Dedhia et al. Medication discharge Set of five forms and **** Medication discharge Return to the emergency 200932 USA instructions approaches, which began instructions: department within three at admission and days of discharge: Dose, frequency, purpose of continued throughout each medication 10% for control vs 3% hospitalisation for group For patients aged 65 30 day-readmission: years and older with 22% for control group vs multiple chronic conditions 14% for group Visits to the emergency department: 21% for control group vs 14%, for intervention group Hansen et al. Better Outcomes for Health professionals could Problems with medications: Average rate of 30-day **** 201343 Older adults through assess for these problems rehospitalisation in BOOST Patients prescribed several Canada Safe Transitions in all hospitalised patients units was 14.7% prior to medications, or who are on (BOOST) program of implementation and 12.7% For older people with high-risk medications work on care across 12 months after diverse comorbidities including anticoagulants, transitions implementation (p = 0.010) warfarin, heparin, Factor Xa 8P approach or thrombin inhibitors, antiplatelet agents in combination (e.g. aspirin and clopidogrel), insulin, oral hypoglycaemic agents, digoxin, and opioids Psychological: Patients who screen positive for depression or who have a history of depression
Dedhia et al. 200932 USA Medication discharge instructions Set of five forms and approaches, which began at admission and continued throughout hospitalisation For patients aged 65 years and older with multiple chronic conditions Medication discharge instructions: Dose, frequency, purpose of each medication Return to the emergency department within three days of discharge: 10% for control vs 3% for group 30 day-readmission: 22% for control group vs 14% for group Visits to the emergency department: 21% for control group vs 14%, for intervention group **** Hansen et al. 201343 Canada Better Outcomes for Older adults through Safe Transitions (BOOST) program of work on care across transitions 8P approach Health professionals could assess for these problems in all hospitalised patients For older people with diverse comorbidities Problems with medications: Patients prescribed several medications, or who are on high-risk medications including anticoagulants, warfarin, heparin, Factor Xa or thrombin inhibitors, antiplatelet agents in combination (e.g. aspirin and clopidogrel), insulin, oral hypoglycaemic agents, digoxin, and opioids Psychological: Patients who screen positive for depression or who have a history of depression Average rate of 30-day rehospitalisation in BOOST units was 14.7% prior to implementation and 12.7% 12 months after implementation (p = 0.010) ****
Rapid-review-Improving-documentation-at-transitions-of-care-for-complex-patients.docx