Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care

Setter, Stephen M.; Corbett, Cynthia F.; Neumiller, Joshua J.; Gates, Brian J.; Sclar, David A.; Sonnett, Travis E.

doi:10.2146/ajhp080582

Cited by 57 publications

(65 citation statements)

References 22 publications

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“…Several studies have shown that pharmacists can decrease discrepancies and readmission rates when they are involved in discharge medication reconciliation. [10][11][12][13][14] The program process has continued to evolve as Mercy has moved medication reconciliation into the computerized provider order entry (CPOE) era. Mercy went live on CPOE in November 2011.…”

Section: Discussionmentioning

confidence: 99%

Pharmacy-Based Medication Reconciliation Program Utilizing Pharmacists and Technicians: A Process Improvement Initiative

Smith

Mango

2013

Hosp Pharm

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Background: Pharmacists and pharmacy technicians have an opportunity to impact the quality of the medication histories and improve patient safety by ensuring accurate medication lists are obtained and complete reconciliation has occurred with the admission medication orders by owning the admission medication reconciliation process. Objective: To compare the quality of a pharmacy-based medication reconciliation program on admission utilizing pharmacists and technicians to the usual multidisciplinary process. Methods: This was a retrospective chart review process improvement study at a 186-bed tertiary care inpatient facility. Primary outcomes included both the accuracy of pre-admission medications listed and the reconciliation of those medications with admission inpatient orders. Technicians obtained patient medication histories. Pharmacists checked the technician-obtained medication histories and ensured reconciliation of those medications with admission orders. Results: Medication accuracy increased from 45.8% to 95% per patient (P , .001) and medication reconciliation increased from 44.2% to 92.8% (P , .001) and remained above benchmark. Conclusion: A pharmacy-based medication reconciliation program utilizing both pharmacists and technicians significantly increased the accuracy and reconciliation of medications on admission. These gains were maintained for the duration of the 6-month period studied and beyond per continued process improvement data collection.

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Section: Discussionmentioning

confidence: 99%

Pharmacy-Based Medication Reconciliation Program Utilizing Pharmacists and Technicians: A Process Improvement Initiative

Smith

Mango

2013

Hosp Pharm

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“…O planejamento de alta foi realizado pelo enfermeiro hospitalar (18)(19)(22)(23)28,31) , em conjunto com o paciente e familiares (25) ou com equipe multiprofissional (15,20,32,35) e reformulado durante a internação, de acordo com mudanças clínicas e psicossociais do paciente (15) . Os planos de alta continham informações sobre diagnósticos prévios (24)(25) , modo de administração das medicações (18,20,(24)(25)31,33) , história pregressa, avaliação da condição psicossocial (20,(22)(23)25,33) , condições financeiras e de moradia (31) e acompanhamento após a alta (24)(25)31,33) .…”

Section: Categoria 1 -Planejamento De Cuidados Para Altaunclassified

“…Os enfermeiros realizam educação em saúde sob diversos aspectos: mudança na dieta e possíveis restrições de alimentos (27)(28)33,35) , realização de exercícios físicos (25,35) , uso correto das medicações, como dosagem, frequência de administração e horários (14,(17)(18)(19)(21)(22)(25)(26)(28)(29)(30)33) , interações dos medicamentos de uso contínuo (14,16,20,26,32,35) , reconhecimento de sinais e sintomas da doença em curso (19)(20)(22)(23)(25)(26)(27)(28)30,35) e autocuidado no domicílio (15,22,35) . Alguns enfermeiros realizam a reconciliação medicamentosa, avaliando medicamentos de uso anterior à internação com os prescritos no ambiente hospitalar (16,20,24) .…”

Section: Categoria 3 -Educação Em Saúdeunclassified

Transição Do Cuidado Do Hospital Para O Domicílio: Revisão Integrativa

et al. 2017

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RESUMO: Objetivou-se identificar atividades dos enfermeiros na transição do cuidado do hospital para o domicílio a partir de evidências na literatura. Trata-se de revisão integrativa, realizada em agosto de 2015, mediante busca nas bases de dados PubMed, Cumulative Index to Nursing and Allied Health Literature, Web of Science, SCOPUS e Literatura Latino-Americana e do Caribe em Ciências da Saúde. Foram selecionados 22 artigos que atenderam aos critérios de inclusão. Identificaram-se estudos de intervenção, pesquisas experimentais, quaseexperimentais, em idosos e com doenças crônicas. Os resultados evidenciaram cinco categorias temáticas com as principais atividades dos enfermeiros na transição do cuidado: planejamento de cuidados para a alta; auxílio na reabilitação social; educação em saúde; articulação com os demais serviços; acompanhamento pós-alta. Conclui-se que há necessidade de aprimoramento das práticas assistenciais e organização das atividades dos enfermeiros, promovendo coordenação do cuidado com foco na transição do hospital para o domicílio. DESCRITORES: Cuidado transicional; Alta do paciente; Continuidade da assistência ao paciente; Enfermagem. (22) articles that met the inclusion criteria were selected. Interventional, experimental and quasi-experimental studies with elderly and patients with chronic diseases were identified. The results showed five thematic categories related to the main activities of nurses in transitional care: planning for discharge; assistance in social rehabilitation; health education; coordination with other services; postdischarge follow-up. It is concluded that improvement of care practices and organization of nurses' activities is needed, to ensure the coordination of care focused on transition from hospital to home. TRANSICIÓN DEL CUIDADO DEL HOSPITAL PARA EL DOMICILIO: REVISIÓN INTEGRATIVA RESUMEN: Estudio cuya finalidad fue identificar actividades de los enfermeros en la transición del cuidado del hospital para el domicilio considerándose evidencias en la literatura. Es una revisión integrativa, realizada en agosto de 2015, por medio de búsqueda en las bases de datos PubMed, Cumulative Index to Nursing and Allied Health Literature, Web of Science, SCOPUS y Literatura Latinoamericana y de Caribe en Ciencias de la Salud. Se seleccionaron 22 artículos de acuerdo a los criterios de inclusión. Se identificaron estudios de intervención, investigaciones experimentales, casi experimentales, en ancianos y con enfermedades crónicas. Los resultados apuntaron cinco categorías temáticas con las principales actividades de los enfermeros en la transición del cuidado: planeamiento de cuidados para el alta; ayuda en la rehabilitación social; educación en salud; articulación con otros servicios; acompañamiento despues del alta. Se constata que hay necesidad de perfeccionamiento de las prácticas asistenciales y organización de las actividades de los enfermeros, para promover coordinación del cuidado con énfasis en la transición del hospital para el domicilio. DESCRIPTORES: Cuidado tran...

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“…Collaboration between pharmacists and other health care professionals is essential to improved patient outcomes, [1][2][3][4] reduction in medication errors, 5,6 and a better understanding of the pharmacist's role within the health care team. 7,8 The Center for the Advancement of Pharmacy Education (CAPE) Educational Outcome 3.4 states that all entry-level graduates from doctor of pharmacy (PharmD) programs should be prepared to collaborate with other health care professionals and in doing so demonstrate "mutual respect, understanding, and values to meet patient care needs."…”

Section: Introductionmentioning

confidence: 99%

Effect of Collaborative vs Noncollaborative Quizzes on Examination Scores in a Pharmaceutical Calculations Course

Enz

Frosch

2015

American Journal of Pharmaceutical Education

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Objective. To determine if midterm and final examination scores in a pharmaceutical calculations course differ among students who take weekly quizzes collaboratively, noncollaboratively, or halfcollaboratively/half-noncollaboratively ("mixed"). Methods. One hundred twenty-three students enrolled in one of 4 laboratory sections: collaborative, noncollaborative, or mixed sections. Students working noncollaboratively completed a 15-minute quiz at the end of weekly laboratories. Students working collaboratively were randomly allocated into groups of 4 and worked independently for 5 minutes before working collaboratively for 10 minutes. Students in mixed sections worked collaboratively during one half of the semester and noncollaboratively during the other half of the semester in a crossover design to control for order effect. All students took midterm and final examinations independently. Results. Mean scores for a pretest did not significantly differ between the 4 laboratory sections at the study's onset. Multivariate analysis of variance (MANOVA) revealed a significant multivariate effect for the 9 laboratory quizzes in relation to group assignment. Mean scores on the midterm examination did not significantly differ between collaborative and noncollaborative groups. On the final examination, the two mixed groups significantly outperformed the collaborative group, but did not significantly differ from one another or from the noncollaborative group. Conclusion. Peer collaboration improves quiz scores, is favorably perceived by students and enhances their course satisfaction, but does not improve subsequent performance on midterm and final examinations taken noncollaboratively.

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Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care

Abstract: A pharmacist-nurse collaboration designed to identify and resolve medication-related discrepancies in patients transitioning from the hospital to home health care led to significant improvement in medication discrepancy resolution.

Cited by 57 publications

References 22 publications

Pharmacy-Based Medication Reconciliation Program Utilizing Pharmacists and Technicians: A Process Improvement Initiative

Pharmacy-Based Medication Reconciliation Program Utilizing Pharmacists and Technicians: A Process Improvement Initiative

Transição Do Cuidado Do Hospital Para O Domicílio: Revisão Integrativa

Effect of Collaborative vs Noncollaborative Quizzes on Examination Scores in a Pharmaceutical Calculations Course

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