Medication List Consistency When Patients Transition from Hospital to Community

患者从医院转移到社区时药物清单的一致性

• 批准号: 8465057
• 负责人: KOREY A KENNELTY
• 金额: $ 3.95万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-01 至 2013-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8465057
• 关键词: Medication; List; Consistency; When; Patients

DESCRIPTION (provided by applicant): Medication discrepancies between patients' medication lists across different health care sites are common for patients transitioning from hospital to community care, jeopardizing their safety and increasing their risk of costly rehospitalizations. Previous research has focused on patients' medication consistency between hospital and community physicians to identify where, why, and what types of medication discrepancies occur post-hospitalization but not at community pharmacies where patients commonly fill their medications after discharge. The primary aim of this study is to examine patients' medication list consistency at their community pharmacy when a patient transfers from the hospital into community care. The specific aims are to: (1) examine the agreement of medication lists by comparing a patient's hospital discharge medication list with a patient's community pharmacy medication list(s) and community physician medication list(s) within two weeks of discharge, (1a) categorize the types of medication discrepancies occurring at community pharmacies, (2) describe the barriers and challenges community pharmacists face when reconciling medications for patients discharged from the hospital, and (2a) identify pharmacists' preferred content and modes of information transfer regarding updated medication lists when a patient is discharged from the hospital. For Aims 1 and 1a, patients will be recruited from the University of Wisconsin Hospital Clinics, and their medication lists will be obtained from their hospital discharge, community pharmacy, and community physicians. Medication lists will be compared and discrepancies will be identified. An overall medication discrepancy rate will be calculated along with rates of individual medication discrepancy categories. For Aims 2 and 2a, a small sample of community pharmacists will be interviewed, drawing on constructs from the Theory of Planned Behavior to describe the barriers and challenges they face reconciling medications. They will also be asked what they need to reconcile medications for recently discharge patients. Thematic analysis will be used to qualitatively analyze all pharmacist interview data. This study is directly related to the Agency for Healthcare Research and Quality's (AHRQ) priority strategic goal of increasing patient safety and health care quality by examining medication discrepancies when patients transition from hospital to community care. PUBLIC HEALTH RELEVANCE: Medication discrepancies between patients' medication lists across different health care sites are common for patients transitioning from hospital to community care, jeopardizing their safety and increasing their risk of costly rehospitalizations. This study seeks to examine where, why, and what types of medication discrepancies occur when patients transfer from the hospital into community care, particularly at the community pharmacy. Results from this study will help future interventional studies to develop and evaluate communication tools to provide timely and complete medication data to community pharmacies and physicians.

描述（由申请人提供）：不同医疗保健站点的患者药物清单之间的药物差异对于从医院过渡到社区护理的患者很常见，危害他们的安全性并增加了昂贵的重新寄养风险。先前的研究集中在医院和社区医生之间的患者药物一致性上，以确定院后发生的何处，原因和类型的药物差异，而在社区药房中则没有在患者出院后通常填充其药物。这项研究的主要目的是检查患者从医院转移到社区护理的社区药房中的患者药物清单一致性。具体目的是：（1）通过将患者的医院出院药物清单与患者的社区药物药物清单进行比较，并在出院的两周内将患者的住院药物清单与患者的社区药物药物清单和社区医师药物清单进行比较，（1a）分类，（1a）对障碍的患者和遭受挑战的药物的挑战（2）对患者进行了挑战，（2）在遇到障碍时，（2）对患者进行了挑战，（2）在遭到挑战，（2）在遭到挑战，（2）在遭到挑战，（2）挑战药物的挑战（2）确定药剂师从医院出院时，有关更新药物清单的信息转移的首选内容和信息传输方式。对于目标1和1A，将招募患者 来自威斯康星大学医院诊所，其药物清单将从 他们的医院出院，社区药房和社区医生。将比较药物清单，并确定差异。总体药物差异将与单个药物差异类别的率一起计算。对于目标2和2a，将采访一小部分社区药剂师样本，借鉴计划行为理论的结构，以描述他们面临的和解药物的障碍和挑战。还将询问他们需要为最近出院的患者调和药物需要什么。主题分析将用于定性分析所有药剂师访谈数据。这项研究与医疗保健研究和质量（AHRQ）优先级的战略目标直接相关，即通过检查患者从医院过渡到社区护理时，通过检查药物差异来提高患者的安全和医疗保健质量。 公共卫生相关性：不同医疗保健站点的患者药物清单之间的药物差异对于从医院过渡到社区护理的患者很常见，危害他们的安全性并增加了昂贵的再保存风险。这项研究试图检查当患者从医院转移到社区护理，尤其是在社区药房的地方，为什么，原因和哪种类型的药物差异。这项研究的结果将有助于将来的介入研究开发和评估交流工具，以及时，完整的药物数据为社区药房和医生提供。