayo ClinicLHLori B. HergesMayo ClinicRDRoss DierkhisingBeth Israel Deaconess Medical Center

Discussion

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Implication

Supports flexible post-discharge scheduling; leaves open optimal timing pending randomized trials.

Structured PICO

Do pharmacist-clinician collaborative visits within 7 days after hospital discharge reduce the risk of 30-day hospital readmission compared to visits eight or more days after discharge in adult primary care patients on high-risk medications?

P
Population
502 adult primary care patients recently discharged from the hospital, receiving at least one medication putting them at high risk for emergent hospital admission and at least 10 total medications.
I
Intervention
Pharmacist-clinician collaborative (PCC) visits within 7 days after hospital discharge (early-visit cohort, n=393)
C
Comparator
Pharmacist-clinician collaborative (PCC) visits eight or more days after hospital discharge (late-visit cohort, n=109)
O
Outcome
30-day hospital readmission riskhard clinical

Pharmacist-clinician collaborative visits can be flexibly scheduled beyond 7 days post-discharge without significantly increasing the risk of 30-day hospital readmission.

Cite This Study

Herges et al. (2018) studied this question.

synapsesocial.com/papers/6a7fda363b13fc071e76218bhttps://doi.org/10.1002/jac5.1066
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