Impact of a pharmacy student–driven medication delivery service at hospital discharge

Rogers, Jacalyn; Pai, Vinita; Merandi, Jenna; Catt, Char; Cole, Justin W.; Yarosz, Shannon; Wehr, Allison; Durkin, Kayla; Kaczor, Chet

doi:10.2146/ajhp150613

Cited by 21 publications

(17 citation statements)

References 8 publications

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“…Explain that the learners, especially pharmacy residents, will operate as an extension of the pharmacist and will be able to closely monitor patients seen at the clinic under supervision. Learners can help coordinate in-services for providers, as well as complete projects that will improve care for patients and help to improve clinic functions [36,37]. Assess the clinic for opportunities where learners would be able to learn about, from, and with other healthcare professional learners [38].…”

Section: Discussionmentioning

confidence: 99%

Establishing a New Ambulatory Care Practice Site as a Pharmacy Practice Faculty

Gupta

Williams

2018

Pharmacy

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There is an imminent need to identify and develop new ambulatory care practice sites with the increase in the number of colleges of pharmacy across the nation. This manuscript provides recommendations to help clinical faculty determine whether a potential pharmacy practice site will be able to provide adequate resources and support to establish a successful practice. This may be challenging to pharmacy practice faculty in settings where clinical pharmacy services have never been utilized. Topics include the pre-work needed prior to approaching a new practice site, assessing the need for physical requirements, meeting key personnel, marketing clinical skills and services, implementing, and evaluating practice site. Preparation includes having a clear vision of the pharmacist services, ensuring that stakeholders have an understanding of the pharmacy services inquiring the site support and resources for the pharmacist, and regularly communicating.

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Section: Discussionmentioning

confidence: 99%

Establishing a New Ambulatory Care Practice Site as a Pharmacy Practice Faculty

Gupta

Williams

2018

Pharmacy

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“…These services can be supported by pharmacy technicians and students. When paired with discharge medication reconciliation, bedside medication delivery can improve medication adherence and reduce medication errors and readmissions …”

Section: Clinical Pharmacists’ Roles In Tocmentioning

confidence: 99%

Role of clinical pharmacists and pharmacy support personnel in transitions of care

Stranges

Jackevicius

Anderson

et al. 2020

J Am Coll Clin Pharm

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Patients moving between health care settings or providers are at increased risk of complications, including unplanned hospital readmissions and medication errors. Several actions must occur in concert with members of the health care team and across settings to ensure coordinated and continuous care for patients undergoing these transitions of care (TOC). Clinical pharmacists support patients during care transitions by providing interventions and services designed to improve medication outcomes. Clinical pharmacists and team members who support clinical pharmacist activities (eg, pharmacy students, technicians, and residents) are located throughout the care continuum, from acute care to care in the community, with each contributing to improved TOC outcomes. This article provides information on evidence of high‐impact clinical pharmacist TOC practices to serve as a practical guide for practitioners interested in starting or improving TOC activities. This article also addresses current and emerging best practices and offers suggestions for improving clinical pharmacist involvement in care transition activities.

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“…8 Some health care systems have instituted resourceful programs to accomplish medication bedside delivery and discharge reconciliation utilizing existing means with positive results. 9,10 What is evident is that each approach is individualized, creative, and may extend beyond each institution's existing resources and involve partnerships with community pharmacy operations. 11 The objective of our program was to increase the number of patients leaving the hospital with prescriptions in hand and to assess the effectiveness of utilizing a decentralized outpatient CPhT in an innovative manner to facilitate processing and delivering discharge prescriptions to the bedside.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Additionally, this model offers significant advantages to other decentralized processes in that no other program previously published has shown a decrease in prescription discharge time while subsequently increasing prescription volume utilizing existing outpatient resources. 3,[9][10][11][12] Institutions with higher turnover of patients may find this model useful because of the ability to increase the capture of medications on discharge while decreasing the length of time the patient is waiting for medications. The pilot program's increase to over 50% of patients leaving the hospital with their new discharge medications in hand may be able to address several non-revenue-related outcomes, including patient convenience, decreased patient costs by utilization of patient assistance programs and coupons, and decrease prescription transcribing errors.…”

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confidence: 99%

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Effective Decentralization of a Pharmacy Technician to Facilitate Delivery of Medications Prior to Discharge in a Community Hospital

Gorder

Yost

Negrelli

et al. 2017

Journal of Pharmacy Technology

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Background: There are many benefits to a well-designed prescription process and delivery service at the time of discharge from the hospital. However, the discharge prescription delivery service in our hospital has historically been infrequently utilized. Objective: To assess the number of patients with prescriptions in hand prior to discharge, the number of prescriptions filled, the duration of time to get discharge prescriptions to the floor, and the motivation patients had for declining the service. Methods: This single-center, quality improvement project was initiated as a pilot program from March through December 2015, utilizing a certified pharmacy technician (CPhT) on a 56-bed cardiovascular floor from Monday through Friday, 9:00 am to 5:30 pm. All patients discharged during the pilot time period were included in the analysis. The CPhT was responsible for collecting, inputting, processing, delivering, and charging for discharge prescriptions. Results: The number of patients utilizing the service increased from an average of 68 to 132 per month, pre-and postintervention, respectively. Total prescriptions increased from 296 preintervention to 456 postintervention per month. Prescription delivery time to the patient was decreased by 28 minutes. Conclusions: The utilization of a decentralized CPhT in a 56-bed cardiology unit at a large community hospital increased both the number of patients and total number of prescriptions filled prior to discharge. Future studies are warranted to evaluate medication interventions at discharge and readmission rates in patients who have prescriptions in hand prior to discharge versus those that do not.

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Impact of a pharmacy student–driven medication delivery service at hospital discharge

Abstract: A pharmacy student-driven discharge and medication delivery service reduced the number of AVSs and increased access to medications for patients.

Cited by 21 publications

References 8 publications

Establishing a New Ambulatory Care Practice Site as a Pharmacy Practice Faculty

Establishing a New Ambulatory Care Practice Site as a Pharmacy Practice Faculty

Role of clinical pharmacists and pharmacy support personnel in transitions of care

Effective Decentralization of a Pharmacy Technician to Facilitate Delivery of Medications Prior to Discharge in a Community Hospital

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