OBJECTIVES: To determine whether a difference exists in hospital readmission rates at 60 days postdischarge between patients who saw (intervention group) or did not see (control group) a pharmacist within 60 days of discharge and to describe the number and type of pharmacist interventions. DESIGN: Retrospective electronic record review. SETTING: Austin, TX, from January 2006 to January 2010. PATIENTS: 131 adult patients aged 18 to 65 years who were on at least three prescription medications. INTERVENTION: Pharmacist visit within 60 days post-hospital discharge. MAIN OUTCOME MEASURE: Hospital readmission rates at 60 days postdischarge. RESULTS: The intervention and control groups did not differ regarding age or gender, but the control group had a higher percentage of whites, fewer medications, and fewer diseases. Chi-square analyses revealed that of 65 patients in the control group, 28 (43.1%) were readmitted to the hospital within 60 days of discharge compared with 12 of 66 (18.2%) intervention group patients (P = 0.0020). Pharmacists provided approximately two interventions per patient. The most frequently provided pharmacist interventions were medication counseling (88.1%) and drug dosage adjustment (52.2%). CONCLUSION: Patients on multiple prescription medications and with chronic diseases may benefit from a pharmacist visit within 60 days of hospital discharge. However, future studies are needed to further determine the effectiveness of pharmacists' interventions post-hospital discharge.
OBJECTIVES: To determine whether a difference exists in hospital readmission rates at 60 days postdischarge between patients who saw (intervention group) or did not see (control group) a pharmacist within 60 days of discharge and to describe the number and type of pharmacist interventions. DESIGN: Retrospective electronic record review. SETTING: Austin, TX, from January 2006 to January 2010. PATIENTS: 131 adult patients aged 18 to 65 years who were on at least three prescription medications. INTERVENTION: Pharmacist visit within 60 days post-hospital discharge. MAIN OUTCOME MEASURE: Hospital readmission rates at 60 days postdischarge. RESULTS: The intervention and control groups did not differ regarding age or gender, but the control group had a higher percentage of whites, fewer medications, and fewer diseases. Chi-square analyses revealed that of 65 patients in the control group, 28 (43.1%) were readmitted to the hospital within 60 days of discharge compared with 12 of 66 (18.2%) intervention group patients (P = 0.0020). Pharmacists provided approximately two interventions per patient. The most frequently provided pharmacist interventions were medication counseling (88.1%) and drug dosage adjustment (52.2%). CONCLUSION:Patients on multiple prescription medications and with chronic diseases may benefit from a pharmacist visit within 60 days of hospital discharge. However, future studies are needed to further determine the effectiveness of pharmacists' interventions post-hospital discharge.
Authors: Naomi S Bardach; Eric Vittinghoff; Renée Asteria-Peñaloza; Jeffrey D Edwards; Jinoos Yazdany; Henry C Lee; W John Boscardin; Michael D Cabana; R Adams Dudley Journal: Pediatrics Date: 2013-08-26 Impact factor: 7.124
Authors: Joseph R Herges; Lori B Herges; Ross A Dierkhising; Kristin C Mara; Amanda Z Davis; Kurt B Angstman Journal: Mayo Clin Proc Innov Qual Outcomes Date: 2018-02-01