Impact of a pharmacy team-led intervention program on the readmission rate of elderly patients with heart failure
| Autor: | Pamela M. Moye, Maria Miller Thurston, Pui Shan Chu, Teresa Pounds |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Population Pharmacy Pilot Projects 030204 cardiovascular system & hematology Pharmacists Patient Readmission Cohort Studies 03 medical and health sciences 0302 clinical medicine Medication Reconciliation Professional Role Older patients Intervention (counseling) Medicine Humans 030212 general & internal medicine education Aged Retrospective Studies Pharmacology Heart Failure Patient Care Team education.field_of_study Intervention program business.industry Health Policy Middle Aged Readmission rate medicine.disease Heart failure Emergency medicine Female business Pharmacy Service Hospital |
| Zdroj: | American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists. 75(4) |
| ISSN: | 1535-2900 |
| Popis: | Purpose The results of a study to determine whether pharmacy team–led postdischarge intervention can reduce the rate of 30-day hospital readmissions in older patients with heart failure (HF) are reported. Methods A retrospective chart review was performed to identify patients 60 years of age or older who were admitted to an academic medical center with a primary diagnosis of HF during the period March 2013–June 2014 and received standard postdischarge follow-up care provided by physicians, nurses, and case managers. The rate of 30-day readmissions in that historical control group was compared with the readmission rate in a group of older patients with HF who were admitted to the hospital during a 15-month intervention period (July 2014–October 2015); in addition to usual postdischarge care, these patients received medication reconciliation and counseling from a team of pharmacists, pharmacy residents, and pharmacy students. Results Twelve of 97 patients in the intervention group (12%) and 20 of 80 patients in the control group (25%) were readmitted to the hospital within 30 days of discharge (p = 0.03); 11 patients in the control group (55%) and 7 patients in the intervention group (58%) had HF-related readmissions (p = 0.85). Conclusion In a population of older patients with HF, the rate of 30-day all-cause readmissions in a group of patients targeted for a pharmacy team–led postdischarge intervention was significantly lower than the all-cause readmission rate in a historical control group. |
| Databáze: | OpenAIRE |
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