Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
January 17, 2013American Journal of TransplantationOpen Access

Improving Transplant Patient Safety Through Pharmacist Discharge Medication Reconciliation

View Full Paper
Ask AI
Bookmark
Share

Key result

Transplant pharmacist discharge reconciliation linked to ~68% fewer medication errors at first clinic visit.

  • P<0.0001
  • n=192

Why the study?

Solid-organ transplant recipients are at increased risk for medication errors during transitions of care, particularly at discharge, necessitating evaluation of pharmacist involvement to improve safety.

Does transplant pharmacist involvement reduce medication errors at discharge in solid-organ transplant recipients?

Comparison

Transplant pharmacist involvement vs no pharmacist involvement at discharge

Design

Prospective observational study with historical control

Follow-up

Until first clinic visit

Authors

CMCecil MusgraveNPNicole A. PilchMedical University of South CarolinaDTDavid J. TaberNational Federation of the Blind

Discussion

Loading...

Member takes

Overview

May reduce discharge medication errors in transplant recipients; leaves open need for randomized trials on clinical outcomes.

Study Design

Type

Observational (n=192)

Structured PICO

Does transplant pharmacist involvement reduce medication errors at discharge in solid-organ transplant recipients?

P
Population
192 solid-organ transplant recipients (64 prospective, 128 historical controls) evaluated for medication errors at discharge and first clinic visit.
E
Exposure
Transplant pharmacist involvement in discharge medication reconciliation
C
Comparator
Historical control group without transplant pharmacist involvement at discharge
O
Outcome
Number of medication errors prevented at the time of discharge and persisting at the first clinic visitsafety

Main Result

Absolute Event Rate: 1.1% vs 3.4%

p-value: p=<0.0001

Transplant pharmacist involvement in discharge medication reconciliation significantly reduces medication errors in solid-organ transplant recipients.

Cite This Study

Musgrave et al. (2013) conducted an observational in Solid-organ transplant (n=192). Transplant pharmacist discharge medication reconciliation vs. Historical control group was evaluated on Medication errors persisting until the first clinic visit (p=<0.0001). Transplant pharmacist discharge medication reconciliation reduced medication errors persisting until the first clinic visit compared to historical controls (1.1 vs 3.4 errors per patient, p<0.0001).

synapsesocial.com/papers/6aaa159fdf35e3fdba844630https://doi.org/10.1111/ajt.12070
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Impact of a Pharmacist-Facilitated Hospital Discharge Program2009 · 227 citations
  2. 2Association of ICU or Hospital Admission With Unintentional Discontinuation of Medications for Chronic Diseases2011 · 270 citations
  3. 3Improved Patient Safety and Outcomes With a Comprehensive Interdisciplinary Improvement Initiative in Kidney Transplant Recipients2012 · 54 citations
  4. 4Practical, reliable, comprehensive method for characterizing pharmacists’ clinical activities1999 · 160 citations
  5. 5Effect of Medication Reconciliation at Hospital Admission on Medication Discrepancies During Hospitalization and at Discharge for Geriatric Patients2012 · 118 citations