At hospital discharge, there were discrepancies in patient-reported medication lists and those in EHR more often than not.J Pharm Pract. 2014 Oct 13; [Epub ahead of print].
Evaluation of adverse drug events and medication discrepancies in transitions of care between hospital discharge and primary care follow-up.
Armor BL, Wight AJ, Carter SM. J Pharm Pract. 2014 Oct 13; [Epub ahead of print].
Patients are particularly vulnerable following hospitalization, a period during which discharge communication,pending tests, and medication reconciliation are all known challenges. This study sought to evaluate medication safety after hospital discharge, a juncture commonly associated with adverse drug events. Pharmacists performed medication reconciliation and found discrepancies between the patient-reported medication regimen and electronic health record–generated information in the vast majority of cases. This gap between patient reports and hospital documentation emphasizes the ongoing challenge of safe medication use following hospitalization, despite longstanding awareness. A past AHRQ WebM&Mcommentary describes post-discharge medication problems.
Prescribing discrepancies likely to cause adverse drug events after patient transfer.
Boockvar KS, Liu S, Goldstein N, Nebeker J, Siu A, Fried T. Qual Saf Health Care. 2009;18:32-36.
Hospital discharge documentation and risk of rehospitalisation.
Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.
Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.
Lau H, Litman KC. Jt Comm J Qual Patient Saf. 2011;37:400-408.
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Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge.
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