Highlights
- •This is the first study reporting the effectiveness of the medication reconciliation led by advanced practice nurses (APNs) on medication discrepancies in rural elderly cardiac patients discharged from hospital to home.
- •Not only does APN-managed medication reconciliation reduce the number of medication discrepancies, but it also reduces severity of medication discrepancy by identifying and correcting the discrepancies in the classes of medication with high health impact (eg, medications used treat cardiovascular gastrointestinal, neurologic conditions).
- •APN-managed medication reconciliation reduces most frequent types of medication discrepancies (eg, incorrect addition and omission).
- •APN-managed medication reconciliation increases intentional medication discrepancies by identifying and correcting inappropriate prescriptions for elderly cardiac patient, further reducing and avoiding adverse drug events and rehospitalizations.
Abstract
Medication discrepancies are common in cardiac patients discharged from hospital to
home, leading to increased risk for adverse drug events and hospital readmissions.
Medication reconciliation identifies discrepancies and reduces medication error–related
adverse drug events. The objective of this study is to examine the effect of advanced
practice nurse–managed medication reconciliation on the occurrence of medication discrepancies
in elderly cardiac patients discharged from a rural hospital. The study findings showed
that advanced practice nurse–managed medication reconciliation reduced the total unintentional
medication discrepancies in elderly cardiac patients during the transition from the
rural hospital to home.
Keywords
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Biography
Lufei Young, PhD, RN, APRN-NP, is an assistant professor in the College of Nursing at the University of Nebraska Medical Center in Omaha and can be reached at .
Biography
Susan Barnason, PhD, FAHA, FAAN, is a professor in the College of Nursing at the University of Nebraska Medical Center.
Biography
Krystal Hays, MSN, RN is a doctorate of nursing practice student in the College of Nursing at the University of Nebraska Medical Center.
Biography
Van Do, MD, is a doctoral student of Health Services Administration and Policy Department in the College of Public Health at the University of Nebraska Medical Center.
Article info
Footnotes
In compliance with national ethical guidelines, the authors report no relationships with business or industry that would pose a conflict of interest.
Supported by Nurse Practitioner Healthcare Foundation/Astellas Heart Health across the Age Span Award. The sponsor had no role in conducting the study.
Identification
Copyright
© 2015 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
