- •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.
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
- Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.J Hosp Med. 2010; 5: 477-485
- The quality of medication use in older adults: Methods of a longitudinal study.Am J Geriatr Pharmacother. 2008; 6: 220-233
- Characteristics of older adults who meet the annual prescription drug expenditure threshold for medicare medication therapy management programs.J Manag Care Pharm. 2007; 13: 142-154
- Nurse identified hospital to home medication discrepancies: Implications for improving transitional care.Geriatr Nurs. 2010; 31: 188-196
- Evaluation of adverse drug events and medication discrepancies in transitions of care between hospital discharge and primary care follow-up.J Pharm Pract. 2014 Oct 13; ([Epub ahead of print])
- The effect of a clinical pharmacist discharge service on medication discrepancies in patients with heart failure.Pharm World Sci. 2010; 32: 759-766
- The process of bringing medication in line: the additional benefits of a structured medication history.Ned Tijdschr Geneeskd. 2010; 154: A904
- Characteristics associated with postdischarge medication errors.Mayo Clin Proc. 2014; 89: 1042-1051
- Posthospital medication discrepancies: prevalence and contributing factors.Arch Intern Med. 2005; 165: 1842-1847
- Multidisciplinary approach to inpatient medication reconciliation in an academic setting.Am J Health Syst Pharm. 2007; 64: 850
- The joint commission announces 2014 national patient safety goal.Jt Comm Perspect. 2013; 33 (3-4): 1
- Medication reconciliation for reducing drug-discrepancy adverse events.Am J Geriatr Pharmacother. 2006; 4: 236-243
- Inpatient medication reconciliation at admission and discharge: a retrospective cohort study of age and other risk factors for medication discrepancies.Am J Geriatr Pharmacother. 2010; 8: 115-126
- Impact of the lund integrated medicines management (LIMM) model on medication appropriateness and drug-related hospital revisits.Eur J Clin Pharmacol. 2011; 67: 741-752
- Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients.Am J Geriatr Pharmacother. 2010; 8: 127-135
- Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study.Arch Intern Med. 2009; 169: 2003-2010
- Practice characteristics of primary care nurse practitioners and physicians.Nurs Outlook. 2015; 63: 144-153
- Effect of medication reconciliation on unintentional medication discrepancies in acute hospital admissions of elderly adults: a multicenter study.J Am Geriatr Soc. 2013; 61: 1262-1268
- American geriatrics society updated beers criteria for potentially inappropriate medication use in older adults.J Am Geriatr Soc. 2012; 60: 616-631
- Potential risk of medication discrepancies and reconciliation errors at admission and discharge from an inpatient medical service.Ann Pharmacother. 2010; 44: 1747-1754
- Pharmacist-led medication reconciliation to reduce discrepancies in transitions of care in spain.Int J Clin Pharm. 2013; 35: 1083-1090
- Postdischarge pharmacist medication reconciliation: impact on readmission rates and financial savings.J Am Pharm Assoc (2003). 2013; 53: 78-84
- Pharmacy-managed program for providing education and discharge instructions for patients with heart failure.Am J Health Syst Pharm. 2014; 71: 134-139
- Impact of pharmacist-conducted medication reconciliation at discharge on readmissions of elderly patients with COPD.Ann Pharmacother. 2014; 48: 203-208
- Challenges of managing medications for older people at transition points of care.Res Social Adm Pharm. 2014 Oct 13; ([Epub ahead of print])
- Development and implementation of a postdischarge home-based medication management service.Am J Health Syst Pharm. 2014; 71: 1576-1583
- Evaluation of the impact of comprehensive medication management services delivered posthospitalization on readmissions and emergency department visits.J Manag Care Pharm. 2014; 20: 886-893
- Engaging patients in medication reconciliation via a patient portal following hospital discharge.J Am Med Inform Assoc. 2014; 21: e157-e162
Medication reconciliation. http://www.healthit.gov/providers-professionals/achieve-meaningful-use/menu-measures/medication-reconciliation#nlcr. Updated 2014. Accessed February 10, 2015.
- Impact of physician asthma care education on patient outcomes.Health Educ Behav. 2014; 41: 509-517
- Impact of pharmacist discharge medication therapy counseling and disease state education: pharmacist assisting at routine medical discharge (project PhARMD).Am J Med Qual. 2013; 28: 292-300
- Rural and urban hospitals’ role in providing inpatient care, 2010.NCHS Data Brief. 2014; 17: 12
Toth M, Quach C, Holmes GM. Rural-Urban Differences in Continuity of Care among Medicare Beneficiaries. Web. December. 2014. http://www.shepscenter.unc.edu/wp-content/uploads/2014/12/Differences-in-Continuity-of-Care-Dec-2014.pdf.
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.