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Le Pharmacien Hospitalier et Clinicien
Article . 2017 . Peer-reviewed
License: Elsevier TDM
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European Journal of Internal Medicine
Article . 2017 . Peer-reviewed
License: Elsevier TDM
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Transition of care: A set of pharmaceutical interventions improves hospital discharge prescriptions from an internal medicine ward

Authors: Neeman, Marine; Dobrinas, Maria; Maurer, Sophie; Tagan, Damien; Sautebin, Annelore; Blanc, Anne-Laure; Widmer, Nicolas;

Transition of care: A set of pharmaceutical interventions improves hospital discharge prescriptions from an internal medicine ward

Abstract

Continuity of care between hospitals and community pharmacies needs to be improved to ensure medication safety. This study aimed to evaluate whether a set of pharmaceutical interventions to prepare hospital discharge facilitates the transition of care.This study took place in the internal medicine ward and in surrounding community pharmacies. The intervention group's patients underwent a set of pharmaceutical interventions during their hospital stay: medication reconciliation at admission, medication review, and discharge planning. The two groups were compared with regards to: number of community pharmacist interventions, time spent on discharge prescriptions, and number of treatment changes.Comparison between the groups showed a much lower (77% lower) number of community pharmacist interventions per discharge prescription in the intervention (n=54 patients) compared to the control group (n=64 patients): 6.9 versus 1.6 interventions, respectively (p<0.0001); less time working on discharge prescriptions; less interventions requiring a telephone call to a hospital physician. The number of medication changes at different steps was also significantly lower in the intervention group: 40% fewer (p<0.0001) changes between hospital admission and discharge, 66% fewer (p<0.0001) between hospital discharge and community pharmacy care, and 25% fewer (p=0.002) between community pharmacy care and care by a general practitioner.An intervention group underwent significantly fewer medication changes in subsequent steps in the transition of care after a set of interventions performed during their hospital stay. Community pharmacists had to perform fewer interventions on discharge prescriptions. Altogether, this improves continuity of care.

Country
Switzerland
Keywords

Adult, Aged, 80 and over, Male, Patient Transfer, Pharmacies, Pharmacies/standards, Middle Aged, Patient Transfer/standards, Pharmacists, Patient Discharge, Medication Reconciliation, Patient Admission, Professional Role, 615, Case-Control Studies, Internal Medicine, Humans, Female, Pharmacy Service, Hospital, Pharmacy Service, Hospital/standards, Switzerland, Aged, ddc: ddc:615

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
20
Top 10%
Top 10%
Top 10%
bronze
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