Amanda S. Mixon|Amy Myers|Cardella Leak|Jens Christian Brings Jacobsen|Courtney Cawthon|Kathryn Goggins|Samuel K. Nwosu|Jonathan S. Schildcrout|John F. Schnelle|Theodore Speroff|Sunil Kripalani
Characteristics Associated With Postdischarge Medication Errors
VA Tennessee Valley Healthcare System|Geriatric Research Education and Clinical Center|Vanderbilt Health|Vanderbilt University|Vanderbilt University Medical Center|Vanderbilt Health|Vanderbilt University|Vanderbilt Health|Vanderbilt University|Vanderbilt Health|Vanderbilt University|Vanderbilt Health|Vanderbilt University|Vanderbilt University|Vanderbilt University|VA Tennessee Valley Healthcare System|Geriatric Research Education and Clinical Center|Vanderbilt University|Geriatric Research Education and Clinical Center|Vanderbilt Health|Vanderbilt University|VA Tennessee Valley Healthcare System|Vanderbilt University|Vanderbilt Health
examine association patient medicationrelated factors postdischarge medication errorsthe vanderbilt inpatient cohort study includes adults hospitalized acute coronary syndromes andor acute decompensated heart failure measured health literacy subjective numeracy marital status cognition social support educational attainment income depression global health status medication adherence patients enrolled october 1 2011 august 31 2012 used binomial logistic regression determine predictors discordance discharge medication list patientreported list postdischarge medication reviewamong 471 patients mean age 59 years mean total number medications reported 12 79 patients 168 inadequate marginal health literacy total 242 patients 514 taking 1 discordant medication ie appeared either discharge list patientreported list 129 274 failed report medication discharge list 168 357 reported medication discharge list addition 279 participants 592 misunderstanding indication dose frequency cardiac medication multivariable analyses higher subjective numeracy odds ratio 081 95 ci 067098 associated lower odds discordant medications cardiac medications participants higher health literacy 084 95 ci 074095 higher subjective numeracy 077 95 ci 063095 female 060 95 ci 046078 lower odds misunderstandings indication dose frequencymedication errors present approximately half patients hospital discharge common among patients lower numeracy health literacy