Impact of a pharmacist-prepared interim residential care medication administration chart on gaps in continuity of medication management after discharge from hospital to residential care: A prospective pre- and post-intervention study (MedGap Study)

Rohan Andrew Elliott, Tim Tran, Simone Elise Taylor, Penelope A Harvey, Mary Belfrage, Rhonda J Jennings, Jennifer Lillian Marriott

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15 Citations (Scopus)

Abstract

Objectives: To test the impact of a hospital pharmacist-prepared interim residential care medication administration chart (IRCMAC) on medication administration errors and use of locum medical services after discharge from hospital to residential care. Design: Prospective pre-intervention and postintervention study. Setting: One major acute care hospital and one subacute aged-care hospital; 128 residential care facilities (RCF) in Victoria, Australia. Participants: 428 patients (median age 84 years, IQR 79-88) discharged to a RCF from an inpatient ward over two 12-week periods. Intervention: Seven-day IRCMAC auto-populated with patient and medication data from the hospitals pharmacy dispensing software, completed and signed by a hospital pharmacist and sent with the patient to the RCF. Primary and secondary outcome measures: Primary end points were the proportion of patients with one or more missed or significantly delayed (>50 of prescribed dose interval) medication doses, and the proportion of patients whose RCF medication chart was written by a locum doctor, in the 24 h after discharge. Secondary end points included RCF staff and general practitioners opinions about the IRCMAC. Results: The number of patients who experienced one or more missed or delayed doses fell from 37/202 (18.3 ) to 6/226 (2.7 ) (difference in percentages 15.6 , 95 CI 9.5 to 21.9 , p
Original languageEnglish
Pages (from-to)e000918 - e000918
Number of pages8
JournalBMJ Open
Volume2
Issue number3
DOIs
Publication statusPublished - 2012

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