Sara Daliri|Jacqueline G. Hugtenburg|Gerben ter Riet|Bart J F van den Bemt|Bianca M. Buurman|Wilma J.M. Scholte op Reimer|Marie-Christine van Buul-Gast|Fatma Karapinar?Çarkit
The effect of a pharmacy-led transitional care program on medication-related problems post-discharge: A before—After prospective study
OLVG|Amsterdam University of Applied Sciences|Academic Medical Center|Amsterdam UMC Location VUmc|Academic Medical Center|Sint Maartenskliniek|Maastricht University Medical Centre|Radboud University Nijmegen|Radboud University Medical Center|Academic Medical Center|Amsterdam University of Applied Sciences|Amsterdam University of Applied Sciences|Academic Medical Center|Rijnstate Hospital|OLVG
background medicationrelated problems common hospitalization example changes patients medication regimens accompanied insufficient patient education poor information transfer healthcare providers inadequate followup postdischarge investigated effect pharmacyled transitional care program occurrence medicationrelated problems four weeks postdischarge methods prospective multicenter beforeafter study conducted six departments total two hospitals 50 community pharmacies netherlands tested pharmacyled program incorporating usual care medication reconciliation hospital admission discharge combined ii teachback hospital discharge iii improved transfer medication information primary healthcare providers iv postdischarge home visit patients community pharmacist compared usual care alone difference medicationrelated problems four weeks postdischarge measured means validated telephoneinterview protocol primary outcome multiple logistic regression analysis used adjusting potential confounders multiple imputation deal missing data results included 234 januaryapril 2016 222 julynovember 2016 patients usual care intervention group respectively complete data primary outcome available 400 patients proportion patients medicationrelated problem 659 211400 usual care group compared 524 189400 intervention group p 001 multiple imputation proportion patients medicationrelated problem remained lower intervention group unadjusted odds ratio 057 95 ci 038086 adjusted odds ratio 050 95 ci 031079 conclusions pharmacyled transitional care program reduced medicationrelated problems discharge implementation research needed determine best embed interventions existing processes