H Laetitia Hattingh, Hayley Hirsch, Matt Percival, Kate Johnston, Georgia Tobiano, Salim Memon, Rohan Jayasinghe, Carl de Wet, Mark A Morgan, Noela Baglot, Brigid M Gillespie
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引用次数: 0
Abstract
Background: Hospital pharmacists and doctors should collaborate to prepare discharge medicine handover information and pharmacists and nurses in providing discharge medicine counselling. This pilot trial evaluated a multifaceted intervention that included training hospital doctors to record medicine changes, patient risk stratification, and collaborative doctor and pharmacist discharge medicine reconciliation to improve information handover.
Methods: A pilot study was undertaken at two hospitals in Queensland, Australia. Evaluation incorporated an audit of intervention patient discharge medicine information handover with a control cohort and a time-and-motion observation. Eligible general medicine patients ≥65 years were recruited over nine weeks; a randomisation process was followed to select the control group. We aimed to incorporate 50 intervention patient discharges in the audit.
Results: Most of the 52 intervention and 50 control patients were male (34/52, 65.5 %; 32/50, 64.0 %); average age was 78.6 (SD = 9.0) and 77.7 (SD = 9.3) years. Medicine reconciliation was completed at the time of discharge for 50/52 (96.2 %) of intervention and 34/50 (68.0 %) of control patients; more electronic discharge summaries of intervention patients included all medicines compared to control patients; pharmacists were involved in all intervention discharges compared to 90.0 % (45/50) of control discharges. Discharge summaries of intervention patients were sent to general practitioners within 4.3 days and 9.2 days for control patients. Time-and-motion observations showed that pharmacist discharge medicine information handover time was reduced by 32 min between intervention and control cohorts.
Conclusion: Our study showed that the multifaceted intervention reduced the time required to complete discharge medicine handover information, facilitated patient discharge, and reduced the time-period of sending discharge summaries to general practitioners.
期刊介绍：
Research in Social and Administrative Pharmacy (RSAP) is a quarterly publication featuring original scientific reports and comprehensive review articles in the social and administrative pharmaceutical sciences. Topics of interest include outcomes evaluation of products, programs, or services; pharmacoepidemiology; medication adherence; direct-to-consumer advertising of prescription medications; disease state management; health systems reform; drug marketing; medication distribution systems such as e-prescribing; web-based pharmaceutical/medical services; drug commerce and re-importation; and health professions workforce issues.
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