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

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Ressource 1Télécharger: JFSPH16_interventions_hospital.pdf (1295.99 [Ko])
Etat: Public
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ID Serval
serval:BIB_C52B356E0597
Type
Actes de conférence (partie): contribution originale à la littérature scientifique, publiée à l'occasion de conférences scientifiques, dans un ouvrage de compte-rendu (proceedings), ou dans l'édition spéciale d'un journal reconnu (conference proceedings).
Sous-type
Poster: résume de manière illustrée et sur une page unique les résultats d'un projet de recherche. Les résumés de poster doivent être entrés sous "Abstract" et non "Poster".
Collection
Publications
Titre
Transition of care: a set of pharmaceutical interventions improves hospital discharge prescriptions from an internal medicine ward
Titre de la conférence
20es Journées Franco-Suisses de Pharmacie Hospitalière
Auteur(s)
Neeman M., Dobrinas M., Maurer S., Tagan D., Sautebin A., Widmer N., Blanc A.-L.
Adresse
Bern, Switzerland, December 1-2, 2016
Statut éditorial
Publié
Date de publication
2016
Langue
anglais
Résumé
Background & Objectives: Continuity of care between hospitals and community pharmacies can be problematic and needs to be improved to ensure medication safety. Indeed, discrepancies which happen after hospital discharge can lead to adverse medical events, increase the length of hospital stays or even lead to hospital readmissions.
Methods: This 6 months study, including control and intervention groups, took place in the internal medicine ward of a Swiss hospital and in surrounding community pharmacies. Patients from the control group received usual care. The intervention group’s patients underwent a set of pharmaceutical interventions during their hospital stay: medication reconciliation at admission; medication review during hospital stay; medication reconciliation at discharge and patient education on discharge prescriptions. The two groups were compared with regards to the number of community pharmacist interventions, the time spent on hospital discharge prescriptions and the number of treatment changes during transitional care.
Results: This prospective interventional study included 118 patients, 64 in the control group and 54 in the intervention group. The mean number of community pharmacist interventions per patient was of 6.9 in the control group (n=439) and 1.6 in the intervention group (n=88): 77% fewer interventions than for the control group (p < 0.0001). The time community pharmacists spent dealing with discharge prescriptions was significantly lower in the intervention group than the control group (p = 0.0001). For instance, less than 10 minutes was spent with 14% (n = 9) of patients in the control group, but with 63% (n = 34) of patients in the intervention group. The mean number of interventions per patient requiring telephone calls to hospital physicians to clarify medication was of 4.8 in the control group and 1.2 in the intervention group: 75% fewer interventions than for the control group (p < 0.0001).
The mean number of medication changes between hospital admission and discharge was 10 per patient in the control group versus 6 in the intervention group (40% lower, p < 0.0001). The mean number of medication changes between hospital discharge and community pharmacy care was 3 versus 1 (66% lower, p < 0.0001) and between community pharmacy care and general practitioner care was 4 versus 3 (25% lower, p = 0.002), for the control and intervention groups, respectively.
Discussion & Conclusions: Patients underwent significantly fewer medication changes in subsequent steps in the transition of care after a set of pharmaceutical interventions performed during their hospital stay. Community pharmacists had to perform fewer interventions on discharge prescriptions, thus improving continuity of care.
Création de la notice
22/01/2017 17:42
Dernière modification de la notice
21/08/2019 5:36
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