Empowering Home Care Nurses to Efficiently Resolve Medication Discrepancies

This team used information technology to help home care nurses more efficiently and effectively identify and resolve medication discrepancies as patients transitioned from the hospital to home. These discrepancies occur when a patient's discharge instructions regarding their medication differ from the medications the patient actually took once arriving home. Researchers evaluated whether the intervention had an impact on patients' emergency department visits during the first 30 days after hospital discharge. They found that nurses identified a mean of nearly three medication discrepancies per participant, while the pharmacists identified a mean of six medication discrepancies per participant. Medication discrepancies were found for virtually all classes of medications, including those considered high risk, such as antidiabetic medications, anticoagulants and narcotics. The intervention group participants had fewer emergency department visits during the first 30 days after the index hospitalization. These findings demonstrate both the importance and the complexity of medication information transfer during care transitions from hospital to home. This interdisciplinary team was led by Cynthia Corbett, PhD and Stephen Setter, PharmD, DVM, CDE, CGP, FACSP.

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Interprofessional collaboration (R2)
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