| Autor: |
John Marshall, Bryan D Hayes, Jennifer Koehl, William Hillmann, Marjory A Bravard, Susan Jacob, Rosy Gil, Elisabeth Mitchell, Francesco Ferrante, Jennifer Giulietti, Andrea Tull, Xiu Liu, David Lucier |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists. 79(19) |
| ISSN: |
1535-2900 |
| Popis: |
Purpose Obtaining an accurate medication history is a vital component of medication reconciliation upon admission to the hospital. Despite the importance of this task, medication histories are often inaccurate and/or incomplete. We evaluated the association of a pharmacy-driven medication history initiative on clinical outcomes of patients admitted to the general medicine service of an academic medical center. Methods Comparing patients who received a pharmacy-driven medication history to those who did not, a retrospective stabilized inverse probability treatment weighting propensity score analysis was used to estimate the average treatment effect of the intervention on general medical patients. Fifty-two patient baseline characteristics including demographic, operational, and clinical variables were controlled in the propensity score model. Hospital length of stay, 7-day and 30-day unplanned readmissions, and in-hospital mortality were evaluated. Results Among 11,576 eligible general medical patients, 2,234 (19.30%) received a pharmacy-driven medication history and 9,342 (80.70%) patients did not. The estimated average treatment effect of receiving a pharmacy-driven medication history was a shorter length of stay (mean, 5.88 days vs 6.53 days; P = 0.0002) and a lower in-hospital mortality rate (2.34% vs 3.72%, P = 0.001), after adjustment for differences in patient baseline characteristics. No significant difference was found for 7-day or 30-day all-cause readmission rates. Conclusion Pharmacy-driven medication histories reduced length of stay and in-hospital mortality in patients admitted to the general medical service at an academic medical center but did not change 7-day and 30-day all-cause readmission rates. Further research via a large, multisite randomized controlled trial is needed to confirm our findings. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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