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[PMID]:29425012
[Au] Autor:Payne TH; Beahan S; Fellner J; Martin D; Elmore JG
[Ti] Título:Health Records All Access Pass. Patient Portals That Allow Viewing of Clinical Notes and Hospital Discharge Summaries: The University of Washington Opennotes Implementation Experience.
[So] Source:J AHIMA;87(8):36-9, 2016 08.
[Is] ISSN:1060-5487
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Acesso dos Pacientes aos Registros
Sumários de Alta do Paciente Hospitalar
Portais do Paciente
[Mh] Termos MeSH secundário: Seres Humanos
Modelos Organizacionais
Estudos de Casos Organizacionais
Washington
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180210
[St] Status:MEDLINE


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[PMID]:29341569
[Au] Autor:Mihailovic N; Trajkovic G; Simic-Vukomanovic I; Ristic S; Kocic S
[Ti] Título:Agreement between admission and discharge diagnoses: Analysis by the groups of international classification of diseases, 10th revision.
[So] Source:Vojnosanit Pregl;73(12):1125-31, 2016 Dec.
[Is] ISSN:0042-8450
[Cp] País de publicação:Serbia
[La] Idioma:eng
[Ab] Resumo:Background/Aim: Admission diagnosis represents the diagnosis of an illness, injury or condition due to which a patient is referred to hospital to be admitted. Discharge diagnosis represents the main reason of illness or condition due to which a patient is admitted. The aim of this study was to analyze the agreement between admission diagnostic groups and discharge diagnostic groups of patients in the Clinical Center Kragujevac in the period from January 1, 2006 to December 31, 2013 on the basis of the hospitalization report. Methods: From the basic set of reports, 5% of random samples were singled out and they contained 20,422 reports. Out of the given number of reports, 18,173 hospitalization reports were complete and then further analyzed in the paper. Admission diagnostic groups given by the primary care doctor were compared with discharge diagnostic groups filled out by the practicing physician in the hospital ward from which a patient was discharged. The agreement of these two diagnostic groups was an indication of the high-quality performance of the primary care doctor. Agreement analysis was conducted using Cohen's Kappa statistics. Restuls: Agreement analysis showed that the values of the Kappa coefficient for the five leading admission diagnostic groups were in the range of κ = 0.61 to κ = 0.94. The values of the Kappa coefficient for the five most common discharge diagnostic groups were in the range of κ = 0.55 to κ = 0.81. Conclusion: Hospitalization report is a reliable individual report on inpatient care, so it could be used in determining the degree of agreement between admission diagnostic groups and discharge diagnostic groups.
[Mh] Termos MeSH primário: Classificação Internacional de Doenças
Admissão do Paciente
Alta do Paciente
[Mh] Termos MeSH secundário: Adulto
Idoso
Grupos Diagnósticos Relacionados
Feminino
Seres Humanos
Tempo de Internação
Masculino
Meia-Idade
Variações Dependentes do Observador
Sumários de Alta do Paciente Hospitalar
Valor Preditivo dos Testes
Reprodutibilidade dos Testes
Estudos Retrospectivos
Sérvia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180118
[St] Status:MEDLINE
[do] DOI:10.2298/VSP150427057M


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[PMID]:27771308
[Au] Autor:Colavecchia AC; Putney DR; Johnson ML; Aparasu RR
[Ad] Endereço:Houston Methodist Hospital, Department of Pharmacy, 6565 Fannin St., DB1-09, Houston, TX 77030, United States. Electronic address: accolavecchia@houstonmethodist.org.
[Ti] Título:Discharge medication complexity and 30-day heart failure readmissions.
[So] Source:Res Social Adm Pharm;13(4):857-863, 2017 Jul - Aug.
[Is] ISSN:1934-8150
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Limited research exists regarding Medication Regimen Complexity Index (MRCI) and its utility in identifying patients at risk for hospital readmission. OBJECTIVE: This study evaluates the association between discharge MRCI and 30-day rehospitalization in patients with heart failure (HF) after discharge. METHODS: The study involved a retrospective, cohort study at a large tertiary teaching facility from the University HealthSystem Consortium. The consortium database was used to identify HF patients hospitalized from January 2011 to December 2013. A 30-day readmission was defined as being readmitted to the same hospital within 30 days of discharge with a principal discharge diagnosis of HF. Index hospitalizations was defined as the first hospitalization, and readmission was the subsequent hospitalization for HF. A pilot analysis was conducted to compare manual MRCI collection tool and a computerized scoring MRCI system. Multivariable logistic regression was used to examine the association of computerized MRCI (≥15) and 30-day rehospitalization after controlling for other variables. RESULTS: A total of 1,452 patients were included in the study with 81 patients (5.9%) readmitted within 30 days of discharge. The manual and computerized MRCIs were correlated with an R of 0.74 and R of 0.55. The multivariate logistic regression analysis found computerized MRCI ≥15 (OR: 1.62; 95% CI: 1.01-2.59) was associated with 30-day rehospitalization after controlling for other factors. Patients prescribed angiotensin-converting-enzyme inhibitors or angiotensin receptor blockers, were less likely (OR: 0.54; CI: 0.33-0.89) to be readmitted 30 days after discharge, and patients with coronary artery disease were more likely (OR: 1.76; CI: 1.03-3.00) to be readmitted 30 days after discharge. CONCLUSIONS: The computerized MRCI score was moderately correlated with manual MRCI score. A significant association was found between computerized MRCI and 30-day HF readmission. Such predictive tools may allow pharmacists to prioritize patient care and optimize patient outcomes through medication therapy management.
[Mh] Termos MeSH primário: Técnicas de Apoio para a Decisão
Insuficiência Cardíaca/tratamento farmacológico
Conduta do Tratamento Medicamentoso
Sumários de Alta do Paciente Hospitalar
Alta do Paciente
Readmissão do Paciente
[Mh] Termos MeSH secundário: Centros Médicos Acadêmicos
Idoso
Idoso de 80 Anos ou mais
Bases de Dados Factuais
Feminino
Insuficiência Cardíaca/diagnóstico
Seres Humanos
Modelos Lineares
Modelos Logísticos
Masculino
Meia-Idade
Análise Multivariada
Razão de Chances
Estudos Retrospectivos
Medição de Risco
Fatores de Risco
Centros de Atenção Terciária
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180203
[Lr] Data última revisão:
180203
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:28856665
[Au] Autor:Johnson KG; Fashoyin A; Madden-Fuentes R; Muzyk AJ; Gagliardi JP; Yanamadala M
[Ad] Endereço:Duke University Health System, Durham, North Carolina.
[Ti] Título:Discharge Plans for Geriatric Inpatients with Delirium: A Plan to Stop Antipsychotics?
[So] Source:J Am Geriatr Soc;65(10):2278-2281, 2017 Oct.
[Is] ISSN:1532-5415
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Studies show inpatient geriatric patients with reversible conditions like delirium may continue on antipsychotic medications without clear indications after hospital discharge. We conducted this study to determine how often geriatric patients were discharged on a newly started antipsychotic during admission with a plan for discontinuation of the antipsychotic documented in the discharge summary. DESIGN: We conducted retrospective chart review identifying geriatric inpatients in our health system started on a new antipsychotic during admission. In patients discharged from the hospital on a new antipsychotic, we examined the discharge summary for a discontinuation treatment plan. RESULTS: Of 487 patients started on a new antipsychotic, 147 (30.2%) were discharged on the antipsychotic. Of those, 121 (82.3%) had a diagnosis of delirium. Discharge summaries of 15 (12.4%) patients discharged on an antipsychotic with a diagnosis of delirium included instructions for discontinuation of the antipsychotic. Of those patients discharged with instructions for discontinuation, 12 (80%) received a psychiatric or geriatric medicine consult. CONCLUSION: In our health system, the majority of geriatric patients with delirium, discharged on a new antipsychotic had no instructions outlined to outpatient providers for discontinuation management. Further interventions could target increasing antipsychotic guidance at transitions of care.
[Mh] Termos MeSH primário: Antipsicóticos/uso terapêutico
Delírio/tratamento farmacológico
Sumários de Alta do Paciente Hospitalar
Alta do Paciente
Suspensão de Tratamento
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Pacientes Internados/psicologia
Masculino
Estudos Retrospectivos
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antipsychotic Agents)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170901
[St] Status:MEDLINE
[do] DOI:10.1111/jgs.15026


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[PMID]:28423783
[Au] Autor:Berndorfer S; Henriksson A
[Ad] Endereço:Faculty of Computer Science, University of Vienna, Austria.
[Ti] Título:Automated Diagnosis Coding with Combined Text Representations.
[So] Source:Stud Health Technol Inform;235:201-205, 2017.
[Is] ISSN:0926-9630
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Automated diagnosis coding can be provided efficiently by learning predictive models from historical data; however, discriminating between thousands of codes while allowing a variable number of codes to be assigned is extremely difficult. Here, we explore various text representations and classification models for assigning ICD-9 codes to discharge summaries in MIMIC-III. It is shown that the relative effectiveness of the investigated representations depends on the frequency of the diagnosis code under consideration and that the best performance is obtained by combining models built using different representations.
[Mh] Termos MeSH primário: Classificação Internacional de Doenças
Sumários de Alta do Paciente Hospitalar
[Mh] Termos MeSH secundário: Codificação Clínica
Registros Eletrônicos de Saúde
Seres Humanos
Aprendizado de Máquina
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171017
[Lr] Data última revisão:
171017
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:170421
[St] Status:MEDLINE


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[PMID]:28304316
[Au] Autor:Gad A; Parkinson E; Khawar N; Elmeki A; Narula P; Hoang D
[Ti] Título:Perspectives and attitudes of pediatricians concerning post-discharge care practice of premature infants.
[So] Source:J Neonatal Perinatal Med;10(1):99-107, 2017.
[Is] ISSN:1878-4429
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Survival rates of premature infants are at a historical high and increasingly more pediatricians are caring for former premature infants. The goal of this study was to describe the perspectives and attitudes of pediatricians, as well as, the challenges of rendering post-neonatal intensive care unit (NICU) discharge care for premature infants. METHODS: An anonymous 22-question web-based survey was emailed to pediatricians who are current members of the American Academy of Pediatrics (AAP) and practicing in Kings County, New York. RESULTS: There were 148 completed surveys with 79% being general pediatricians. Of all respondents, 63% believed that premature infants should have a neonatal high risk follow-up visit within days after discharge and 64% were satisfied with the NICU discharge summary acquisition. While 74% of pediatricians felt comfortable following up with former extremely premature infants, 65% referred to specialists, most often to child development, neurology, and physical and/or occupational therapy. The majority (85%) were more likely to refer premature infants to early intervention. Participating pediatricians varied in their knowledge of immunization and breastfeeding guidelines. Finally, 88% of respondents acknowledged that caregivers of premature infants experience increased stress, with 53% stating that the stress should be addressed. CONCLUSIONS: Understanding the perceptions and challenges of pediatricians who care for premature infants may help improve post NICU quality of care. Transition to the outpatient setting is a crucial step in the management of premature infants and a focus on improved hand-off procedures between hospital and physicians may prove beneficial. Also, pediatricians must stay abreast of current recommendations for breastfeeding and vaccinations. Furthermore, emphasis should be given to stress reduction and management for caregivers of former premature infants.
[Mh] Termos MeSH primário: Assistência ao Convalescente
Atitude do Pessoal de Saúde
Competência Clínica
Pediatras
Encaminhamento e Consulta
[Mh] Termos MeSH secundário: Aleitamento Materno
Cuidadores/psicologia
Estudos Transversais
Intervenção Precoce (Educação)
Feminino
Seres Humanos
Imunização
Lactente
Lactente Extremamente Prematuro
Recém-Nascido
Recém-Nascido Prematuro
Unidades de Terapia Intensiva Neonatal
Masculino
Neurologistas
Terapeutas Ocupacionais
Alta do Paciente
Sumários de Alta do Paciente Hospitalar
Fisioterapeutas
Guias de Prática Clínica como Assunto
Estresse Psicológico/psicologia
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170318
[St] Status:MEDLINE
[do] DOI:10.3233/NPM-1615


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[PMID]:28212252
[Au] Autor:Cosic F; Kimmel L; Edwards E
[Ad] Endereço:*Department of Orthopaedic Surgery, The Alfred, Melbourne, Victoria, Australia; †Department of Physiotherapy, The Alfred, Melbourne, Victoria, Australia; and ‡Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
[Ti] Título:Health Literacy in Orthopaedic Trauma Patients.
[So] Source:J Orthop Trauma;31(3):e90-e95, 2017 Mar.
[Is] ISSN:1531-2291
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This study aimed to determine the level of health literacy in a postoperative orthopaedic trauma population and to evaluate the efficacy of a simple predischarge discussion strategy, targeted at improving health literacy. DESIGN: A pre-post intervention study was conducted from April 2014 to January 2015. SETTING: Academic Level 1 trauma center. PARTICIPANTS: One hundred ninety consecutive orthopaedic trauma patients with operatively managed lower limb fractures were recruited. All eligible participants agreed to participate. INTERVENTION: The first ninety-nine patients received usual care (UC). The following 91 patients received a structured predischarge discussion, including x-rays, written and verbal information, from the orthopaedic staff (DG). Patients were then randomized into health literacy evaluation before first outpatient review or after first outpatient review. MAIN OUTCOME MEASURES: The primary outcome measure was a questionnaire determining health literacy. RESULTS: Ninety-six (97%) of the UC patients and 87 (96%) of the discussion patients (DG) completed the interview. UC preoutpatient (n = 46) demonstrated a mean score of 4.67 of a maximum 8. UC postoutpatient (n = 50) demonstrated a mean score of 5.42. DG preoutpatient (n = 47) demonstrated a mean score of 6.70. DG postoutpatient (n = 40) demonstrated a mean score of 7.08. CONCLUSIONS: Australian orthopaedic trauma patients demonstrate poor health literacy, with this not showing improvement after their first outpatient follow-up visit. The use of a time efficient, structured predischarge discussion improved patient health literacy. LEVEL OF EVIDENCE: Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence.
[Mh] Termos MeSH primário: Fraturas Ósseas/epidemiologia
Fraturas Ósseas/cirurgia
Alfabetização em Saúde/estatística & dados numéricos
Ortopedia/educação
Sumários de Alta do Paciente Hospitalar/estatística & dados numéricos
Educação de Pacientes como Assunto/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Avaliação Educacional/estatística & dados numéricos
Feminino
Alfabetização em Saúde/métodos
Promoção da Saúde/métodos
Promoção da Saúde/estatística & dados numéricos
Seres Humanos
Consentimento Livre e Esclarecido/estatística & dados numéricos
Masculino
Meia-Idade
Educação de Pacientes como Assunto/métodos
Pacientes/estatística & dados numéricos
Vitória/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170218
[St] Status:MEDLINE
[do] DOI:10.1097/BOT.0000000000000764


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[PMID]:28189135
[Au] Autor:Mahfouz C; Bonney A; Mullan J; Rich W
[Ti] Título:An Australian discharge summary quality assessment tool: A pilot study.
[So] Source:Aust Fam Physician;46(1):57-63, 2017 Jan/Feb.
[Is] ISSN:0300-8495
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Patients' transition from hospital care to their general practitioner (GP) can put them at risk of unforeseen adverse events, which can be minimised by the GP receiving timely access to hospital discharge summaries. The objective of this article was to develop and pilot a discharge summary assessment tool, inclusive of components that Australian GPs identified as being most important for the safe transfer of care. METHODS: Development of the instrument was informed by a literature review pertaining to key components of effective discharge summaries. These components were included in a survey instrument, which was piloted by Australian GP participants. RESULTS: From 118 responses, the five highest ranked components of a discharge summary included lists of medications on discharge, diagnoses on discharge, reasons for any changes in medications, and details of follow-up arrangements and treatment in hospital. DISCUSSION: This paper describes the initial development and results of piloting an Australian discharge summary quality assessment tool.
[Mh] Termos MeSH primário: Continuidade da Assistência ao Paciente/normas
Medicina Geral/normas
Sumários de Alta do Paciente Hospitalar/normas
Garantia da Qualidade dos Cuidados de Saúde/normas
[Mh] Termos MeSH secundário: Austrália
Medicina Geral/métodos
Seres Humanos
Determinação de Necessidades de Cuidados de Saúde
Projetos Piloto
Garantia da Qualidade dos Cuidados de Saúde/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170809
[Lr] Data última revisão:
170809
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170213
[St] Status:MEDLINE


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Registro de Ensaios Clínicos
Texto completo
[PMID]:28188268
[Au] Autor:Fermann GJ; Levy PD; Pang P; Butler J; Ayaz SI; Char D; Dunn P; Jenkins CA; Kampe C; Khan Y; Kumar VA; Lindenfeld J; Liu D; Miller K; Peacock WF; Rizk S; Robichaux C; Rothman RL; Schrock J; Singer A; Sterling SA; Storrow AB; Walsh C; Wilburn J; Collins SP
[Ad] Endereço:From the Department of Emergency Medicine, University of Cincinnati, OH (G.J.F.); Department of Emergency Medicine, Wayne State University, Detroit, MI (P.D.L., S.I.A., V.A.K., S.R., J.W.); Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis (P.P.); Division of Card
[Ti] Título:Design and Rationale of a Randomized Trial of a Care Transition Strategy in Patients With Acute Heart Failure Discharged From the Emergency Department: GUIDED-HF (Get With the Guidelines in Emergency Department Patients With Heart Failure).
[So] Source:Circ Heart Fail;10(2), 2017 Feb.
[Is] ISSN:1941-3297
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:GUIDED-HF (Get With the Guidelines in Emergency Department Patients With Heart Failure) is a multicenter randomized trial of a patient-centered transitional care intervention in patients with acute heart failure (AHF) who are discharged either directly from the emergency department (ED) or after a brief period of ED-based observation. To optimize care and reduce ED and hospital revisits, there has been significant emphasis on improving transitions at the time of hospital discharge for patients with HF. Such efforts have been almost exclusively directed at hospitalized patients; individuals with AHF who are discharged from the ED or ED-based observation are not included in these transitional care initiatives. Patients with AHF discharged directly from the ED or after a brief period of ED-based observation are randomly assigned to our transition GUIDED-HF strategy or standard ED discharge. Patients in the GUIDED arm receive a tailored discharge plan via the study team, based on their identified barriers to outpatient management and associated guideline-based interventions. This plan includes conducting a home visit soon after ED discharge combined with close outpatient follow-up and subsequent coaching calls to improve postdischarge care and avoid subsequent ED revisits and inpatient admissions. Up to 700 patients at 11 sites will be enrolled over 3 years of the study. GUIDED-HF will test a novel approach to AHF management strategy that includes tailored transitional care for patients discharged from the ED or ED-based observation. If successful, this program may significantly alter the current paradigm of AHF patient care. CLINICAL TRIAL REGISTRATION: URL: http://www.clinicaltrials.gov. Unique identifier: NCT02519283.
[Mh] Termos MeSH primário: Serviço Hospitalar de Emergência
Fidelidade a Diretrizes/normas
Insuficiência Cardíaca/terapia
Alta do Paciente/normas
Assistência Centrada no Paciente/normas
Guias de Prática Clínica como Assunto/normas
Cuidado Transicional/normas
[Mh] Termos MeSH secundário: Assistência Ambulatorial/normas
Protocolos Clínicos
Aconselhamento/normas
Serviço Hospitalar de Emergência/normas
Insuficiência Cardíaca/diagnóstico
Insuficiência Cardíaca/fisiopatologia
Visita Domiciliar
Seres Humanos
Equipe de Assistência ao Paciente/normas
Sumários de Alta do Paciente Hospitalar/normas
Projetos de Pesquisa
Fatores de Tempo
Resultado do Tratamento
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170627
[Lr] Data última revisão:
170627
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170212
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE


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[PMID]:28076735
[Au] Autor:Tong EY; Roman CP; Mitra B; Yip GS; Gibbs H; Newnham HH; Smit V; Galbraith K; Dooley MJ
[Ad] Endereço:Alfred Health, Melbourne, VIC E.Tong@alfred.org.au.
[Ti] Título:Reducing medication errors in hospital discharge summaries: a randomised controlled trial.
[So] Source:Med J Aust;206(1):36-39, 2017 Jan 16.
[Is] ISSN:1326-5377
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To evaluate whether pharmacists completing the medication management plan in the medical discharge summary reduced the rate of medication errors in these summaries. DESIGN: Unblinded, cluster randomised, controlled investigation of medication management plans for patients discharged after an inpatient stay in a general medical unit. SETTING: The Alfred Hospital, an adult major referral hospital in metropolitan Melbourne, with an annual emergency department attendance of about 60000 patients. PARTICIPANTS: The evaluation included patients' discharge summaries for the period 16 March 2015 - 27 July 2015. INTERVENTIONS: Patients randomised to the intervention arm received medication management plans completed by a pharmacist (intervention); those in the control arm received standard medical discharge summaries (control). MAIN OUTCOME MEASURES: The primary outcome variable was a discharge summary including a medication error identified by an independent assessor. RESULTS: At least one medication error was identified in the summaries of 265 of 431 patients (61.5%) in the control arm, compared with 60 of 401 patients (15%) in the intervention arm (P<0.01). The absolute risk reduction was 46.5% (95% CI, 40.7-52.3%); the number needed to treat (NNT) to avoid one error was 2.2 (95% CI, 1.9-2.5). The absolute risk reduction for a high or extreme risk error was 9.6% (95% CI, 6.4-12.8%), with an NNT of 10.4 (95% CI, 7.8-15.5). CONCLUSIONS: Pharmacists completing medication management plans in the discharge summary significantly reduced the rate of medication errors (including errors of high and extreme risk) in medication summaries for general medical patients.Australia New Zealand Clinical Trials Registry number: ACTRN12616001034426.
[Mh] Termos MeSH primário: Continuidade da Assistência ao Paciente
Erros de Medicação/prevenção & controle
Reconciliação de Medicamentos
Sumários de Alta do Paciente Hospitalar
Serviço de Farmácia Hospitalar
[Mh] Termos MeSH secundário: Idoso
Austrália
Feminino
Seres Humanos
Masculino
Erros de Medicação/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170112
[St] Status:MEDLINE



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